EMDEON CORPORATION
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Form 10-Q
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þ
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QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934 |
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For the quarterly period ended March 31, 2006 |
or |
o
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TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934 |
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For the transition period from
to |
Commission file number: 0-24975
EMDEON CORPORATION
(Exact name of registrant as specified in its charter)
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Delaware |
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94-3236644 |
(State of incorporation)
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(I.R.S. employer identification no.) |
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669 River Drive, Center 2
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07407-1361 |
Elmwood Park, New Jersey
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(Zip code) |
(Address of principal executive office)
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(201) 703-3400
(Registrants telephone number including area code)
Indicate by check mark whether the registrant: (1) has
filed all reports required to be filed by Section 13 or
15(d) of the Securities Exchange Act of 1934 during the
preceding 12 months (or for such shorter period that the
registrant was required to file such reports), and (2) has
been subject to such filing requirements for the past
90 days.
Yes þ No o
Indicate by check mark whether the registrant is a large
accelerated filer, an accelerated filer, or a non-accelerated
filer. See definition of accelerated filer and large
accelerated filer in
Rule 12b-2 of the
Exchange Act.
Large accelerated filer
þ Accelerated
filer o Non-accelerated
filer o
Indicate by check mark whether the registrant is a shell company
(as defined in
Rule 12b-2 of the
Exchange Act).
Yes o No þ
As of May 8, 2006, there were 274,416,486 shares of
Emdeon Common Stock outstanding.
EMDEON CORPORATION
QUARTERLY REPORT ON
FORM 10-Q
For the period ended March 31, 2006
TABLE OF CONTENTS
WebMD®,
WebMD
Health®,
CME
Circle®,
dakota
imagingtm,
Digital Office
Manager®,
DIMdx®,
Emdeontm,
Emdeon Business
Servicestm,
Emdeon Practice
Servicestm,
eMedicine®,
Envoy®,
ExpressBill®,
Image
Directorsm,
Healthpayers
USA®,
HealthPro®
XL,
Intergy®,
MedicineNet®,
Medifax®,
Medifax-EDI®,
Medpulse®,
Medscape®,
MEDPOR®,
Medware®,
Physician
Flowsm,
POREX®,
Publishers
Circle®,
RxList®,
Select Quality
Care®,
theheart.org®,
The Little Blue
Booktm,
The Medical
Manager®
and
ViPS®
are trademarks of Emdeon Corporation or its subsidiaries.
2
FORWARD-LOOKING STATEMENTS
This Quarterly Report on
Form 10-Q contains
both historical and forward-looking statements. All statements
other than statements of historical fact are, or may be,
forward-looking statements. For example, statements concerning
projections, predictions, expectations, estimates or forecasts
and statements that describe our objectives, future performance,
plans or goals are, or may be, forward-looking statements. These
forward-looking statements reflect managements current
expectations concerning future results and events and can
generally be identified by the use of expressions such as
may, will, should,
could, would, likely,
predict, potential,
continue, future, estimate,
believe, expect, anticipate,
intend, plan, foresee, and
other similar words or phrases, as well as statements in the
future tense.
Forward-looking statements involve known and unknown risks,
uncertainties and other factors that may cause our actual
results, performance or achievements to be different from any
future results, performance and achievements expressed or
implied by these statements. The following important risks and
uncertainties could affect our future results, causing those
results to differ materially from those expressed in our
forward-looking statements:
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the inability to successfully deploy new or updated applications
or services; |
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the failure to achieve sufficient levels of customer utilization
and market acceptance of new or updated products and services; |
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difficulties in forming and maintaining relationships with
healthcare industry participants, including healthcare payers
and providers and vendors of services to those payers and
providers; |
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diversion of resources to the process of evaluating alternatives
with respect to our Emdeon Business Services and Emdeon Practice
Services segments and uncertainties regarding the outcome of the
process and its effects on those segments and on our company as
a whole; |
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the inability to attract and retain qualified personnel; |
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the anticipated benefits from acquisitions not being fully
realized or not being realized within the expected time frames; |
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general economic, business or regulatory conditions affecting
the healthcare, information technology, Internet and plastics
industries being less favorable than expected; and |
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the other risks and uncertainties described in this Quarterly
Report on
Form 10-Q under
the heading Managements Discussion and Analysis of
Financial Condition and Results of Operations
Factors That May Affect Our Future Financial Condition or
Results of Operations. |
These factors are not necessarily all of the important factors
that could cause actual results to differ materially from those
expressed in any of our forward-looking statements. Other
unknown or unpredictable factors also could have material
adverse effects on our future results.
The forward-looking statements included in this Quarterly Report
are made only as of the date of this Quarterly Report. We
expressly disclaim any intent or obligation to update any
forward-looking statements to reflect subsequent events or
circumstances.
3
PART I
FINANCIAL INFORMATION
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ITEM 1. |
Financial Statements |
EMDEON CORPORATION
CONSOLIDATED BALANCE SHEETS
(In thousands, except share and per share data)
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March 31, | |
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December 31, | |
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2006 | |
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2005 | |
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(Unaudited) | |
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ASSETS
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Current assets:
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Cash and cash equivalents
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$ |
137,145 |
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$ |
159,510 |
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Short-term investments
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239,653 |
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267,387 |
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Accounts receivable, net of allowance for doubtful accounts of
$12,091 at March 31, 2006 and $12,535 at December 31,
2005
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236,057 |
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233,070 |
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Inventory
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13,852 |
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14,251 |
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Prepaid expenses and other current assets
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33,605 |
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34,615 |
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Total current assets
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660,312 |
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708,833 |
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Marketable equity securities
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4,265 |
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4,481 |
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Property and equipment, net
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120,791 |
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116,032 |
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Goodwill
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1,087,731 |
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1,075,549 |
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Intangible assets, net
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240,095 |
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240,510 |
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Other assets
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49,116 |
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50,278 |
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TOTAL ASSETS
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$ |
2,162,310 |
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$ |
2,195,683 |
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LIABILITIES AND STOCKHOLDERS EQUITY
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Current liabilities:
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Accounts payable
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$ |
10,525 |
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$ |
11,611 |
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Accrued expenses
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172,179 |
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186,381 |
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Deferred revenue
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125,705 |
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115,840 |
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Total current liabilities
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308,409 |
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313,832 |
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1.75% convertible subordinated notes due 2023
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350,000 |
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350,000 |
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31/8
% convertible notes due 2025
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300,000 |
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300,000 |
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Other long-term liabilities
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15,372 |
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15,353 |
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Minority interest in WebMD Health Corp.
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48,005 |
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43,229 |
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Convertible redeemable exchangeable preferred stock,
$0.0001 par value; 10,000 shares authorized, issued
and outstanding at March 31, 2006 and December 31, 2005
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98,591 |
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98,533 |
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Commitments and contingencies
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Stockholders equity:
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Preferred stock, $0.0001 par value; 4,990,000 shares
authorized; no shares issued
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Common stock, $0.0001 par value; 900,000,000 shares
authorized; 430,506,000 shares issued at March 31,
2006; 428,624,239 shares issued at December 31, 2005
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43 |
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43 |
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Additional paid-in capital
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12,135,123 |
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12,121,431 |
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Deferred stock compensation
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(3,699 |
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Treasury stock, at cost; 157,135,533 shares at
March 31, 2006; 150,296,414 shares at
December 31, 2005
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(1,017,115 |
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(950,482 |
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Accumulated deficit
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(10,083,791 |
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(10,100,164 |
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Accumulated other comprehensive income
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7,673 |
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7,607 |
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Total stockholders equity
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1,041,933 |
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1,074,736 |
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TOTAL LIABILITIES AND STOCKHOLDERS EQUITY
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$ |
2,162,310 |
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$ |
2,195,683 |
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See accompanying notes.
4
EMDEON CORPORATION
CONSOLIDATED STATEMENTS OF OPERATIONS
(In thousands, except per share data, unaudited)
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Three Months Ended | |
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March 31, | |
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2006 | |
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2005 | |
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Revenue
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$ |
339,119 |
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$ |
303,934 |
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Costs and expenses:
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Cost of operations
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195,267 |
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172,163 |
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Development and engineering
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14,914 |
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14,640 |
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Sales, marketing, general and administrative
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88,832 |
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82,137 |
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Depreciation and amortization
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18,928 |
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16,504 |
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Legal expense
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542 |
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4,160 |
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Loss on investments
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3,832 |
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Interest income
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4,419 |
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4,321 |
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Interest expense
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4,691 |
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4,781 |
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Income before income tax provision and minority interest
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20,364 |
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10,038 |
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Income tax provision
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4,562 |
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189 |
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Minority interest in WebMD Health Corp., net of tax
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(629 |
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Net income
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$ |
16,431 |
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$ |
9,849 |
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Net income per common share:
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Basic and diluted
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0.06 |
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0.03 |
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Weighted-average shares outstanding used in computing net income
per common share:
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Basic
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287,195 |
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325,334 |
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Diluted
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295,492 |
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335,689 |
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See accompanying notes.
5
EMDEON CORPORATION
CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands, unaudited)
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Three Months Ended | |
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March 31, | |
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2006 | |
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2005 | |
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Cash flows from operating activities:
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Net income
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$ |
16,431 |
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$ |
9,849 |
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Adjustments to reconcile net income to net cash provided by
operating activities:
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Depreciation and amortization
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18,928 |
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16,504 |
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Minority interest in WebMD Health Corp., net of tax
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(629 |
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Amortization of debt issuance costs
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728 |
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726 |
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Non-cash advertising
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1,605 |
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2,627 |
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Non-cash stock-based compensation
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12,462 |
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1,651 |
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Bad debt expense
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1,050 |
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2,283 |
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Loss on investments
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3,832 |
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Reversal of income tax valuation allowance applied to goodwill
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2,157 |
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Changes in operating assets and liabilities:
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Accounts receivable
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(2,245 |
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(14,122 |
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Inventory
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446 |
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253 |
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Prepaid expenses and other, net
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(710 |
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2,812 |
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Accounts payable
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(1,133 |
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(8,631 |
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Accrued expenses and other long-term liabilities
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(9,886 |
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(106 |
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Deferred revenue
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7,557 |
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5,279 |
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Net cash provided by operating activities
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46,761 |
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22,957 |
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Cash flows from investing activities:
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Proceeds from maturities and sales of available-for-sale
securities
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166,228 |
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45,846 |
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Purchases of available-for-sale securities
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(137,815 |
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(2,550 |
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Purchases of property and equipment
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(14,168 |
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(11,892 |
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Proceeds received from sale of property and equipment
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400 |
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Cash paid in business combinations, net of cash acquired
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(27,328 |
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(70,775 |
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Net cash used in investing activities
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(13,083 |
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(38,971 |
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Cash flows from financing activities:
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Proceeds from issuance of common stock
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10,565 |
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13,170 |
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Purchases of treasury stock
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(66,633 |
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Payments of notes payable and other
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(94 |
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(63 |
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Net cash (used in) provided by financing activities
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(56,162 |
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13,107 |
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Effect of exchange rates on cash
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119 |
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(358 |
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Net decrease in cash and cash equivalents
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(22,365 |
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(3,265 |
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Cash and cash equivalents at beginning of period
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159,510 |
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46,019 |
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Cash and cash equivalents at end of period
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$ |
137,145 |
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$ |
42,754 |
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See accompanying notes.
6
EMDEON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(In thousands, except share and per share data, unaudited)
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1. |
Background and Basis of Presentation |
Background
Emdeon Corporation (Emdeon or the
Company) is a Delaware corporation that was
incorporated in December 1995 and commenced operations in
January 1996 as Healtheon Corporation. The Companys common
stock has traded on the Nasdaq National Market under the symbol
HLTH since February 11, 1999. The Company
changed its name to Healtheon/ WebMD Corporation in November
1999 and to WebMD Corporation in September 2000. In October
2005, WebMD Corporation changed its name to Emdeon Corporation
in connection with the initial public offering of equity
securities of WebMD Health Corp. (WHC), a subsidiary
that the Company formed to act as a holding company for the
business of the Companys WebMD segment (described below)
and to issue shares in that initial public offering. Because the
WebMD name had been more closely associated with the
Companys public and private online portals than with its
other businesses, the Companys Board of Directors
determined that WHC would, following its initial public
offering, have the sole right to use the WebMD name and related
trademarks.
WHCs Class A Common Stock began trading on the Nasdaq
National Market under the symbol WBMD on
September 29, 2005. As of March 31, 2006, the Company
owned 48,100,000 shares of WHC Class B Common Stock,
which represents 85.8% of WHCs outstanding common stock
and 96.7% of the combined voting power of WHCs outstanding
common stock.
Basis of Presentation
The accompanying consolidated financial statements include the
consolidated accounts of Emdeon Corporation and its subsidiaries
and have been prepared in United States dollars, and in
accordance with U.S. generally accepted accounting
principles (GAAP). The consolidated accounts include
100% of the assets and liabilities of the majority owned WHC and
the ownership interests of minority stockholders of WHC are
recorded as Minority interest in WebMD Health Corp. in the
accompanying consolidated balance sheets.
Interim Financial Statements
The unaudited consolidated financial statements of the Company
have been prepared by management and reflect all adjustments
(consisting of only normal recurring adjustments) that, in the
opinion of management, are necessary for a fair presentation of
the interim periods presented. The results of operations for the
three months ended March 31, 2006 are not necessarily
indicative of the results to be expected for any subsequent
period or for the entire year ending December 31, 2006.
Certain information and footnote disclosures normally included
in financial statements prepared in accordance with
U.S. GAAP have been condensed or omitted under the
Securities and Exchange Commissions rules and regulations.
The unaudited consolidated financial statements and notes
included herein should be read in conjunction with the
Companys audited consolidated financial statements and
notes for the year ended December 31, 2005, which were
included in the Companys Annual Report on
Form 10-K filed
with the Securities and Exchange Commission.
Accounting Estimates
The preparation of financial statements in conformity with
U.S. GAAP requires management to make estimates and
assumptions that affect the amounts reported in the consolidated
financial statements and accompanying notes. The Company bases
its estimates on historical experience, current business factors,
7
EMDEON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
and various other assumptions that the Company believes are
necessary to consider in order to form a basis for making
judgments about the carrying values of assets and liabilities,
the recorded amounts of revenue and expenses, and disclosure of
contingent assets and liabilities. The Company is subject to
uncertainties such as the impact of future events, economic,
environmental and political factors, and changes in the
Companys business environment; therefore, actual results
could differ from these estimates. Accordingly, the accounting
estimates used in the preparation of the Companys
financial statements will change as new events occur, as more
experience is acquired, as additional information is obtained
and as the Companys operating environment changes. Changes
in estimates are made when circumstances warrant. Such changes
in estimates and refinements in estimation methodologies are
reflected in reported results of operations; if material, the
effects of changes in estimates are disclosed in the notes to
the consolidated financial statements. Significant estimates and
assumptions by management affect: the allowance for doubtful
accounts, the carrying value of inventory, the carrying value of
prepaid advertising services, the carrying value of long-lived
assets (including goodwill and intangible assets), the
amortization period of long-lived assets (excluding goodwill),
the carrying value, capitalization and amortization of software
development costs, the carrying value of short-term and
long-term investments, the provision and benefit for income
taxes and related deferred tax accounts, certain accrued
expenses, revenue recognition, contingencies, litigation and the
value attributed to employee stock options and other stock-based
awards.
Ownership in WHC and Minority Interest
The Company owned, on March 31, 2006,
48,100,000 shares of WHC Class B Common Stock,
representing ownership of 85.8% of all outstanding WHC
Class A and Class B Common Stock. WHC Class A
Common Stock has one vote per share, while WHC Class B
Common Stock has five votes per share. As a result, the WHC
Class B Common Stock owned by the Company represented, as
of March 31, 2006, 96.7% of the combined voting power of
WHCs outstanding Common Stock. Each share of WHC
Class B Common Stock is convertible at the Companys
option into one share of WHC Class A Common Stock. In
addition, shares of WHC Class B Common Stock will
automatically be converted, on a one-for-one basis, into shares
of WHC Class A Common Stock on a transfer to any person
other than a majority owned subsidiary of the Company or a
successor of the Company. On the fifth anniversary of the
closing date of the initial public offering, all then
outstanding shares of WHC Class B Common Stock will
automatically be converted, on a one-for-one basis, into shares
of WHC Class A Common Stock.
Minority interest represents the minority stockholders
proportionate share of equity and net income of the
Companys consolidated WebMD segment. Additionally,
minority interest includes the stock-based compensation expense
related to stock options and other stock awards based on WHC
Class A Common Stock that has been expensed since the
adoption of Statement of Financial Accounting Standards
(SFAS) No. 123, (Revised 2004):
Share-Based Payment on January 1, 2006, and to a much
lesser extent, the expense associated with these awards that was
expensed in connection with APB Opinion No. 25,
Accounting for Stock Issued to Employees prior to
January 1, 2006. As of March 31, 2006 and
December 31, 2005, the minority stockholders
proportionate share of the equity in WHC of $48,005 and $43,229,
respectively, are reflected as Minority Interest in WebMD Health
Corp. in the accompanying consolidated balance sheets. The
minority stockholders proportionate share of net loss in
WHC for the three months ended March 31, 2006 was $629.
Net Income Per Common Share
Basic income per common share and diluted income per common
share are presented in conformity with SFAS No. 128,
Earnings Per Share (SFAS 128). In
accordance with SFAS 128, basic income per common share has
been computed using the weighted-average number of shares of
common stock outstanding during the period, increased to give
effect to the participating rights of the convertible
8
EMDEON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
redeemable exchangeable preferred stock. Diluted income per
common share has been computed using the weighted-average number
of shares of common stock outstanding during the period,
increased to give effect to potentially dilutive securities.
Additionally, for purposes of calculating diluted income per
common share of the Company during the three months ended
March 31, 2006, the numerator has been adjusted to consider
the effect of potentially dilutive securities of WHC, which can
dilute the portion of WHCs net income otherwise retained
by the Company. The impact of WHCs potentially dilutive
securities on the calculation of diluted income per common share
was not material. The following table presents the calculation
of basic and diluted income per common share (shares in
thousands):
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended | |
|
|
March 31, | |
|
|
| |
|
|
2006 | |
|
2005 | |
|
|
| |
|
| |
Numerator:
|
|
|
|
|
|
|
|
|
Net income
|
|
$ |
16,431 |
|
|
$ |
9,849 |
|
|
|
|
|
|
|
|
Denominator:
|
|
|
|
|
|
|
|
|
|
Common stock
|
|
|
276,557 |
|
|
|
314,696 |
|
|
Convertible redeemable exchangeable preferred stock
|
|
|
10,638 |
|
|
|
10,638 |
|
|
|
|
|
|
|
|
Weighted-average shares Basic
|
|
|
287,195 |
|
|
|
325,334 |
|
|
Employee stock options, restricted stock and warrants
|
|
|
8,297 |
|
|
|
10,355 |
|
|
|
|
|
|
|
|
Adjusted weighted-average shares after assumed
conversions Diluted
|
|
|
295,492 |
|
|
|
335,689 |
|
|
|
|
|
|
|
|
Net income per common share:
|
|
|
|
|
|
|
|
|
|
Basic and diluted
|
|
|
0.06 |
|
|
|
0.03 |
|
|
|
|
|
|
|
|
The Company has excluded convertible notes, as well as certain
outstanding warrants and stock options, from the calculation of
diluted income per common share because such securities were
anti-dilutive during the periods presented. The following table
presents the total number of shares that could potentially
dilute basic income per common share in the future that were not
included in the computation of diluted income per common share
during the periods presented (shares in thousands):
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended | |
|
|
March 31, | |
|
|
| |
|
|
2006 | |
|
2005 | |
|
|
| |
|
| |
Options and warrants
|
|
|
63,376 |
|
|
|
84,122 |
|
Convertible notes
|
|
|
42,015 |
|
|
|
55,129 |
|
|
|
|
|
|
|
|
|
|
|
105,391 |
|
|
|
139,251 |
|
|
|
|
|
|
|
|
Reclassifications
Certain reclassifications have been made to the prior period
financial statements to conform to the current year presentation.
|
|
2. |
Stock-Based Compensation |
On January 1, 2006, the Company adopted
SFAS No. 123, (Revised 2004): Share-Based
Payment (SFAS 123R), which replaces
SFAS No. 123, Accounting for Stock-Based
Compensation (SFAS 123) and supersedes
APB Opinion No. 25, Accounting for Stock Issued to
Employees (APB 25). SFAS 123R
requires all share-based payments to employees, including grants
of employee
9
EMDEON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
stock options, to be recognized as compensation expense over the
service period (generally the vesting period) in the
consolidated financial statements based on their fair values.
The Company elected to use the modified prospective transition
method and as a result, prior period results were not restated.
Under the modified prospective transition method, awards that
were granted or modified on or after January 1, 2006 are
measured and accounted for in accordance with SFAS 123R.
Unvested stock options and restricted stock awards that were
granted prior to January 1, 2006 will continue to be
accounted for in accordance with SFAS 123, using the same
grant date fair value and same expense attribution method used
under SFAS 123, except that all awards are recognized in
the results of operations over the remaining vesting periods.
The impact of forfeitures that may occur prior to vesting is
also estimated and considered in the amount recognized for all
stock-based compensation beginning January 1, 2006.
Prior to January 1, 2006, the Company accounted for
stock-based employee compensation using the intrinsic value
method under the recognition and measurement principles of
APB 25, and related interpretations. In accordance with
APB 25, the Company did not recognize stock-based
compensation cost with respect to options granted with an
exercise price equal to the market value of the underlying
common stock on the date of grant. As a result, the recognition
of stock-based compensation expense was generally limited to the
expense related to restricted stock awards and stock option
modifications, as well as the amortization of deferred
compensation related to certain acquisitions in 2000.
Additionally, all restricted stock awards and stock options
granted prior to January 1, 2006 had graded vesting, and
the Company valued these awards and recognized actual and
pro-forma expense, with respect to restricted stock awards and
stock options, as if each vesting portion of the award was a
separate award. This resulted in an accelerated attribution of
compensation expense over the vesting period. As permitted under
SFAS 123R, the Company began using a straight-line
attribution method beginning January 1, 2006 for all
options and restricted stock awards granted on or after
January 1, 2006, but will continue to apply the accelerated
attribution method for the remaining unvested portion of any
awards granted prior to January 1, 2006.
The Company has various stock compensation plans (collectively,
the Plans) under which directors, officers and other
eligible employees receive awards of options to purchase Emdeon
Common Stock and restricted shares of Emdeon Common Stock.
Additionally, the Companys majority owned public
subsidiary has a similar stock compensation plan that provides
for stock options and restricted stock awards based on WHC
Class A Common Stock. The Company also maintains an
Employee Stock Purchase Plan which provides employees with the
ability to buy shares of Emdeon Common Stock at a discount. The
following sections of this note summarize the activity for each
of these plans.
Emdeon Plans
The Company had an aggregate of 5,625,686 shares of Emdeon
Common Stock available for future grants under the Plans at
March 31, 2006. In addition to the Plans, the Company has
granted options to certain directors, officers and key employees
pursuant to an individual stock option agreement. At
March 31, 2006, there were options to
purchase 5,762,700 shares of Emdeon Common Stock
outstanding to these individuals. The terms of these grants are
similar to the terms of the options granted under the Plans and
accordingly, the stock option activity of these individuals is
included in all references to the Plans. The Company issues new
shares when options are exercised under the Plans.
Generally, options under the Plans vest and become exercisable
ratably over a three to five year period based on their
individual grant dates subject to continued employment on the
applicable vesting dates. The majority of options granted under
the Plans expire within ten years from the date of grant.
Options are generally granted at prices not less than the fair
market value of the Companys Common
10
EMDEON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
Stock on the date of grant. The following table summarizes
activity for the Plans for the three months ended March 31,
2006:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted | |
|
|
|
|
|
|
Weighted | |
|
Average | |
|
|
|
|
|
|
Average | |
|
Remaining | |
|
Aggregate | |
|
|
|
|
Exercise Price | |
|
Contractual | |
|
Intrinsic | |
|
|
Shares | |
|
Per Share | |
|
Life (In Years) | |
|
Value(1) | |
|
|
| |
|
| |
|
| |
|
| |
Outstanding at January 1, 2006
|
|
|
88,183,095 |
|
|
$ |
12.96 |
|
|
|
|
|
|
|
|
|
|
Granted
|
|
|
6,264,500 |
|
|
|
9.12 |
|
|
|
|
|
|
|
|
|
|
Exercised
|
|
|
(1,705,636 |
) |
|
|
6.66 |
|
|
|
|
|
|
|
|
|
|
Forfeited
|
|
|
(2,554,578 |
) |
|
|
12.17 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Outstanding at March 31, 2006
|
|
|
90,187,381 |
|
|
$ |
12.83 |
|
|
|
5.4 |
|
|
$ |
132,443 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Exercisable at the end of the period
|
|
|
68,807,468 |
|
|
$ |
14.13 |
|
|
|
4.4 |
|
|
$ |
86,380 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
The aggregate intrinsic value is based on the market price of
the Companys common stock on March 31, 2006 which was
$10.80 less the applicable exercise price of the underlying
option. This aggregate intrinsic value represents the amount
that would have been realized if all of the option holders had
exercised their options on March 31, 2006. |
The fair value of each option granted, within the table below,
is estimated on the date of grant using the Black-Scholes option
pricing model and using the assumptions also noted in the
following table. Expected volatility is based on implied
volatility from traded options of the Companys stock
combined with historical volatility of the Companys stock.
Prior to January 1, 2006, only historical volatility was
considered. The expected term represents the period of time that
options are expected to be outstanding following their grant
date, and was determined using historical exercise data. The
risk-free rate is based on the U.S. Treasury yield curve
for periods equal to the expected term of the options on the
grant date.
|
|
|
|
|
|
|
|
|
|
|
March 31, | |
|
|
| |
|
|
2006 | |
|
2005 | |
|
|
| |
|
| |
Expected dividend yield
|
|
|
0 |
% |
|
|
0 |
% |
Expected volatility
|
|
|
0.375 |
|
|
|
0.50 |
|
Risk free interest rate
|
|
|
4.55 |
% |
|
|
3.29 |
% |
Expected term (years)
|
|
|
4.46 |
|
|
|
3.25 - 5.50 |
|
Weighted average fair value of options granted during the period
|
|
$ |
3.45 |
|
|
$ |
3.27 |
|
Emdeon Restricted Stock consists of shares of Emdeon Common
Stock which have been awarded to employees. The grants are
restricted such that they are subject to substantial risk of
forfeiture and to restrictions on their sale or other transfer
by the employee until they vest. Generally, Emdeon Restricted
Stock awards vest ratably over a three to five year period from
their individual award dates subject to
11
EMDEON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
continued employment on the applicable vesting dates. The
following table summarizes the activity of non-vested Emdeon
Restricted Stock during the three months ended March 31,
2006:
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted Average | |
|
|
|
|
Grant Date | |
|
|
Shares | |
|
Fair Value | |
|
|
| |
|
| |
Beginning balance at January 1, 2006
|
|
|
1,042,557 |
|
|
$ |
8.24 |
|
Granted
|
|
|
967,700 |
|
|
|
9.11 |
|
Vested
|
|
|
(252,583 |
) |
|
|
8.58 |
|
Forfeited
|
|
|
(34,668 |
) |
|
|
8.89 |
|
|
|
|
|
|
|
|
Ending balance at March 31, 2006
|
|
|
1,723,006 |
|
|
$ |
8.66 |
|
|
|
|
|
|
|
|
Proceeds received from the exercise of options to purchase
Emdeon Common Stock were $11,352 and $13,937 during the three
months ended March 31, 2006 and 2005, respectively. The
intrinsic value related to the exercise of these stock options
as well as the fair value of shares of Emdeon Restricted Stock
that vested was $8,588 and $17,354 during the three months ended
March 31, 2006 and 2005, respectively, which is currently
deductible for tax purposes. However, these tax benefits were
not realized as the Company has net operating loss carryforwards.
WebMD Plans
During September 2005, WHC adopted the 2005 Long-Term Incentive
Plan (the WHC Plan). The maximum number of shares of
WHC Class A Common Stock that will be subject to options or
restricted stock awards under the WHC Plan is 7,130,574, subject
to adjustment in accordance with the terms of the WHC Plan.
Generally, options under the WHC Plan vest and become
exercisable ratably over a four year period based on their
individual grant dates subject to continued employment on the
applicable vesting dates. The options granted under the WHC Plan
expire within ten years from the date of grant. Options are
generally at prices not less than the fair market value of
WHCs Class A Common Stock on the date of grant. The
following table summarizes activity for the WHC Plan for the
three months ended March 31, 2006:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted | |
|
|
|
|
|
|
Weighted | |
|
Average | |
|
|
|
|
|
|
Average | |
|
Remaining | |
|
Aggregate | |
|
|
|
|
Exercise Price | |
|
Contractual | |
|
Intrinsic | |
|
|
Shares | |
|
Per Share | |
|
Life (In Years) | |
|
Value (1) | |
|
|
| |
|
| |
|
| |
|
| |
Outstanding at January 1, 2006
|
|
|
4,533,100 |
|
|
$ |
18.31 |
|
|
|
|
|
|
|
|
|
|
Granted
|
|
|
353,750 |
|
|
|
36.31 |
|
|
|
|
|
|
|
|
|
|
Forfeited
|
|
|
(74,500 |
) |
|
|
19.56 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Outstanding at March 31, 2006
|
|
|
4,812,350 |
|
|
$ |
19.62 |
|
|
|
9.5 |
|
|
$ |
105,982 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Exercisable at the end of the period
|
|
|
|
|
|
$ |
|
|
|
|
|
|
|
$ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
The aggregate intrinsic value is based on the market price of
WHCs common stock on March 31, 2006 which was $41.64
less the applicable exercise price of the underlying option.
This aggregate intrinsic value represents the amount that would
have been realized if all of the option holders had exercised
their options on March 31, 2006. |
12
EMDEON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
The fair value of each option granted is estimated on the date
of grant using the Black-Scholes option pricing model and using
the assumptions noted in the following table. Expected
volatility is based on implied volatility from traded options of
stock of comparable companies combined with historical stock
price volatility of comparable companies. The expected term
represents the period of time that options are expected to be
outstanding following their grant date, and was determined using
historical exercise data of WHC employees who were previously
granted Emdeon stock options. The risk-free rate is based on the
U.S. Treasury yield curve for periods equal to the expected
term of the options on the grant date.
|
|
|
|
|
|
|
March 31, | |
|
|
2006 | |
|
|
| |
Expected dividend yield
|
|
|
0 |
% |
Expected volatility
|
|
|
0.60 |
|
Risk free interest rate
|
|
|
4.56 |
% |
Expected term (years)
|
|
|
3.30 |
|
Weighted average fair value of options granted during the period
|
|
$ |
16.57 |
|
Restricted Stock
Awards
WHC Restricted Stock consists of shares of WHC Class A
Common Stock which have been awarded to employees. The grants
are restricted such that they are subject to substantial risk of
forfeiture and to restrictions on their sale or other transfer
by the employee until they vest. Generally, WHC Restricted Stock
awards vest ratably over a four year period from their
individual award dates subject to continued employment on the
applicable vesting dates. The following table summarizes the
activity of non-vested WHC Restricted Stock during the three
months ended March 31, 2006:
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted Average | |
|
|
|
|
Grant Date | |
|
|
Shares | |
|
Fair Value | |
|
|
| |
|
| |
Beginning balance at January 1, 2006
|
|
|
376,621 |
|
|
$ |
17.55 |
|
Granted
|
|
|
61,243 |
|
|
|
38.98 |
|
Forfeited
|
|
|
(800 |
) |
|
|
39.00 |
|
|
|
|
|
|
|
|
Ending balance at March 31, 2006
|
|
|
437,064 |
|
|
$ |
20.52 |
|
|
|
|
|
|
|
|
Other
In addition, at the time of the WHC initial public offering, WHC
issued shares of WHC Class A Common Stock to each
non-employee director with a value equal to their annual board
and committee retainers. The Company recorded $85 of stock-based
compensation expense during the three months ended
March 31, 2006 in connection with these issuances.
Employee Stock Purchase Plan
The Companys 1998 Employee Stock Purchase Plan, as amended
from time to time (the 1998 Purchase Plan or the
ESPP), allows eligible employees the opportunity to
purchase shares of Emdeon Common Stock through payroll
deductions, up to 15% of a participants annual
compensation with a maximum of 5,000 shares available per
participant during each purchase period. The purchase price of
the stock is 85% of the fair market value on the last day of
each purchase period. As of March 31, 2006, a total of
7,610,200 shares of the Companys common stock were
reserved for issuance under the 1998 Purchase Plan. The 1998
Purchase Plan, as amended in 2000, provides for annual increases
equal to the lesser of 1,500,000 shares, 0.5% of the
outstanding common shares, or a lesser amount determined by the
Board of Directors. There were no shares issued under the 1998
Purchase Plan during the three months ended March 31, 2006
and 2005.
13
EMDEON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
Summary of Stock-Based Compensation Expense
The following table summarizes the components and classification
of stock-based compensation expense:
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended | |
|
|
March 31, | |
|
|
| |
|
|
2006 | |
|
2005 | |
|
|
| |
|
| |
Emdeon Plans:
|
|
|
|
|
|
|
|
|
|
Stock options
|
|
$ |
5,776 |
|
|
$ |
374 |
|
|
Restricted stock
|
|
|
1,051 |
|
|
|
1,277 |
|
WHC Plan:
|
|
|
|
|
|
|
|
|
|
Stock options
|
|
|
4,446 |
|
|
|
|
|
|
Restricted stock
|
|
|
959 |
|
|
|
|
|
Employee Stock Purchase Plan
|
|
|
145 |
|
|
|
|
|
Other
|
|
|
85 |
|
|
|
|
|
|
|
|
|
|
|
|
Total stock-based compensation expense
|
|
$ |
12,462 |
|
|
$ |
1,651 |
|
|
|
|
|
|
|
|
Included in:
|
|
|
|
|
|
|
|
|
|
Cost of operations
|
|
$ |
3,106 |
|
|
$ |
|
|
|
Development and engineering
|
|
|
401 |
|
|
|
|
|
|
Sales, marketing, general and administrative
|
|
|
8,955 |
|
|
|
1,651 |
|
|
|
|
|
|
|
|
Total stock-based compensation expense
|
|
$ |
12,462 |
|
|
$ |
1,651 |
|
|
|
|
|
|
|
|
No tax benefits were attributed to the stock-based compensation
expense because a valuation allowance was maintained for
substantially all net deferred tax assets. As of March 31,
2006, approximately $46,494 and $36,916 of unrecognized stock
compensation expense related to unvested awards (net of
estimated forfeitures) is expected to be recognized over a
weighted-average period of approximately 1.61 years and
2.04 years, related to the Emdeon Plans, and the WHC Plan,
respectively.
The following table summarizes pro forma net income and net
income per common share as if the Company had applied the fair
value recognition provisions of SFAS 123, to stock-based
employee compensation for the three months ended March 31,
2005:
|
|
|
|
|
|
|
|
Three Months Ended | |
|
|
March 31, 2005 | |
|
|
| |
Net income as reported
|
|
$ |
9,849 |
|
Add: Stock-based employee compensation expense included in
reported net income
|
|
|
1,651 |
|
Deduct: Total stock-based employee compensation expense
determined under fair value based method for all awards
|
|
|
(10,540 |
) |
|
|
|
|
Pro forma net income
|
|
$ |
960 |
|
|
|
|
|
Net income per common share:
|
|
|
|
|
|
Basic and diluted as reported
|
|
$ |
0.03 |
|
|
|
|
|
|
Basic and diluted pro forma
|
|
$ |
0.00 |
|
|
|
|
|
14
EMDEON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
2006 Acquisition
On January 17, 2006, the Company acquired eMedicine.com,
Inc. (eMedicine), a privately held online publisher
of medical reference information for physicians and other
healthcare professionals. The total purchase consideration for
eMedicine was approximately $24,485, comprised of $23,785 in
cash, net of cash acquired, and $700 of estimated acquisition
costs. The acquisition was accounted for using the purchase
method of accounting and, accordingly, the purchase price was
allocated to the tangible and intangible assets acquired and the
liabilities assumed on the basis of their respective fair
values. In connection with the preliminary allocation of the
purchase price and intangible asset valuation, goodwill of
$16,842 and intangible assets subject to amortization of $9,000
were recorded. The Company does not expect that the goodwill or
intangible assets recorded will be deductible for tax purposes.
The intangible asset recorded was content with an estimated
useful life of three years. The results of operations of
eMedicine have been included in the financial statements of the
Company from January 17, 2006, the closing date of the
acquisition, and are included in the WebMD segment.
2005 Acquisitions
On December 2, 2005, the Company acquired the assets of and
assumed certain liabilities of Conceptis Technologies, Inc.
(Conceptis), a privately held Montreal-based
provider of online and offline medical education and promotion
aimed at physicians and other healthcare professionals. The
total purchase consideration for Conceptis was approximately
$19,603, comprised of $19,000 in cash and $603 of estimated
acquisition costs. The acquisition was accounted for using the
purchase method of accounting and, accordingly, the purchase
price was allocated to the tangible and intangible assets
acquired and the liabilities assumed on the basis of their
respective fair values. In connection with the preliminary
allocation of the purchase price and intangible asset valuation,
goodwill of $12,938 and an intangible asset subject to
amortization of $7,000 were recorded. The Company expects that
substantially all of the goodwill and intangible asset recorded
will be deductible for tax purposes. The intangible asset
recorded was content with an estimated useful life of three
years. The results of operations of Conceptis have been included
in the financial statements of the Company from December 2,
2005, the closing date of the acquisition, and are included in
the WebMD segment.
On March 14, 2005, the Company acquired HealthShare
Technology, Inc. (HealthShare), a privately held
company that provides online tools that compare cost and quality
measures of hospitals for use by consumers, providers and health
plans. The total purchase consideration for HealthShare was
approximately $29,985, comprised of $29,533 in cash, net of cash
acquired, and $452 of acquisition costs. The acquisition was
accounted for using the purchase method of accounting and,
accordingly, the purchase price was allocated to the tangible
and intangible assets acquired and the liabilities assumed on
the basis of their respective fair values. In connection with
the allocation of the purchase price and intangible asset
valuation, goodwill of $24,611 and intangible assets subject to
amortization of $8,500 were recorded. The Company does not
expect that the goodwill or intangible assets recorded will be
deductible for tax purposes. The intangible assets are comprised
of $7,500 relating to customer relationships with estimated
useful lives of five years and $1,000 relating to acquired
technology with an estimated useful life of three years. The
results of operations of HealthShare have been included in the
financial statements of the Company from March 14, 2005,
the closing date of the acquisition, and are included in the
WebMD segment.
15
EMDEON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
Condensed Balance Sheet Data
The following table summarizes the tangible and intangible
assets acquired, the liabilities assumed and the consideration
paid for each acquisition:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other | |
|
|
|
|
|
Total | |
|
|
Accounts | |
|
Deferred | |
|
Tangible Assets | |
|
Intangible | |
|
|
|
Purchase | |
|
|
Receivable | |
|
Revenue | |
|
(Liabilities), net | |
|
Assets | |
|
Goodwill | |
|
Price | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
2006
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
eMedicine
|
|
$ |
1,717 |
|
|
$ |
(2,386 |
) |
|
$ |
(688 |
) |
|
$ |
9,000 |
|
|
$ |
16,842 |
|
|
$ |
24,485 |
|
2005
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Conceptis
|
|
|
2,893 |
|
|
|
(2,940 |
) |
|
|
(288 |
) |
|
|
7,000 |
|
|
|
12,938 |
|
|
|
19,603 |
|
|
HealthShare
|
|
|
1,925 |
|
|
|
(4,622 |
) |
|
|
(429 |
) |
|
|
8,500 |
|
|
|
24,611 |
|
|
|
29,985 |
|
Unaudited Pro Forma Information
The following unaudited pro forma financial information for the
three months ended March 31, 2006 and 2005 gives effect to
the acquisitions of eMedicine, Conceptis and HealthShare,
including the amortization of intangible assets, as if the
acquisitions had occurred on January 1, 2005. The
information is provided for illustrative purposes only and is
not necessarily indicative of the operating results that would
have occurred if the transactions had been consummated on the
date indicated, nor is it necessarily indicative of future
operating results of the consolidated companies, and should not
be construed as representative of these results for any future
period.
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended | |
|
|
March 31, | |
|
|
| |
|
|
2006 | |
|
2005 | |
|
|
| |
|
| |
Revenue
|
|
$ |
339,454 |
|
|
$ |
310,936 |
|
Net income
|
|
$ |
16,258 |
|
|
$ |
8,437 |
|
Income per common share:
|
|
|
|
|
|
|
|
|
Basic and diluted
|
|
$ |
0.06 |
|
|
$ |
0.03 |
|
|
|
|
|
|
|
|
Segment information has been prepared in accordance with SFAS
No. 131, Disclosures about Segments of an Enterprise
and Related Information (SFAS 131). The
accounting policies of the segments are the same as the
accounting policies for the consolidated Company. Inter-segment
revenue primarily represents sales of Emdeon Business Services
products into the Emdeon Practice Services customer base and are
reflected at rates comparable to those charged to third parties
for comparable products. To a lesser extent, inter-segment
revenue includes sales of certain WebMD services to the
Companys other operating segments. The performance of the
Companys business is monitored based on earnings before
interest, taxes, non-cash and other items. Other items include
legal expenses which reflect costs and expenses related to the
investigation by the United States Attorney for the District of
South Carolina and the SEC. Non-cash expenses are related to
advertising acquired in exchange for the Companys equity
securities in acquisitions and strategic alliances, as well as
stock-based compensation expense, which primarily relates to
stock options issued and assumed in connection with acquisitions
and restricted stock issued to employees and beginning
January 1, 2006, includes the incremental stock-based
compensation expense associated with the adoption of
SFAS 123R.
16
EMDEON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
The Company has aligned its business into four operating
segments and one corporate segment as follows:
Emdeon Business Services provides solutions that automate
key business and administrative functions for healthcare payers
and providers, including: electronic patient eligibility and
benefit verification; electronic and paper claims processing;
electronic and paper paid-claims communication services; and
patient billing, payment and communications services. In
addition, Emdeon Business Services provides clinical
communications services that improve the delivery of healthcare
by enabling physicians to manage laboratory orders and results,
hospital reports and electronic prescriptions. Emdeon Business
Services also provides decision support solutions, data
warehousing solutions and consulting services to governmental,
Blue Cross Blue Shield and commercial healthcare payers and
performs software maintenance and consulting services for
governmental agencies involved in healthcare.
Emdeon Practice Services develops and markets information
technology systems for healthcare providers and related
services, primarily under The Medical Manager, Intergy,
HealthPro XL, Medware and Emdeon Network Services brands. These
systems and services allow physician offices to automate their
scheduling, billing and other administrative tasks, to transmit
transactions electronically, to maintain electronic medical
records and to automate documentation of patient encounters.
WebMD provides health information services to consumers,
physicians, healthcare professionals, employers and health plans
through public and private online portals and health-focused
publications. WebMDs public network of health portals
enables consumers and physicians to readily access health
information relevant to their specific areas of interest or
specialty. WebMDs public portals sell advertising and
sponsorship programs, including online continuing medical
education (CME) services, to companies interested in
reaching consumers and physicians online, including
pharmaceutical, biotechnology, medical device and consumer
products companies. WebMDs private portals are licensed to
employers and health plans for use by their employees and
members and provide access to personalized health and benefit
information and decision support services. In addition, WebMD
provides offline CME services and publishes medical reference
textbooks, healthcare provider directories and WebMD the
Magazine, a consumer magazine distributed to physician
office waiting rooms.
Porex develops, manufactures and distributes proprietary
porous plastic products and components used in healthcare,
industrial and consumer applications, as well as in finished
products used in the medical device and surgical markets.
Corporate includes services shared across all operating
segments, such as executive personnel, legal, accounting, tax,
treasury, human resources, certain information technology
functions and other services. Corporate service costs include
compensation related costs, insurance and audit fees, leased
property, facilities cost, legal and other professional fees,
software maintenance and telecommunication costs.
Reclassification of Segment Information. In connection
with the initial public offering of WHC, the Company entered
into a Services Agreement related to providing WHC with
administrative services, such as payroll, accounting, tax,
employee benefit plan, employee insurance, intellectual
property, legal and information processing services. Under the
Services Agreement, the Company receives an amount that
reasonably approximates its cost of providing services to WHC.
The Companys segment reporting has been modified to
reflect the services fee it charges to WHC as an increase to the
expenses of the WebMD segment and an offsetting reduction to the
expenses in the Corporate segment. In accordance with
SFAS 131, the Company has reclassified all prior period
segment information to conform to the current period
presentation. The services fee charged to the WebMD segment was
$839 and $1,621 for the three months ended March 31, 2006
and 2005, respectively.
17
EMDEON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
Summarized financial information for each of the Companys
four operating segments and corporate segment and reconciliation
to net income are presented below:
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended | |
|
|
March 31, | |
|
|
| |
|
|
2006 | |
|
2005 | |
|
|
| |
|
| |
Revenue
|
|
|
|
|
|
|
|
|
Emdeon Business Services
|
|
$ |
201,154 |
|
|
$ |
185,733 |
|
Emdeon Practice Services
|
|
|
75,706 |
|
|
|
73,018 |
|
WebMD
|
|
|
50,051 |
|
|
|
33,575 |
|
Porex
|
|
|
20,587 |
|
|
|
19,856 |
|
Inter-segment eliminations
|
|
|
(8,379 |
) |
|
|
(8,248 |
) |
|
|
|
|
|
|
|
|
|
$ |
339,119 |
|
|
$ |
303,934 |
|
|
|
|
|
|
|
|
Earnings before interest, taxes, non-cash and other items
|
|
|
|
|
|
|
|
|
Emdeon Business Services
|
|
$ |
43,193 |
|
|
$ |
38,253 |
|
Emdeon Practice Services
|
|
|
10,173 |
|
|
|
4,397 |
|
WebMD(a)
|
|
|
6,527 |
|
|
|
3,230 |
|
Porex
|
|
|
5,554 |
|
|
|
5,397 |
|
Corporate(a)
|
|
|
(11,274 |
) |
|
|
(12,005 |
) |
|
|
|
|
|
|
|
|
|
|
54,173 |
|
|
|
39,272 |
|
Interest, taxes, non-cash and other items
|
|
|
|
|
|
|
|
|
Depreciation and amortization
|
|
|
(18,928 |
) |
|
|
(16,504 |
) |
Non-cash advertising
|
|
|
(1,605 |
) |
|
|
(2,627 |
) |
Non-cash stock-based compensation
|
|
|
(12,462 |
) |
|
|
(1,651 |
) |
Legal expense
|
|
|
(542 |
) |
|
|
(4,160 |
) |
Loss on investments
|
|
|
|
|
|
|
(3,832 |
) |
Interest income
|
|
|
4,419 |
|
|
|
4,321 |
|
Interest expense
|
|
|
(4,691 |
) |
|
|
(4,781 |
) |
Minority interest in WebMD Health Corp., net of tax
|
|
|
629 |
|
|
|
|
|
Income tax provision
|
|
|
(4,562 |
) |
|
|
(189 |
) |
|
|
|
|
|
|
|
|
Net income
|
|
$ |
16,431 |
|
|
$ |
9,849 |
|
|
|
|
|
|
|
|
|
|
|
(a) |
|
Earnings before interest, taxes, non-cash and other items for
the prior periods, for the Corporate and WebMD segments, have
been reclassified to conform to the current period presentation
for service fees charged to the WebMD segment from Corporate. |
On January 23, 2006, the Company announced the
authorization of a new stock repurchase program (the
Program), at which time the Company was authorized
to use up to $48,000 to purchase shares of its common stock,
from time to time, in the open market, through block trades or
in private transactions, depending on market conditions and
other factors. On February 8, 2006, the maximum aggregate
amount authorized for purchases under the Program was increased
to $68,000 and then further increased on March 28, 2006 to
$83,000. As of March 31, 2006, the Company had repurchased
6,839,119 shares at a
18
EMDEON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
cost of approximately $66,633 under the Program. Repurchased
shares are recorded under the cost method and are reflected as
treasury stock in the accompanying consolidated balance sheets.
On November 23, 2005, the Company announced the termination
of the prior repurchase program, under which no repurchases were
made during the three months ended March 31, 2005.
As of March 31, 2006 and December 31, 2005, the
Companys short-term investments consisted of certificates
of deposit, auction rate securities and U.S. Treasury Notes
and marketable equity securities consisted of equity investments
in publicly traded companies. All marketable securities are
classified as available-for-sale. The following table summarizes
the amortized cost basis and estimated fair value of the
Companys investments:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
March 31, 2006 | |
|
December 31, 2005 | |
|
|
| |
|
| |
|
|
Cost Basis | |
|
Fair Value | |
|
Cost Basis | |
|
Fair Value | |
|
|
| |
|
| |
|
| |
|
| |
Cash and cash equivalents
|
|
$ |
137,145 |
|
|
$ |
137,145 |
|
|
$ |
159,510 |
|
|
$ |
159,510 |
|
Short-term investments
|
|
|
240,412 |
|
|
|
239,653 |
|
|
|
268,109 |
|
|
|
267,387 |
|
Marketable equity securities long-term
|
|
|
1,489 |
|
|
|
4,265 |
|
|
|
1,492 |
|
|
|
4,481 |
|
As of March 31, 2006, the gross unrealized losses related
to short-term debt securities are primarily due to a decrease in
the fair value of these instruments as a result of an increase
in interest rates. These securities have been in a loss position
for less than twelve months. The Company has determined that the
gross unrealized losses on its short-term debt securities at
March 31, 2006 are temporary in nature.
During the three months ended March 31, 2005, the Company
recorded a loss on investments of $4,251 related to marketable
debt securities which were identified by the Company as
securities to be liquidated in the event funds were needed for
the redemption of the
31/4
% Notes. The loss represented the excess of the
original book value of those investments over the market value
at March 31, 2005. In addition, during the three months
ended March 31, 2005, the Company recognized gains on the
sale of certain of its investments of $419. Both of the above
amounts are included in loss on investments in the accompanying
consolidated statements of operations.
Comprehensive income is comprised of net income and other
comprehensive income (loss). Other comprehensive income (loss)
includes certain changes in equity that are excluded from net
income, such as changes in unrealized holding losses on
available-for-sale marketable securities and foreign currency
19
EMDEON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
translation adjustments. The following table presents the
components of other comprehensive income (loss) for the three
months ended March 31, 2006 and 2005:
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended | |
|
|
March 31, | |
|
|
| |
|
|
2006 | |
|
2005 | |
|
|
| |
|
| |
Foreign currency translation gains (losses)
|
|
$ |
316 |
|
|
$ |
(922 |
) |
Unrealized losses on securities:
|
|
|
|
|
|
|
|
|
|
Unrealized holding losses
|
|
|
250 |
|
|
|
3,883 |
|
|
Less: reclassification adjustment for net losses realized in net
income
|
|
|
|
|
|
|
(3,832 |
) |
|
|
|
|
|
|
|
Net unrealized losses on securities
|
|
|
(250 |
) |
|
|
(51 |
) |
|
|
|
|
|
|
|
Other comprehensive income (loss)
|
|
|
66 |
|
|
|
(973 |
) |
Net income
|
|
|
16,431 |
|
|
|
9,849 |
|
|
|
|
|
|
|
|
Comprehensive income
|
|
$ |
16,497 |
|
|
$ |
8,876 |
|
|
|
|
|
|
|
|
The foreign currency translation gains (losses) are not
currently adjusted for income taxes as they relate to permanent
investments in
non-U.S. subsidiaries.
Accumulated other comprehensive income includes the following:
|
|
|
|
|
|
|
|
|
|
|
March 31, 2006 | |
|
December 31, 2005 | |
|
|
| |
|
| |
Unrealized gains on securities
|
|
$ |
2,017 |
|
|
$ |
2,267 |
|
Foreign currency translation gains
|
|
|
5,656 |
|
|
|
5,340 |
|
|
|
|
|
|
|
|
Total accumulated other comprehensive income
|
|
$ |
7,673 |
|
|
$ |
7,607 |
|
|
|
|
|
|
|
|
20
EMDEON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
8. |
Goodwill and Other Intangible Assets |
The changes in the carrying amount of goodwill for the year
ended December 31, 2005 and the three months ended
March 31, 2006 are as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Emdeon | |
|
Emdeon | |
|
|
|
|
|
|
|
|
Business | |
|
Practice | |
|
|
|
|
|
|
|
|
Services | |
|
Services | |
|
WebMD | |
|
Porex | |
|
Total | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
Balance as of January 1, 2005
|
|
$ |
734,468 |
|
|
$ |
179,543 |
|
|
$ |
53,169 |
|
|
$ |
43,384 |
|
|
$ |
1,010,564 |
|
|
Acquisitions during the period
|
|
|
|
|
|
|
|
|
|
|
36,079 |
|
|
|
|
|
|
|
36,079 |
|
|
Contingent consideration for prior period acquisitions
|
|
|
19,379 |
|
|
|
30 |
|
|
|
10,638 |
|
|
|
|
|
|
|
30,047 |
|
|
Tax reversals(a)
|
|
|
(674 |
) |
|
|
|
|
|
|
|
|
|
|
(600 |
) |
|
|
(1,274 |
) |
|
Adjustments to finalize purchase price allocations
|
|
|
(307 |
) |
|
|
|
|
|
|
783 |
|
|
|
383 |
|
|
|
859 |
|
|
Effects of exchange rates
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(726 |
) |
|
|
(726 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance as of January 1, 2006
|
|
|
752,866 |
|
|
|
179,573 |
|
|
|
100,669 |
|
|
|
42,441 |
|
|
|
1,075,549 |
|
|
Acquisition during the period
|
|
|
|
|
|
|
|
|
|
|
16,842 |
|
|
|
|
|
|
|
16,842 |
|
|
Contingent consideration for prior period acquisitions(b)
|
|
|
(2,539 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(2,539 |
) |
|
Tax reversals(a)
|
|
|
(2,115 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(2,115 |
) |
|
Adjustments to finalize purchase price allocations
|
|
|
|
|
|
|
|
|
|
|
(36 |
) |
|
|
|
|
|
|
(36 |
) |
|
Effects of exchange rates
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
30 |
|
|
|
30 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance as of March 31, 2006
|
|
$ |
748,212 |
|
|
$ |
179,573 |
|
|
$ |
117,475 |
|
|
$ |
42,471 |
|
|
$ |
1,087,731 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(a) |
|
In accordance with EITF 93-7, Uncertainties Related
to Income Taxes in a Purchase Business Combination, the
Company (increased) reduced goodwill and accrued liabilities by
$(42) for the Emdeon Business Services segment during 2006 and
$230 and $600 for the Emdeon Business Services and Porex
segments, respectively, during 2005. These adjustments primarily
related to the favorable resolution of estimated tax liabilities
established in connection with certain 2000 acquisitions.
Additionally, the Company reduced goodwill by $2,157 and $444 in
2006 and 2005, respectively, as a result of the reversal of a
portion of the income tax valuation allowances that were
originally established in connection with the purchase
accounting of prior acquisitions within the Emdeon Business
Services segment. |
|
(b) |
|
During the three months ended December 31, 2005, the
Company accrued $20,485 for the estimated contingent
consideration payment in connection with the acquisition of
Advanced Business fulfillment. The actual payment made in April
of 2006 was $17,946. The over accrual in the amount of $2,539
was adjusted from goodwill for the Emdeon Business Services
segment. |
21
EMDEON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
Intangible assets subject to amortization consist of the
following:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
March 31, 2006 | |
|
December 31, 2005 | |
|
|
| |
|
| |
|
|
Gross | |
|
|
|
Gross | |
|
|
|
|
Carrying | |
|
Accumulated | |
|
|
|
Carrying | |
|
Accumulated | |
|
|
|
|
Amount | |
|
Amortization | |
|
Net | |
|
Amount | |
|
Amortization | |
|
Net | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
Customer relationships
|
|
$ |
377,368 |
|
|
$ |
(237,021 |
) |
|
$ |
140,347 |
|
|
$ |
377,356 |
|
|
$ |
(233,319 |
) |
|
$ |
144,037 |
|
Technology and patents
|
|
|
236,421 |
|
|
|
(172,862 |
) |
|
|
63,559 |
|
|
|
236,421 |
|
|
|
(169,565 |
) |
|
|
66,856 |
|
Trade names
|
|
|
40,716 |
|
|
|
(30,847 |
) |
|
|
9,869 |
|
|
|
40,716 |
|
|
|
(30,432 |
) |
|
|
10,284 |
|
Non-compete agreements, content and other
|
|
|
33,913 |
|
|
|
(7,593 |
) |
|
|
26,320 |
|
|
|
24,913 |
|
|
|
(5,580 |
) |
|
|
19,333 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
$ |
688,418 |
|
|
$ |
(448,323 |
) |
|
$ |
240,095 |
|
|
$ |
679,406 |
|
|
$ |
(438,896 |
) |
|
$ |
240,510 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Amortization expense was $9,425 and $8,986 for the three months
ended March 31, 2006 and 2005, respectively. Aggregate
amortization expense for intangible assets is estimated to be:
|
|
|
|
|
Year ending December 31, 2006 (April 1st to
December 31st)
|
|
$ |
26,955 |
|
2007
|
|
|
35,611 |
|
2008
|
|
|
32,611 |
|
2009
|
|
|
23,612 |
|
2010
|
|
|
16,991 |
|
Thereafter
|
|
|
104,315 |
|
|
|
9. |
Commitments and Contingencies |
In the normal course of business, the Company and its
subsidiaries are involved in various claims and legal
proceedings. While the ultimate resolution of these matters,
including those discussed in the Companys 2005 Annual
Report on
Form 10-K under
the heading Legal Proceedings has yet to be
determined, the Company does not believe that their outcome will
have a material adverse effect on the Companys
consolidated financial position, results of operations or
liquidity.
On April 13, 2006, the Company entered into a definitive
agreement to acquire Summex Corporation (Summex), a
provider of comprehensive health and wellness programs that
include online and offline health risk assessments, lifestyle
education and personalized telephonic health coaching. The
Company will pay approximately $30,000 in cash at closing and up
to an additional $10,000 in cash over a two year period if
certain milestones are achieved. The purchase price is subject
to customary post-closing adjustments. The results of operations
of Summex will be included in the WebMD segment upon closing
which is expected before the end of June 2006.
22
|
|
ITEM 2. |
Managements Discussion and Analysis of Financial
Condition and Results of Operations |
This Item 2 contains forward-looking statements with
respect to possible events, outcomes or results that are, and
are expected to continue to be, subject to risks, uncertainties
and contingencies, including those identified in this Item. See
Forward-Looking Statements on page 3.
Overview
Managements discussion and analysis of financial condition
and results of operations, or MD&A, is provided as a
supplement to the Consolidated Financial Statements and notes
thereto included elsewhere in this Quarterly Report and to
provide an understanding of our results of operations, financial
condition, and changes in financial condition. Our MD&A is
organized as follows:
|
|
|
|
|
Introduction. This section provides a general description
of our company, a brief discussion of our operating segments, a
description of certain recent developments, and background
information on certain trends, strategies and other matters
discussed in this MD&A. |
|
|
|
Critical Accounting Policies and Estimates. This section
discusses those accounting policies that both are considered
important to our financial condition and results of operations,
and require us to exercise subjective or complex judgments in
making estimates and assumptions. In addition, all of our
significant accounting policies, including our critical
accounting policies, are summarized in Note 1 to the
Consolidated Financial Statements contained in our 2005 Annual
Report on
Form 10-K filed
with the Securities and Exchange Commission. |
|
|
|
Recent Accounting Pronouncements. This section provides a
summary of the most recent authoritative accounting standards
and guidance that have either been recently adopted or may be
adopted in the future. |
|
|
|
Results of Operations and Results of Operations by Operating
Segment. These sections provide our analysis and outlook for
the significant line items on our consolidated statements of
operations, as well as other information that we deem meaningful
to understand our results of operations, on both a company-wide
and a segment-by-segment basis. |
|
|
|
Liquidity and Capital Resources. This section provides an
analysis of our liquidity and cash flows, as well as a
discussion of our outstanding debt and commitments, that existed
as of March 31, 2006. |
|
|
|
Factors That May Affect Our Future Financial Condition or
Results of Operations. This section describes circumstances
or events that could have a negative effect on our financial
condition or results of operations, or that could change, for
the worse, existing trends in some or all of our businesses. The
factors discussed in this section are in addition to factors
that may be described elsewhere in this Quarterly Report. |
In this MD&A, dollar amounts are in thousands, unless
otherwise noted.
Introduction
Emdeon Corporation is a Delaware corporation that was
incorporated in December 1995 and commenced operations in
January 1996 as Healtheon Corporation. Our common stock has
traded on the Nasdaq National Market under the symbol
HLTH since February 11, 1999. We changed our
name to Healtheon/ WebMD Corporation in November 1999 and to
WebMD Corporation in September 2000 and to Emdeon Corporation
(Emdeon) in October 2005. The change to Emdeon was
made in connection with an initial public offering by WebMD
Health Corp. (WHC), a subsidiary we formed to act as
a holding company for the business of our WebMD segment and to
issue shares in that initial public offering. Because the WebMD
name had been more closely associated with our public and
private online portals than with our other businesses, our Board
of Directors determined that WHC would, following its initial
public offering, have the sole right to use the WebMD name and
related trademarks.
23
We have aligned our business into four operating segments and a
corporate segment as follows:
|
|
|
|
|
Emdeon Business Services. We provide solutions that
automate key business and administrative functions for
healthcare payers and providers, including: electronic patient
eligibility and benefit verification; electronic and paper
claims processing; electronic and paper paid-claims
communication services; and patient billing, payment and
communications services. In addition, we provide clinical
communications services that improve the delivery of healthcare
by enabling physicians to manage laboratory orders and results,
hospital reports and electronic prescriptions. We also provide
decision support solutions, data warehousing solutions and
consulting services to governmental, Blue Cross Blue Shield and
commercial healthcare payers and perform software maintenance
and consulting services for governmental agencies involved in
healthcare. |
|
|
|
Emdeon Practice Services. We develop and market
information technology systems for healthcare providers and
related services, primarily under The Medical Manager, Intergy,
HealthPro XL, Medware and Emdeon Network Services brands. These
systems and services allow physician offices to automate their
scheduling, billing and other administrative tasks, to transmit
transactions electronically, to maintain electronic medical
records and to automate documentation of patient encounters. |
|
|
|
WebMD. We provide health information services to
consumers, physicians, healthcare professionals, employers and
health plans through our public and private online portals and
health-focused publications. Our public network of health
portals enables consumers and physicians to readily access
health information relevant to their specific areas of interest
or specialty. Our public portals sell advertising and
sponsorship programs, including online continuing medical
education (CME) services, to companies interested in
reaching consumers and physicians online, including
pharmaceutical, biotechnology, medical device and consumer
products companies. Our private portals are licensed to
employers and health plans for use by their employees and
members and provide access to personalized health and benefit
information and decision support services. In addition, we
provide offline CME services and publish medical reference
textbooks, healthcare provider directories and WebMD the
Magazine, a consumer magazine distributed to physician
office waiting rooms. |
|
|
|
Porex. We develop, manufacture and distribute proprietary
porous plastic products and components used in healthcare,
industrial and consumer applications, as well as in finished
products used in the medical device and surgical markets. |
|
|
|
Corporate. Our Corporate segment provides corporate
services across all our other segments. These services include
executive personnel, legal, accounting, tax, treasury, human
resources, certain information technology functions and other
services. Corporate service costs include compensation related
costs, insurance and audit fees, leased property, facilities
cost, legal and other professional fees, software maintenance
and telecommunication costs. |
Evaluation of Strategic Alternatives Related to Emdeon
Business Services and Emdeon Practice Services Segments. On
February 16, 2006, we announced that, in connection with
inquiries received from several third parties expressing an
interest in acquiring our Emdeon Business Services and Emdeon
Practice Services segments, our Board of Directors authorized
commencing a process to evaluate strategic alternatives relating
to these businesses to maximize stockholder value. We engaged
The Blackstone Group L.P. and Citigroup Global Markets Inc. as
our financial advisors to assist the Board in this process. The
ViPS business unit, currently part of Emdeon Business Services,
will not be included in this process and will be retained by
Emdeon. There can be no assurance that the exploration of
strategic alternatives will result in any definitive agreement
or transaction and our Board may determine to retain Emdeon
Business Services and Emdeon Practice Services.
24
Acquisition of eMedicine.com, Inc. On January 17,
2006, through WHC, we acquired eMedicine.com, Inc.
(eMedicine), a privately held online publisher of
medical reference information for physicians and other
healthcare professionals. The total purchase consideration for
eMedicine was approximately $24,485, comprised of $23,785 in
cash, net of cash acquired, and $700 of estimated acquisition
costs. The results of operations of eMedicine have been included
in our financial statements from January 17, 2006, the
closing date of the acquisition, and are included in the WebMD
segment.
New Stock Repurchase Program. On January 23, 2006,
we announced a new stock repurchase program (the
Program), at which time we were authorized to use up
to $48,000 to purchase shares of our common stock, from time to
time, in the open market, through block trades or in private
transactions. On February 8, 2006, the maximum aggregate
amount authorized for purchases under the Program was increased
to $68,000 and then further increased to $83,000 on
March 28, 2006. As of March 31, 2006, approximately
$66,633 had been used to purchase 6,839,119 shares of
our common stock, at an average price per share of approximately
$9.74. The amount of any future repurchases will depend on
market conditions and other factors.
Acquisition of Summex Corporation. On April 13,
2006, through WHC, we entered into a definitive agreement to
acquire Summex Corporation (Summex), a provider of
comprehensive health and wellness programs that include online
and offline health risk assessments, lifestyle education and
personalized telephonic health coaching. We will pay
approximately $30,000 in cash at closing and up to an additional
$10,000 in cash over a two year period if certain milestones are
achieved. The purchase price is subject to customary
post-closing adjustments. The results of operations of Summex
will be included in the WebMD segment upon closing which is
expected before the end of June 2006.
|
|
|
Background Information on Certain Trends and Strategies |
Diversification of Emdeon Business Services. Submission
of claims electronically assists healthcare payers in reducing
the cost of processing and servicing claims and can expedite the
reimbursement process for providers. However, this is just a
starting point for increasing administrative efficiency. We are
continuing our efforts to transform Emdeon Business Services
from an electronic transactions clearinghouse to a provider of
more comprehensive reimbursement cycle management services for
healthcare providers and payers.
|
|
|
|
|
Our services for payers now also include conversion of paper
claims to electronic ones and related document management
services, as well as paid-claims communication services. We also
act as the electronic transactions gateway for some of our payer
customers, which allows us to work more closely with them to
increase the quantity and improve the quality of the electronic
transactions coming into their systems. In addition, by
outsourcing patient encounter transaction processes to us,
payers can reduce their capital expenses and operating costs. |
|
|
|
Our services for providers now also include systems to validate
patient insurance benefits electronically, to edit and submit
electronic claims, to manage remittance advices, to post
payments automatically and to process patient statements. |
We are also developing additional capabilities and services,
including electronic payment processes. We expect that revenue
and earnings from providing basic electronic clearinghouse
services for routine healthcare transactions may, on their own,
decline in certain reporting periods. However, we believe that
the revenue and earnings of our other transaction-related
services are likely to offset any such decline, over time. We
have also taken steps to lower the rates of the sales
commissions we pay to practice management and hospital
information system vendors and other channel partners which,
from a net earnings perspective, will offset some of the impact
of declining revenue from basic clearinghouse services.
Nonetheless, we believe that it is possible that, during certain
reporting periods, revenue and net earnings from basic
clearinghouse services could decline faster than we are able to
increase the revenue and earnings from our additional services.
25
Increased Use of Information Technology for Clinical
Purposes. Healthcare providers are under pressure to
increase quality and reduce medical errors. While information
technology systems and electronic transaction services are used
by many physician offices for administrative and financial
applications, their use in clinical workflow is much more
limited, especially in smaller practices. However, we believe
this is changing. Emdeon Practice Services and Emdeon Business
Services are continuing to target the markets for clinical
applications as one of their priorities. While it will be a long
time before most physicians go to a paperless
office, more physicians are beginning to incorporate
information technology into their clinical workflow. Healthcare
payers and governmental authorities are increasingly taking
steps to encourage physicians to use information technology in
their treatment of patients and clinical processes. Since
clinical applications are generally designed for use by
physicians, nurses and other healthcare providers, the markets
for those applications present different challenges than the
markets for administrative and financial applications, which are
used mostly by administrative personnel, billing coordinators
and financial managers. Emdeon Business Services and Emdeon
Practice Services have been and expect to continue to invest in
the additional resources necessary to meet the challenges
involved in developing and implementing clinical applications.
We believe that success in the markets for clinical applications
will become increasingly important in competing in the markets
for administrative and financial applications.
Increased Online Marketing and Education Spending for
Healthcare Products. Pharmaceutical, biotechnology and
medical device companies spend large amounts each year marketing
their products and educating consumers and physicians about
them, however, only a small portion of this amount is currently
spent on online services. We believe that these companies, who
comprise the majority of WebMDs advertisers and sponsors,
are becoming increasingly aware of the effectiveness of the
Internet relative to traditional media in providing health,
clinical and product-related information to consumers and
physicians. We expect that this increasing awareness will result
in increasing demand for WebMDs services.
Changes in Health Plan Design; Health Management
Initiatives. While overall healthcare costs have been rising
at a rapid annual rate, employers costs of providing
healthcare benefits to their employees have been increasing at
an even faster rate. In response to these increases, employers
are seeking to shift a greater portion of healthcare costs onto
their employees and to redefine traditional health benefits.
Employers and health plans want to motivate their members and
employees to evaluate their healthcare decisions more carefully
in order to be more cost-effective. As employers continue to
implement high deductible and consumer-directed healthcare plans
(referred to as CDHPs) and related Health Savings Accounts
(referred to as HSAs) to achieve these goals, we believe that
WebMD will be able to attract more employers and health plans to
use its private online portals. In addition, health plans and
employers have begun to recognize that encouraging the good
health of their members and employees not only benefits the
members and employees but also has financial benefits for the
health plans and employers. Accordingly, many employers and
health plans have been enhancing health management programs and
taking steps to provide healthcare information and education to
employees and members, including through online services. We
believe that WebMD is well positioned to benefit from these
trends because WebMDs private portals provide the tools
and information employees and plan members need in order to make
more informed decisions about healthcare provider, benefit and
treatment options.
Critical Accounting Policies and Estimates
Our discussion and analysis of Emdeons financial condition
and results of operations are based upon our Consolidated
Financial Statements and Notes to Consolidated Financial
Statements, which were prepared in conformity with
U.S. generally accepted accounting principles. The
preparation of financial statements requires us to make
estimates and assumptions that affect the amounts reported in
the consolidated financial statements and accompanying notes. We
base our estimates on historical experience, current business
factors, and various other assumptions that we believe are
necessary to form a basis for making judgments about the
carrying values of assets and liabilities, the recorded amounts
of revenue and expenses, and disclosure of contingent assets and
liabilities. We are subject to uncertainties such as the impact
of future events, economic, and political factors, and changes
in our business environment;
26
therefore, actual results could differ from these estimates.
Accordingly, the accounting estimates used in preparation of our
financial statements will change as new events occur, as more
experience is acquired, as additional information is obtained
and as our operating environment changes. Changes in estimates
are made when circumstances warrant. Such changes in estimates
and refinements in estimation methodologies are reflected in
reported results of operations; if material, the effects of
changes in estimates are disclosed in the notes to our
consolidated financial statements.
We evaluate our estimates on an ongoing basis, including those
related to revenue recognition, short-term and long-term
investments, deferred tax assets, income taxes, collectibility
of customer receivables, prepaid advertising and distribution
services, long-lived assets including goodwill and other
intangible assets, software development costs, inventory
valuation, certain accrued expenses, contingencies, litigation
and the value attributed to employee stock options and other
stock-based awards.
We believe the following reflects our critical accounting
policies and our more significant judgments and estimates used
in the preparation of our consolidated financial statements:
|
|
|
|
|
Revenue Our revenue recognition
policies for each reportable operating segment are as follows: |
|
|
|
Emdeon Business Services. Healthcare payers and providers
pay us fees for transaction services, generally on either a per
transaction basis or, in the case of some providers, on a
monthly fixed fee basis. Healthcare payers and providers also
pay us fees for document conversion, patient statement and
paid-claims communication services, typically on a per document,
per statement or per communication basis. Additionally, payers,
including government payers, pay us fees to license decision
support software and provide related support and maintenance for
that decision support software, and provide information
technology consulting services. Healthcare payers pay us annual
license fees, which are based on the number of covered members,
for use of our software and pay us time and materials fees for
providing business and information technology consulting
services to them. |
|
|
The professional consulting services we provide to certain
governmental agencies are typically billed on a cost-plus fee
structure. |
|
|
Revenue for transaction services, patient statement and
paid-claims communication services is recognized as the services
are provided. Decision support software and the related support
and maintenance agreements are generally sold as bundled
time-based license agreements and, accordingly, the revenue for
both the software and related support and maintenance is
recognized ratably over the term of the license and maintenance
agreement. Revenue for consulting services is recognized as the
services are provided. |
|
|
Emdeon Practice Services. Healthcare providers pay us
fees to license The Medical Manager, Intergy, HealthPro XL and
Medware practice management systems, as well as certain other
practice management systems we own and our Intergy EHR
electronic medical records system. Our practice management
systems are generally sold as multiple-element arrangements as
these software arrangements typically include related hardware,
support and maintenance agreements and implementation and
training services. We also charge healthcare providers fees for
transmitting, through Emdeon Network Services, transactions to
payers and billing statements to patients. We recognize revenue
from these fees, which are generally paid on a per transaction
or monthly basis, as we provide the service. |
|
|
Software revenue is recognized in accordance with SOP
No. 97-2, Software Revenue Recognition, as
amended by SOP No. 98-9, Modification of SOP
No. 97-2, Software Revenue Recognition, With Respect to
Certain Transactions (SOP 98-9). Software
license revenue is recognized when a customer enters into a
non-cancelable license agreement, the software product has been
delivered, there are no uncertainties surrounding product
acceptance, there are no significant future performance
obligations, the license fees are fixed or determinable and
collection of the license fee is considered probable. Amounts
received in advance of meeting these criteria are deferred. As
required by SOP 98-9, we determine the value of the
software component of our |
27
|
|
|
multiple-element arrangements using the residual method as
vendor specific objective evidence (VSOE) of fair
value exists for the undelivered elements such as the support
and maintenance agreements and related implementation and
training services, but not for all the delivered elements such
as the software itself. The residual method requires revenue to
be allocated to the undelivered elements based on the fair value
of such elements, as indicated by VSOE. VSOE is based on the
price charged when an element is sold separately. |
|
|
The vast majority of our practice management and medical records
systems include support and maintenance agreements of the
underlying software and hardware. These arrangements provide
customers with rights to unspecified software product upgrades
released during the term of the support period, as well as
Internet and telephone access to technical support personnel.
Revenue from support and maintenance agreements is recognized
ratably over the term of the arrangement, typically one year or
less. Additionally, many of our software arrangements include
implementation and training services. Revenue from these
services is accounted for separately from the software revenue,
as they are not essential to the functionality of any other
element of the software arrangement, and is generally recognized
as the services are performed. |
|
|
WebMD. Revenue from advertising is recognized as
advertisements are delivered or as publications are distributed.
Revenue from sponsorship arrangements, content syndication and
distribution arrangements and licenses of our healthcare
management tools and private portals is recognized ratably over
the term of the applicable agreement. Revenue from the
sponsorship of CME is recognized over the period we
substantially complete its contractual deliverables as
determined by the applicable agreements. Subscription revenue is
recognized over the subscription period. When contractual
arrangements contain multiple elements, revenue is allocated to
each element based on their relative fair values, determined
using prices charged when elements are sold separately. In
certain instances where fair value does not exist for all the
elements, the amount of revenue allocated to the delivered
elements equals the total consideration less the fair value of
the undelivered elements. |
|
|
Porex. We develop, manufacture and distribute porous
plastic products and components. For standard products, we
recognize revenue upon shipment of product, net of sales returns
and allowances. For sales of certain custom products, we
recognize revenue upon completion and customer acceptance.
Recognition of amounts received in advance is deferred until all
criteria have been met. |
|
|
|
|
|
Long-Lived Assets Our long-lived
assets consist of property and equipment, goodwill and other
intangible assets. Goodwill and other intangible assets arise
from the acquisitions we have made. The amount assigned to
intangible assets is subjective and based on our estimates of
the future benefit of the intangible asset using accepted
valuation techniques, such as discounted cash flow and
replacement cost models. Our long-lived assets, excluding
goodwill, are amortized over their estimated useful lives, which
we determined based on the consideration of several factors,
including the period of time the asset is expected to remain in
service. We evaluate the carrying value and remaining useful
lives of long-lived assets, excluding goodwill, whenever
indicators of impairment are present. We evaluate the carrying
value of goodwill annually, or whenever indicators of impairment
are present. We use a discounted cash flow approach to determine
the fair value of goodwill. There was no impairment of goodwill
noted as a result of our impairment testing in 2005. |
|
|
|
Investments Our investments, at
March 31, 2006, consisted principally of certificates of
deposit, auction rate securities, U.S. Treasury Notes and
marketable equity securities in publicly traded companies. Each
reporting period we evaluate the carrying value of our
investments and record a loss on investments when we believe an
investment has experienced a decline in value that is other than
temporary. Our investments are classified as available-for-sale
and are carried at fair value. We do not recognize gains on an
investment until sold. Unrealized gains and losses are recorded
as a component of accumulated other comprehensive income. Once
realized, the gains and losses and declines in value determined
to be other-than-temporary are recorded. A decline in value is
deemed |
28
|
|
|
|
|
to be other-than-temporary if we do not have the intent and
ability to retain the investment until any anticipated recovery
in market value, the extent and length of the time to which the
market value has been less than cost and the financial condition
and near-term prospects of the investment. |
|
|
|
Deferred Tax Assets Our deferred tax
assets are comprised primarily of net operating loss
carryforwards. At December 31, 2005, we had net operating
loss carryforwards of approximately $2.1 billion. These
loss carryforwards may be used to offset taxable income in
future periods, reducing the amount of taxes we might otherwise
be required to pay. As of March 31, 2006, a valuation
allowance was established for all domestic net deferred tax
assets because of the uncertainty of realization of the deferred
tax assets due to a lack of history of generating taxable
income. Realization is dependent upon generating sufficient
taxable income prior to the expiration of the net operating loss
carryforwards in future periods. Although realization is not
currently assured, management evaluates the need for a valuation
allowance each quarter, and in the future, should management
determine that realization of net deferred tax assets is more
likely than not, some or all of the valuation allowance will be
reversed, and our effective tax rate will be reduced. The
valuation allowance excludes the impact of any deferred items
related to certain of our foreign operations as the realization
of the deferred items for these operations is likely. |
|
|
|
Tax Contingencies Our tax
contingencies are recorded to address potential exposures
involving tax positions we have taken that could be challenged
by tax authorities. These potential exposures result from the
varying application of statutes, rules, regulations and
interpretations. Our estimates of tax contingencies reflect
assumptions and judgments about potential actions by taxing
jurisdictions. We believe that these assumptions and judgments
are reasonable; however, our accruals may change in the future
due to new developments in each matter and the ultimate
resolution of these matters may be greater or less than the
amount that we have accrued. |
Recent Accounting Pronouncements
In December 2004, the Financial Accounting Standards Board
(FASB) issued Statement of Financial Accounting
Standards (SFAS) No. 123, (Revised 2004):
Share-Based Payment (SFAS 123R), which
replaces SFAS No. 123, Accounting for
Stock-Based Compensation, (SFAS 123) and
supersedes APB Opinion No. 25, Accounting for Stock
Issued to Employees. SFAS 123R requires all
share-based payments to employees, including grants of employee
stock options, to be recognized as compensation expense over the
service period (generally the vesting period) in the
consolidated financial statements based on their fair values. We
adopted SFAS 123R on January 1, 2006 and elected to
use the modified prospective transition method and as a result,
prior period results were not restated. Under the modified
prospective method, awards that were granted or modified on or
after January 1, 2006 are measured and accounted for in
accordance with SFAS 123R. Unvested stock options and
restricted stock awards that were granted prior to
January 1, 2006 will continue to be accounted for in
accordance with SFAS 123, using the same grant date fair
value and same expense attribution method used under
SFAS 123, except that all awards are recognized in the
results of operations over the remaining vesting periods. The
impact of forfeitures that may occur prior to vesting is also
estimated and considered in the amount recognized for all
stock-based compensation beginning January 1, 2006.
The fair value of each option granted is estimated on the date
of grant using the Black-Scholes option pricing model. The
assumptions used in this model are expected dividend yield,
expected volatility, risk-free interest rate and expected term.
The expected volatility for stock options and restricted stock
awards granted with Emdeon Common Stock is based on implied
volatility from traded options of Emdeon Common Stock combined
with historical volatility of Emdeons stock. The expected
volatility for stock options and restricted stock awards granted
with WHC common stock is based on implied volatility from traded
options of stock of comparable companies combined with
historical stock price volatility of comparable companies, as
WHC did not have sufficient historical data due to the recent
initial public offering.
29
No tax benefits were attributed to the stock-based compensation
expense because a valuation allowance was maintained for
substantially all net deferred tax assets. As of March 31,
2006, approximately $46,494 and $36,916 of unrecognized stock
compensation expense related to unvested awards (net of
estimated forfeitures) is expected to be recognized over a
weighted-average period of approximately 1.61 years and
2.04 years, related to the Emdeon Plans, and the WHC Plan,
respectively.
Results of Operations
The following table sets forth our consolidated statements of
operations data and expresses that data as a percentage of
revenue for the periods presented (amounts in thousands):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended March 31, | |
|
|
| |
|
|
2006 | |
|
2005 | |
|
|
| |
|
| |
|
|
$ | |
|
% | |
|
$ | |
|
% | |
|
|
| |
|
| |
|
| |
|
| |
Revenue
|
|
$ |
339,119 |
|
|
|
100.0 |
|
|
$ |
303,934 |
|
|
|
100.0 |
|
Costs and expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cost of operations
|
|
|
195,267 |
|
|
|
57.5 |
|
|
|
172,163 |
|
|
|
56.6 |
|
|
Development and engineering
|
|
|
14,914 |
|
|
|
4.4 |
|
|
|
14,640 |
|
|
|
4.8 |
|
|
Sales, marketing, general and administrative
|
|
|
88,832 |
|
|
|
26.2 |
|
|
|
82,137 |
|
|
|
27.0 |
|
|
Depreciation and amortization
|
|
|
18,928 |
|
|
|
5.6 |
|
|
|
16,504 |
|
|
|
5.4 |
|
|
Legal expense
|
|
|
542 |
|
|
|
0.2 |
|
|
|
4,160 |
|
|
|
1.4 |
|
|
Loss on investments
|
|
|
|
|
|
|
|
|
|
|
3,832 |
|
|
|
1.3 |
|
|
Interest income
|
|
|
4,419 |
|
|
|
1.3 |
|
|
|
4,321 |
|
|
|
1.4 |
|
|
Interest expense
|
|
|
4,691 |
|
|
|
1.4 |
|
|
|
4,781 |
|
|
|
1.6 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income from continuing operations before income tax provision
and minority interest
|
|
|
20,364 |
|
|
|
6.0 |
|
|
|
10,038 |
|
|
|
3.3 |
|
|
Income tax provision
|
|
|
4,562 |
|
|
|
1.3 |
|
|
|
189 |
|
|
|
0.1 |
|
|
Minority interest in WebMD Health Corp., net of tax
|
|
|
(629 |
) |
|
|
(0.2 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income
|
|
$ |
16,431 |
|
|
|
4.9 |
|
|
$ |
9,849 |
|
|
|
3.2 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenue is derived from our four business segments: Emdeon
Business Services, Emdeon Practice Services, WebMD and Porex.
Emdeon Business Services provides solutions that automate key
business and administrative functions for healthcare payers and
providers, including: electronic patient eligibility and benefit
verification; electronic and paper claims processing; electronic
and paper paid-claims communication services; and patient
billing, payment and communications services. Emdeon Business
Services also provides clinical communications services that
enable physicians to manage laboratory orders and results,
hospital reports and electronic prescriptions. In addition,
through ViPS, Emdeon Business Services provides decision support
solutions, data warehousing solutions and consulting services to
governmental, Blue Cross Blue Shield and commercial healthcare
payers and performs software maintenance and consulting services
for governmental agencies involved in healthcare. A significant
portion of Emdeon Business Services revenue is generated from
the countrys largest national and regional healthcare
payers. Emdeon Practice Services provides information technology
systems for healthcare providers, including administrative,
financial and clinical applications, primarily under The Medical
Manager, Intergy, HealthPro XL, Medware and Emdeon Network
Services brands. Emdeon Practice Services also provides support
and maintenance services related to the hardware and software
associated with its practice management and electronic medical
records systems and other applications. WebMD services include:
advertising, sponsorship, CME, content syndication and
distribution; and licenses of private online portals to
employers, healthcare payers and others. In addition, WebMD
derives revenue from sales of, and advertising in, its physician
directories, subscriptions to its professional medical reference
textbooks, and advertisements in WebMD the Magazine. As a
result of the acquisition of the assets of Conceptis, WebMD also
generates revenue from in-person CME programs. Our Porex revenue
includes the sale of porous
30
plastic components used to control the flow of fluids and gases
for use in healthcare, industrial and consumer applications, as
well as in finished products used in the medical device and
surgical markets.
Cost of operations consists of costs related to services and
products we provide to customers and costs associated with the
operation and maintenance of our networks. These costs include
salaries and related expenses, including non-cash stock-based
compensation expenses, for network operations personnel and
customer support personnel, telecommunication costs, maintenance
of network equipment, cost of postage related to our automated
print-and-mail services and paid-claims communication services,
cost of hardware related to the sale of practice management
systems, a portion of facilities expenses, leased facilities and
personnel costs, sales commissions paid to certain distributors
of our Emdeon Business Services products and non-cash expenses
related to content and distribution services. In addition, cost
of operations includes raw materials, direct labor and
manufacturing overhead, such as fringe benefits and indirect
labor related to our Porex segment.
Development and engineering expense consists primarily of
salaries and related expenses, including non-cash stock-based
compensation expenses, associated with the development of
applications and services. Expenses include compensation paid to
development and engineering personnel, fees to outside
contractors and consultants, and the maintenance of capital
equipment used in the development process.
Sales, marketing, general and administrative expense consists
primarily of advertising, product and brand promotion, salaries
and related expenses, including non-cash stock-based
compensation expenses, for sales, administrative, finance,
legal, information technology, human resources and executive
personnel. These expenses include items related to account
management and marketing personnel, commissions, costs and
expenses for marketing programs and trade shows, and fees for
professional marketing and advertising services, as well as fees
for professional services, costs of general insurance and costs
of accounting and internal control systems to support our
operations. Also included are non-cash expenses related to
advertising and distribution services acquired in exchange for
our equity securities.
Legal expense consists of costs and expenses incurred related to
the investigation by the United States Attorney for the District
of South Carolina and the SEC.
Our discussions throughout MD&A make references to certain
non-cash expenses. We consider non-cash expenses to be those
expenses that result from the issuance of our equity
instruments. The following is a summary of our principal
non-cash expenses:
|
|
|
|
|
Non-cash advertising expense. Expense related to the
usage of our prepaid advertising inventory that we received from
News Corporation in exchange for equity instruments we issued in
connection with an agreement we entered into with News
Corporation in 1999 and subsequently amended in 2000. Our
non-cash advertising expense is included in cost of operations
when we utilize prepaid advertising in conjunction with offline
advertising and sponsorship programs. Our non-cash advertising
expense is included in sales, marketing, general and
administrative expense when we utilize the prepaid advertising
for promotion of our brand or the brand of one of our
subsidiaries. |
|
|
|
Non-cash stock-based compensation expense. Expense for
2006 reflects the adoption of SFAS 123R on January 1,
2006 which requires all share-based payments to employees,
including grants of employee stock options, to be recognized as
compensation expense over the service period (generally the
vesting period) in the consolidated financial statements based
on their fair values. Expense for 2005 primarily related to
restricted stock awards and stock option modifications, as well
as the amortization of deferred compensation related to certain
acquisitions in 2000. Non-cash stock-based compensation expense
is included in cost of operations, development and engineering,
and sales, marketing, general and administrative expense within
the accompanying consolidated |
31
|
|
|
|
|
statements of operations. The following table summarizes the
non-cash stock-based compensation expense for the three months
ended March 31, 2006 and 2005: |
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended | |
|
|
March 31, | |
|
|
| |
|
|
2006 | |
|
2005 | |
|
|
| |
|
| |
Stock-based compensation expense included in:
|
|
|
|
|
|
|
|
|
|
Cost of operations
|
|
$ |
3,106 |
|
|
$ |
|
|
|
Development and engineering
|
|
|
401 |
|
|
|
|
|
|
Sales, marketing, general and administrative
|
|
|
8,955 |
|
|
|
1,651 |
|
|
|
|
|
|
|
|
|
|
Total
|
|
$ |
12,462 |
|
|
$ |
1,651 |
|
|
|
|
|
|
|
|
The following discussion includes a comparison of the results of
operations for the three months ended March 31, 2006 to the
three months ended March 31, 2005.
Revenue for the three months ended March 31, 2006 was
$339,119, compared to $303,934 in the prior year period. The
WebMD, Emdeon Business Services, Emdeon Practice Services and
Porex segments were responsible for $16,476, $15,421, $2,688 and
$731, respectively, of the overall increase in revenue of
$35,185, or 11.6%, for the quarter.
Contributing to the increase in revenue was revenue from
acquisitions of our WebMD segment of $7,463 for the three months
ended March 31, 2006, compared to $492 in the prior year
period. Excluding revenue from our WebMD segment acquisitions,
the remaining increase in revenue was primarily related to
increased advertising and sponsorship revenue from WebMDs
public portals and licensing revenue from WebMDs private
online portals. In addition, revenue increased in our Emdeon
Business Services segment as a result of increased postage
revenue which corresponded with the increase in postage rates
that went into effect on January 8, 2006, our consulting
services and software sales within our ViPS operation, as well
as growth in our patient statement and remittance and payment
services. Also contributing to our revenue growth for 2006, were
increases in Emdeon Network Services revenue and maintenance
revenue in our Emdeon Practice Services segment.
Cost of Operations. Cost of operations was $195,267, or
57.5% of revenue, for the three months ended March 31,
2006, compared to $172,163, or 56.6% of revenue, in the prior
year period. The increase in absolute dollars is primarily due
to the increased revenue as discussed above and the increase in
postage rates. In addition, included in the cost of operations
for the three months ended March 31, 2006 are non-cash
expenses related to stock-based compensation of $3,106 with no
corresponding amount in the prior year period. Cost of
operations excluding these non-cash expenses was $192,161, or
56.7% of revenue, for the three months ended March 31,
2006, which was relatively consistent compared to the same
period in the prior year.
Development and Engineering. Development and engineering
expense was $14,914, or 4.4% of revenue, for the three months
ended March 31, 2006, compared to $14,640, or 4.8% of
revenue, in the prior year period. Included in development and
engineering expense for the three months ended March 31,
2006 are non-cash expenses related to stock compensation of
$401. Development and engineering expense, excluding non-cash
expenses, was $14,513, or 4.3% of revenue, for the three months
ended March 31, 2006. The decrease in development and
engineering expense excluding non-cash expenses, in dollars and
as a percentage of revenue, was primarily attributable to the
lower development and engineering expenses within the Emdeon
Business Services segment partially offset by an increase in
product development efforts within the WebMD segment.
32
Sales, Marketing, General and Administrative. Sales,
marketing, general and administrative expense was $88,832, or
26.2% of revenue, for the three months ended March 31,
2006, compared to $82,137, or 27.0% of revenue, in the prior
year period. Included in sales, marketing, general and
administrative expense are non-cash expenses related to
advertising expense and stock-based compensation. Non-cash
expenses related to advertising expense were $1,605 for the
three months ended March 31, 2006, compared to $2,627 a
year ago. This decrease was due to lower advertising expense
related to our utilization of our prepaid advertising inventory.
Non-cash stock-based compensation was $8,955 for the three
months ended March 31, 2006, compared to $1,651 a year ago.
As discussed above, the increase in stock-based compensation
expense was due to the adoption of SFAS 123R. We expect
stock-based compensation expense to be higher during 2006 than
in prior years due to the adoption of this accounting standard.
Sales, marketing, general and administrative expense, excluding
the non-cash expenses discussed above, was $78,272, or 23.1% of
revenue, for the three months ended March 31, 2006,
compared to $77,859, or 25.6% of revenue, a year ago. The
decrease in sales, marketing, general and administrative
expense, excluding the non-cash expenses discussed above, as a
percentage of revenue, is due to our ability to achieve an
increase in revenue without incurring a proportionate increase
in expenses, with the exception of certain increased staffing
related expenses, directly attributable to the increased revenue
as well as increased expenses related to recent acquisitions
that were not included, or only partially included in the year
ago period.
Depreciation and Amortization. Depreciation and
amortization expense was $18,928, or 5.6% of revenue, for the
three months ended March 31, 2006, compared to $16,504, or
5.4% of revenue, a year ago. The increase was primarily due to
depreciation and amortization expenses of approximately $1,631
relating to the acquisitions of our WebMD segment which were not
included, or only partially included, in the year ago periods,
as well as capital expenditures made in our Emdeon Business
Services segment.
Legal Expense. Legal expense was $542 and $4,160 for the
three months ended March 31, 2006 and 2005, respectively.
Legal expense represents the costs and expenses incurred related
to the investigation by the United States Attorney for the
District of South Carolina and the SEC. While we cannot predict
these costs and expenses with certainty and while they may
continue to be significant, we expect these costs to continue to
be lower during the remainder of 2006, as compared to 2005, in
part because existing insurance policies became available to
cover the expenses of certain former officers and employees of
Emdeon Practice Services upon their indictment in late 2005.
Loss on Investments. The loss on investments of $3,832
for the three months ended March 31, 2005 is comprised of
$4,251 for unrealized losses on marketable debt securities that
we determined were not temporary in nature and was partially
offset by a gain of $419 for the sale of marketable debt
securities. These securities were sold to partially finance the
March 2005 purchase of HealthShare and ABFs March 2005
contingent consideration payment in the amount of $31,000 and
$40,434, respectively.
Interest Income. Interest income of $4,419 for the three
months ended March 31, 2006 was relatively comparable to a
year ago which was $4,321. This was due to lower average
investment balances offset by higher average rates of return.
Interest Expense. Interest expense was $4,691 for the
three months ended March 31, 2006, compared to $4,781 in
the prior year period. Interest expense for the three months
ended March 31, 2006 represents interest expense and the
amortization of debt issuance costs related to our $350,000 of
1.75% Convertible Subordinated Notes due 2023 (the
1.75% Notes) and our $300,000 of
31/8% Convertible
Notes due 2007 (the
31/8%
Notes). The interest expense for the three months ended
March 31, 2005 represents interest expense and the
amortization of debt issuance costs related to the
1.75% Notes and our $300,000 of
31/4
% Convertible Subordinated Notes due 2025.
Income Tax Provision. The income tax provision of $4,562
and $189 for the three months ended March 31, 2006 and
2005, respectively, includes tax expense for operations that
were profitable in certain foreign, state and other
jurisdictions in which we do not have net operating losses to
offset that income. The income tax provision for the three
months ended March 31, 2006 also includes a provision for
federal
33
taxes of $2,157 that has not been reduced by the reversal of a
valuation allowance as these tax benefits were acquired through
business combinations. The income tax provision for the three
months ended March 31, 2005 also includes a tax benefit
primarily attributable to a release of previously accrued taxes.
Results of Operations by Operating Segment
We evaluate the performance of our business segments based upon
earnings before interest, taxes, non-cash and other items. Other
items include legal expenses which reflect costs and expenses
related to the investigation by the United States Attorney for
the District of South Carolina and the SEC. Non-cash expenses
are related to advertising acquired in exchange for our equity
securities in acquisitions and strategic alliances, as well as
stock-based compensation expense, which primarily relates to
stock options issued and assumed in connection with acquisitions
and restricted stock issued to employees and beginning
January 1, 2006, includes the incremental stock-based
compensation expense associated with the adoption of
SFAS 123R. The accounting policies of the segments are
consistent with those described in the summary of significant
accounting policies in Note 1 to the consolidated financial
statements contained in our 2005 Annual Report on
Form 10-K.
Inter-segment revenue primarily represents sales of Emdeon
Business Services products into the Emdeon Practice Services
customer base and are reflected at rates comparable to those
charged to third parties for comparable products. To a lesser
extent, inter-segment revenue includes sales of certain WebMD
services to our other operating segments.
Reclassification of Segment Information. In connection
with the initial public offering of WHC, we entered into a
Services Agreement related to providing WHC with administrative
services, such as payroll, accounting, tax, employee benefit
plan, employee insurance, intellectual property, legal and
information processing services. Under the Services Agreement,
we receive an amount that reasonably approximates the cost of
providing services to WHC. Our segment reporting has been
modified to reflect the services fee we charge to WHC as an
increase to the expenses of the WebMD segment and an offsetting
reduction to the expenses in the Corporate segment. In
accordance with SFAS 131, we have reclassified all prior
period segment information to conform to the current period
presentation. The services fee charged to the WebMD segment was
$839 and $1,621 for the three months ended March 31, 2006
and 2005, respectively.
Summarized financial information for each of our operating
segments and a reconciliation to net income are presented below
(amounts in thousands):
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended | |
|
|
March 31, | |
|
|
| |
|
|
2006 | |
|
2005 | |
|
|
| |
|
| |
Revenue
|
|
|
|
|
|
|
|
|
Emdeon Business Services
|
|
$ |
201,154 |
|
|
$ |
185,733 |
|
Emdeon Practice Services
|
|
|
75,706 |
|
|
|
73,018 |
|
WebMD
|
|
|
50,051 |
|
|
|
33,575 |
|
Porex
|
|
|
20,587 |
|
|
|
19,856 |
|
Inter-segment eliminations
|
|
|
(8,379 |
) |
|
|
(8,248 |
) |
|
|
|
|
|
|
|
|
|
$ |
339,119 |
|
|
$ |
303,934 |
|
|
|
|
|
|
|
|
Earnings before interest, taxes, non-cash and other items
|
|
|
|
|
|
|
|
|
Emdeon Business Services
|
|
$ |
43,193 |
|
|
$ |
38,253 |
|
Emdeon Practice Services
|
|
|
10,173 |
|
|
|
4,397 |
|
WebMD (a)
|
|
|
6,527 |
|
|
|
3,230 |
|
Porex
|
|
|
5,554 |
|
|
|
5,397 |
|
Corporate (a)
|
|
|
(11,274 |
) |
|
|
(12,005 |
) |
|
|
|
|
|
|
|
|
|
|
54,173 |
|
|
|
39,272 |
|
34
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended | |
|
|
March 31, | |
|
|
| |
|
|
2006 | |
|
2005 | |
|
|
| |
|
| |
Interest, taxes, non-cash and other items
|
|
|
|
|
|
|
|
|
Depreciation and amortization
|
|
|
(18,928 |
) |
|
|
(16,504 |
) |
Non-cash advertising
|
|
|
(1,605 |
) |
|
|
(2,627 |
) |
Non-cash stock-based compensation
|
|
|
(12,462 |
) |
|
|
(1,651 |
) |
Legal expense
|
|
|
(542 |
) |
|
|
(4,160 |
) |
Loss on investments
|
|
|
|
|
|
|
(3,832 |
) |
Interest income
|
|
|
4,419 |
|
|
|
4,321 |
|
Interest expense
|
|
|
(4,691 |
) |
|
|
(4,781 |
) |
Minority interest in WebMD Health Corp., net of tax
|
|
|
629 |
|
|
|
|
|
Income tax provision
|
|
|
(4,562 |
) |
|
|
(189 |
) |
|
|
|
|
|
|
|
|
Net income
|
|
$ |
16,431 |
|
|
$ |
9,849 |
|
|
|
|
|
|
|
|
|
|
|
(a) |
|
Earnings before interest, taxes, non-cash and other items for
the prior periods, for the Corporate and WebMD segments, have
been reclassified to conform to the current period presentation
for service fees charged to the WebMD segment from Corporate. |
The following discussion is a comparison of the results of
operations for each of our operating segments for the three
months ended March 31, 2006 to the three months ended
March 31, 2005.
Emdeon Business Services. Revenue was $201,154 for the
three months ended March 31, 2006, compared to $185,733 in
the prior year period, an increase of $15,421 or 8.3%. The
increase in revenue was primarily due to an increase in postage
revenue which corresponded with the increase in postage rates
that went into effect on January 8, 2006, growth in
consulting services and software sales we provide in our ViPS
operation, as well as growth in our patient statement and
remittance and payment services.
Income before interest, taxes, non-cash and other items was
$43,193, or 21.5% of revenue, for the three months ended
March 31, 2006, compared to $38,253, or 20.6% of revenue, a
year ago. The increase in our operating margin, as a percentage
of revenue, was primarily the result of higher revenue as
discussed above, partially offset by the effect of the increased
postage rates which went into effect at the beginning of the
current year.
Emdeon Practice Services. Revenue was $75,706 for the
three months ended March 31, 2006, compared to $73,018 in
the prior year period, an increase of $2,688 or 3.7%. The
increase in revenue was due to higher Emdeon Network Services
revenue and maintenance revenue from higher renewals of our
maintenance and support service contracts.
Income before interest, taxes, non-cash and other items was
$10,173, or 13.4% of revenue, for the three months ended
March 31, 2006, compared to $4,397, or 6.0% of revenue, in
the prior year period. The increased operating margin was due to
the higher revenue discussed above, the effect of continued
operating efficiencies primarily related to lower headcount and
related personnel costs, and lower outside service costs.
WebMD. Revenue was $50,051 for the three months ended
March 31, 2006, compared to $33,575 in the prior year
period, an increase of $16,476 or 49.1%. This includes revenue
from the acquisition of Conceptis, Healthshare and eMedicine of
$7,463 for the three months ended March 31, 2006 compared
to $492 in the prior year period. The remaining increase in
revenue is the result of increased advertising and sponsorship
revenue attributable to an increase in the number of brands and
sponsored programs promoted on our sites and licensing revenue
from our private online portals.
Income before interest, taxes, non-cash and other items was
$6,527, or 13.0% of revenue, for the three months ended
March 31, 2006, compared to $3,230, or 9.6% of revenue, in
the prior year period. This increase in operating margin was
primarily due to an increase in online advertising and
sponsorship revenue and our private portal licensing revenue,
partially offset by higher costs from WebMD the Magazine
and offline medical education.
35
Porex. Revenue was $20,587 for the three months ended
March 31, 2005, compared to $19,856 a year ago, an increase
of $731 or 3.7%. The increase was primarily due to increased
sales of our industrial products, including water filtration
products. Partially offsetting this increase was an unfavorable
impact of exchange rates on the translation of foreign
operations.
Income before interest, taxes, non-cash and other items was
$5,554, or 27.0% of revenue, for the three months ended
March 31, 2006, compared to $5,397, or 27.2% of revenue, a
year ago. The decrease in operating margin was due to slightly
higher personnel and professional service costs.
Corporate. Corporate includes services shared across all
operating segments, such as executive personnel, legal,
accounting, tax, treasury, human resources, certain information
technology functions and other services. Corporate expenses were
$11,274, or 3.3% of total revenue, for the three months ended
March 31, 2006, compared to $12,005, or 3.9% of total
revenue, a year ago. These expenses, in absolute dollars,
decreased as a result of lower personnel related costs due to
lower headcount. Additionally, our corporate expenses as a
percentage of revenue continue to decrease when compared to the
prior periods reflecting our ability to increase revenue without
a proportionate increase in corporate costs which are generally
more fixed in nature.
Inter-Segment Eliminations. The increase in inter-segment
eliminations for the three months ended March 31, 2006
compared to a year ago resulted from higher sales of Emdeon
Business Services products into the Emdeon Practice Services
customer base.
Liquidity and Capital Resources
We began operations in January 1996 and, until 2004, we had
incurred net losses in each year and, as of March 31, 2006,
we had an accumulated deficit of approximately
$10.1 billion. We plan to continue to invest in
acquisitions, strategic relationships, infrastructure and
product development.
As of March 31, 2006, we had approximately $376,798 in cash
and cash equivalents and short-term investments, including
$132,803 in cash and cash equivalents and short-term investments
held by WHC, and working capital of $351,903. Additionally, we
had $4,265 in marketable equity securities. We invest our excess
cash principally in U.S. Treasury obligations and federal
agency notes and expect to do so in the future. As of
March 31, 2006, all our marketable securities were
classified as available-for-sale.
Cash provided by operating activities was $46,761 for the three
months ended March 31, 2006, compared to cash provided by
operating activities of $22,957 for the three months ended
March 31, 2005. The principal sources of the $23,804
increase in cash provided by operating activities when compared
to a year ago, were higher earnings before interest, taxes,
non-cash and other items, as well as a higher rate of
collections of receivables and upfront payments relating to new
and renewed contracts for which revenue has been deferred.
Partially offsetting these inflows were higher payments related
to accounts payable and accrued expenses such as compensation
related payments and interest payments on our convertible notes
which were impacted by timing.
Cash used in investing activities was $13,083 for the three
months ended March 31, 2006, compared to cash used in
investing activities of $38,971 for the three months ended
March 31, 2005. Cash used in investing activities for the
three months ended March 31, 2006 included $166,228 of
proceeds from maturities and sales of available-for-sale
securities partially offset by $137,815 of purchases of
available-for-sale securities. Cash paid in business
acquisitions, net of cash acquired was $27,328 for the three
months ended March 31, 2006, which primarily related to the
2006 Acquisition of eMedicine and the RxList, LLC contingent
consideration payment. Cash used in investing activities for the
three months ended March 31, 2005 included $45,846 of
proceeds from maturities and sale of available-for-sale
securities, partially offset by $2,550 of purchases of
available-for-sale securities. Cash paid in business
acquisitions, net of the cash acquired, was $70,775 for the
three months ended March 31, 2005, which
36
primarily related to the Advanced Business Fulfillment, Inc.
contingent consideration payment and the 2005 acquisition of
HealthShare Technology, Inc. Investments in property and
equipment were $14,168 for the three months ended March 31,
2006, compared to $11,892 a year ago.
Cash used in financing activities was $56,162 for the three
months ended March 31, 2006, compared to cash used in
financing activities of $13,107 for the three months ended
March 31, 2005. Cash used in financing activities for the
three months ended March 31, 2006 principally related to
the repurchases of our common stock of $66,633 partially offset
by proceeds from the issuance of common stock primarily
resulting from exercises of employee stock options of $10,565.
Cash provided by financing activities for the three months ended
March 31, 2005 consisted of $13,170 related to the issuance
of common stock, primarily resulting from exercises of employee
stock options. We did not repurchase our common stock during the
three months ended March 31, 2005.
Our principal commitments at March 31, 2006 were our
commitments related to the 1.75% Notes, the
31/8
% Notes and the $100,000 of Convertible Redeemable
Exchangeable Preferred Stock. In addition, we have obligations
under operating leases of $103,371 and contingent consideration
payments of up to an aggregate of $54,937 related to certain
acquisitions achieving certain milestones, of which $25,197 was
paid in April 2006. Additionally, we anticipate capital
expenditure requirements of approximately $70,000 to $85,000 in
2006, of which $14,168 was spent in the first quarter, and
$30,000 related to our WebMD segments pending acquisition
of Summex Corporation in June 2006.
We believe that, for the foreseeable future, we will have
sufficient cash resources to meet the commitments described
above and our current anticipated working capital and capital
expenditure requirements, including the capital requirements
related to the roll-out of new or updated products in 2006 and
2007. Our future liquidity and capital requirements will depend
upon numerous factors, including the results of our Boards
evaluation of strategic alternatives relating to Emdeon Business
Services and Emdeon Practice Services, retention of customers at
current volume and revenue levels, our existing and new
application and service offerings, competing technological and
market developments, cost of maintaining and upgrading the
information technology platforms and communications systems that
Emdeon Business Services and WebMD use to provide their
services, potential future acquisitions and additional
repurchases of our common stock. We may need to raise additional
funds to support expansion, develop new or enhanced applications
and services, respond to competitive pressures, acquire
complementary businesses or technologies or take advantage of
unanticipated opportunities. If required, we may raise such
additional funds through public or private debt or equity
financing, strategic relationships or other arrangements. There
can be no assurance that such financing will be available on
acceptable terms, if at all, or that such financing will not be
dilutive to our stockholders.
Factors That May Affect Our Future Financial Condition or
Results of Operations
This section describes circumstances or events that could have a
negative effect on our financial results or operations or that
could change, for the worse, existing trends in some or all of
our businesses. The occurrence of one or more of the
circumstances or events described below could have a material
adverse effect on our financial condition, results of operations
and cash flows or on the trading prices of the common stock and
convertible notes that we have issued or securities we may issue
in the future. The risks and uncertainties described in this
Quarterly Report are not the only ones facing us. Additional
risks and uncertainties that are not currently known to us or
that we currently believe are immaterial may also adversely
affect our business and operations.
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Risks Related to the Businesses of
Emdeon Business Services and Emdeon Practice Services
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The financial results of Emdeon Business Services could be
adversely affected to the extent payers conduct electronic data
interchange, or EDI, transactions without using a clearinghouse
or if their ability to do so allows them to terminate or modify
their relationships with us |
There can be no assurance that healthcare payers will continue
to use Emdeon Business Services and other independent companies
to transmit healthcare transactions. Some payers currently offer
electronic data transmission services to healthcare providers
that bypass third-party EDI service providers such as Emdeon
Business Services. In addition, some payers currently offer
electronic data transmission services through affiliated
clearinghouses that compete with Emdeon Business Services. We
cannot provide assurance that we will be able to maintain our
existing relationships with payers or develop new relationships
on satisfactory terms, if at all. Any significant increase in
the utilization of links between healthcare providers and payers
without use of a third party clearinghouse could have a material
adverse effect on Emdeon Business Services transaction
volume and financial results. In addition, any increase in the
ability of payers to bypass third party EDI service providers
may adversely affect the terms and conditions we are able to
negotiate in our agreements with them, which could also have a
material adverse impact on Emdeon Business Services
business and financial results.
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Some of our customers compete with us and some, instead of
using a third party provider, perform internally some of the
same services that we offer |
Some of our existing payer and provider customers and some of
our strategic partners compete with us or may plan to do so or
belong to alliances that compete with us or plan to do so,
either with respect to the same products and services we provide
to them or with respect to some of our other lines of business.
For example, some payers currently offer, through affiliated
clearinghouses, Web portals and other means, electronic data
transmission services to healthcare providers that allow the
provider to bypass third party EDI service providers such as
Emdeon Business Services, and additional payers may do so in the
future. The ability of payers to do so may adversely affect the
terms and conditions we are able to negotiate in our
connectivity agreements with them and our transaction volume. We
cannot provide assurance that we will be able to maintain our
existing relationships for connectivity services with payers or
develop new relationships on satisfactory terms, if at all. In
addition, some of our services allow healthcare payers to
outsource business processes that they have been or could be
performing internally and, in order for us to be able to
compete, use of our services must be more efficient for them
than use of internal resources.
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Emdeon Business Services transaction volume and
financial results could be adversely affected if we do not
maintain relationships with practice management system vendors
and large submitters of healthcare EDI transactions |
We have developed relationships with practice management system
vendors and large submitters of healthcare claims to increase
the usage of our Emdeon Business Services transaction services.
Emdeon Practice Services is a competitor of these practice
management system vendors. Some of these vendors have, as a
result of our ownership of Emdeon Practice Services or for other
reasons, chosen to diminish or terminate their relationships
with Emdeon Business Services, and others may do so in the
future. Some other large submitters of claims compete with, or
may have significant relationships with entities that compete
with, Emdeon Business Services or WebMD. In addition, we have
taken steps in the past year to lower the rates of the sales
commissions we pay to practice management system vendors and
other channel partners; we may lose transaction volume from them
if the payments we offer them are not competitive with other
alternatives available to them. To the extent that we are not
able to maintain mutually satisfactory relationships with the
larger practice management system vendors and large submitters
of healthcare EDI transactions, Emdeon Business Services
transaction volume and financial results could be adversely
affected.
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Contractual relationships with governmental customers may
impose special burdens on us and provide special benefits to
those customers, including the right to change or terminate the
contract in response to budgetary constraints or policy
changes |
A portion of Emdeon Business Services revenue comes from
customers that are governmental agencies. Government contracts
and subcontracts may be subject to some or all of the following:
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termination when appropriated funding for the current fiscal
year is exhausted; |
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termination for the governmental customers convenience,
subject to a negotiated settlement for costs incurred and profit
on work completed, along with the right to place contracts out
for bid before the full contract term, as well as the right to
make unilateral changes in contract requirements, subject to
negotiated price adjustments; |
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most-favored pricing disclosure requirements that
are designed to ensure that the government can negotiate and
receive pricing akin to that offered commercially and
requirements to submit proprietary cost or pricing data to
ensure that government contract pricing is fair and reasonable; |
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commercial customer price tracking requirements that require
contractors to monitor pricing offered to a specified class of
customers and to extend price reductions offered to that class
of customers to the government; |
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reporting and compliance requirements related to, among other
things: conflicts of interest; equal employment opportunity,
affirmative action for veterans and for workers with
disabilities, and accessibility for the disabled; |
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broader audit rights than we would usually grant to
non-governmental customers; and |
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specialized remedies for breach and default, including setoff
rights, retroactive price adjustments, and civil or criminal
fraud penalties, as well as mandatory administrative dispute
resolution procedures instead of state contract law remedies. |
In addition, certain violations of federal law may subject
government contractors to having their contracts terminated and,
under certain circumstances, suspension and/or debarment from
future government contracts. We are also subject to
conflict-of-interest
rules that may affect our eligibility for some government
contracts, including rules applicable to all
U.S. government contracts as well as rules applicable to
the specific agencies with which we have contracts or with which
we may seek to enter into contracts. Finally, some of our
government contracts are priced based on our cost of providing
products and services. Those contracts are subject to regulatory
cost-allowability standards and a specialized system of cost
accounting standards.
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Lengthy sales, installation and implementation cycles for
some Emdeon Business Services applications and some Emdeon
Practice Services applications may result in unanticipated
fluctuations in their revenues |
Emdeon Practice Services. Emdeon Practice Services is
seeking to increase its sales to larger physician groups and
clinics. These sales are typically not only larger in size, but
also involve more complex practice management and electronic
medical records applications. As a result, we expect longer
sales, contracting and implementation cycles for these
customers. These sales may be subject to delays due to
customers internal procedures for approving large
expenditures and for deploying new technologies; implementation
may be subject to delays based on the availability of the
internal customer resources needed. We are unable to control
many of the factors that will influence the timing of the buying
decisions of potential customers or the pace at which
installation and training may occur. Unexpected delays in these
sales or in their implementation may result in unanticipated
fluctuations in the revenues of Emdeon Practice Services.
ViPS. ViPS, which is included in our Emdeon Business
Services segment, provides licensed software products and
related services to payers and information technology services
to government customers. The
39
period from our initial contact with a potential ViPS client and
the purchase of our solution by the client is difficult to
predict. In the past, this period has generally ranged from six
to 12 months, but in some cases has extended much longer.
Sales by ViPS may be subject to delays due to customers
internal procedures for approving large expenditures, to delays
in government funding and to delays resulting from other factors
outside of our control. The time it takes to implement a
licensed software solution is also difficult to predict and has
lasted as long as 12 months from contract execution to the
commencement of live operation. Implementation may be subject to
delays based on the availability of the internal resources of
the client that are needed and other factors outside of our
control. As a result, we have only limited ability to forecast
the timing of revenue from new ViPS sales. During the sales
cycle and the implementation period, we may expend substantial
time, effort and money preparing contract proposals and
negotiating the contract without receiving any related revenue.
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Emdeon Practice Services faces competition in providing
support services to owners of The Medical Manager and other
systems |
Emdeon Practice Services faces competition for the support
services it markets to owners of The Medical Manager systems, as
well as for similar services that we market to owners of certain
other practice management systems that we have acquired.
Physician practices may seek such support from third parties,
including businesses that support or manage information
technology for various types of clients and businesses that
specialize in systems for physicians, some of whom may formerly
have been independent dealers of The Medical Manager software or
of practice management systems we have acquired and some of whom
may be former employees of Emdeon Practice Services. We cannot
provide assurance that we will be able to compete successfully
against these service providers. In addition, some physician
practices, especially larger ones, may use their own employees
and other internal resources to support their practice
management systems. Some of our clients have terminated their
support services contracts in the past and we expect such
terminations to occur in the future.
Risks Related to the Businesses of WebMD
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WebMD has incurred and may continue to incur losses |
WebMDs operating results have fluctuated significantly in
the past from quarter to quarter and may continue to do so in
the future. WebMDs net losses from 2001 to 2003 totaled
approximately $2.6 billion. WebMDs online businesses
participate in relatively new and rapidly evolving markets. Many
companies with business plans based on providing healthcare
information through the Internet have failed to be profitable
and some have filed for bankruptcy and/or ceased operations.
Even if demand from users exists, we cannot assure you that
WebMD will be profitable.
In addition, WebMDs online businesses have a limited
operating history and participate in relatively new and rapidly
growing markets. These businesses have undergone significant
changes during their short history as a result of changes in the
types of services provided, technological changes, changes in
market conditions, and changes in ownership and management, and
are expected to continue to change for similar reasons.
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The timing of WebMDs advertising and sponsorship
revenue may vary significantly from quarter to quarter |
WebMDs advertising and sponsorship revenue may vary
significantly from quarter to quarter due to a number of
factors, not all of which are in WebMDs control, and any
of which may be difficult to forecast accurately. The majority
of WebMDs advertising and sponsorship contracts are for
terms of approximately four to 12 months. WebMD has
relatively few longer term advertising and sponsorship
contracts. We cannot assure you that WebMDs current
customers for these services will continue to use WebMD beyond
the terms of their existing contracts or that they will enter
into any additional contracts.
40
In addition, the time between the date of initial contact with a
potential advertiser or sponsor regarding a specific program and
the execution of a contract with the advertiser or sponsor for
that program may be lengthy, especially for larger contracts,
and may be subject to delays over which WebMD has little or no
control, including as a result of budgetary constraints of the
advertiser or sponsor or their need for internal approvals.
Other factors that could affect the timing of WebMDs
revenue from advertisers and sponsors include:
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timing of Food and Drug Administration, or FDA, approval for new
products or for new approved uses for existing products; |
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seasonal factors relating to the prevalence of specific health
conditions and other seasonal factors that may affect the timing
of promotional campaigns for specific products; and |
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the scheduling of conferences for physicians and other
healthcare professionals. |
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Lengthy sales and implementation cycles for WebMDs
private online portals make it difficult to forecast revenues
from these applications and may impact its results of
operations |
The period from WebMDs initial contact with a potential
client for a private online portal and the first purchase of its
solution by the client is difficult to predict. In the past,
this period has generally ranged from six to 12 months, but
in some cases has been longer. These sales may be subject to
delays due to a clients internal procedures for approving
large expenditures and other factors beyond WebMDs
control. The time it takes to implement a private online portal
is also difficult to predict and has lasted as long as six
months from contract execution to the commencement of live
operation. Implementation may be subject to delays based on the
availability of the internal resources of the client that are
needed and other factors outside of WebMDs control. As a
result, we have limited ability to forecast the timing of
revenue from new private portal clients. This, in turn, makes it
more difficult to predict WebMDs financial performance
from quarter to quarter.
During the sales cycle and the implementation period, WebMD may
expend substantial time, effort and money preparing contract
proposals, negotiating contracts and implementing the private
online portal without receiving any related revenue. In
addition, many of the expenses related to providing private
online portals are relatively fixed in the short term, including
personnel costs and technology and infrastructure costs. Even if
WebMDs revenue from providing private portals is lower
than expected, it may not be able to reduce its short-term
spending in response. Any shortfall in revenue would have a
direct impact on WebMDs results of operations.
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If WebMD is unable to provide content and services that
attract and retain users to The WebMD Health Network on a
consistent basis, its advertising and sponsorship revenue could
be reduced |
Users of The WebMD Health Network have numerous other
online and offline sources of healthcare information services.
WebMDs ability to compete for user traffic on its public
portals depends upon its ability to make available a variety of
health and medical content, decision-support applications and
other services that meet the needs of a variety of types of
users, including consumers, physicians and other
41
healthcare professionals, with a variety of reasons for seeking
information. WebMDs ability to do so depends, in turn, on:
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its ability to hire and retain qualified authors, journalists
and independent writers; |
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its ability to license quality content from third
parties; and |
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its ability to monitor and respond to increases and decreases in
user interest in specific topics. |
We cannot assure you that WebMD will be able to continue to
develop or acquire needed content, applications and tools at a
reasonable cost. In addition, since consumer users of
WebMDs public portals may be attracted to The WebMD
Health Network as a result of a specific condition or for a
specific purpose, it is difficult for us to predict the rate at
which they will return to the public portals. Because WebMD
generates revenue by, among other things, selling sponsorships
of specific pages, sections or events on The WebMD Health
Network, a decline in user traffic levels or a reduction in
the number of pages viewed by users could cause WebMDs
revenue to decrease and could have a material adverse effect on
WebMDs results of operations.
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If WebMD is unable to provide healthcare content for its
offline publications that attracts and retains users, its
revenue will be reduced |
Interest in WebMDs publications for physicians, such as
The Little Blue Book and ACP Medicine and ACS
Surgery: Principles and Practice, is based upon its ability
to make available
up-to-date health
content that meets the needs of its physician users. Although
WebMD has been able to continue to update and maintain the
physician practice information that it publishes in The
Little Blue Book, if it is unable to continue to do so for
any reason, the value of The Little Blue Book would
diminish and interest in this publication and advertising in
this publication would be adversely affected.
Similarly, WebMDs ability to maintain or increase the
subscriptions to ACP Medicine and ACS Surgery is
based upon its ability to make available
up-to-date content
which depends on its ability to retain qualified physician
authors and writers in the disciplines covered by these
publications. We cannot assure you that WebMD will be able to
retain qualified physician editors or authors to provide and
review needed content at a reasonable cost. If WebMD is unable
to provide content that attracts and retains subscribers,
subscriptions to these products will be reduced.
WebMD the Magazine was launched in April 2005 and as a
result has a very short operating history. We cannot assure you
that WebMD the Magazine will be able to attract and
retain advertisers to make this publication successful in the
long term.
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A decline in user traffic levels for The WebMD Health Network
could have a material adverse effect on its advertising and
sponsorship revenue |
WebMD generates revenue by, among other things, selling
sponsorships of specific pages, sections or events on its
network of publicly available online Web sites for healthcare
providers and consumers and related
e-mailed newsletters.
WebMDs advertisers and sponsors include pharmaceutical,
biotech, medical device and consumer products companies that are
interested in communicating with and educating WebMDs
audience or parts of its audience. We cannot provide assurance
that WebMD will be able to retain or increase usage of its
online public portals by consumers and physicians. There are
numerous other online and offline sources of healthcare
information services that compete with WebMD. In addition, since
users may be attracted to The WebMD Health Network as a
result of a specific condition or for a specific purpose, it is
difficult for us to predict the rate at which users will return.
A decline in user traffic levels or a reduction in the number of
pages viewed by users may cause WebMDs revenue to decrease
and could have a material adverse effect on its results of
operations.
Although a substantial majority of the visitors to The WebMD
Health Network and the page views generated on The WebMD
Health Network are from Web sites WebMD owns, some are from
Web sites owned by third parties that carry WebMDs
content. As a result, WebMDs traffic may vary based on the
amount of traffic to Web sites of these third parties and other
factors outside of WebMDs control. In the
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event that any of WebMDs relationships with its third
party Web sites are terminated, The WebMD Health
Networks user traffic and page views may be negatively
affected, which may negatively affect WebMDs results of
operations.
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WebMD may be unsuccessful in its efforts to increase
advertising and sponsorship revenue from consumer products
companies |
Most of WebMDs advertising and sponsorship revenue has, in
the past, come from pharmaceutical, biotechnology and medical
device companies. During the past year, WebMD has been focusing
on increasing sponsorship revenue from consumer products
companies that are interested in communicating health-related or
safety-related information about their products to WebMDs
audience. However, while a number of consumer products companies
have indicated an intent to increase the portion of their
promotional spending used on the Internet, we cannot assure you
that these advertisers and sponsors will find WebMDs
consumer Web sites to be as effective as other Web sites or
traditional media for promoting their products and services. If
WebMD encounters difficulties in competing with the other
alternatives available to consumer products companies, this
portion of its business may develop more slowly than we expect
or may fail to develop.
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WebMD may be subject to claims brought against it as a result
of content it provides |
Consumers access health-related information through WebMDs
online services, including information regarding particular
medical conditions and possible adverse reactions or side
effects from medications. If WebMDs content, or content
that it obtains from third parties, contains inaccuracies, it is
possible that consumers, employees, health plan members or
others may sue WebMD for various causes of action. Although
WebMDs Web sites contain terms and conditions, including
disclaimers of liability, that are intended to reduce or
eliminate its liability, the law governing the validity and
enforceability of online agreements and other electronic
transactions is evolving. WebMD could be subject to claims by
third parties that WebMDs online agreements with consumers
and physicians that provide the terms and conditions for use of
WebMDs public or private portals are unenforceable. A
finding by a court that these agreements are invalid and that
WebMD is subject to liability could harm its business and
require costly changes to its business.
WebMD has editorial procedures in place to provide quality
control of the information that it publishes or provides.
However, we cannot assure you that WebMDs editorial and
other quality control procedures will be sufficient to ensure
that there are no errors or omissions in particular content.
Even if potential claims do not result in liability to WebMD,
investigating and defending against these claims could be
expensive and time consuming and could divert managements
attention away from operations. In addition, WebMDs
business is based on establishing the reputation of its portals
as trustworthy and dependable sources of healthcare information.
Allegations of impropriety or inaccuracy, even if unfounded,
could therefore harm WebMDs reputation and business.
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WebMD faces potential liability related to the privacy and
security of personal information it collects from consumer and
healthcare professionals through its Web sites |
Internet user privacy has become a major issue both in the
United States and abroad. WebMD has privacy policies posted on
its Web sites that we believe comply with applicable laws
requiring notice to users about WebMDs information
collection, use and disclosure practices. However, whether and
how existing privacy and consumer protection laws in various
jurisdictions apply to the Internet is still uncertain and may
take years to resolve. Any legislation or regulation in the area
of privacy of personal information could affect the way WebMD
operates its Web sites and could harm its business. Further, we
can give no assurance that the privacy policies and other
statements on WebMDs Web sites, or its practices, will be
found sufficient to protect it from liability or adverse
publicity in this area.
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Changes in industry guidelines or government regulation could
adversely affect WebMDs online Medscape CME offerings |
WebMDs CME activities are planned and implemented in
accordance with the Essential Areas and Policies of the
Accreditation Council for Continuing Medical Education, or
ACCME, which oversees providers of CME credit, and other
applicable accreditation standards. In September 2004, ACCME
revised its standards for commercial support of CME. The revised
standards are intended to ensure, among other things, that CME
activities of ACCME-accredited providers are independent of
providers of healthcare goods and services that fund the
development of CME. ACCME required accredited providers to
implement these standards by May 2005. Implementation has
required additional disclosures to CME participants about those
in a position to influence content and other adjustments to the
management and operations of our CME programs. WebMD believes
that it has modified procedures as appropriate to meet the
revised standards. However, we cannot be certain whether these
adjustments will ensure that it meets the new standards or
predict whether ACCME may impose additional requirements.
In the event that ACCME concludes that WebMD has not met its
revised standards relating to CME, we would not be permitted to
offer accredited ACCME activities to physicians and healthcare
professionals, and WebMD may be required, instead, to use third
parties to accredit such CME-related services on Medscape
from WebMD, its primary online portal for physicians. In
addition, any failure to maintain its status as an accredited
ACCME provider as a result of a failure to comply with existing
or new ACCME standards could discourage potential sponsors from
engaging in CME or education related activities with WebMD,
which could have a material adverse effect on its business.
CME activities may also be subject to government regulation by
the FDA, the Office of Inspector General (or OIG), or the
Department of Health and Human Services (or HHS), the federal
agency responsible for interpreting certain federal laws
relating to healthcare, and state regulatory agencies.
During the past several years, educational programs, including
CME, directed toward physicians have been subject to increased
scrutiny to ensure that sponsors do not influence or control the
content of the program. In response to governmental and industry
initiatives, pharmaceutical companies and medical device
companies have been developing and implementing internal
controls and procedures that promote adherence to applicable
regulations and requirements. In implementing these controls and
procedures, different clients may interpret the regulations and
requirements differently and may implement procedures or
requirements that vary from client to client. These controls and
procedures:
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may discourage pharmaceutical companies from engaging in
educational activities; |
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may slow their internal approval for such programs; |
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may reduce the volume of sponsored educational programs
implemented through WebMDs Medscape Web site to
levels that are lower than in the past; and |
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may require WebMD to make changes to how it offers or provides
educational programs, including CME. |
In addition, future changes to existing regulations or
accreditation standards, or to the internal compliance programs
of potential clients may further discourage or prohibit
potential clients from engaging in educational activities with
WebMD, or may require it to make further changes in the way it
offers or provides educational programs.
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Risks Related to the Development and Performance of the
Products and Services
of Emdeon Business Services, Emdeon Practice Services and
WebMD
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Our ability to generate revenue could suffer if we do not
continue to update and improve our existing products and
services and develop new ones |
We must introduce new healthcare information services and
technology solutions and improve the functionality of our
existing products and services in a timely manner in order to
retain existing customers and attract new ones. However, we may
not be successful in responding to technological and regulatory
developments and changing customer needs. The pace of change in
the markets we serve is rapid, and there are frequent new
product and service introductions by our competitors and by
vendors whose products and services we use in providing our own
products and services. If we do not respond successfully to
technological and regulatory changes and evolving industry
standards, our products and services may become obsolete.
Technological changes may also result in the offering of
competitive products and services at lower prices than we are
charging for our products and services, which could result in
our losing sales unless we lower the prices we charge. In
addition, there can be no assurance that the products we develop
or license will be able to compete with the alternatives
available to our customers.
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Developing and implementing new or updated products and
services may take longer and cost more than expected |
We rely on a combination of internal development, strategic
relationships, licensing and acquisitions to develop our
products and services. The cost of developing new healthcare
information services and technology solutions is inherently
difficult to estimate. Our development and implementation of
proposed products and services may take longer than originally
expected, require more testing than originally anticipated and
require the acquisition of additional personnel and other
resources. If we are unable to develop new or updated products
and services on a timely basis and implement them without
significant disruptions to the existing systems and processes of
our customers, we may lose potential sales and harm our
relationships with current or potential customers.
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New or updated products and services will not become
profitable unless they achieve sufficient levels of market
acceptance |
There can be no assurance that customers and potential customers
will accept from us new or updated products and services or
products and services that result from integrating existing
and/or acquired products and services, including:
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our updated electronic medical records products; |
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the business process outsourcing services for payers that we
have developed internally and through acquisitions; and |
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our updated clinical transaction services. |
The future results of Emdeon Practice Services and Emdeon
Business Services will depend, in significant part, on the
success of these products and services and on our ability to
keep our other information technology and connectivity products
up to date. Providers and payers may choose to use similar
products and services offered by our competitors if they are
already using products and services of those competitors and
have made extensive investments in hardware, software and
training relating to the competitors existing products and
services. Even providers and payers who are already our
customers may not purchase new or updated products or services,
especially when they are initially offered and if they require
changes in equipment or workflow. In addition, there can be no
assurance that payers who use our services for sending and
receiving claims will use our other pre- and post-adjudication
services.
For services we are developing or may develop in the future,
there can be no assurance that we will attract sufficient
customers or that such services will generate sufficient
revenues to cover the costs of developing, marketing and
providing those services. In addition, the introduction of new
or updated
45
products and services may require or make advisable related
changes in the manner in which we market, deliver and price our
products and services, including pre-existing products and
services. There can be no assurance that any pricing, licensing
or other product strategy that we implement for any new products
and services or for pre-existing products and services will be
economically viable or acceptable to the target markets. Failure
to achieve broad penetration in target markets with respect to
new or updated products and services could have a material
adverse effect on our business prospects.
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Achieving market acceptance of new or updated products and
services is likely to require significant efforts and
expenditures |
Achieving market acceptance for new or updated products and
services is likely to require substantial marketing efforts and
expenditure of significant funds to create awareness and demand
by participants in the healthcare industry. In addition,
deployment of new or updated products and services may require
the use of additional resources for training our existing sales
force and customer service personnel and for hiring and training
additional salespersons and customer service personnel. There
can be no assurance that the revenue opportunities from new or
updated products and services will justify amounts spent for
their development, marketing and roll-out.
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We could be subject to breach of warranty, product liability
or other claims if our software products, information technology
systems or transmission systems contain errors or experience
failures |
Errors in the software and systems we provide to customers or
the software and systems we use to provide services could cause
serious problems for our customers. For example, errors in our
transaction processing systems can result in healthcare payers
paying the wrong amount, making payments to the wrong payee or
delaying payments. In addition, since some of our products and
services relate to laboratory ordering and reporting and
electronic prescriptions, an error in our systems could result
in injury to a patient. If problems like these occur, our
customers may seek compensation from us or may seek to terminate
their agreements with us, withhold payments due to us, seek
refunds from us of part or all of the fees charged under those
agreements or initiate litigation or other dispute resolution
procedures. In addition, we may be subject to claims against us
by others affected by any such problems.
We also provide products and services that assist in healthcare
decision-making, including some that relate to patient medical
histories and treatment plans. If these products malfunction or
fail to provide accurate and timely information, we could be
subject to product liability and other claims. In addition, we
could face breach of warranty or other claims or additional
development costs if our software and systems do not meet
contractual performance standards, do not perform in accordance
with their documentation, or do not meet the expectations that
our customers have for them. Our software and systems are
inherently complex and, despite testing and quality control, we
cannot be certain that errors will not be found in prior
versions, current versions or future versions or enhancements.
We attempt to limit, by contract, our liability for damages
arising from our negligence, errors or mistakes. However,
contractual limitations on liability may not be enforceable in
certain circumstances or may otherwise not provide sufficient
protection to us from liability for damages. We maintain
liability insurance coverage, including coverage for errors and
omissions. However, it is possible that claims could exceed the
amount of our applicable insurance coverage, if any, or that
this coverage may not continue to be available on acceptable
terms or in sufficient amounts. Even if these claims do not
result in liability to us, investigating and defending against
them could be expensive and time consuming and could divert
managements attention away from our operations. In
addition, negative publicity caused by these events may delay
market acceptance of our products and services, including
unrelated products and services, or may harm our reputation and
our business.
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Performance problems with our systems or system failures,
whether caused by hardware, software or other problems, could
cause us to lose business or incur liabilities |
Our customer satisfaction and our business could be harmed if we
experience transmission delays or failures or loss of data in
the systems we use to provide services to our customers,
including the transaction-related services that Emdeon Business
Services provides to healthcare payers and providers and the
online services that WebMD provides. These systems, and the
software used in these systems, are complex and, despite testing
and quality control, we cannot be certain that problems will not
occur or that they will be detected and corrected promptly if
they do occur. To operate without interruption, both we and the
service providers we use must guard against:
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damage from fire, power loss and other natural disasters; |
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communications failures; |
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software and hardware errors, failures or crashes; |
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security breaches, computer viruses and similar disruptive
problems; and |
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other potential interruptions. |
We have contingency plans for emergencies with the systems we
use to provide services; however, we have limited backup
facilities if these systems are not functioning. The occurrence
of a major catastrophic event or other system failure at any of
our facilities or at a third-party facility we use could
interrupt our services or result in the loss of stored data,
which could have a material adverse impact on our business or
cause us to incur material liabilities. Although we maintain
insurance for our business, we cannot guarantee that our
insurance will be adequate to compensate us for all losses that
may occur or that this coverage will continue to be available on
acceptable terms or in sufficient amounts.
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During times when we are making significant changes to our
products and services or to systems we use to provide services,
there are increased risks of performance problems |
If we do not respond successfully to technological and
regulatory changes and evolving industry standards, our products
and services may become obsolete. The software and systems that
we sell and that we use to provide services are inherently
complex and, despite testing and quality control, we cannot be
certain that errors will not be found in any enhancements,
updates and new versions that we market or use. Even if new
products and services do not have performance problems, our
technical and customer service personnel may have difficulties
in installing them or in their efforts to provide any necessary
training and support to customers.
We expect to make significant additions and changes during 2006
to some of the hardware and software Emdeon Business Services
uses to provide connectivity services and to the systems WebMD
uses to create, manage and deliver its portals. Our
implementation of additions to and changes in these platforms
may cost more than originally expected, may take longer than
originally expected, and may require more testing than
originally anticipated. While the new hardware and software will
be tested before it is used in production, we cannot be sure
that the testing will uncover all problems that may occur in
actual use. If significant problems occur as a result of these
changes, we may fail to meet our contractual obligations to
customers, which could result in claims being made against us or
in the loss of customer relationships. In addition, we cannot
provide assurance that additions to or changes in these
platforms will provide the additional functionality and other
benefits that were originally expected.
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If our systems or the Internet experience security breaches
or are otherwise perceived to be insecure, our business could
suffer |
A security breach could damage our reputation or result in
liability. We retain and transmit confidential information,
including patient health information, in our processing centers
and other facilities. It is critical that these facilities and
infrastructure remain secure and be perceived by the marketplace
as secure. We may be required to expend significant capital and
other resources to protect against security
47
breaches and hackers or to alleviate problems caused by
breaches. Despite the implementation of security measures, this
infrastructure or other systems that we interface with,
including the Internet and related systems, may be vulnerable to
physical break-ins, hackers, improper employee or contractor
access, computer viruses, programming errors,
denial-of-service
attacks or other attacks by third parties or similar disruptive
problems. Any compromise of our security, whether as a result of
our own systems or systems that they interface with, could
reduce demand for our services.
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Performance problems with Emdeon Business Services
systems could affect our relationships with customers of Emdeon
Practice Services |
Emdeon Business Services provides the transaction services used
by the Network Services customers of Emdeon Practice Services.
Disruptions to those services could cause some of those
customers to obtain some or all of their software support
requirements from competitors of ours or could cause some
customers to switch to a competing physician practice management
or billing software solution.
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Emdeon Business Services ability to provide transaction
services depends on services provided by telecommunications
companies |
Emdeon Business Services relies on a limited number of suppliers
to provide some of the telecommunications services necessary for
its transaction services. The telecommunications industry has
been subject to significant changes as a result of changes in
technology, regulation and the underlying economy. In the past
several years, many telecommunications companies have
experienced financial problems and some have sought bankruptcy
protection. Some of these companies have discontinued
telecommunications services for which they had contractual
obligations to Emdeon Business Services. There has also been
consolidation of telecommunications companies, further reducing
the number of telecommunications companies competing for
business. Emdeon Business Services inability to source
telecommunications services at reasonable prices due to a loss
of competitive suppliers could affect its ability to maintain
its margins until it is able to raise its prices to its
customers and, if it is not able to raise its prices, could have
a material adverse effect on its financial results.
Risks Applicable to Our Use of the Internet
Most of WebMDs services are provided through the Internet.
In addition, Emdeon Business Services and Emdeon Practice
Services provide some Internet-based services and use the
Internet to receive some data from customers. The following
risks apply to our use of the Internet in our businesses:
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Our Internet-based services are dependent on the development
and maintenance of the Internet infrastructure |
Our ability to deliver our Internet-based services is dependent
on the development and maintenance of the infrastructure of the
Internet by third parties. This includes maintenance of a
reliable network backbone with the necessary speed, data
capacity and security, as well as timely development of
complementary products such as high-speed modems, for providing
reliable Internet access and services. The Internet has
experienced, and is likely to continue to experience,
significant growth in the number of users and the amount of
traffic. If the Internet continues to experience increased
usage, the Internet infrastructure may be unable to support the
demands placed on it. In addition, the reliability and
performance of the Internet may be harmed by increased usage or
by denial-of-service
attacks.
The Internet has experienced a variety of outages and other
delays as a result of damages to portions of its infrastructure,
and it could face outages and delays in the future. These
outages and delays could reduce the level of Internet usage as
well as the availability of the Internet to us for delivery of
our Internet-based services. In addition, our customers who
utilize our Web-based services depend on Internet service
providers, online service providers and other Web site operators
for access to our Web site. All of these providers have
experienced significant outages in the past and could experience
outages, delays and
48
other difficulties in the future due to system failures
unrelated to our systems. Any significant interruptions in our
services or increases in response time could result in a loss of
potential or existing users of and advertisers and sponsors on
our Web site and, if sustained or repeated, could reduce the
attractiveness of our services.
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Delivery of Web-based services requires uninterrupted
communications and computer service from third-party service
providers and our own systems |
Our Web-based services, including WebMDs public Web sites
and private online portals, are designed to operate
24 hours a day, seven days a week, without interruption. To
do so, we rely on internal systems as well as communications and
hosting services provided by third parties. We have experienced
periodic system interruptions in the past, and we cannot
guarantee that they will not occur again. We do not maintain
redundant systems or facilities for some of these services. In
the event of a catastrophic event at one of our data centers, we
may experience an extended period of system unavailability,
which could negatively impact our business. In addition, some of
our Web-based services may, at times, be required to accommodate
higher than expected volumes of traffic. At those times, we may
experience slower response times or system failures. Any
sustained or repeated interruptions or disruptions in these
systems or increase in their response times could damage our
relationships with clients, customers, advertisers and sponsors.
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Third parties may challenge the enforceability of our online
agreements |
The law governing the validity and enforceability of online
agreements and other electronic transactions is evolving. We
could be subject to claims by third parties that the online
terms and conditions for use of our Web sites, including
disclaimers or limitations of liability, are unenforceable. A
finding by a court that these terms and conditions or other
online agreements are invalid could harm our business.
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Government regulation of the Internet could adversely affect
our business |
The Internet and its associated technologies are subject to
government regulation. Our failure, or the failure of our
business partners, to accurately anticipate the application of
laws and regulations affecting our products and services and the
manner in which we deliver them, or any other failure to comply
with such laws and regulations, could create liability for us,
result in adverse publicity, or negatively affect our business.
In addition, new laws and regulations, or new interpretations of
existing laws and regulations, may be adopted with respect to
the Internet or other online services covering user privacy,
patient confidentiality, consumer protection and other issues,
including pricing, content, copyrights and patents,
distribution, and characteristics and quality of products and
services. We cannot predict whether these laws or regulations
will change or how such changes will affect our business. For
more information regarding government regulation of the Internet
to which we are or may be subject, see
Business Government Regulation in our
Annual Report on
Form 10-K for the
year ended December 31, 2005.
Risks Related to Providing Products and Services to the
Healthcare Industry
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Developments in the healthcare industry could adversely
affect our business |
Almost all of the revenue of WebMD, Emdeon Business Services and
Emdeon Practice Services come from healthcare industry
participants or from companies providing products or services to
healthcare industry participants. In addition, a significant
portion of Porexs revenue comes from products used in
healthcare or related applications. Developments that result in
a reduction of expenditures by customers or potential customers
in the healthcare industry could have a material adverse effect
on our business.
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General reductions in expenditures by healthcare industry
participants could result from, among other things:
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government regulation or private initiatives that affect the
manner in which healthcare providers interact with patients,
payers or other healthcare industry participants, including
changes in pricing or means of delivery of healthcare products
and services; |
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consolidation of healthcare industry participants; |
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reductions in governmental funding for healthcare; and |
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adverse changes in business or economic conditions affecting
healthcare payers or providers, pharmaceutical companies,
medical device manufacturers or other healthcare industry
participants. |
Even if general expenditures by industry participants remain the
same or increase, developments in the healthcare industry may
result in reduced spending in some or all of the specific
markets we serve or are planning to serve. For example, use of
our products and services could be affected by:
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changes in the billing patterns of healthcare providers; |
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changes in the design of health insurance plans; |
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changes in the contracting methods payers use in their
relationships with providers; and |
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decreases in marketing expenditures by pharmaceutical companies
or medical device manufacturers, including as a result of
governmental regulation or private initiatives that discourage
or prohibit promotional activities by pharmaceutical or medical
device companies. |
In addition, our customers expectations regarding pending
or potential industry developments may also affect their
budgeting processes and spending plans with respect to products
and services of the types we provide.
WebMDs advertising and sponsorship revenue is particularly
dependent on pharmaceutical, biotechnology and medical device
companies. WebMDs business will be adversely impacted if,
as a result of changes in business, economic or regulatory
conditions or other factors affecting the pharmaceutical,
biotechnology or medical device industries, pharmaceutical,
biotechnology or medical device companies reduce or postpone:
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spending on marketing and educational services; |
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their use of the Internet as a vehicle for marketing and
education; or |
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their use of any specific service or combination of services
that we provide. |
The healthcare industry has changed significantly in recent
years and we expect that significant changes will continue to
occur. However, the timing and impact of developments in the
healthcare industry are difficult to predict. We cannot provide
assurance that the markets for our products and services will
continue to exist at current levels or that we will have
adequate technical, financial and marketing resources to react
to changes in those markets.
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Governmental and private initiatives to support adoption of
healthcare information technology may encourage additional
companies to enter our markets, may provide advantages to our
competitors and may result in the development of technology
solutions that compete with ours |
There are currently numerous federal, state and private
initiatives and studies seeking ways to increase the use of
information technology in healthcare, including in the
physicians office, as a means of improving care and
reducing costs. These initiatives may encourage more companies
to enter our markets, may provide advantages to our competitors
and may result in the development of technology solutions that
compete with ours.
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For example, the Centers for Medicare & Medicaid
Services (CMS) and the HHS Office of Inspector
General (OIG) have proposed creating exceptions or
safe harbors, for electronic health records software
and related services, to current prohibitions on physician
self-referrals and kickbacks. The goal of this initiative is to
allow hospitals and physicians to have interoperable electronic
health records systems without violating existing laws that
govern their relationships. The rule change may cause additional
competitors, including providers of hospital information
systems, to compete to provide systems for use by our existing
and potential physician practice customers and may reduce the
prices we are able to charge for our systems and services. |
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In addition, as part of its initiatives, HHS has indicated that
it intends to facilitate the development and transfer of
knowledge and technology used by the federal government to the
private sector. As a result, the CMS has been collaborating with
the Veterans Health Administration (VHA) and other key
federal agencies on the development and distribution of
electronic health record software called VistA-Office
EHR for use in clinics and physician offices, based on the
VistA system VHA uses for its own hospitals. VistA-Office EHR
will compete with our IntergyEHR solution and appears likely to
be offered at a significantly lower cost than IntergyEHR. |
The effect that these kinds of governmental and private
initiatives may have on our business is difficult to predict and
there can be no assurances that we will adequately address the
risks created by these initiatives or that we will be able to
take advantage of any resulting opportunities. In addition,
competition from information technology products and services
made available to healthcare providers on a not-for-profit or
other low-cost basis by or on behalf of governmental entities,
including VistA-Office EHR, could have an adverse impact on
sales of our products and services, including IntergyEHR.
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Government regulation of healthcare creates risks and
challenges with respect to our compliance efforts and our
business strategies |
The healthcare industry is highly regulated and is subject to
changing political, legislative, regulatory and other
influences. Existing and new laws and regulations affecting the
healthcare industry could create unexpected liabilities for us,
cause us to incur additional costs and could restrict our
operations. Many healthcare laws are complex and their
application to specific products and services may not be clear.
In particular, many existing healthcare laws and regulations,
when enacted, did not anticipate the healthcare information
services and technology solutions that we provide. However,
these laws and regulations may nonetheless be applied to our
products and services. Our failure to accurately anticipate the
application of these laws and regulations, or other failure to
comply, could create liability for us, result in adverse
publicity and negatively affect our businesses. Some of the
risks we face from healthcare regulation are as follows:
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because we are in the business of applying information
technology to healthcare, various aspects of HIPAA have had and
are expected to continue to have significant consequences for
Emdeon Business Services and Emdeon Practice Services and, to a
lesser extent, WebMD; |
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because WebMDs public portals business involves
advertising and promotion of prescription and
over-the-counter drugs
and medical devices, any increase in regulation of these areas
could make it more difficult for us to contract for sponsorships
and advertising; |
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because we sell items and services to healthcare providers and
physicians, our sales and promotional practices must comply with
federal and state anti-kickback laws; |
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our healthcare connectivity and transaction-related
administrative services must be provided in compliance with
federal and state false claims laws; and |
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in providing health information to consumers, we must not engage
in activities that could be deemed to be practicing medicine and
a violation of applicable laws. |
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For more information regarding the risks that healthcare
regulation creates for our businesses, see
Business Government Regulation in our
Annual Report on
Form 10-K for the
year ended December 31, 2005.
Risks Related to Porexs Business and Industry
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Porexs success depends upon demand for its products,
which in some cases ultimately depends upon end-user demand for
the products of its customers |
Demand for our Porex products may change materially as a result
of economic or market conditions and other trends that affect
the industries in which Porex participates. In addition, because
a significant portion of our Porex products are components that
are eventually integrated into or used with products
manufactured by customers for resale to end-users, the demand
for these product components is dependent on product development
cycles and marketing efforts of these other manufacturers, as
well as variations in their inventory levels, which are factors
that we are unable to control. Accordingly, the amount of
Porexs sales to manufacturer customers can be difficult to
predict and subject to wide
quarter-to-quarter
variances.
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Porexs product offerings must meet changing customer
requirements |
A significant portion of our Porex products are integrated into
end products used by manufacturing companies in various
industries, some of which are characterized by rapidly changing
technology, evolving industry standards and frequent new product
introductions. Accordingly, to satisfy its customers, Porex must
develop and introduce, in a timely manner, products that meet
changing customer requirements at competitive prices. To do
this, Porex must:
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develop new uses of existing porous plastics technologies and
applications; |
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innovate and develop new porous plastics technologies and
applications; |
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commercialize those technologies and applications; |
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manufacture at a cost that allows it to price its products
competitively; |
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manufacture and deliver its products in sufficient volumes and
on time; |
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accurately anticipate customer needs; and |
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differentiate its offerings from those of its competitors. |
We cannot assure you that Porex will be able to develop new or
enhanced products or that, if it does, those products will
achieve market acceptance. If Porex does not introduce new
products in a timely manner and make enhancements to existing
products to meet the changing needs of its customers, some of
its products could become obsolete over time, in which case
Porexs customer relationships, revenue and operating
results would be negatively impacted.
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Potential new or enhanced Porex products may not achieve
sufficient sales to be profitable or justify the cost of their
development |
We cannot be certain, when we engage in Porex research and
development activities, whether potential new products or
product enhancements will be accepted by the customers for which
they are intended. Achieving market acceptance for new or
enhanced products may require substantial marketing efforts and
expenditure of significant funds to create awareness and demand
by potential customers. In addition, sales and marketing efforts
with respect to these products may require the use of additional
resources for training our existing Porex sales forces and
customer service personnel and for hiring and training
additional salespersons and customer service personnel. There
can be no assurance that the revenue opportunities from new or
enhanced products will justify amounts spent for their
development and
52
marketing. In addition, there can be no assurance that any
pricing strategy that we implement for any new or enhanced Porex
products will be economically viable or acceptable to the target
markets.
|
|
|
Porex may not be able to source the raw materials it needs or
may have to pay more for those raw materials |
Some of Porexs products require high-grade plastic resins
with specific properties as raw materials. While Porex has not
experienced any material difficulty in obtaining adequate
supplies of high-grade plastic resins that meet its
requirements, it relies on a limited number of sources for some
of these plastic resins. If Porex experiences a reduction or
interruption in supply from these sources, it may not be able to
access alternative sources of supply within a reasonable period
of time or at commercially reasonable rates, which could have a
material adverse effect on its business and financial results.
In addition, the prices of some of the raw materials that Porex
uses vary, to a great extent, with the price of petroleum. As a
result, increases in the price of petroleum could have an
adverse effect on Porexs margins and on the ability of
Porexs porous plastics products to compete with products
made from other raw materials.
|
|
|
Disruptions in Porexs manufacturing operations could
have a material adverse effect on its business and financial
results |
Any significant disruption in Porexs manufacturing
operations, including as a result of fire, power interruptions,
equipment malfunctions, labor disputes, material shortages,
earthquakes, floods, computer viruses, sabotage, terrorist acts
or other force majeure, could have a material adverse effect on
Porexs ability to deliver products to customers and,
accordingly, its financial results.
|
|
|
Porex may not be able to keep third parties from using
technology it has developed |
Porex uses proprietary technology for manufacturing its porous
plastics products and its success is dependent, to a significant
extent, on its ability to protect the proprietary and
confidential aspects of its technology. Although Porex owns
certain patents, it relies primarily on non-patented proprietary
manufacturing processes. To protect its proprietary processes,
Porex relies on a combination of trade secret laws, license
agreements, nondisclosure and other contractual provisions and
technical measures, including designing and manufacturing its
porous molding equipment and most of its molds in-house. Trade
secret laws do not afford the statutory exclusivity possible for
patented processes. There can be no assurance that the legal
protections afforded to Porex or the steps taken by Porex will
be adequate to prevent misappropriation of its technology. In
addition, these protections do not prevent independent
third-party development of competitive products or services.
|
|
|
The nature of Porexs products exposes it to product
liability claims that may not be adequately covered by indemnity
agreements or insurance |
The products sold by Porex, whether sold directly to end-users
or sold to other manufacturers for inclusion in the products
that they sell, expose it to potential risk of product liability
claims, particularly with respect to Porexs life sciences,
clinical, surgical and medical products. Some of Porexs
products are designed to be permanently implanted in the human
body. Design defects and manufacturing defects with respect to
such products sold by Porex or failures that occur with the
products of Porexs manufacturer customers that contain
components made by Porex could result in product liability
claims and/or a recall of one or more of Porexs products.
Porex believes that it carries adequate insurance coverage
against product liability claims and other risks. We cannot
assure you, however, that claims in excess of Porexs
insurance coverage will not arise. In addition, Porexs
insurance policies must be renewed annually. Although Porex has
been able to obtain adequate insurance coverage at an acceptable
cost in the past, we cannot assure you that Porex will continue
to be able to obtain adequate insurance coverage at an
acceptable cost.
53
In most instances, Porex enters into indemnity agreements with
its manufacturing customers. These indemnity agreements
generally provide that these customers would indemnify Porex
from liabilities that may arise from the sale of their products
that incorporate Porex components to, or the use of such
products by, end-users.
While Porex generally seeks contractual indemnification from its
customers, any such indemnification is limited, as a practical
matter, to the creditworthiness of the indemnifying party. If
Porex does not have adequate contractual indemnification
available, product liability claims, to the extent not covered
by insurance, could have a material adverse effect on its
business, operating results and financial condition.
|
|
|
Economic, political and other risks associated with
Porexs international sales and geographically diverse
operations could adversely affect Porexs operations and
financial results |
Since Porex sells its products worldwide, its business is
subject to risks associated with doing business internationally.
In addition, Porex has manufacturing facilities in the United
Kingdom, Germany and Malaysia. Accordingly, Porexs
operations and financial results could be harmed by a variety of
factors, including:
|
|
|
|
|
changes in foreign currency exchange rates; |
|
|
|
changes in a specific countrys or regions political
or economic conditions, particularly in emerging markets; |
|
|
|
trade protection measures and import or export licensing
requirements; |
|
|
|
potentially negative consequences from changes in tax laws; |
|
|
|
differing protection of intellectual property; and |
|
|
|
unexpected changes in regulatory requirements. |
|
|
|
Environmental regulation could adversely affect Porexs
business |
Porex is subject to foreign and domestic environmental laws and
regulations and is subject to scheduled and random checks by
environmental authorities. Porexs business involves the
handling, storage and disposal of materials that are classified
as hazardous. Although Porexs safety procedures for
handling, storage and disposal of these materials are designed
to comply with the standards prescribed by applicable laws and
regulations, Porex may be held liable for any environmental
damages that result from Porexs operations. Porex may be
required to pay fines, remediation costs and damages, which
could have a material adverse effect on its results of
operations.
Risks Applicable to Our Entire Company and to Ownership of
Our Securities
|
|
|
The ongoing investigations by the United States Attorney for
the District of South Carolina and the SEC could negatively
impact our company and divert management attention from our
business operations |
The United States Attorney for the District of South Carolina is
conducting an investigation of our company. Based on the
information available to Emdeon as of the date of this Quarterly
Report, we believe that the investigation relates principally to
issues of financial accounting improprieties for Medical Manager
Corporation, a predecessor of Emdeon (by its merger into Emdeon
in September 2000), and our Medical Manager Health Systems
subsidiary; however, we cannot be sure of the
investigations exact scope or how long it may continue. In
addition, Emdeon understands that the SEC is conducting a formal
investigation into this matter. Adverse developments in
connection with the investigations, if any, including as a
result of matters that the authorities or Emdeon may discover,
could have a negative impact on our company and on how it is
perceived by investors and potential investors and customers and
potential customers. In addition, the management effort and
attention required to respond to the investigations and any such
developments could have a negative impact on our business
operations.
54
Emdeon intends to continue to fully cooperate with the
authorities in this matter. While we are not able to estimate,
at this time, the amount of the expenses that we will incur in
connection with the investigations, we expect that they may
continue to be significant.
|
|
|
Recent and pending management changes may disrupt our
operations and our ability to recruit and retain other
personnel |
In the past year, we have experienced changes in our senior
management, including in the leadership of three of our four
segments. The President of our company, who was also the head of
our Emdeon Business Services segment, left in December 2005 and
has not been replaced. We have also announced that we expect to
experience further changes in our senior management, including
expected changes in our Chief Executive Officer, who we expect
to change positions within our company for health reasons, and
in our Chief Financial Officer, who we announced would be
leaving that position to serve solely as the head of our Emdeon
Practice Services segment. On February 28, 2006, we
announced that we do not expect to bring in a new Chief
Executive Officer or Chief Financial Officer until the
completion of the announced evaluation of strategic alternatives
with respect to Emdeon Business Services and Emdeon Practice
Services. Changes in senior management and uncertainty regarding
pending changes may disrupt the operations of our business and
may impair our ability to recruit and retain needed personnel.
Any such disruption or impairment may have an adverse affect on
our business.
|
|
|
We cannot assure you that the decision to evaluate strategic
alternatives with respect to our Emdeon Business Services and
Emdeon Practice Services segments will result in us pursuing a
transaction or that any such transaction would be successfully
completed |
On February 16, 2006, we announced that, in connection with
inquiries received from several third parties expressing an
interest in acquiring our Emdeon Business Services and Emdeon
Practice Services segments, our Board of Directors has
authorized commencing a process to evaluate strategic
alternatives relating to these businesses to maximize
stockholder value. The process to evaluate strategic
alternatives may or may not result in an agreement with respect
to a transaction involving these businesses. In addition, our
ability to complete a transaction, if our Board decides to
pursue one, will depend on numerous factors, some of which are
outside of our control, including factors affecting the
availability of financing for transactions or the financial
markets in general. Even if a transaction is completed, there
can be no assurance that it will have a positive effect on the
price of our common stock. Finally, the process of evaluating
strategic alternatives may be more time consuming and expensive
than we currently anticipate.
|
|
|
Whether or not we pursue a transaction involving Emdeon
Business Services and Emdeon Practice Services, there may be
negative impacts on the businesses in those segments as a result
of the evaluation of strategic alternatives |
As a result of the February 16, 2006 announcement
commencing the process of evaluating strategic alternatives
relating to Emdeon Business Services and Emdeon Practice
Services, the financial results and operations of those
businesses may be adversely affected by the diversion of
management resources to that process and uncertainty regarding
the outcome of the process. For example, the uncertainty of
whether we will continue to own these businesses in the future
could lead us to lose or fail to attract employees, customers or
business partners. Although we have taken steps to address these
risks, there can be no assurance that any such losses or
distractions will not adversely affect the operations or
financial results of these segments.
|
|
|
Our success depends, in part, on our attracting and retaining
qualified executives and employees |
The success of our business depends, in part, on our ability to
attract and retain qualified executives, writers and editors,
software developers and other technical and professional
personnel and sales and marketing personnel. We anticipate the
need to hire and retain qualified employees in these areas from
time to time. Competition for qualified personnel in the
healthcare information technology and healthcare information
services industries is intense, and we cannot assure you that we
will be able to hire or retain a
55
sufficient number of qualified personnel to meet our
requirements, or that we will be able to do so at salary,
benefit and other compensation costs that are acceptable to us.
Failure to do so may have an adverse effect on our business.
|
|
|
We face significant competition for our products and
services |
The markets in which we operate are intensely competitive,
continually evolving and, in some cases, subject to rapid
technological change.
|
|
|
|
|
Key competitors to Emdeon Business Services and Emdeon Practice
Services include: healthcare information system vendors and
support providers, including physician practice management
system and EMR system vendors and support providers; transaction
processing companies, including those providing EDI and/or
Internet-based services and those providing services through
other means, such as paper and fax; large information technology
consulting service providers; and health insurance companies,
pharmacy benefit management companies and pharmacies that
provide or are developing electronic transaction services for
use by healthcare providers and/or by their members and
customers. In addition, major software, hardware, information
systems and business process outsourcing companies, both with
and without healthcare companies as their partners, offer or
have announced their intention to offer products or services
that are competitive with those of Emdeon Business Services and
Emdeon Practice Services. |
|
|
|
WebMDs public portals face competition from numerous other
companies, both in attracting users and in generating revenue
from advertisers and sponsors. We compete for users with online
services and Web sites that provide health-related information,
including both commercial sites and not-for-profit sites. We
compete for advertisers and sponsors with both health-related
Web sites and general purpose consumer online services and
portals and other high-traffic Web sites that include both
healthcare-related and non-healthcare-related content and
services. Since there are no substantial barriers to entry into
the markets in which WebMDs public portals participate, we
expect that competitors will continue to enter these markets. |
|
|
|
WebMDs private portals compete with: providers of
healthcare decision-support tools and online health management
applications; wellness and disease management vendors; and
health information services and health management offerings of
health plans and their affiliates. |
Many of our competitors have greater financial, technical,
product development, marketing and other resources than we do.
These organizations may be better known than we are and have
more customers than we do. We cannot provide assurance that we
will be able to compete successfully against these organizations
or any alliances they have formed or may form.
For more information about the competition we face, see
Business Healthcare Information Services and
Technology Solutions Competition for Our Healthcare
Information Services and Technology Solutions in our
Annual Report on
Form 10-K for the
year ended December 31, 2005.
|
|
|
Third parties may bring claims as a result of the activities
of our strategic partners or resellers of our products and
services |
We could be subject to claims by third parties, and to
liability, as a result of the activities, products or services
of our strategic partners or resellers of our products and
services. Even if these claims do not result in liability to us,
investigating and defending these claims could be expensive,
time-consuming and result in adverse publicity that could harm
our business.
|
|
|
We may not be successful in protecting our intellectual
property and proprietary rights |
Our intellectual property is important to all of our businesses.
We rely on a combination of trade secret, patent and other
intellectual property laws and confidentiality procedures and
non-disclosure contractual provisions to protect our
intellectual property. We believe that our non-patented
proprietary technologies and business and manufacturing
processes are protected under trade secret, contractual and
56
other intellectual property rights. However, those rights do not
afford the statutory exclusivity provided by patented processes.
In addition, the steps that we take to protect our intellectual
property, proprietary information and trade secrets may prove to
be inadequate and, whether or not adequate, may be expensive.
There can be no assurance that we will be able to detect
potential or actual misappropriation or infringement of our
intellectual property, proprietary information or trade secrets.
Even if we detect misappropriation or infringement by a third
party, there can be no assurance that we will be able to enforce
our rights at a reasonable cost, or at all. In addition, our
rights to intellectual property, proprietary information and
trade secrets may not prevent independent third-party
development and commercialization of competing products or
services.
|
|
|
Third parties may claim that we are infringing their
intellectual property, and we could suffer significant
litigation or licensing expenses or be prevented from selling
products or services |
We could be subject to claims that we are misappropriating or
infringing intellectual property or other proprietary rights of
others. These claims, even if not meritorious, could be
expensive to defend and divert managements attention from
our operations. If we become liable to third parties for
infringing these rights, we could be required to pay a
substantial damage award and to develop non-infringing
technology, obtain a license or cease selling the products or
services that use or contain the infringing intellectual
property. We may be unable to develop non-infringing products or
services or obtain a license on commercially reasonable terms,
or at all. We may also be required to indemnify our customers if
they become subject to third-party claims relating to
intellectual property that we license or otherwise provide to
them, which could be costly.
|
|
|
We have incurred losses and may incur losses in the future |
We began operations in January 1996 and, until 2004, had
incurred net losses in each year since our inception. As of
March 31, 2006, we had an accumulated deficit of
approximately $10.1 billion. We currently intend to
continue to invest in infrastructure development, applications
development, marketing and acquisitions. Whether we incur losses
in a particular period will depend on, among other things, the
amount of such investments and whether those investments lead to
increased revenues.
|
|
|
Acquisitions, business combinations and other transactions
may be difficult to complete and, if completed, may have
negative consequences for our business and our
securityholders |
Our company has been built, in large part, through a series of
acquisitions. We intend to continue to seek to acquire or to
engage in business combinations with companies engaged in
complementary businesses. In addition, we may enter into joint
ventures, strategic alliances or similar arrangements with third
parties. These transactions may result in changes in the nature
and scope of our operations and changes in our financial
condition. Our success in completing these types of transactions
will depend on, among other things, our ability to locate
suitable candidates and negotiate mutually acceptable terms with
them, as well as the availability of financing. Significant
competition for these opportunities exists, which may increase
the cost of and decrease the opportunities for these types of
transactions. Financing for these transactions may come from
several sources, including:
|
|
|
|
|
cash and cash equivalents on hand and marketable securities; |
|
|
|
proceeds from the incurrence of indebtedness; and |
|
|
|
proceeds from the issuance of additional common stock, preferred
stock, convertible debt or other securities. |
Our issuance of additional securities could:
|
|
|
|
|
cause substantial dilution of the percentage ownership of our
stockholders at the time of the issuance; |
|
|
|
cause substantial dilution of our earnings per share; |
57
|
|
|
|
|
subject us to the risks associated with increased leverage,
including a reduction in our ability to obtain financing or an
increase in the cost of any financing we obtain; |
|
|
|
subject us to restrictive covenants that could limit our
flexibility in conducting future business activities; and |
|
|
|
adversely affect the prevailing market price for our outstanding
securities. |
We do not intend to seek securityholder approval for any such
acquisition or security issuance unless required by applicable
law or regulation or the terms of existing securities.
|
|
|
Our business will suffer if we fail to successfully integrate
acquired businesses and technologies or to assess the risks in
particular transactions |
We have in the past acquired, and may in the future acquire,
businesses, technologies, services, product lines and other
assets. The successful integration of the acquired businesses
and assets into our operations, on a cost-effective basis, can
be critical to our future performance. The amount and timing of
the expected benefits of any acquisition, including potential
synergies between Emdeon and the acquired business, are subject
to significant risks and uncertainties. These risks and
uncertainties include, but are not limited to, those relating to:
|
|
|
|
|
our ability to maintain relationships with the customers of the
acquired business; |
|
|
|
our ability to cross-sell products and services to customers
with which we have established relationships and those with
which the acquired businesses have established relationships; |
|
|
|
our ability to retain or replace key personnel; |
|
|
|
potential conflicts in payer, provider, strategic partner,
sponsor or advertising relationships; |
|
|
|
our ability to coordinate organizations that are geographically
diverse and may have different business cultures; and |
|
|
|
compliance with regulatory requirements. |
We cannot guarantee that any acquired businesses will be
successfully integrated with our operations in a timely or
cost-effective manner, or at all. Failure to successfully
integrate acquired businesses or to achieve anticipated
operating synergies, revenue enhancements or cost savings could
have a material adverse effect on our business, financial
condition and results of operations.
Although our management attempts to evaluate the risks inherent
in each transaction and to value acquisition candidates
appropriately, we cannot assure you that we will properly
ascertain all such risks or that acquired businesses and assets
will perform as we expect or enhance the value of our company as
a whole. In addition, acquired companies or businesses may have
larger than expected liabilities that are not covered by the
indemnification, if any, that we are able to obtain from the
sellers.
|
|
|
We may not be able to raise additional funds when needed for
our business or to exploit opportunities |
Our future liquidity and capital requirements will depend upon
numerous factors, including the success of the integration of
our businesses, our existing and new applications and service
offerings, competing technologies and market developments,
potential future acquisitions and dispositions of companies or
businesses, and additional repurchases of our common stock. We
may need to raise additional funds to support expansion, develop
new or enhanced applications and services, respond to
competitive pressures, acquire complementary businesses or
technologies or take advantage of unanticipated opportunities.
If required, we may raise such additional funds through public
or private debt or equity financing, strategic relationships or
other arrangements. There can be no assurance that such
financing will be available on acceptable terms, if at all, or
that such financing will not be dilutive to our stockholders.
58
|
|
ITEM 3. |
Quantitative and Qualitative Disclosures About Market
Risk |
Interest Rate Sensitivity
The primary objective of our investment activities is to
preserve principal and maintain adequate liquidity, while at the
same time maximizing the yield we receive from our investment
portfolio. This objective is accomplished by adherence to our
investment policy, which establishes the list of eligible types
of securities and credit requirements for each investment.
Changes in prevailing interest rates will cause the principal
amount of the investment to fluctuate. To minimize this risk, we
maintain our portfolio of cash equivalents, short-term
investments and marketable securities in commercial paper,
non-government debt securities, money market funds and highly
liquid United States Treasury notes. We view these high grade
securities within our portfolio as having similar market risk
characteristics. Principal amounts expected to mature in 2006
and 2007 are $240.9 million and $0.6 million,
respectively.
The
31/8
% Notes and the 1.75% Notes that we have issued
have fixed interest rates; changes in interest rates will not
impact our financial condition or results of operations.
We have not utilized derivative financial instruments in our
investment portfolio.
Exchange Rate Sensitivity
Currently, substantially all of our sales and expenses are
denominated in United States dollars; however, Porex and WebMD
are exposed to fluctuations in foreign currency exchange rates,
primarily the rate of exchange of the United States dollar
against the Euro. This exposure arises primarily as a result of
translating the results of Porexs foreign operations to
the United States dollar at exchange rates that have fluctuated
from the beginning of the accounting period. Neither Porex nor
WebMD have engaged in foreign currency hedging activities to
date. Foreign currency translation gains (losses) were
$0.3 million and $(0.9) million, during the three
month periods ended March 31, 2006 and 2005, respectively.
We believe that future exchange rate sensitivity related to
Porex and WebMD will not have a material effect on our financial
condition or results of operations.
|
|
ITEM 4. |
Controls and Procedures |
As required by Exchange Act
Rule 13a-15(b),
Emdeon management, including the Chief Executive Officer and
Chief Financial Officer, conducted an evaluation of the
effectiveness of Emdeons disclosure controls and
procedures, as defined in Exchange Act
Rule 13a-15(e), as
of March 31, 2006. Based on that evaluation, the Chief
Executive Officer and Chief Financial Officer concluded that
Emdeons disclosure controls and procedures were effective
as of March 31, 2006.
In connection with the evaluation required by Exchange Act
Rule 13a-15(d),
Emdeon management, including the Chief Executive Officer and
Chief Financial Officer, concluded that no changes in
Emdeons internal control over financial reporting occurred
during the first quarter of 2006 that have materially affected,
or are reasonably likely to materially affect, Emdeons
internal control over financial reporting.
59
PART II
OTHER INFORMATION
|
|
|
|
ITEM 2. |
Unregistered Sales of Equity Securities and Use of
Proceeds |
(c) The following table provides information about
purchases by Emdeon during the three months ended March 31,
2006 of equity securities that are registered by us pursuant to
Section 12 of the Exchange Act:
Issuer Purchases of Equity Securities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Maximum Number | |
|
|
|
|
|
|
|
|
(or Approximate | |
|
|
|
|
|
|
Total Number of | |
|
Dollar Value) of | |
|
|
|
|
|
|
Shares Purchased as | |
|
Shares that May Yet | |
|
|
Total Number of | |
|
|
|
Part of Publicly | |
|
Be Purchased Under | |
|
|
Shares | |
|
Average Price | |
|
Announced Plans or | |
|
the Plans or | |
Period |
|
Purchased(1) | |
|
Paid per Share | |
|
Programs(2) | |
|
Programs(2) | |
|
|
| |
|
| |
|
| |
|
| |
01/01/06 - 01/31/06
|
|
|
227,408 |
|
|
$ |
8.96 |
|
|
|
227,000 |
|
|
$ |
45,965,226 |
|
02/01/06 - 02/28/06
|
|
|
3,836,219 |
|
|
|
9.22 |
|
|
|
3,836,219 |
|
|
$ |
30,587,654 |
|
03/01/06 - 03/31/06
|
|
|
2,851,950 |
|
|
|
10.52 |
|
|
|
2,775,900 |
|
|
$ |
16,367,561 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
|
6,915,577 |
|
|
$ |
9.75 |
|
|
|
6,839,119 |
|
|
$ |
16,367,561 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
Includes 408 and 76,050 shares withheld from Emdeon
Restricted Stock that vested during January 2006 and March 2006,
respectively, in order to satisfy withholding tax requirements
related to the vesting of the awards. The value of these shares
was determined based on the closing fair market value of Emdeon
Common Stock on the date of vesting. |
|
(2) |
These repurchases were made pursuant to the repurchase program
that we announced on January 23, 2006, at which time Emdeon
was authorized to use up to $48 million to purchase shares
of its common stock from time to time. On February 8, 2006,
the maximum aggregate amount authorized for purchases pursuant
to this repurchase program was increased to $68 million
and, on March 28, 2006, it was increased to
$83 million. For additional information, see Note 5 to
the Consolidated Financial Statements included in this Quarterly
Report. |
The exhibits listed in the accompanying Exhibit Index on
page E-1 are filed or
furnished as part of this Quarterly Report.
60
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of
1934, the registrant has duly caused this report to be signed on
its behalf by the undersigned thereunto duly authorized.
|
|
|
|
|
Andrew C. Corbin |
|
Executive Vice President and
Chief Financial Officer |
Date: May 10, 2006
61
EXHIBIT INDEX
|
|
|
|
|
Exhibit No. |
|
Description |
|
|
|
|
3 |
.1 |
|
Eleventh Amended and Restated Certificate of Incorporation of
Registrant, as amended (incorporated by reference to
Exhibit 3.1 to Registrants Quarterly Report on
Form 10-Q for the quarter ended September 30, 2004) |
|
3 |
.2 |
|
Certificate of Amendment of Eleventh Amended and Restated
Certificate of Incorporation of the Registrant Changing Its Name
from WebMD Corporation to Emdeon Corporation (incorporated by
reference to Exhibit 3.1 to Registrants Current
Report on Form 8-K dated October 17, 2005) |
|
3 |
.3 |
|
Certificate of Designations for Convertible Redeemable
Exchangeable Preferred Stock, as amended (incorporated by
reference to Exhibit 3.2 to the Registrants Quarterly
Report on Form 10-Q for the quarter ended
September 30, 2004) |
|
3 |
.4 |
|
Amended and Restated Bylaws of Registrant, as currently in
effect (incorporated by reference to Exhibit 3.2 of the
Registrants Quarterly Report on Form 10-Q for the
quarter ended June 30, 2004) |
|
10 |
.1* |
|
Letter Agreement, dated as of February 1, 2006 between the
Registrant and Martin J. Wygod (incorporated by reference
to Exhibit 10.3 to the Registrants Current Report on
Form 8-K filed on February 2, 2006) |
|
10 |
.2* |
|
Letter Agreement, dated as of February 1, 2006 between the
Registrant and Kevin M. Cameron (incorporated by reference
to Exhibit 10.2 to the Registrants Current Report on
Form 8-K filed on February 2, 2006) |
|
10 |
.3* |
|
Amendment, dated as of March 9, 2006, to the Employment
Agreement between WebMD, Inc. and David Gang (incorporated
by reference to Exhibit 10.1 to the Current Report on
Form 8-K filed by WebMD Health Corp. (WHC)
on March 15, 2006) |
|
10 |
.4* |
|
Employment Agreement dated as of February 1, 2006, between
the Registrant and Charles A. Mele (incorporated by
reference to Exhibit 10.1 to the Registrants Current
Report on Form 8-K filed February 2, 2006) |
|
10 |
.5* |
|
Amended and Restated Emdeon Corporation 2000 Long-Term Incentive
Plan (incorporated by reference to Exhibit 10.23 to the
Registrants Annual Report on Form 10-K for the fiscal
year ended December 31, 2005) |
|
10 |
.6 |
|
Amended and Restated Tax Sharing Agreement between WHC and the
Registrant (incorporated by reference from exhibit 10.1 to
the Registrants Current Report on Form 8-K filed
February 16, 2006) |
|
10 |
.7* |
|
Amended and Restated WebMD Health Corp. 2005 Long-Term
Incentive Plan (incorporated by reference to Exhibit 10.27
to WHCs Annual Report on Form 10-K for the fiscal
year ended December 31, 2005) |
|
10 |
.8* |
|
Amended and Restated Emdeon Corporation 1996 Stock Plan |
|
31 |
.1 |
|
Rule 13a-14(a)/15d-14(a) Certification of Chief Executive
Officer of Registrant |
|
31 |
.2 |
|
Rule 13a-14(a)/15d-14(a) Certification of Chief Financial
Officer of Registrant |
|
32 |
.1 |
|
Section 1350 Certification of Chief Executive Officer of
Registrant |
|
32 |
.2 |
|
Section 1350 Certification of Chief Financial Officer of
Registrant |
* Relates to executive compensation.
E-1