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 The leading web portal for pharmacy resources, news, education and careers November 20, 2009
Pharmacy Choice - Pharmaceutical News - MedQuist Reports Third Quarter 2009 Results - November 20, 2009

Pharmacy News Article

 11/9/09 - MedQuist Reports Third Quarter 2009 Results

MOUNT LAUREL, N.J., Nov. 9 /PRNewswire-FirstCall/ MedQuist Inc., (Nasdaq: MEDQ) a leading provider of medical transcription services, and a leader in technology-enabled clinical documentation workflow, today announced unaudited operating results for its third quarter ended September 30, 2009.

The third quarter was the best quarter for sales orders in our recent history and we expect to start seeing the benefit of those orders in 2010. The sales success is attributable to our new sales and marketing programs that leverage all MedQuist products including, SpeechQ for Radiology, DocQvoice for capturing dictation, DocQscribe which incorporates an extensive range of features that optimize the transcription and editing process, DocQment Enterprise Platform with speech recognition for workflow management, coding services, and technology enabled clinical documentation services (transcription) which enable the efficient deployment of electronic health care record systems. Key service agreements signed during the quarter included Wellmont and Swedish American Health Systems.

Net income for the third quarter of 2009 was $9.7 million or $0.26 per diluted share compared to a loss of $5.8 million and $0.15 per diluted share in the prior comparable period year. This improvement was the result of multiple programs designed to increase productivity, and decrease cost of revenues.

Adjusted EBITDA (operating income (loss) excluding depreciation, amortization of intangible assets, and cost of legal proceedings and settlements, net) increased 66.4% to $13.2 million for the third quarter of 2009 compared to $7.9 million for the third quarter of 2008.

Net revenues declined $4.5 million or 5.5% to $76.8 million for the three months ended September 30, 2009 compared with $81.3 million for the prior year comparable period. Transcription volumes increased during the third quarter relative to the prior period, while average prices for transcription declined and the migration from legacy products reduced services revenues yielding this net result.

Cost of revenues decreased $4.5 million or 7.8% to $52.8 million for the three months ended September 30, 2009 compared with $57.2 million for the three months ended September 30, 2008.

Selling, general and administrative costs decreased $3.6 million or 31.0% to $7.9 million for the three months ended September 30, 2009 compared to $11.5 million for the three months ended September 30, 2008. The decrease was due primarily to a combination of work force reductions and cost reduction initiatives.

Research and development costs decreased $2.2 million or 47.5% to $2.4 million for the three months ended September 30, 2009 compared with $4.6 million for the three months ended September 30, 2008. The decrease was primarily due to lower compensation expense as a result of workforce reductions and an increase in capitalized software development costs.

Cost of legal proceedings and settlements, net, decreased $7.5 million to $1.3 million for the three months ended September 30, 2009 compared with $8.8 million for the three months ended September 30, 2008. This decrease in costs was due primarily to the DOJ settlement of $5.9 million and related legal fees of $1.6 million in 2008.

For the first nine months of 2009, net cash provided by operations was $33.0 million, an improvement of $36.9 million when compared to the prior year nine month period. At September 30, 2009, the company had cash of $15.7 million after investments of $6.3 million and the payment of a $49.9 million cash dividend to all shareholders on September 15, 2009.

For the nine months ended September 30, 2009, net revenues were $233.3 million, a decline of 5.7%, compared to the $247.5 million in net revenues realized in the prior year nine month period. The company's net income improved to $17.4 million compared to a net loss of $8.3 million for the nine months ended September 30, 2008. Adjusted EBITDA for the nine months ended September 30, 2009 improved by $19.6 million from $22.1 million for the nine months ended September 30, 2008 to $41.7 million for the nine months ended September 30, 2009.

In addition to the United States generally accepted accounting principles, or GAAP, results provided throughout this document, MedQuist has provided a non-GAAP financial measurement - Adjusted EBITDA. Management believes that the non-GAAP financial measure used to manage the business may provide users additional useful information. The table attached to this press release includes a reconciliation of the non-GAAP financial measure to the most directly comparable GAAP financial measure and a description of why the non-GAAP financial measure is useful to investors.

This report contains forward-looking statements that are based on current expectations, estimates, forecasts and projections about us, the industry in which we operate and other matters, as well as management's beliefs and assumptions and other statements regarding matters that are not historical facts. These statements include, in particular, statements about our plans, strategies and prospects. For example, when we use words such as "projects," "expects," "anticipates," "intends," "plans," "believes," "seeks," "estimates," "should," "would," "could," "will," "opportunity," "potential" or "may," variations of such words or other words that convey uncertainty of future events or outcomes, we are making forward-looking statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. These statements are only predictions and, as such, are not guarantees of future performance and involve risks, uncertainties and assumptions that are difficult to predict. For a discussion of these risks, uncertainties and assumptions, any of which could cause our actual results to differ from those contained in the forward-looking statement, see the section of MedQuist's Annual Report on Form 10-K for the year ended December 31, 2008, entitled "Risk Factors" and discussions of potential risks and uncertainties in MedQuist's subsequent filings with the Securities and Exchange Commission.

                         MedQuist Inc. and Subsidiaries
                     Consolidated Statements of Operations
                   (In thousands, except per share amounts)
                                  Unaudited


                               Three months ended  Nine months ended
                                  September 30,      September 30,
                                  -      -
                                   2009     2008      2009     2008
                                                   

    Net revenues                $76,836  $81,287  $233,251 $247,466
                                -  -   

    Operating costs and expenses:
      Cost of revenues           52,768   57,235   157,993  176,508
      Selling, general
       and administrative         7,930   11,496    25,819   36,446
      Research and development    2,439    4,648     7,235   12,502
      Depreciation                2,197    2,977     7,418    8,901
      Amortization of
       intangible assets          1,518    1,411     4,533    4,145
      Cost of legal
       proceedings and
       settlements, net           1,382    8,833    13,440   17,908
      Restructuring charges         481      (37)      481      (82)
                                    -      -       -      -

        Total operating
         costs and expenses      68,715   86,563   216,919  256,328
                                       -  -

        Operating income (loss)   8,121   (5,276)   16,332   (8,862)

    Equity in income of
     affiliated company           2,154      159     2,582      200
    Other income                      -        -         -      438
    Interest income (expense), net  (29)     418        36    2,601
                                    -      -            -

        Income (loss) before
         income taxes            10,246   (4,699)   18,950   (5,623)

    Income tax provision            542    1,063     1,556    2,721
                                    -    -     -    -

         Net income (loss)       $9,704  $(5,762)  $17,394  $(8,344)
                                 ======  =======   =======  =======

    Net income (loss) per share:
      Basic                       $0.26   $(0.15)    $0.46   $(0.22)
                                  -        -   
      Diluted                     $0.26   $(0.15)    $0.46   $(0.22)
                                  -        -   

    Weighted average shares
     outstanding:
      Basic                      37,556   37,554    37,556   37,547
                                           
      Diluted                    37,560   37,554    37,556   37,547
                                           



                               MedQuist Inc. and Subsidiaries
                                Consolidated Balance Sheets
                                       (In thousands)
                                         Unaudited

                                              September 30,  December 31,
                                                  2009          2008
                                                            
    Assets
    Current assets:
      Cash and cash equivalents                 $15,677       $39,918
      Accounts receivable, net of allowance of
       $3,927 and $4,802, respectively           43,352        50,374
      Income tax receivable                         204           154
      Other current assets                        4,849         8,053
                                                  -         -
          Total current assets                   64,082        98,499

    Property and equipment, net                  11,860        15,785
    Goodwill                                     40,763        40,545
    Other intangible assets, net                 37,357        39,877
    Deferred income taxes                         1,298         1,204
    Other assets                                 10,430         6,295
                                                          -

          Total assets                         $165,790      $202,205
                                               ========      ========

    Liabilities and Shareholders' Equity
    Current liabilities:
      Accounts payable                           $6,549        $7,487
      Accrued expenses                            8,799        11,994
      Accrued compensation                       14,192        11,204
      Customer accommodation                     11,634        12,055
      Deferred income taxes                         652           651
      Deferred revenue                           11,679        15,630
                                                         
          Total current liabilities              53,505        59,021

    Deferred income taxes                         1,458           799
    Other non-current liabilities                 2,322         2,033
                                                  -         -

    Commitments and contingencies

    Shareholders' equity:
      Common stock - no par value; authorized
       60,000 shares; shares issued and
       outstanding, 37,556 and 37,556
       respectively                             237,800       237,907
      Accumulated deficit                      (131,751)      (99,198)
      Accumulated other comprehensive income      2,456         1,643
                                                  -         -

          Total shareholders' equity            108,505       140,352
                                                -       -

          Total liabilities and shareholders'
           equity                              $165,790      $202,205
                                               ========      ========



                      MedQuist Inc. and Subsidiaries
                  Consolidated Statements of Cash Flows
                              (In thousands)
                                Unaudited

                                                    Nine months ended
                                                      September 30,
                                                      -
                                                     2009      2008
                                                           
    Operating activities:
      Net income (loss)                            $17,394   $(8,344)
      Adjustments to reconcile net income (loss)
       to cash provided by (used in) operating
       activities:
        Depreciation and amortization               11,951    13,046
        Equity in income of affiliated company      (2,582)     (200)
        Deferred income taxes                          662     2,425
        Stock option expense                           144     1,361
        Provision for doubtful accounts                230     2,065
        Loss on disposal of property and equipment      27        47
        Changes in operating assets and liabilities:
          Accounts receivable                        6,847    (1,917)
          Income tax receivable                        (50)      184
          Other current assets                       3,467    (1,437)
          Other non-current assets                     (34)      117
          Accounts payable                            (351)   (4,393)
          Accrued expenses                          (3,427)     (984)
          Accrued compensation                       2,959       (53)
          Customer accommodation                      (317)   (5,651)
          Deferred revenue                          (4,107)      (57)
          Other non-current liabilities                168       (92)
                                                       -       -
    Net cash provided by (used in) operating
     activities                                    $32,981   $(3,883)
                                                   -   -

    Investing activities:
        Purchase of property and equipment          (3,603)   (5,015)
        Capitalized software                        (1,846)   (2,712)
        Proceeds from sale of investments                -       692
        Investment in affiliated company              (852)        -
                                                     -    
    Net cash used in investing activities           (6,301)   (7,035)


    Financing activities:
        Dividends paid                             (49,949) (103,279)
        Debt issuance costs                         (1,171)        -
        Proceeds from exercise of stock options          -        68
                                                                
    Net cash used in financing activities          (51,120) (103,211)
                                                   -  

    Effect of exchange rate changes                    199      (156)
                                                       -      

    Net decrease in cash and cash equivalents      (24,241) (114,285)
                                                   -  

    Cash and cash equivalents - beginning of
     period                                         39,918   161,582
                                                       -

    Cash and cash equivalents - end of period      $15,677   $47,297
                                                   =======   =======

    Supplemental cash flow information:

    Cash paid for income taxes                        $241      $249
                                                            
    Accommodation payments paid with credits          $103      $659
                                                            



                             MedQuist Inc. and Subsidiaries
           Reconciliation of GAAP financial measures to the non-GAAP measures
                                    Adjusted EBITDA
                                     (In thousands)
                                       Unaudited



                                              Three months      Nine months
                                                  ended            ended
                                              September 30,    September 30,
                                              -    -
                                               2009    2008     2009    2008
                                                            

      GAAP operating income (loss)           $8,121 $(5,276) $16,332 $(8,862)

      Add: Depreciation                       2,197   2,977    7,418   8,901

      Add: Amortization of intangible assets  1,518   1,411    4,533   4,145

      Add: Cost of legal proceedings and
       settlements, net                       1,382   8,833   13,440  17,908

                                            -    - -
      Adjusted EBITDA                       $13,218  $7,945  $41,723 $22,092
                                            =======  ======  ======= =======

Adjusted EBITDA is a non-GAAP financial measure. The Company believes that this non-GAAP measure, when presented in conjunction with comparable GAAP measures, is useful to both management and investors in analyzing the Company's ongoing business and operating performance. The Company believes that providing the non-GAAP information to investors, in addition to the GAAP presentation, allows investors to view the Company's financial results in the way that management views financial results. Management believes Adjusted EBITDA is useful as supplemental measure of the Company's financial results because it removes costs not related to the Company's operating performance. Management believes that Adjusted EBITDA should be considered in addition to, but not as a substitute for items presented in accordance with GAAP that are presented in this press release.

SOURCE MedQuist Inc.




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