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TMCNet:  Merge Healthcare Reports Continued Revenue Growth

[October 29, 2009]

Merge Healthcare Reports Continued Revenue Growth

MILWAUKEE --(Business Wire)-- Merge Healthcare (News - Alert) Incorporated (NASDAQ:MRGE), a health IT solutions provider, today announced financial results for the third quarter of 2009.

"Our focus on the integration of our two acquisitions in the third quarter has driven a financial performance that exceeded our expectations," said Justin Dearborn CEO. "We are excited about the improvement we continue to see in sales pipeline activity and customer bookings since these acquisitions closed. We expect that a continuation of this should lead to GAAP net income for the acquired entities beginning in the fourth quarter of 2009." "We have managed the business through a down cycle in the economy and depressed spending in our customer base. We are encouraged at the improvement starting to be felt in both." Mr. Dearborn further noted that the acquisitions of etrials Worldwide (News - Alert), Inc. ("etrials", formerly NASDAQ:ETWC) and Confirma, Inc. ("Confirma"): Increase Merge's addressable market; Create organic growth opportunities through improved cross-selling activity; and Are expected to be accretive in 2010.


Quarter Results: Results compared to the same quarter in the prior year, as well as the prior quarter are as follows (in millions):   Q3 2009       Q3 2008       Q2 2009 Net sales $ 16.9 $ 14.6 $ 15.4 Operating income (loss) (0.2 ) 1.3 4.1 Net income (loss) (0.9 ) 0.4 0.4 EBITDA* 1.9 3.1 2.8 Adjusted EBITDA* 4.8 2.9 6.3   Earnings (loss) per diluted share $ (0.02 ) $ 0.01 $ 0.01 Adjusted EBITDA per share* $ 0.08 $ 0.05 $ 0.11 The third quarter of 2009 includes the results of etrials since July 20, 2009, and the results of Confirma since September 1, 2009, which are the respective dates we completed these two acquisitions. These results do not include $0.6 million in revenue that could not be recognized under GAAP due to the purchase accounting treatment related to the acquired entities. The impact on revenue due to purchase accounting treatment is anticipated to be $1.0 million in the fourth quarter of 2009 and $1.3 million for the full year 2010.

In the third quarter of 2009, the cash balance decreased by $3.1 million to $16.9 million at September 30, 2009. Cash generated from operating activities was $1.1 million, which was offset by $5.1 million of net cash paid for the two strategic acquisitions.

Year-to-Date Results: Merge's financial results for the nine months ended September 30, 2009, compared to the nine months ended September 30, 2008 are as follows (in millions):     2009         2008   Net sales $ 47.6 $ 41.7 Operating income (loss) 7.5 (25.4 ) Net income (loss) 2.4 (25.6 ) EBITDA* 10.0 (17.9 ) Adjusted EBITDA* 16.3 (6.1 )   Earnings (loss) per diluted share $ 0.04 $ (0.59 ) Adjusted EBITDA per share* $ 0.27 $ (0.14 ) Conference Call Information: Merge will hold a public web cast today at 9:00 AM EDT to review these financial results and to provide an update on business operations and strategy. Immediately following, there will be a question and answer session.

Investors will have the opportunity to listen to the conference call via telephone or over the Internet at Merge Healthcare Web Cast. To access the call, dial 1.800.221.2015 or 706.634.2159. The Conference ID Number to reference is 35849235. A replay via the Internet or telephone will be available shortly after the call at http://www.merge.com/investor/conferencecall.asp.

Merge Healthcare develops software solutions that automate healthcare data and diagnostic workflow to create a more comprehensive electronic record of the patient experience. Merge products, ranging from standards-based development toolkits to fully integrated clinical applications, have been used by healthcare providers worldwide for over 20 years. Additional information can be found at www.merge.com.

* Non-GAAP Measures The non-GAAP measures EBITDA and adjusted EBITDA shown in this release exclude impairment of investments, sale of non-core patents, acquisition related costs, acquisition related severance (not qualifying for restructuring cost) and restructuring, tradename impairment and other costs and expenses. Reconciliations of these non-GAAP measures to the most directly comparable GAAP measures are included after the financial information included in this press release. These measures are not in accordance with, or an alternative for, GAAP and may be different from non-GAAP measures used by other companies. Management believes that the presentation of non-GAAP results, when shown in conjunction with corresponding GAAP measures, provides useful information to management and investors regarding financial and business trends related to our results of operations. Further, management believes that these non-GAAP measures improve management's and investors' ability to compare Merge's financial performance with other companies in the technology industry. Because certain charges, costs and expenses reflect events that are not essential to our recurring business operations, it is useful to compare results excluding these amounts. Management also uses financial statements that exclude these charges costs and expenses for its internal budgets and EBITDA is a measure used in a debt covenant in our credit facility. While GAAP results are more complete, we offer investors these supplemental metrics since, with reconciliations to GAAP, they may provide greater insight into our financial results. Management does not intend the presentation of these non-GAAP financial measures to be considered in isolation or as a substitute for results prepared in accordance with GAAP. These non-GAAP financial measures should be read only in conjunction with the consolidated financial statements prepared in accordance with GAAP.

Forward Looking Statements: Information included in this news release may contain forward-looking statements, concerning, among other things, Merge's outlook, financial projections and business strategies, all of which are subject to risks, uncertainties and assumptions. These forward-looking statements are identified by their use of terms such as "intend," "plan," "may," "should," "will," "anticipate," "believe," "could," "estimate," "expect," "continue," "potential," "opportunity," "project" and similar terms. These statements are based on certain assumptions and analyses that Merge believes are appropriate under the circumstances. Should one or more of these risks or uncertainties materialize, or should the assumptions prove incorrect, actual results may differ materially from those expected, estimated or projected. Merge can not guarantee that it will achieve these plans, intentions or expectations. Forward-looking statements speak only as of the date they are made, and Merge undertakes no obligation to publicly update or revise any of them in light of new information, future events or otherwise, except as required by law. Factors that could have a material adverse effect on operations and future prospects of Merge include, but are not limited to: market acceptance and performance of Merge's products and services; the impact of competitive products and pricing; the risks and effects of its recent securities issues; the past restatement of our financial statements; the amount of the costs, fees, expenses and charges related to the acquisition of etrials Worldwide, Inc. ("etrials"), Confirma, Inc. ("Confirma") and other non-material acquisitions; the ability of Merge Healthcare to integrate its acquisitions, such as etrials and Confirma, successfully; whether the acquisitions will result in the enhancement of value and benefits to customers and to Merge Healthcare's, etrials' and Confirma's stockholders; general economic and business conditions; global economic growth and activity; industry conditions; and changes in laws or regulations, including but not limited to U.S. health care reform; our ability to generate sufficient cash from operations to meet future operating, financing and capital requirements, including repayment obligations with respect to our outstanding indebtedness; risks associated with our prior delays in filings with the SEC (News - Alert) or our ability to continue to meet the listing requirements of The NASDAQ Stock Market; the costs, risks and effects of various pending legal proceedings and investigations, including the formal investigation being conducted by the Securities and Exchange Commission; and other risk factors detailed in our filings with the Securities and Exchange Commission. These uncertainties and risks may cause our actual future results to be materially different than those expressed in our forward-looking statements. Readers are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date the statement was made. We undertake no obligation to update such forward-looking statements or any of such risks, uncertainties and other factors, except as required by law.

MERGE HEALTHCARE INCORPORATED AND SUBSIDIARIES CONDENSED CONSOLIDATED BALANCE SHEETS (in thousands) (unaudited)     September 30, December 31, 2009 2008   Current assets: Cash (including restricted cash) $ 16,883 $ 17,848 Accounts receivable, net 15,714 12,779 Inventory 377 550 Prepaid expenses 1,965 1,509 Deferred income taxes 217 217 Other current assets   3,002   721 Total current assets 38,158 33,624   Property and equipment, net 3,405 1,974 Purchased and developed software, net 13,978 5,653 Customer relationships and trade names, net 7,738 2,291 Goodwill 25,145 - Deferred tax assets 4,585 4,585 Investments 528 5,690 Other   326   920 Total assets $ 93,863 $ 54,737   Current liabilities: Accounts payable $ 5,957 $ 4,036 Accrued wages 1,933 1,590 Restructuring accrual 1,582 1,173 Deferred revenue 14,895 16,150 Note payable 14,623 - Current portion of capital lease obligations 188 - Other accrued liabilities   2,669   2,421 Total current liabilities 41,847 25,370   Note payable - 14,230 Capital lease obligations, net of current portion 94 - Deferred income taxes 39 39 Deferred revenue 1,622 644 Income taxes payable 5,461 5,418 Other   227   195 Total liabilities 49,290 45,896   Total shareholders' equity   44,573   8,841 Total liabilities and shareholders' equity $ 93,863 $ 54,737   MERGE HEALTHCARE INCORPORATED AND SUBSIDIARIES CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (in thousands, except per share data) (unaudited)         Three Months Ended Nine Months Ended September 30, September 30, 2009   2008 2009 2008   Net sales Software and other $ 7,755 $ 7,398 $ 25,459 $ 19,733 Services and maintenance   9,152     7,218     22,110     21,941   Total net sales 16,907 14,616 47,569 41,674 Cost of sales Software and other 600 1,314 2,710 3,842 Services and maintenance 3,402 2,528 7,925 9,471 Depreciation and amortization   899     742     2,172     2,174   Total cost of sales   4,901     4,584     12,807     15,487   Gross margin 12,006 10,032 34,762 26,187 Operating costs and expenses: Sales and marketing 2,470 1,824 5,968 7,497 Product research and development 2,689 2,931 7,503 11,151 General and administrative 3,616 3,483 8,972 18,093 Acquisition-related expenses 658 - 997 - Trade name impairment, restructuring and other expenses 1,974 (205 ) 1,974 11,862 Depreciation, amortization and impairment   755     654     1,849     2,954   Total operating costs and expenses   12,162     8,687     27,263     51,557   Operating income (loss) (156 ) 1,345 7,499 (25,370 ) Other income (expense)   (751 )   (648 )   (5,075 )   (346 ) Income (loss) before income taxes (907 ) 697 2,424 (25,716 ) Income tax expense (benefit)   29       269       72       (115 ) Net income (loss) $ (936 ) $ 428   $ 2,352   $ (25,601 )   Net income (loss) per share - basic $ (0.02 ) $ 0.01   $ 0.04   $ (0.59 ) Weighted average number of common shares outstanding - basic   61,077,637       56,171,905       57,904,467       43,496,189     Net income (loss) per share - diluted $ (0.02 ) $ 0.01   $ 0.04   $ (0.59 ) Weighted average number of common shares outstanding - diluted   61,077,637       56,859,379       59,552,430       43,496,189     MERGE HEALTHCARE INCORPORATED AND SUBSIDIARIES CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (in thousands) (unaudited)   Nine Months Ended September 30, 2009   2008 Cash flows from operating activities: Net income (loss) $ 2,352 $ (25,601 ) Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities: Depreciation, amortization and impairment 4,021 5,128 Share-based compensation 1,256 3,836 Loss on disposal of subsidiary - 1,665 Amortization of note payable issuance costs & discount 837 336 Realized loss on investment 3,624 - Trade name impairment - 1,060 Provision for doubtful accounts receivable and sales returns, net of recoveries 151 267 Deferred income taxes - (384 ) Net change in assets and liabilities (net of effects of acquisitions and dispositions)   (7,774 )   (3,344 ) Net cash provided by (used in) operating activities 4,467 (17,037 ) Cash flows from investing activities: Cash paid for acquisitions, net of cash acquired (1,752 ) - Proceeds from sale of subsidiary - 413 Purchases of property, equipment and leasehold improvements (165 ) (503 ) Change in restricted cash 338 - Proceeds from sale of equity investment   886     -   Net cash used in investing activities (693 ) (90 ) Cash flows from financing activities: Proceeds from issuance of term note, net of non-cash discount of $510 - 14,490 Proceeds from issuance of Common Stock - 5,479 Note and stock issuance costs paid - (2,386 ) Proceeds from exercise of stock options and employee stock purchase plan 78 63 Principal payments on notes (4,570 ) - Principal payments on capital leases (35 ) - Repurchase of Common Stock - (47 ) Dividends paid   -     (57 ) Net cash provided by (used in) financing activities (4,527 ) 17,542 Effect of exchange rate changes on cash   -     9   Net increase (decrease) in cash (753 ) 424 Cash and cash equivalents, beginning of period (net of restricted cash) (1)   17,227     13,637   Cash and cash equivalents, end of period (net of restricted cash) (2) $ 16,474   $ 14,061     (1) Restricted cash of $621 and $363 at December 31, 2008 and 2007, respectively.

(2) Restricted cash of $409 and $363 at September 30, 2009 and 2008, respectively.

  MERGE HEALTHCARE INCORPORATED AND SUBSIDIARIES RECONCILIATION OF GAAP NET (News - Alert) INCOME TO ADJUSTED EBITDA (in thousands) (unaudited)           Three Months Ended Nine Months Ended September 30, June 30, September 30, 2009   2008 2009 2009 2008 GAAP net income (loss) $ (936 ) $ 428 $ 446 $ 2,352 $ (25,601 ) Net interest expense 769 683 752 2,274 776 Income tax expense (benefit) 29 269 21 72 (115 ) Depreciation and amortization 1,654 1,396 1,169 4,021 5,128 Stock-based compensation expense   371     302     366     1,256     1,866   EBITDA 1,887 3,078 2,754 9,975 (17,946 ) Impairment of investments 71 - 3,553 3,624 - Sale of non-core patents - - (382 ) (510 ) - Acquisition related costs 658 - 339 997 - Acquisition related severance (not qualifying for restructuring cost) 225 - - 225 - Restructuring, tradename impairment and other   1,974     (205 )   -     1,974     11,862   Adjusted EBITDA $ 4,815   $ 2,873   $ 6,264   $ 16,285   $ (6,084 )   GAAP diluted net income (loss) per share $ (0.02 ) $ 0.01 $ 0.01 $ 0.04 $ (0.59 ) Share impact of non-GAAP adjustments identified above   0.10     0.04     0.10     0.23     0.45   Adjusted EBITDA per share $ 0.08   $ 0.05   $ 0.11   $ 0.27   $ (0.14 )

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