Conmed Healthcare Management, Inc. Reports Fourth Quarter and Year End 2011 Financial Results

Company Reports Record Revenues of $18.4 Million in the Fourth Quarter and $69.4 Million at Year End

HANOVER, Md.--()--Conmed Healthcare Management, Inc. (NYSE Amex: CONM), a leading full service provider of correctional facility healthcare services to county and municipal detention centers (“Conmed”), today announced financial results for its fourth quarter and year ended December 31, 2011.

Highlights of the fourth quarter include:

  • Net revenue increased 16.6% to a record $18.4 million as compared to $15.8 million in the fourth quarter of 2010.
  • Total operating expenses were $1.3 million as compared to $2.3 million in the fourth quarter of 2010, due to the $2.3 million merger termination fee that was received in November 2011 partially offset by $1.2 million in merger expenses incurred during the quarter.
  • Operating income was $2.0 million as compared to operating income of $0.7 million in the year-ago period.
  • Net income was $2.2 million, or $0.17 per basic and $0.08 per diluted share, compared to net income of $0.4 million in the 2010 fourth quarter, or $0.03 per basic and diluted share.
  • The Company generated $2.0 million in positive net cash flow from operations in the fourth quarter of 2011.
  • Terminated the merger agreement and received a termination fee of $2,290,650.
  • Subsequent events include: 
    • Entered 9th state with County of Galveston, Texas contract to provide correctional healthcare services for the County of Galveston Jail.
    • Extended contract with Pima County, Arizona through June 30, 2013;

Acquired Panhandle Correctional Care, Inc., including its three medical staffing contracts in the Texas panhandle and most notably the Randall County Jail, a 450-bed facility in Amarillo Texas; “By staying focused on our business model, offering quality correctional medical and mental health services, and executing our growth strategy, we continued to provide superior services to our existing clients, expanded our service offerings in many existing accounts, renewed the contract with our very first customer, St. Mary’s County in Maryland, and welcomed three new counties and municipalities to the Conmed family,” commented Richard Turner, Chairman and Chief Executive Officer of Conmed. “With the terminated merger agreement situation behind us, we are returning our full focus to our business opportunities.”

Fourth Quarter Financial Results

Net revenue for the three months ended December 31, 2011 increased $2.6 million, or 16.6%, to a record $18.4 million from $15.8 million in last year's comparable period. The addition of service contracts signed with new jurisdictions since October 1, 2010 accounted for $2.0 million, or 76.5%, of this increase. Revenue improvement also resulted from the expansion of services provided under several contracts entered into prior to October 1, 2010, as well as price increases related to existing service requirements and increased stop/loss reimbursements offset in part by decreases in other volume related activities, primarily associated with lower inmate populations at certain facilities and business decisions to exit specific less profitable markets.

Total healthcare expenses for the quarter ended December 31, 2011 were $15.2 million compared to $12.8 million in the year-ago period. The increase primarily reflects higher salaries and benefits for the healthcare employees servicing new medical contracts as well as increased medical service costs, both in- and out-of-facility and pharmaceutical costs related to new and existing medical contracts. Gross profit increased to $3.2 million, or 17.5% gross margin, as compared to $3.0 million, or 19.0% gross margin, last year. The decrease in gross profit margin stems from increased expenditures for out-of-facility patient care and pharmaceutical costs plus lower margins associated with the new contracts.

Total operating expenses decreased 43.8% to $1.3 million for the quarter ended December 31, 2011 as compared to $2.3 million for the year-ago period. Operating expenses as a percentage of sales decreased to 6.9% from 14.4% in the year-ago period. Selling and administrative expenses for the fourth quarter were $1.2 million, or 6.3% of revenue, compared to $2.1 million, or 13.0% of revenue, for the year-ago quarter. The decreased expenditure resulted from the $2.3 million merger termination fee that was received in November 2011 offset by $1.2 million in merger expenses incurred during the quarter as well as from improved economies of scale.

Conmed reported operating income of approximately $2.0 million in the fourth quarter of 2011 compared to operating income of approximately $732,000 in the fourth quarter last year. Net income was approximately $2.2 million, or $0.17 per basic and $0.08 per diluted share, compared to net income of approximately $376,000, or $0.03 per basic and diluted share, in the fourth quarter of 2010.

For the fourth quarter of 2011, adjusted EBITDA*, a non-GAAP measure, was approximately $2.2 million compared to approximately $1.1 million in the prior year fourth quarter.

Full Year Results

Net revenue for the year ended December 31, 2011 increased 14.5%, or $8.8 million, to $69.4 million, as compared to $60.7 million for last year's comparable period. The addition of service contracts signed with new jurisdictions since January 1, 2010 accounted for $8.7 million, or 98.6%, of the increase in revenue for the year ended December 31, 2011 compared to the same period for the prior year. Total healthcare expenses for the year ended December 31, 2011 were $56.9 million compared to $49.1 million in the year-ago period. For the year ended December 31, 2011, gross profit increased 7.7% to $12.5 million, representing 18.0% gross margin, compared to gross profit of $11.6 million or 19.1% gross margin in last year's same period. The reduced margin primarily reflects increased expenditures for out-of-facility patient care plus lower margins associated with new contracts.

Total operating expenses were $9.4 million, or 13.5% of revenue, for the year ended December 31, 2011 compared to $9.1 million, or 15.1% of revenue, for the year-ago period. Conmed's operating income was $3.1 million compared to operating income of $2.5 million in the same period last year.

Net income was $2.5 million, or $0.19 per basic and $0.13 per diluted share (based on approximately 13.0 million basic and 14.5 million diluted weighted average shares outstanding, respectively), compared to net income of $1.5 million, or $0.12 per basic and $0.09 per diluted share (based on approximately 12.7 million basic and 14.3 million diluted weighted average shares outstanding) in the year-ago period.

For the full year of 2011, adjusted EBITDA* increased to approximately $4.2 million compared to approximately $4.1 million in the same period last year.

Cash and Equivalents

The Company generated $3.7 million in operating cash flow in the year ended December 31, 2011. Cash and cash equivalents were $16.4 million at December 31 2011, compared to $13.3 million at December 31, 2010. Stockholders’ equity was $19.3 million at December 31, 2011, compared to $18.2 million at December 31, 2010. Days Sales Outstanding (DSO) as of December 31, 2011 was approximately 16 days. The Company has no long-term debt.

During the year ended December 31, 2011, warrants to purchase 37,334 shares of common stock were exercised generating $93,335 of net proceeds, and warrants to purchase 492,750 shares of common stock were exercised by cashless exercise and as a result, a total of 176,494 shares of common stock were issued. Additionally, warrants to purchase 771,020 shares of common stock were amended resulting in liability treatment**. As of December 31, 2011, we had outstanding warrants subject to derivative accounting to purchase an aggregate of 1,116,783 shares of common stock. In addition, stock options to purchase 83,334 shares of common stock were exercised generating $167,500 of net proceeds during the year ended December 31, 2011.

*Use of Non-GAAP Measures

In addition to containing results that are determined in accordance with accounting principles generally accepted in the United States of America (GAAP), this press release also contains non-GAAP financial measures. Adjusted EBITDA, as used in this press release, represents net income (loss) from continuing operations before interest, taxes, depreciation and amortization, adjusted for stock-based compensation and gains or losses on fair value of derivative financial instruments. Adjusted EBITDA is a key indicator used by management to evaluate operating performance. While adjusted EBITDA is not intended to replace any presentation included in the consolidated financial statements under GAAP and should not be considered an alternative to operating performance or an alternative to cash flow as a measure of liquidity, the Company believes this measure is useful to investors in assessing the Company’s capital expenditures and working capital requirements. This calculation may differ in method of calculation from similarly titled measures used by other companies. A reconciliation of adjusted EBITDA to the nearest comparable GAAP financial measure is included in the financial schedules accompanying this press release. The adjusted financial measure, as well as other information in this press release, should be read in conjunction with the Company’s financial statements filed with the Securities and Exchange Commission.

**Derivative Accounting for Warrants that are Indexed to an Entity’s Own Stock:

Effective January 1, 2009, we adopted derivative accounting for warrants that are indexed to an entity’s own stock. We are required to record a non-cash charge to our GAAP results and thus our financial statements will continue to include this charge going forward until certain events occur and/or conditions are met, as defined in the new regulations. As a result of the Company’s adoption of this accounting standard effective January 1, 2009, approximately 1.7 million of our issued and outstanding common stock purchase warrants previously treated as equity pursuant to the derivative treatment exemption were no longer afforded equity treatment and as a result they have been recorded as a liability based on fair value estimates. These common stock purchase warrants do not trade in an active securities market, and as such, we estimate the fair value of these warrants using the Black-Scholes option pricing model and all changes in the fair value of these warrants will be recognized currently in earnings until such time as the warrants are exercised or expire. During the year ended December 31, 2011, certain warrants were amended in connection with the Merger Agreement to have a cash settlement feature and as a result 771,020 of the remaining 777,320 common stock purchase warrants are no longer treated as equity. This resulted in a reclassification from equity to liability of $2.5 million and a non-cash charge to expense of approximately $23,000 in year ended December 31, 2011.

Conference Call

As previously announced, Conmed will host a conference call as follows:

   
Date Friday, March 2, 2012
Time 8:30 AM ET
U.S. Access 1-877-941-1427
International Access 1-480-629-9664
Webcast (Live and replay)

www.conmedinc.com or directly at http://viavid.net/dce.aspx?sid=00009412

 

A replay of the conference call will be available by telephone until March 16, 2012, by dialing 1-877-870-5176 if calling within the United States or 1-858-384-5517 if calling internationally. Please use pass code 4517825 to access the replay.

About Conmed

Conmed has provided correctional healthcare services since 1984, beginning in the State of Maryland, and currently serves county and municipal correctional facilities in nine states, including Arizona, Kansas, Maryland, New Jersey, Oregon, Tennessee, Texas, Virginia and Washington. For more information, visit us at www.conmedinc.com.

Forward Looking Statements

This press release may contain, among other things, certain forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, including, without limitation, (i) statements with respect to the Company's plans, objectives, expectations and intentions; and (ii) other statements that are not historical facts including statements which may be identified by words such as "may," "could," "would," "should," "believes," "expects," "anticipates," "estimates," "intends," "plans," "projects," "potentially," or similar expressions. These statements are based upon the current beliefs and expectations of the Company's management and are subject to significant risks and uncertainties. Actual results may differ from those set forth in the forward-looking statements.

These forward-looking statements involve certain risks and uncertainties that are subject to change based on various factors (many of which are beyond the Company's control) including, without limitation: the Company's ability to increase revenue and to continue to obtain new contracts, contract renewals and extensions; inflation exceeding the Company’s projection of the inflation rate of cost of services under multi-year contracts; the ability to obtain bonds; decreases in occupancy levels or disturbances at detention centers; malpractice litigation; the ability to utilize third-party administrators for out-of-facility care; compliance with laws and government regulations, including those relating to healthcare; investigation and auditing of our contracts by government agencies; competition; termination of contracts due to lack of government appropriations; material adverse changes in economic and industry conditions in the healthcare market; negative publicity regarding the provision of correctional healthcare services; dependence on key personnel and the ability to hire skilled personnel; influence of certain stockholders; increases in healthcare costs; insurance; completion and integration of future acquisitions; public company obligations; limited liability of directors and officers; the Company’s ability to meet the NYSE Amex continued listing standards; and stock price volatility. More detailed information about the Company and the risk factors that may affect the realization of forward-looking statements is set forth in the Company’s filings with the U.S. Securities and Exchange Commission, including the Company’s Annual Report on Form 10-K for the year ended December 31, 2011. Investors and security holders are urged to read this document free of charge on the SEC's web site at www.sec.gov. The Company does not undertake to publicly update or revise its forward-looking statements as a result of new information, future events or otherwise.

   
CONMED HEALTHCARE MANAGEMENT, INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
 
December 31, 2011 December 31, 2010
ASSETS
CURRENT ASSETS
Cash and cash equivalents $ 16,445,938 $ 13,270,089
Accounts receivable 3,069,622 2,698,867
Prepaid expenses 1,215,841 1,158,660
Deferred taxes 240,000   144,000  
Total current assets 20,971,401 17,271,616
 
PROPERTY AND EQUIPMENT, NET 732,152 686,116
 
DEFERRED TAXES 1,085,000 1,321,000
 
OTHER ASSETS
Service contracts acquired, net 129,500 466,500
Non-compete agreements, net 106,222 216,892
Goodwill 6,263,705 6,263,705
Deposits 56,275   56,475  
Total other assets 6,555,702   7,003,572  
$ 29,344,255   $ 26,282,304  
 
LIABILITIES AND SHAREHOLDERS’ EQUITY
CURRENT LIABILITIES
Accounts payable $ 1,291,951 $ 1,812,817
Accrued expenses 4,628,827 4,619,613
Deferred revenue 600,895 599,033
Notes payable 832,102 --
Taxes payable 532,780   368,162  
Total current liabilities 7,886,555 7,399,625
 
DERIVATIVE FINANCIAL INSTRUMENTS 2,162,536 692,696
 
SHAREHOLDERS’ EQUITY
Preferred stock no par value; authorized 5,000,000 shares; zero shares issued and outstanding as of December 31, 2011 and 2010 -- --
Common stock, $0.0001 par value, authorized 40,000,000 shares; issued and outstanding 13,132,481 and 12,835,319 shares as of December 31, 2011 and 2010, respectively 1,313 1,284
Additional paid-in capital 37,609,607 38,991,145
Accumulated deficit (18,315,756 ) (20,802,446 )
Total shareholders’ equity 19,295,164   18,189,983  
$ 29,344,255   $ 26,282,304  
 
See Notes to Consolidated Financial Statements.
       
CONMED HEALTHCARE MANAGEMENT, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF INCOME
PERIODS ENDED DECEMBER 31, 2011 AND 2010
 
For the Year For the Year For the Three For the Three
Ended Ended Months Ended Months Ended
December 31, December 31, December 31, December 31,
2011 2010 2011 2010
 
Service contract revenue $ 69,432,792 $ 60,654,586 $ 18,396,493 $ 15,773,487
 
HEALTHCARE EXPENSES:
Salaries, wages and employee benefits 39,395,105 34,548,360 10,399,682 9,112,808
Medical expenses 14,820,834 12,281,903 4,087,237 2,980,784
Other operating expenses 2,717,549   2,222,502   682,538   682,111  
Total healthcare expenses 56,933,488   49,052,765   15,169,457   12,775,703  
 
Gross profit 12,499,304 11,601,821 3,227,036 2,997,784
 
Selling and administrative expenses 8,769,382 8,120,821 1,153,790 2,053,570
Depreciation and amortization 590,397   1,026,808   120,222   211,868  
Total operating expenses 9,359,779   9,147,629   1,274,012   2,265,438  
 
Operating income 3,139,525 2,454,192 1,953,024 732,346
 
OTHER INCOME (EXPENSE)
Interest income 104,094 100,996 27,379 28,611
Interest (expense) (3,909 ) -- (3,909 ) --
Gain (loss) on fair value of derivatives 598,740   324,085   1,034,709   (34,548 )
Total other income (expense) 698,925   425,081   1,058,179   (5,937 )
 
Income before income taxes 3,838,450 2,879,273 3,011,203 726,409
Income tax expense 1,351,760   1,330,000   839,760   350,000  
Net income $ 2,486,690   $ 1,549,273   $ 2,171,443   $ 376,409  
 
EARNINGS PER COMMON SHARE
Basic $ 0.19   $ 0.12   $ 0.17   $ 0.03  
Diluted $ 0.13   $ 0.09   $ 0.08   $ 0.03  
 
WEIGHTED-AVERAGE SHARES OUTSTANDING
Basic 13,002,828   12,678,011   13,132,481   12,839,656  
Diluted 14,467,013   14,256,364   14,461,724   14,304,228  
 
CONMED HEALTHCARE MANAGEMENT, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS
YEARS ENDED DECEMBER 31, 2011 AND 2010
 
2011 2010
CASH FLOWS FROM OPERATING ACTIVITIES
Net income $ 2,486,690 $ 1,549,273
Adjustments to reconcile net income to net cash provided by operating activities
Depreciation 317,727 274,694
Amortization of service contracts and non-compete agreements 272,670 752,114
Stock-based compensation 426,235 636,299
(Gain) on fair value of derivatives (598,740 ) (324,085 )
Amortization of long-term customer agreement 175,000 87,500
Deferred income taxes 140,000 18,000
Income tax benefit for warrant exercises -- (236,000 )
Changes in working capital components
(Increase) in accounts receivable (370,755 ) (420,793 )
(Increase) decrease in prepaid expenses 1,190,291 (293,399 )
(Increase) decrease in deposits 201 (44,925 )
Increase (decrease) in accounts payable (520,866 ) 323,319
Increase in accrued expenses 9,214 735,174
Increase in income taxes payable 164,618 54,162
Increase (decrease) in deferred revenue 1,862   (419,612 )
Net cash provided by operating activities 3,694,147   2,691,721  
 
CASH FLOWS FROM INVESTING ACTIVITIES
Purchase of property and equipment (363,763 ) (310,304 )
Asset purchase -- (147,268 )
Service contract extensions --   (262,500 )
Net cash used in investing activities (363,763 ) (720,072 )
 
CASH FLOWS FROM FINANCING ACTIVITIES
Payments on notes payable (415,370 ) --
Income tax benefit from warrant exercises -- 236,000
Proceeds from exercise of warrants and stock options 260,835   6,297  
Net cash provided by (used in) financing activities (154,535 ) 242,297  
 
Net increase in cash and cash equivalents 3,175,849 2,213,946
 
CASH AND CASH EQUIVALENTS
Beginning 13,270,089   11,056,143  
Ending $ 16,445,938   $ 13,270,089  
       
CONMED HEALTHCARE MANAGEMENT, INC.
RECONCILIATION OF NET INCOME (LOSS) FROM CONTINUING OPERATIONS
TO ADJUSTED EBITDA
 
For the Year For the Year For the Three For the Three
Ended Ended Months Ended Months Ended
December 31, December 31, December 31, December 31,
2011 2010 2011 2010
Net income $ 2,486,690 $ 1,549,273 $ 2,171,443 $ 376,409
Income tax expense 1,351,760 1,330,000 839,760 350,000
Interest income (104,094 ) (100,996 ) (27,379 ) (28,611 )
Interest expense 3,909 -- 3,909 --
Depreciation and amortization 590,397   1,026,808   120,222   211,868  
EBITDA 4,328,662 3,805,085 3,107,955 909,666
Stock-based compensation 426,235 636,299 106,031 170,783
(Gain) loss on fair value of warrants (598,740 ) (324,085 ) (1,034,709 ) 34,548  
Adjusted EBITDA $ 4,156,157   $ 4,117,299   $ 2,179,277   $ 1,114,997  

Contacts

Conmed Healthcare Management, Inc.
Thomas W. Fry, 410-567-5529
Chief Financial Officer
tfry@conmed-inc.com
or
In-Site Communications, Inc.
Lisa Wilson, 212-452-2793
lwilson@insitecony.com

Contacts

Conmed Healthcare Management, Inc.
Thomas W. Fry, 410-567-5529
Chief Financial Officer
tfry@conmed-inc.com
or
In-Site Communications, Inc.
Lisa Wilson, 212-452-2793
lwilson@insitecony.com