July 26, 2006

NightHawk Radiology Holdings, Inc. Announces Record Second Quarter 2006 Results and Raises Guidance

COEUR D'ALENE, Idaho, July 26, 2006 /PRNewswire-FirstCall via COMTEX News Network/ -- NightHawk Radiology Holdings, Inc. (Nasdaq: NHWK), a leading provider of radiology services to radiology groups across the United States, today announced its financial results for the second quarter ended June 30, 2006, reporting record revenues and operating income.

"During the second quarter we saw a continuation of the trends that we have seen over the past several quarters as we once again generated significant top-line growth and record operating income," said Dr. Paul Berger, Chairman and Chief Executive Officer. "We continue to see robust growth in our off-hours business, composed of strong growth in recurring revenue from existing customers as well as our ability to continue adding new customers. In addition, we are off to a good start in new areas of the business, including the expansion of our customer service offerings beyond nighttime and weekend hours."

Second Quarter

For the second quarter ended June 30, 2006, revenues increased 49% to $22.9 million compared with $15.3 million for the second quarter of 2005. Also during the second quarter, same-site volumes grew 10% over those seen in the first quarter 2006 and 14% from the second quarter of 2005. Operating income for the second quarter of 2006 was $7.5 million compared to $2.5 million in the second quarter of 2005, an increase of 196%. Excluding the effects of non-cash stock compensation charges, operating income rose 54% to $8.6 million for the second quarter of 2006 compared to $5.6 million for the same quarter in 2005.

The company's adjusted net income for the second quarter of 2006 was $5.7 million, or $0.19 per diluted share, a 74% increase over second quarter 2005 adjusted net income of $3.3 million. The company's adjusted net income excludes the effects of the following non-cash items: the change in the fair value of the conversion feature of the company's redeemable preferred stock, preferred stock accretion and non-cash stock compensation (net of tax effect). GAAP net income for the second quarter of 2006 was $5.0 million, or $0.17 per diluted share, compared with a GAAP net loss of $8.8 million for the second quarter of 2005, which included a $10 million non-cash charge associated with the conversion feature of the company's redeemable preferred stock.

A reconciliation of adjusted net income to GAAP net income is included in the tables attached to this press release and on NightHawk's corporate website under the heading investor relations.

During the second quarter, cash flow from operations increased 175% to $3.9 million compared to $1.4 million in the second quarter of 2005.

Year-To-Date Results

For the year-to-date period ended June 30, 2006, revenues increased 51% to $42.9 million compared with $28.4 million for the year-to-date period ended June 30, 2005. Operating income was $12.6 million during the first half of 2006 compared to $6.8 million in the same period of 2005, an increase of 85%. Excluding the effects of non-cash stock compensation charges, operating income rose 51% to $15.2 million for 2006 as compared to $10.0 million for the same period of 2005.

The company's adjusted net income for the first six months of 2006 was $9.6 million, or $0.33 per diluted share, a 64% increase over an adjusted net income of $5.8 million for the same period of 2005. Again, the company's adjusted net income excludes the effects of the change in the fair value of the conversion feature in the company's redeemable preferred stock, preferred stock accretion and non-cash stock compensation (net of tax effect). GAAP net loss for the year-to-date period ending June 30, 2006, which includes a first quarter non-cash charge of $44.2 million associated with the conversion feature of the company's redeemable preferred stock, was $36.3 million, or ($1.34) per diluted share, compared with a GAAP net loss of $8.1 million for the same period of 2005 (which included an $11.4 million non-cash charge associated with the conversion feature of the company's preferred stock).

During the first six months of 2006, cash flow from operations increased 247% to $7.6 million compared to $2.2 million in the same period of 2005.

Commenting on the company's first half results, Dr. Berger said, "Through the first six months of the year, sales have grown 51% over the first half of 2005 and adjusted net income has increased by 64%. We have added 54 new customers since the beginning of the year and ended the most recent quarter with 54 outstanding radiologists. At the end of the second quarter we were providing services to 517 customers serving 933 hospitals, which equates to approximately 17% of all hospitals in the U.S. With a high level of organic growth, our ability to attract new customers and our outstanding team of radiologists, we expect to see continued growth in our business and look forward to the rest of 2006."

Guidance

Because of the company's strong performance to date and good momentum from its business headed into the remainder of the year, the company also announced that it is increasing its annual guidance for revenues and adjusted earnings per share. The company estimates its annual services revenue to be in the range of $89 to $91 million, which is up from the company's previous estimated range of $87 to $89 million. In addition, the company estimates adjusted earnings per diluted share, calculated from adjusted net income, to be in the range of $0.61 to $0.64. This is up from a $0.53 to $0.56 diluted adjusted earnings per share range previously provided.

Outlook

Dr. Berger concluded, "We are very pleased with both our strong second quarter results as well as the first half of the year overall. Market demand for our services remains very strong and, as a result, we are extremely confident in our ability to continue growing the off-hours business while supplementing that growth by expanding the services we offer our customers. As always, our ability to execute on our strategic initiatives, which include the continued development of our proprietary workflow technology, the recruitment and retention of outstanding radiologists, and our assessment of market opportunities in high-tech imaging, will be key to our success for the full year. As we look to the remainder of 2006, we are excited about the opportunities that lie ahead and will continue to update our shareholders as the year unfolds."

Change in Fair Value of Redeemable Preferred Stock

As described more fully in the company's registration statement and prospectus and Annual Report on Form 10-K filed with the Securities and Exchange Commission, NightHawk was party to a stockholders agreement with the holders of its Series A preferred stock pursuant to which it had agreed to repurchase all or any portion of the shares of redeemable preferred stock. This feature, along with the conversion feature of the preferred stock, was considered an embedded derivative under SFAS No. 133. The company adjusted the carrying value of the embedded derivative to the estimated fair value and recognized the change in such estimated value in its consolidated statement of operations while such shares remained outstanding. During the first quarter of 2006, the company incurred charges of $44.2 million for this expense up to the date of its initial public offering on February 9, 2006, at which time such shares converted into shares of the company's common stock. These charges, along with preferred stock accretion of $118,000, are non-cash in nature and terminated upon the Company's initial public offering in the first quarter.

Conference Call & Web Cast

A conference call will be held today, Wednesday, July 26, 2006 at 11:00 a.m. (ET). A live web cast of the conference call as well as a replay will be available online on the company's corporate web site at http://www.nighthawkrad.net. Participants can also access the call by dialing 800-366-7417 (within the United States and Canada), or 303-262-2138 (international callers). A replay of the call will be available approximately two hours after the call has ended and will be available until 11:59 p.m. (CT) on Wednesday, August 16, 2006. To access the replay, dial 800-405-2236 (within the United States and Canada), or 303-590-3000 (international callers) and enter the conference ID number: 11065995.

About NightHawk

NightHawk, headquartered in Coeur d'Alene, Idaho, is a leading provider of radiology services to radiology groups across the United States. Its team of highly-qualified, U.S. board certified, state-licensed and hospital-privileged radiologists uses its proprietary workflow technology to provide radiological interpretations to its customers primarily from centralized reading facilities located in Sydney, Australia and Zurich, Switzerland.

Forward Looking Statements

This press release contains statements that are forward-looking statements as defined within the Private Securities Litigation Reform Act of 1995. These include statements regarding the company's growth strategy, the expansion of its current service offerings, and an outlook on the company's future financial results, including its revenue and diluted adjusted earnings per share for 2006. These forward-looking statements are subject to risks and uncertainties that could cause actual results to differ materially from the statements made, including the risks associated with general economic conditions, competitive conditions in the radiology industry, and regulatory risks. Other factors that could cause operating and financial results to differ are described in the company's prospectus and periodic reports filed with the Securities and Exchange Commission. Other risks may be detailed from time to time in reports to be filed with the SEC. NightHawk does not undertake any obligation to publicly update its forward-looking statements based on events or circumstances after the date hereof.

Presentation of Non-GAAP Financial Information

To supplement our consolidated financial statements presented in accordance with generally accepted accounting principles (GAAP), we use certain non-GAAP financial measures such as adjusted net income and adjusted earnings per share. The non-GAAP financial information described in this release and in the attached financial statement tables are not measures of financial performance under GAAP and should not be considered a substitute for or superior to GAAP. Management believes these non-GAAP financial measures provide useful information to both management and investors by excluding certain expenses that may not be indicative of our core results and providing for consistency in financial reporting. Specifically, the non-GAAP financial measures described in this release exclude the non-cash charges related to the conversion feature and accretion of our preferred stock, which charges ceased upon the closing of our initial public offering when our shares of preferred stock converted into shares of common stock, and the non-cash charges related to our stock-based compensation. We exclude the non-cash charges related to our stock-based compensation due to the fact that a substantial portion of our outstanding options are held by our independent contractor physicians and require accounting treatment that differs from the accounting treatment for options held by employees. Further, because of varying available valuation methodologies, subjective assumptions and the variety of award types that companies can use when adopting FAS 123R, NightHawk's management believes that providing a non-GAAP financial measure that excludes stock-based compensation allows investors to make more meaningful comparisons between our core business operating results and those of the companies within our industry.

We provide these non-GAAP financial measures because we also believe they provide greater transparency with respect to supplemental information used by management in its financial and operational decision making and to enhance investors' overall understanding of our current financial performance and our future prospects. For reconciliation of our non-GAAP financial measures to the most applicable GAAP financial measure, please refer to the information included in the attached tables of this press release and on our corporate website under the heading investor relations.



                   CONSOLIDATED BALANCE SHEETS (unaudited)

                                              December 31,         June 30,
    ASSETS                                        2005               2006

    Current assets:
      Cash and cash equivalents               $12,610,487        $36,061,564
      Investments                                                 37,191,604
      Trade accounts receivable, net           10,485,571         11,342,695
      Deferred income taxes                        19,839
      Prepaids and other current assets         2,164,126          2,039,971
            Total current assets               25,280,023         86,635,834
    Property and equipment, net                 5,079,280          5,604,800
    Goodwill                                    1,335,788          1,335,788
    Intangible assets, net                      3,431,418          3,159,751
    Deferred tax asset                                               792,553
    Other assets, net                             409,253             82,788
            Total                             $35,535,762        $97,611,514

    LIABILITIES

    Current liabilities:
      Accounts payable and accrued expenses    $5,502,977         $5,103,473
      Dividends declared                        7,000,000
      Accrued payroll and related benefits      2,366,430          2,120,053
      Accrued interest payable                    424,601
      Deferred income taxes                                           72,206
      Long-term debt, due within one year       6,229,991
            Total current liabilities          21,523,999          7,295,732
    Long-term debt                             17,773,438
    Fair value of redeemable preferred
     stock conversion feature                  45,256,250
    Deferred income taxes                         630,303
            Total liabilities                  85,183,990          7,295,732

    Redeemable common stock                    15,356,253
    Redeemable convertible preferred stock     13,156,916

    STOCKHOLDERS' EQUITY (DEFICIT):
      Common stock- 40,000,000 shares
       authorized; $.001 par value;
       15,838,139 and 29,809,571 shares
       issued and outstanding at December
       31, 2005 and June 30, 2006,
       respectively                                15,838             29,810
      Additional paid-in capital                9,434,351        225,591,937
      Retained earnings (deficit)             (87,611,586)      (135,305,965)

            Total stockholders' equity
             (deficit)                        (78,161,397)        90,315,782

            Total                             $35,535,762        $97,611,514



              CONSOLIDATED STATEMENTS OF OPERATIONS (unaudited)

                                Three months ended         Six months ended
                                     June 30,                 June 30,
                                 2005       2006          2005       2006


    Service revenue        $15,332,300 $22,876,569  $28,443,923   $42,915,772

    Operating costs and
     expenses:
      Professional services
       (includes non-cash
       compensation
       expense of $158,679,
       $931,531, $241,388
       and $2,246,683)       5,132,472   8,553,972    9,514,299    16,948,047
      Sales, general, and
       administrative
       (includes non-cash
       compensation
       expense of $2,901,034,
       $165,806, $3,030,503
       and $351,444)         7,388,264   6,283,744   11,600,119    12,353,305
      Depreciation and
       amortization            275,886     522,835      552,142     1,053,247

          Total operating
           costs and
           expenses         12,796,622  15,360,551   21,666,560    30,354,599

    Operating income         2,535,678   7,516,018    6,777,363    12,561,173

    Other income (expense):
      Interest expense        (199,161)     (7,017)    (461,424)     (559,671)
      Interest income           11,164     764,559       32,131     1,151,284
      Other, net               (33,825)    (22,693)     (47,494)      (44,336)
      Change in fair value of
       redeemable preferred
       stock conversion
       feature              (9,993,750)             (11,372,221)  (44,183,770)

          Total other
           income
           (expense)       (10,215,572)    734,849  (11,849,008) (43,636,493)

          Income (loss)
           before
           income taxes     (7,679,894)  8,250,867   (5,071,645)  (31,075,320)

    Income tax expense         904,949   3,214,631    2,464,155     5,114,917

    Net income (loss)       (8,584,843)  5,036,236   (7,535,800)  (36,190,237)

    Redeemable preferred
     stock accretion          (263,288)                (521,053)     (117,534)


    Income (loss)
     applicable to
     common
     stockholders          $(8,848,131) $5,036,236  $(8,056,853) $(36,307,771)

    Earnings (loss) per
     common share:
      Basic                     $(0.51)      $0.17       $(0.47)       $(1.34)
      Diluted                   $(0.51)      $0.17       $(0.47)       $(1.34)
    Weighted averages of
     common shares
     outstanding:
      Basic                 17,194,286  29,809,571   17,194,286    27,159,294
      Diluted               17,194,286  30,484,960   17,194,286    27,159,294



              CONSOLIDATED STATEMENTS OF OPERATIONS (unaudited)
          RECONCILIATION BETWEEN GAAP AND ADJUSTED NET INCOME (LOSS)

                                                 Three months ended
                                                    June 30, 2005

                                           GAAP      Adjustments   As Adjusted

    Service revenue                     $15,332,300               $15,332,300

    Operating costs and expenses:
      Professional services (includes
       non-cash compensation expense
       of  $158,679 and $931,531)         5,132,472    $(158,679)   4,973,793
      Sales, general, and administrative
       (includes non-cash compensation
       expense of $2,901,034 and
       $165,806)                          7,388,264   (2,901,034)   4,487,230
      Depreciation and amortization         275,886            -      275,886

            Total operating costs
             and expenses                12,796,622   (3,059,713)   9,736,909

    Operating income                      2,535,678    3,059,713    5,595,391

    Other income (expense):
      Interest expense                     (199,161)                 (199,161)
      Interest income                        11,164                    11,164
      Other, net                            (33,825)                  (33,825)
      Change in fair value of
       redeemable preferred stock
       conversion feature                (9,993,750)   9,993,750            -

            Total other income
             (expense)                  (10,215,572)   9,993,750     (221,822)

            Income (loss) before
             income taxes                (7,679,894)  13,053,463    5,373,569

    Income tax expense                      904,949    1,193,288    2,098,237

    Net income (loss)                    (8,584,843)  11,860,175    3,275,332

    Redeemable preferred stock accretion   (263,288)     263,288            -


    Income (loss) applicable to common
     stockholders                       $(8,848,131) $12,123,463   $3,275,332


    Earnings (loss) per share:
      Basic                                  $(0.51)                    $0.19
      Diluted                                $(0.51)                    $0.14
    Weighted average shares outstanding:
      Basic                              17,194,286                17,194,286
      Diluted                            17,194,286                23,815,066


                                                 Three months ended
                                                    June 30, 2006

                                            GAAP     Adjustments  As Adjusted

    Service revenue                      $22,876,569              $22,876,569

    Operating costs and expenses:
      Professional services (includes
       non-cash compensation expense
       of  $158,679 and $931,531)          8,553,972   $(931,531)   7,622,441
      Sales, general, and administrative
       (includes non-cash compensation
       expense of $2,901,034 and
       $165,806)                           6,283,744    (165,806)   6,117,938
      Depreciation and amortization          522,835           -      522,835

            Total operating costs and
             expenses                     15,360,551  (1,097,337)  14,263,214

    Operating income                       7,516,018   1,097,337    8,613,355

    Other income (expense):
      Interest expense                        (7,017)                  (7,017)
      Interest income                        764,559                  764,559
      Other, net                             (22,693)                 (22,693)
      Change in fair value of redeemable
       preferred stock conversion feature          -           -            -

            Total other income (expense)     734,849           -      734,849

            Income (loss) before
             income taxes                  8,250,867   1,097,337    9,348,204

    Income tax expense                     3,214,631     427,962    3,642,593

    Net income (loss)                      5,036,236     669,375    5,705,611

    Redeemable preferred stock accretion           -           -            -


    Income (loss) applicable to common
     stockholders                         $5,036,236    $669,375   $5,705,611


    Earnings (loss) per share:
      Basic                                    $0.17                    $0.19
      Diluted                                  $0.17                    $0.19
    Weighted average shares outstanding:
      Basic                               29,809,571               29,809,571
      Diluted                             30,484,960               30,484,960



              CONSOLIDATED STATEMENTS OF OPERATIONS (unaudited)
          RECONCILIATION BETWEEN GAAP AND ADJUSTED NET INCOME (LOSS)

                                                 Six months ended
                                                    June 30, 2005

                                           GAAP      Adjustments  As Adjusted

    Service revenue                     $28,443,923               $28,443,923

    Operating costs and expenses:
      Professional services (includes
       non-cash compensation expense
       of  $241,388 and $2,246,683)       9,514,299    $(241,388)   9,272,911
      Sales, general, and administrative
       (includes non-cash compensation
       expense of $3,030,503 and
       $351,444)                         11,600,119   (3,030,503)   8,569,616
      Depreciation and amortization         552,142          -        552,142

            Total operating costs
             and expenses                21,666,560   (3,271,891)  18,394,669

    Operating income                      6,777,363    3,271,891   10,049,254

    Other income (expense):
      Interest expense                     (461,424)                 (461,424)
      Interest income                        32,131                    32,131
      Other, net                            (47,494)                  (47,494)
      Change in fair value of
       redeemable preferred stock
       conversion feature               (11,372,221)  11,372,221            -

            Total other income
             (expense)                  (11,849,008)  11,372,221     (476,787)

            Income (loss) before
             income taxes                (5,071,645)  14,644,112    9,572,467

    Income tax expense                    2,464,155    1,276,037    3,740,192

    Net income (loss)                    (7,535,800)  13,368,075    5,832,275

    Redeemable preferred stock
     accretion                             (521,053)     521,053            -


    Income (loss) applicable to common
     stockholders                       $(8,056,853) $13,889,128   $5,832,275


    Earnings (loss) per share:
      Basic                                  $(0.47)                    $0.34
      Diluted                                $(0.47)                    $0.25
    Weighted average shares outstanding:
      Basic                              17,194,286                17,194,286
      Diluted                            17,194,286                23,791,924


                                                 Six months ended
                                                   June 30, 2006

                                           GAAP      Adjustments  As Adjusted

    Service revenue                     $42,915,772               $42,915,772

    Operating costs and expenses:
      Professional services (includes
       non-cash compensation expense
       of  $241,388 and $2,246,683)      16,948,047  $(2,246,683)  14,701,364
      Sales, general, and administrative
       (includes non-cash compensation
       expense of $3,030,503 and
       $351,444)                         12,353,305     (351,444)  12,001,861
      Depreciation and amortization       1,053,247            -    1,053,247

            Total operating costs
             and expenses                30,354,599   (2,598,127)  27,756,472

    Operating income                     12,561,173    2,598,127   15,159,300

    Other income (expense):
      Interest expense                     (559,671)                 (559,671)
      Interest income                     1,151,284                 1,151,284
      Other, net                            (44,336)                  (44,336)
      Change in fair value of
       redeemable preferred stock
        conversion feature              (44,183,770)  44,183,770            -

            Total other income
             (expense)                  (43,636,493)  44,183,770      547,277

            Income (loss) before
             income taxes               (31,075,320)  46,781,897   15,706,577

    Income tax expense                    5,114,917    1,013,270    6,128,187

    Net income (loss)                   (36,190,237)  45,768,627    9,578,390

    Redeemable preferred stock
     accretion                             (117,534)     117,534          -


    Income (loss) applicable to
     common stockholders               $(36,307,771) $45,886,161   $9,578,390


    Earnings (loss) per share:
      Basic                                  $(1.34)                    $0.35
      Diluted                                $(1.34)                    $0.33
    Weighted average shares outstanding:
      Basic                              27,159,294                27,159,294
      Diluted                            27,159,294                29,255,473


"NHWKF"


SOURCE NightHawk Radiology Holdings, Inc.

Media - Carin Warner, carin@warnerpr.comor, or Christen Graham,
christen@warnerpr.com, both of Warner Communications, +1-978-526-1960, for NightHawk
Radiology Holdings, Inc.; or Investor - Andrea Clegg of NightHawk Radiology Holdings,
Inc., 1-866-402-4295 or +1-208-292-2818
http://www.prnewswire.com

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