Vital Images, Inc. (Nasdaq:VTAL), a leading provider of advanced visualization and analysis software, today reported financial results for the first quarter ended March 31, 2011. First quarter revenue was $14.9 million, compared to $14.8 million for the first quarter of 2010.

First quarter net income was $43,000, or $0.00 per diluted share, compared to a net loss of $1.1 million, or $(0.08) per diluted share, for the first quarter of 2010. First quarter adjusted EBITDA (a non-GAAP measure) was $1.3 million, consistent with the first quarter of 2010.

The company's total cash and investments were $140.5 million as of March 31, 2011, compared to $139.9 million as of December 31, 2010. The first quarter earnings conference call originally scheduled for May 5, 2011 has been cancelled, in light of the definitive agreement announced on April 27, 2011, pursuant to which a subsidiary ("Merger Sub") of Toshiba Medical Systems Corporation ("TMSC") will acquire all of the outstanding shares of common stock of Vital Images through a cash tender offer followed by a merger.

About Vital Images

Vital Images, Inc. is a leading provider of advanced visualization and analysis software for physicians and healthcare specialists. The company's software provides users productivity and communication tools to improve patient care that can be accessed throughout the enterprise anytime, anywhere via the Web. Established in 1988 and headquartered in Minneapolis, Vital Images also has offices in Europe and Asia. For more information, visit www.vitalimages.com.

Vital Images® and Vitrea® are registered trademarks of Vital Images, Inc. Vital disclaims any proprietary interest in the marks and names of others.

The Vital Images, Inc. logo is available at http://www.globenewswire.com/newsroom/prs/?pkgid=5843

Notice to Investors

The tender offer for the outstanding shares of Vital Images common stock referenced in this press release has not yet commenced. This press release is neither an offer to purchase nor a solicitation of an offer to sell securities. The solicitation and the offer to buy shares of Vital Images' common stock will be made pursuant to an offer to purchase and related materials that Merger Sub and TMSC expect to file with the U.S. Securities and Exchange Commission (SEC). At the time the tender offer is commenced, Merger Sub and TMSC will file a tender offer statement on Schedule TO (including an offer to purchase, a related letter of transmittal and other tender offer documents) with the SEC and Vital Images will file with the SEC a solicitation/recommendation statement on Schedule 14D-9 with respect to the tender offer. Shareholders of Vital Images are strongly advised to read the tender offer statement (including an offer to purchase, a related letter of transmittal and other tender offer documents) and the related solicitation/recommendation statement when they become available because they will contain important information that Vital Images shareholders should consider before making any decision regarding tendering their shares. These materials (and all other materials filed by Vital Images with the SEC) will be available to all shareholders of Vital Images at no expense to them on the SEC's website at www.sec.gov. Free copies of the tender offer statement and related materials and the solicitation/recommendation statement, when available, may be obtained from the information agent for the tender offer.

Non-GAAP Information

To supplement the company's condensed consolidated financial statements presented on a GAAP basis, the company uses adjusted EBITDA (a non-GAAP measure), which excludes certain items presented under GAAP. The company uses adjusted EBITDA to develop budgets, to assess its operating performance, to increase comparability among different periods and to serve as a measurement for incentive compensation. The company uses adjusted EBITDA even though it is not probable that the financial impact of excluded amounts will be immaterial in the future. Additionally, amounts excluded from adjusted EBITDA are managed by and are the responsibility of the company's management. The company believes that adjusted EBITDA is useful to investors because it provides supplemental information that allows investors to review the company's results of operations from the same perspective as management and the company's board of directors. 

The method the company uses to produce non-GAAP measures is not in accordance with GAAP and may not be computed the same as similarly titled measures used by other companies. These non-GAAP results should not be considered in isolation or regarded as a substitute for corresponding GAAP measures but instead should be utilized as a supplemental measure of operating performance in evaluating the company's business. Non-GAAP measures do have limitations in that they do not reflect certain items that may have a material impact upon the company's reported financial results. As such, these non-GAAP measures should be viewed in conjunction with both the company's financial statements prepared in accordance with GAAP and the reconciliation of the supplemental non-GAAP financial measures to the comparable GAAP measures. Forward-Looking Statements

This press release contains forward-looking statements that are not historical facts and are subject to risks and uncertainties that could cause actual results to differ materially from those described. All statements other than statements of historical fact are statements that could be deemed forward-looking statements. Forward-looking statements in this press release include statements regarding the anticipated benefits of the proposed transaction; statements regarding the anticipated timing of filings and approvals relating to the transaction; statements regarding the expected timing of the completion of the transaction; statements regarding dependence on market growth; statements regarding challenges associated with international expansion; statements regarding the ability to predict product, customer and geographic sales mix; statements regarding fluctuations in interest rates; statements regarding regulatory approvals; statements regarding the timely introduction, availability and acceptance of new products; statements regarding the impact of competitive products and pricing; statements regarding dependence on major customers; statements regarding the ability to successfully manage operating costs; statements regarding fluctuations in quarterly results; statements regarding approval of products for reimbursement and the level of reimbursement; and any statements of assumptions underlying any of the foregoing. All forward-looking statements are based largely on current expectations and beliefs concerning future events, approvals and transactions that are subject to substantial risks and uncertainties. Factors that may cause or contribute to the actual results or outcomes being different from those contemplated by forward-looking statements include: risks and uncertainties associated with the tender offer, including uncertainties as to the timing of the tender offer and merger, uncertainties as to how many of Vital Images' shareholders will tender their shares in the offer, the risk that competing offers will be made, and the possibility that various closing conditions for the transaction may not be satisfied or waived. Other factors that may cause Vital Images' actual results to differ materially from those expressed or implied in the forward-looking statements are discussed in Vital Images' filings with the SEC, including in its periodic reports filed on Form 10-K and Form 10-Q with the SEC. Copies of Vital Images' filings with the SEC may be obtained at the "Investors" section of Vital Images' website at www.vitalimages.com. The forward-looking statements made in this release are made only as of the date of this release, and Vital undertakes no obligation to update them to reflect subsequent events or circumstances.  

Vital Images, Inc.    
Condensed Consolidated Statements of Operations  
(In thousands, except per share amounts)     
(Unaudited)    
     
  For the Three Months Ended
  March 31,
  2011 2010
Revenue:    
License fees $ 5,440 $ 5,521
Maintenance and services 8,715 8,804
Hardware 697 434
Total revenue 14,852 14,759
     
Cost of revenue:    
License fees 853 917
Maintenance and services 2,891 2,347
Hardware 553 440
Total cost of revenue 4,297 3,704
     
Gross profit 10,555 11,055
     
Operating expenses:    
Sales and marketing 4,695 5,479
Research and development 3,336 4,030
General and administrative 2,585 2,722
Total operating expenses 10,616 12,231
     
Operating loss (61) (1,176)
     
Interest income 128 108
Income (loss) before income taxes 67 (1,068)
Provision for income taxes 24 24
Net income (loss) $ 43 $ (1,092)
     
Net income (loss) per share – basic $ 0.00 $ (0.08)
Net income (loss) per share – diluted $ 0.00 $ (0.08)
     
Weighted average common shares outstanding – basic 14,021 14,332
Weighted average common shares outstanding – diluted 14,120 14,332
     
Vital Images, Inc.    
Condensed Consolidated Balance Sheets    
(In thousands, except per share amounts)    
(Unaudited)    
     
  March 31, December 31,
  2011 2010
Assets    
Current assets:    
Cash and cash equivalents $ 68,225 $ 87,697
Marketable securities 50,257 46,519
Accounts receivable, net 13,080 14,089
Prepaid expenses and other current assets 3,151 3,579
Total current assets 134,713 151,884
Marketable securities 22,039 5,685
Property and equipment, net 3,347 3,849
Other intangible assets, net 22
Goodwill 9,089 9,089
Total assets $ 169,188 $ 170,529
     
Liabilities and Stockholders' Equity    
Current liabilities:    
Accounts payable $ 1,944 $ 2,311
Accrued compensation 2,325 2,827
Accrued royalties 583 892
Other current liabilities 1,880 2,223
Deferred revenue 16,554 16,409
Total current liabilities 23,286 24,662
Deferred revenue 991 1,085
Deferred rent 36
Total liabilities 24,277 25,783
     
Stockholders' equity:    
Preferred stock: $0.01 par value; 5,000 shares authorized; none issued or outstanding
Common stock: $0.01 par value; 40,000 shares authorized; 14,002 issued and outstanding as of March 31, 2011; and 14,034 shares issued and outstanding as of December 31, 2010 140 140
Additional paid-in capital 167,219 167,071
Accumulated deficit (22,555) (22,598)
Accumulated other comprehensive income 107 133
Total stockholders' equity 144,911 144,746
Total liabilities and stockholders' equity $ 169,188 $ 170,529
     
Vital Images, Inc.    
Condensed Consolidated Statements of Cash Flows  
(In thousands)    
(Unaudited)    
     
  For the Three Months Ended
  March 31,
  2011 2010
Cash flows from operating activities:    
Net income (loss) $ 43 $ (1,092)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:    
Depreciation and amortization of property and equipment 715 927
Amortization of identified intangible assets 22 90
Provision for doubtful accounts (125) 66
Amortization of discount and accretion of premium on marketable securities 132 (3)
Equity-based compensation 619 1,487
Amortization of deferred rent (107) (102)
Changes in operating assets and liabilities:    
Accounts receivable 1,134 (938)
Prepaid expenses and other assets 428 140
Accounts payable (316) 44
Accrued expenses and other liabilities (1,084) (1,041)
Deferred revenue 51 318
Net cash provided by (used in) operating activities 1,512 (104)
     
Cash flows from investing activities:    
Purchases of property and equipment (264) (230)
Purchases of marketable securities (37,999)
Proceeds from maturities of marketable securities 9,750
Proceeds from sales of marketable securities 7,999
Net cash used in investing activities (20,514) (230)
     
Cash flows from financing activities:    
Repurchases of common stock (1,046)
Proceeds from sale of common stock under stock plans 576 1,332
Payment for options tendered (194)
Net cash (used in) provided by financing activities (470) 1,138
     
Net (decrease) increase in cash and cash equivalents (19,472) 804
Cash and cash equivalents, beginning of period 87,697 120,317
Cash and cash equivalents, end of period $ 68,225 $ 121,121
         
Vital Images, Inc.        
Supplemental Financial Information      
         
Revenue Summary (dollars in thousands):      
  For the Three Months Ended
  March 31,
  2011 2010
Revenue:        
License fees $ 5,440   $ 5,521  
Maintenance and services 8,715   8,804  
Hardware 697   434  
Total revenue $ 14,852   $ 14,759  
         
Revenue by channel and as a percent of total revenue:        
Direct and other distributors $ 8,191 55% $ 6,539 44%
Toshiba 6,661 45% 8,220 56%
Total revenue $ 14,852 100% $ 14,759 100%
         
License fee revenue by channel and as a percent of total license fee revenue:        
Direct and other distributors $ 2,144 39% $ 1,000 18%
Toshiba 3,296 61% 4,521 82%
Total license fee revenue $ 5,440 100% $ 5,521 100%
         
Maintenance and services revenue by channel and as a percent of total         
 maintenance and services revenue:        
Direct and other distributors $ 5,540 64% $ 5,144 58%
Toshiba 3,175 36% 3,660 42%
Total maintenance and services revenue $ 8,715 100% $ 8,804 100%
         
Revenue by geography:        
United States $ 10,439   $ 9,644  
Europe 2,371   2,681  
Asia and Pacific 1,220   1,604  
Other foreign 822   830  
Total revenue $ 14,852   $ 14,759  
Export revenue as a percent of total revenue: 30%   35%  
Reconciliation from GAAP results to adjusted EBITDA (in thousands):
  For the Three Months Ended
  March 31,
  2011 2010
Adjusted EBITDA (in thousands):    
Operating loss $ (61) $ (1,176)
Equity-based compensation 619 1,487
Depreciation and amortization of property and equipment 715 927
Amortization of identified intangible assets 22 90
Adjusted EBITDA $ 1,295 $ 1,328
CONTACT: AT VITAL IMAGES:
         Peter J. Goepfrich
         Chief Financial Officer
         (952) 487-9500
         www.vitalimages.com
         
         AT PADILLA SPEER BEARDSLEY:
         Nancy A. Johnson, (612) 455-1745
         Marian Briggs, (612) 455-1742
         njohnson@psbpr.com/mbriggs@psbpr.com
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