HealthTronics, Inc. Announces Fourth Quarter Results With 23% Year Over Year Growth in Revenue


AUSTIN, Texas, March 6, 2009 (GLOBE NEWSWIRE) -- HealthTronics, Inc. (Nasdaq:HTRN), a leading provider of Urology services and products, today announced its financial results for the quarter and year ended December 31, 2008.

Fourth Quarter 2008

Revenue from continuing operations for the fourth quarter 2008 totaled $44.6 million, up from $36.1 million in the fourth quarter of 2007. The Company's loss from continuing operations for the fourth quarter of 2008, in accordance with generally accepted accounting principles ("GAAP"), totaled $131.2 million or $3.64 per diluted share. The Company's non-GAAP net income, which excludes a $144 million non-cash charge for goodwill impairment, non-cash stock-based compensation expense and restructuring charges tied to facility relocations, totaled $0.03 per diluted share in the fourth quarter of 2008.

In the fourth quarter of 2008, in connection with our annual goodwill impairment test, we recorded an impairment to our urology services segment goodwill totaling $144 million. Although our core operations remain stable and reflect growth over the prior year, we adjusted certain assumptions in our discounted cash flow model to address the recent declines in our market capitalization, which had fallen significantly below our consolidated net assets. In addition, the market comparables component of our impairment test was negatively impacted by the current global economic crisis and global decline in the stock markets.

The Company's adjusted EBITDA from continuing operations for the fourth quarter 2008 was $5.8 million, which compares to $5.2 million in the fourth quarter of 2007. The earnings growth was driven by revenue from both the Urology Services division and the Medical Products division. Urology Services division growth resulted from increased sales from existing partnerships as well as increased revenue generated by our Advanced Medical Partners, Inc., acquisition in April 2008. Medical Products division growth resulted from revenue increases at the ClariPath laboratory, revenues from our new Uropath laboratory, acquired in the third quarter 2008, and the service and maintenance business.

Full Year 2008

Revenue from continuing operations for the year ended December 31, 2008 totaled $165.9 million as compared to $140.4 million for the year ended December 31, 2007. The Company's loss from continuing operations in 2008, in accordance with generally accepted accounting principles ("GAAP"), totaled $128.7 million or $3.53 per share on a diluted basis. This loss was due to the goodwill impairment charge recorded in the fourth quarter as discussed above. The Company's adjusted EBITDA for 2008 was $22 million compared to $17.3 million in 2007.

The Company had cash flows from operations totaling $70.8 million, which compares to cash flow from operations of $61.9 million for fiscal year 2007. In addition, net working capital was approximately $45 million and $41 million was drawn on HealthTronics' $60 million revolving line of credit.

Urology Services

Urology Services division revenue for the fourth quarter of 2008 was $38.7 million, up 21.3 percent from the $31.9 million recorded in the fourth quarter of 2007. Divisional adjusted EBITDA was $5.7 million for Urology Services, or 15 percent of revenue in the fourth quarter of 2008, which was up from $4.7 million in the fourth quarter of 2007.

Medical Products

Medical Products division revenue for the fourth quarter of 2008 was $5.9 million compared to $4.1 million in the fourth quarter of 2007. Divisional adjusted EBITDA was $1.7 million in the fourth quarter 2008, which compares to $1.3 million in the fourth quarter of 2007.

Executive Commentary

James Whittenburg, President and Chief Executive Officer, commented, "HealthTronics' core business is stable and diversified with 100 partnerships in 46 states consisting of over 3,000 physician relationships. In addition, the fourth quarter results met our forecasts and concluded a dynamic year of growth and initiatives. During 2008, we were active with a number of significant acquisitions, including Advanced Medical Partners, UroPath, and Ocean Radiation Therapy. Each has contributed to our growth and we will continue to look for opportunistic acquisitions that will expand HealthTronics' urology footprint in the United States."

Mr. Whittenburg continued, "2009 will be a year of investment in pathology and radiation therapy as well as our core businesses. HealthTronics will be investing in our businesses at a time when many companies are concerned with liquidity issues, and we have demonstrated a strong track record of leveraging our investments to improve financial performance."

Conference Call and Webcast:

Management of HealthTronics will host a conference call the morning of Monday, March 9, 2009 at 11:00 a.m. EDT. Interested parties may participate in the call by dialing 1-877-718-5092 (International callers dial 1-719-325-4761) and asking for the "HealthTronics Q4 2008 Earnings Call" (confirmation code: 4439699). Please call in 10 minutes before the call is scheduled to begin. The conference call will also be webcast live via the Investors section of HealthTronics' website at www.healthtronics.com. To listen to the live webcast, go to the website at least 10 minutes early to register, download and install any necessary audio software. If you are unable to listen live, the conference call will be archived on the HealthTronics website.

About HealthTronics, Inc.

HealthTronics is a premier urology company providing an exclusive suite of healthcare services and technology including urologist partnership opportunities, surgical and capital equipment, maintenance services offerings, and anatomical pathology services. For more information, visit www.healthtronics.com

The HealthTronics, Inc. logo is available at http://www.globenewswire.com/newsroom/prs/?pkgid=5894

HealthTronics' use of Non GAAP Financial Measures:

This press release includes financial measures for net income (loss), net income (loss) from continuing operations, and related per share amounts that exclude certain charges and therefore have not been calculated in accordance with U.S. generally accepted accounting principles (GAAP). These non-GAAP financial measures may be different from non-GAAP financial measures used by other companies. Non-GAAP financial measures should not be considered as a substitute for, or superior to, measures of financial performance prepared in accordance with GAAP. By excluding certain charges, these non-GAAP financial measures facilitate management's internal comparisons to the Company's historical operating results, to competitors' operating results, and to estimates made by securities analysts. Management uses these non-GAAP financial measures internally to evaluate its performance. The Company believes these non-GAAP financial measures are useful to decision-making. In addition, the Company has historically reported similar non-GAAP financial measures to its investors and believes that the inclusion of comparative numbers provides consistency in its financial reporting. Investors are encouraged to review the reconciliation of the non-GAAP financial measures used in this press release to their most directly comparable GAAP financial measure as provided in the financial statements attached to this press release.

EBITDA and Adjusted EBITDA: HealthTronics has presented EBITDA and Adjusted EBITDA amounts, which are non-GAAP financial measures. In the SEC filings, HealthTronics has reconciled such amounts to their most directly comparable financial measure calculated in accordance with GAAP, which is HealthTronics' net income. HealthTronics believes that its presentations of EBITDA and Adjusted EBITDA are important supplemental measures of operating performance to its investors.

Earnings before interest, taxes, depreciation and amortization ("EBITDA") is a commonly used measure of performance which HealthTronics believes, when considered with measures calculated in accordance with GAAP, gives investors a more complete understanding of HealthTronics' operating results before the impact of investing and financing transactions and income taxes. HealthTronics does not subtract minority interest expense when calculating EBITDA; however, HealthTronics does adjust for minority interest expense and refers to this measure as "Adjusted EBITDA." Minority interest is a GAAP measure intended to reflect our partner's share of our consolidated net income and not our partner's share of our consolidated EBITDA. For example, calculation of minority interest expense does not include adjustments for depreciation, amortization, taxes or interest. As a result, our partners' share of consolidated EBITDA may not, in a given reporting period, equal the deduction for minority interest expense used in arriving at Adjusted EBITDA. HealthTronics has historically reported Adjusted EBITDA to its investors and believes that the continued inclusion of Adjusted EBITDA provides consistency in its financial reporting. Adjusted EBITDA is among the more significant factors in management's internal evaluation of total company performance. Adjusted EBITDA is also widely used by HealthTronics management in the annual budgeting process. HealthTronics believes these measures continue to be used by investors and creditors in their assessment of HealthTronics' operational performance and the valuation of the company.

EBITDA and Adjusted EBITDA are used in addition to and in conjunction with results presented in accordance with GAAP. EBITDA and Adjusted EBITDA should not be considered as an alternative to net income, operating income, a liquidity measure, or any other operating performance measure prescribed by GAAP, nor should these measures be relied upon to the exclusion of GAAP financial measures. EBITDA and Adjusted EBITDA reflect additional ways of viewing HealthTronics' operations that HealthTronics believes, when viewed with its GAAP results and the reconciliations to the corresponding GAAP financial measures, provide a more complete understanding of factors and trends affecting HealthTronics' business than could be obtained absent this disclosure.

Cautionary Language: Statements by the Company's management made in this press release that are not strictly historical, including statements regarding plans, objective and future financial performance, are "forward-looking" statements that are made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. Although HealthTronics believes that the expectations reflected in such forward-looking statements are reasonable, no assurance can be given that the expectations will prove to be correct. Factors that could cause actual results to differ materially from HealthTronics' expectations include, among others, the existence of demand for and acceptance of HealthTronics' services, regulatory approvals, economic conditions, the impact of competition and pricing, financing efforts and other factors described from time to time in HealthTronics' periodic filings with the Securities and Exchange Commission.



                HEALTHTRONICS, INC. AND SUBSIDIARIES
              CONDENSED CONSOLIDATED STATEMENTS OF INCOME
                              (Unaudited)


 ($ in thousands,
 except per share data)


                        Three Months Ended           Year Ended
                            December 31,             December 31,
                       ----------------------  ----------------------
                          2008        2007        2008        2007
                       ----------  ----------  ----------  ----------
 Revenue:
  Urology Services     $  38,715   $  31,890   $ 145,265   $ 122,736
  Medical Products         5,922       4,100      20,389      17,101
  Other                       --         159         288         581
                       ----------  ----------  ----------  ----------
   Total revenue          44,637      36,149     165,942     140,418
                       ----------  ----------  ----------  ----------

 Cost of services and
  general and
  administrative
  expenses:
   Urology Services       17,896      13,364      65,185      53,490
   Medical Products        3,526       3,148      10,494      11,225
   Selling, general and
    administrative         5,820       2,925      20,006      15,884
   Impairment charges    144,000      20,800     144,000      20,800
   Depreciation and
    amortization           3,593       2,768      12,363      11,107
                       ----------  ----------  ----------  ----------
                         174,835      43,005     252,048     112,506
                       ----------  ----------  ----------  ----------

 Operating income       (130,198)     (6,856)    (86,106)     27,912

 Other income
  (expenses):
   Interest and
    dividends                135         312       1,233       1,146
   Interest expense         (486)       (185)     (1,077)       (829)
                       ----------  ----------  ----------  ----------
                            (351)        127         156         317
                       ----------  ----------  ----------  ----------
 Income from continuing
  operations before
  provision for income
  taxes and minority
  interest              (130,549)     (6,729)    (85,950)     28,229

 Minority interest in
  consolidated income     13,879      12,570      54,259      45,568

 Provision (benefit)
  for income taxes       (13,246)     (3,809)    (11,516)     (2,854)
                       ----------  ----------  ----------  ----------

 Income (loss) from
  continuing operations (131,182)    (15,490)   (128,693)    (14,485)

 Income (loss) from
  discontinued
  operations, net
  of tax                      --         (36)         --        (147)
                       ----------  ----------  ----------  ----------

 Net income            $(131,182)  $ (15,526)  $(128,693)  $ (14,632)
                       ==========  ==========  ==========  ==========

 Basic earnings per
  share:
   Income (loss) from
    continuing
    operations         $   (3.64)  $   (0.44)  $   (3.53)  $   (0.41)
   Income (loss) from
    discontinued
    operations         $      --   $      --   $      --   $      --
                       ----------  ----------  ----------  ----------
   Net income          $   (3.64)  $   (0.44)  $   (3.53)  $   (0.41)
                       ==========  ==========  ==========  ==========
  Weighted average
   shares outstanding     36,004      35,425      36,499      35,421
                       ==========  ==========  ==========  ==========

 Diluted earnings per
  share:
   Income (loss) from
    continuing
    operations         $   (3.64)  $   (0.44)  $   (3.53)  $   (0.41)
   Income (loss) from
    discontinued
    operations         $      --   $      --   $      --   $      --
                       ----------  ----------  ----------  ----------
     Net income        $   (3.64)  $   (0.44)  $   (3.53)  $   (0.41)
                       ==========  ==========  ==========  ==========
  Weighted average
   shares outstanding     36,004      35,425      36,499      35,421
                       ==========  ==========  ==========  ==========


                 HealthTronics, Inc. and Subsidiaries
                 Condensed Consolidated Balance Sheets
                              (Unaudited)

                                              Dec. 31,   Dec. 31,
 ($ in thousands)                               2008       2007
                                              --------   --------
 ASSETS

     Total current assets                     $ 63,689   $ 74,214

     Property and equipment, net                32,769     33,019

     Goodwill                                   93,620    217,505

     Other assets                               44,308     11,318
                                              --------   --------

                                              $234,386   $336,056
                                              ========   ========

 LIABILITIES

     Total current liabilities                $ 18,274   $ 17,692

     Long-term debt, net of current portion     43,897      4,194

     Other long-term liabilities                 5,120     30,099
                                              --------   --------

     Total liabilities                          67,291     51,985

     Minority interest                          47,723     41,653

     Total stockholders' equity                119,372    242,418
                                              --------   --------

                                              $234,386   $336,056
                                              ========   ========


                 HealthTronics, Inc. and Subsidiaries
                  Supplemental Financial Information
                         Continuing Operations
           For the Periods Ended December 31, 2008 and 2007
                               Unaudited
                  In thousands, except per share data


                         Three Months Ended           Year Ended
                            December 31,              December 31,
                      -----------------------  -----------------------
                         2008         2007        2008         2007
                      ----------   ----------  ----------   ----------

 Summary of Results
  from Operations
   Revenues           $  44,637    $  36,149   $ 165,942    $ 140,418

   EBITDA(a)          $  19,671    $  17,757   $  76,263    $  62,878

   Adjusted EBITDA(a) $   5,792    $   5,187   $  22,004    $  17,310

   Net loss from
    Continuing
    Operations        $(131,182)   $ (15,490)  $(128,693)   $ (14,485)

   Net loss           $(131,182)   $ (15,526)  $(128,693)   $ (14,632)

   EPS from 
    Continuing
    Operations        $   (3.64)   $   (0.44)  $   (3.53)   $   (0.41)

   EPS                $   (3.64)   $   (0.44)  $   (3.53)   $   (0.41)

   Number of Shares      36,004       35,425      36,499       35,421

 Segment Information

 Revenues:
   Urology Services   $  38,715    $  31,890   $ 145,265    $ 122,736

   Medical Products   $   5,922    $   4,100   $  20,389    $  17,101

 Adjusted EBITDA(a):
   Urology Services   $   5,749    $   4,746   $  20,787    $  18,691

   Medical Products   $   1,650    $   1,336   $   6,738    $   3,057

 Other Information:

   Cashflow from
    Operations        $  19,540    $  16,313   $  70,845    $  61,877

   Net Draws
    (Payments) on
    Senior Credit
    Facility          $  35,000    $      --   $  41,000    $      --

   Net Debt           $  23,533    $ (16,672)  $  23,533    $ (16,672)


 (a)  See accompanying reconciliation of EBITDA and Adjusted EBITDA


                 HealthTronics, Inc. and Subsidiaries
                      Non-GAAP Financial Measures
             Reconciliation of EBITDA and Adjusted EBITDA
                         Continuing Operations
           For the Periods Ended December 31, 2008 and 2007
                               Unaudited
                             In thousands


                         Three Months Ended          Year Ended
                             December 31,            December 31,
                      -----------------------  -----------------------
 Consolidated            2008         2007        2008        2007
 ------------         ----------   ----------  ----------   ----------

 Income from
  Continuing
  Operations          $(131,182)   $ (15,490)  $(128,693)   $ (14,485)

 Add Back(deduct):
  Provision for
   income taxes        (13,246)      (3,809)    (11,516)      (2,854)
  Interest expense          486          185       1,077          829
  Depreciation and
   amortization           3,593        2,768      12,363       11,107
  Restructuring costs     1,730          403       1,892          803
  Impairment of
   goodwill             144,000       20,800     144,000       20,800
  Stockbased
   compensation costs       411          330       2,881        1,110
                      ----------   ----------  ----------   ----------

  Adjusted EBITDA         5,792        5,187      22,004       17,310

 Add Back:
  Minority
   interest expense      13,879       12,570      54,259       45,568
                      ----------   ----------  ----------   ----------

  EBITDA              $  19,671    $  17,757   $  76,263    $  62,878
                      ==========   ==========  ==========   ==========


 Urology Services
  Segment
 ----------------

   Revenues           $  38,715    $  31,890   $ 145,265    $ 122,736

   Expenses:
    Cost of Services    (19,143)     (14,728)    (70,466)     (58,941)
    Other Income
     (Expenses)              58          171         297          523
                      ----------   ----------  ----------   ----------

    EBITDA               19,630       17,333      75,096       64,318

    Minority interest
     expense            (13,881)     (12,587)    (54,309)     (45,627)
                      ----------   ----------  ----------   ----------

    Adjusted EBITDA   $   5,749    $   4,746   $  20,787    $  18,691
                      ==========   ==========  ==========   ==========



 Medical Products
  Segment
 ----------------

 Revenues             $   5,922    $   4,100   $  20,389    $  17,101

 Expenses:
  Cost of Services       (5,966)      (2,791)    (15,010)     (14,140)
  Other Income
   (Expenses)                16           11          49           38
                      ----------   ----------  ----------   ----------

  EBITDA                    (28)       1,320       5,428        2,999

  Minority interest
   expense                    3           16          50           58
                      ----------   ----------  ----------   ----------

  Adjusted EBITDA     $     (25)   $   1,336   $   5,478    $   3,057
                      ==========   ==========  ==========   ==========

  Add Backs:
   Restructuring
    costs                 1,675           --       1,260           --
                      ----------   ----------  ----------   ----------

  Adjusted EBITDA     $   1,650    $   1,336   $   6,738    $   3,057
                      ==========   ==========  ==========   ==========

            

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