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Vital Images Announces Third Quarter Results

Vital Images, Inc. (Nasdaq:VTAL), a leading provider of advanced visualization and analysis solutions, today reported financial results for the third quarter ended September 30, 2009. Third quarter revenue was $14.3 million, compared to $17.7 million for the third quarter of 2008. Third quarter net loss was $750,000, or $(0.05) per diluted share, compared to a net loss of $243,000, or $(0.02) per diluted share, for the third quarter of 2008.

Third quarter adjusted EBITDA (a non-GAAP measure) was $1.2 million, compared to $1.4 million for the third quarter of 2008. Through the first nine months of 2009, adjusted EBITDA was $3.2 million, compared to $568,000 during the same period last year.

Michael H. Carrel, Vital Images president and chief executive officer, said, "There are encouraging signs that our marketplace may be improving. With positive adjusted EBITDA, as well as $140 million in cash and investments and a commitment to profitability, we are well positioned to continue our strategic investments in research and development, services and improving market share for future growth."

Carrel continued, "Our customers are excited about the recent launch of Vitrea Enterprise Suite and its productivity enhancing, centralized solution for managing volumetric data. We look forward to showing physicians the depth and breadth of capabilities within Vitrea Enterprise Suite at the upcoming RSNA conference. We were honored at the end of October when Vitrea Enterprise Suite was recognized by AuntMinnie.com editors and its expert panel of radiology professionals as the Minnies winner for Best New Radiology Software in 2009."

The company's total cash and investments were $140.3 million as of September 30, 2009, compared to $141.1 million as of June 30, 2009. During the third quarter of 2009, the company repurchased 30,000 shares of its common stock for $323,000 under its publicly announced share repurchase program. As of September 30, 2009, up to 588,000 shares remained to be purchased under the program.

Non-GAAP Information

To supplement the company's condensed consolidated financial statements presented on a GAAP basis, Vital Images uses adjusted EBITDA (a non-GAAP measure), which is adjusted to exclude certain items to enhance the overall understanding of our past financial performance. These adjustments to GAAP results are made with the intent of providing both management and investors a more complete understanding of Vital Images' underlying operational results and trends and our marketplace performance. In addition, these non-GAAP results are among the information management uses to establish internal operating budgets, supplement the financial results and forecasts reported to the company's board of directors, determine a portion of bonus compensation for executive officers and certain other key employees, and evaluate short-term and long-term operating trends in the company's core operations. The presentation of this additional information is not meant to be considered in isolation or as a substitute for results prepared in accordance with GAAP and may not be computed the same as similarly titled measures used by other companies. See Supplemental Financial Information section for a reconciliation from GAAP results to adjusted EBITDA.

Conference Call and Webcast

Vital Images will host a live webcast of its third quarter earnings conference call on Thursday, November 5, 2009 at 10:30 a.m. CT. To access this webcast, go to the investors' portion of the company's Web site, www.vitalimages.com, and click on the webcast icon. If you wish to listen to an audio replay of the conference call, dial (888) 203-1112 and enter conference call ID #9428296. The audio replay will be available beginning at 2:00 p.m. CT on Thursday, November 5, 2009 through 5:00 p.m. CT on Thursday, November 19, 2009.

About Vital Images

Vital Images, Inc., headquartered in Minneapolis, is a leading provider of advanced visualization and analysis software solutions. The company's technology gives radiologists, cardiologists, oncologists and other medical specialists time-saving productivity and communications tools that can be accessed throughout the enterprise and via the Web for easy use in the day-to-day practice of medicine. For more information, visit www.vitalimages.com.

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

Forward-Looking Statements

Except for the historical information contained herein, the matters discussed in this news release are forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 and are intended to enjoy the protection of the safe harbor for forward-looking statements provided by that Act. These statements involve risks and uncertainties which could cause results to differ materially from those projected, including but not limited to dependence on market growth, challenges associated with international expansion, the ability to predict product, customer and geographic sales mix, fluctuations in interest rates, regulatory approvals, the timely introduction, availability and acceptance of new products, the impact of competitive products and pricing, dependence on major customers, the ability to successfully manage operating costs, fluctuations in quarterly results, approval of products for reimbursement and the level of reimbursement, and other factors detailed from time to time in Vital Images' SEC reports, including its annual report on Form 10-K for the year ended December 31, 2008. Vital Images encourages you to consider all of these risks, uncertainties and other factors carefully in evaluating the forward-looking statements contained in this release. As a result of these matters, changes in facts, assumptions not being realized or other circumstances, the company's actual results may differ materially from the expected results discussed in the forward-looking statements contained in this release. The forward-looking statements made in this release are made only as of the date of this release, and, except as may be required by law, the company undertakes no obligation to update them to reflect subsequent events or circumstances.

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



 Vital Images, Inc.
 Condensed Consolidated Statements of Operations
 (In thousands, except per share amounts)
 (Unaudited)


                                   For the Three       For the Nine
                                   Months Ended        Months Ended
                                   September 30,       September 30,
                                ------------------  ------------------
                                  2009      2008      2009      2008
                                --------  --------  --------  --------

 Revenue:
   License fees                 $  5,624  $  9,114  $ 16,183  $ 26,178
   Maintenance and services        8,274     8,157    25,206    23,502
   Hardware                          402       408     1,074     1,023
                                --------  --------  --------  --------
     Total revenue                14,300    17,679    42,463    50,703

 Cost of revenue:
   License fees                      749     1,181     2,277     3,345
   Maintenance and services        2,351     2,561     6,996     7,612
   Hardware                          364       318       997       624
                                --------  --------  --------  --------
     Total cost of revenue         3,464     4,060    10,270    11,581

     Gross profit                 10,836    13,619    32,193    39,122

 Operating expenses:
   Sales and marketing *           5,200     6,298    16,127    21,207
   Research and development *      4,245     5,422    12,200    15,738
   General and administrative *    2,405     3,348     7,645     9,935
   Asset impairment                   --        --     3,147        --
                                --------  --------  --------  --------
     Total operating expenses     11,850    15,068    39,119    46,880

 Operating loss                   (1,014)   (1,449)   (6,926)   (7,758)

 Interest income                     200     1,012       960     3,856
                                --------  --------  --------  --------
 Loss before income taxes           (814)     (437)   (5,966)   (3,902)
 Provision (benefit) for income
  taxes                              (64)     (194)   14,656    (1,488)
                                --------  --------  --------  --------
 Net loss                       $   (750) $   (243) $(20,622) $ (2,414)
                                ========  ========  ========  ========

 Net loss per share - basic
  and diluted                   $  (0.05) $  (0.02) $  (1.44) $  (0.15)
                                ========  ========  ========  ========

 Weighted average common shares
  outstanding - basic and diluted 14,204    15,711    14,336    16,535
                                ========  ========  ========  ========

 * Certain reclassifications have been made to prior
 period amounts in order to conform to current period presentation -
 see Supplemental Financial Information section.


 Vital Images, Inc.
 Condensed Consolidated Balance Sheets
 (In thousands, except per share amounts)
 (Unaudited)


                                                    Sept. 30,  Dec. 31,
                                                      2009      2008
                                                    --------  --------
 Assets
   Current assets:
   Cash and cash equivalents                        $118,311  $109,706
   Marketable securities                               6,683    37,287
   Accounts receivable, net                           12,552    13,047
   Deferred income taxes                                  --       654
   Prepaid expenses and other current assets           2,134     2,179
                                                    --------  --------
     Total current assets                            139,680   162,873
 Marketable securities                                15,278        --
 Property and equipment, net                           6,168    11,519
 Deferred income taxes                                    --    13,904
 Other intangible assets, net                            472       808
 Goodwill                                              9,089     9,089
                                                    --------  --------
     Total assets                                   $170,687  $198,193
                                                    ========  ========

 Liabilities and Stockholders' Equity
 Current liabilities:
   Accounts payable                                 $  2,710  $  3,792
   Accrued compensation                                2,741     2,936
   Accrued royalties                                     621     1,057
   Other current liabilities                           2,095     1,947
   Deferred revenue                                   14,972    17,724
                                                    --------  --------
     Total current liabilities                        23,139    27,456
 Deferred revenue                                        862     1,164
 Deferred rent                                           572       882
                                                    --------  --------
     Total liabilities                                24,573    29,502
                                                    --------  --------

 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; 14,291 issued and outstanding
    as of September 30, 2009; and 14,673 shares
    issued and outstanding as of December 31, 2008       143       147
 Additional paid-in capital                          166,806   168,738
 Accumulated deficit                                 (21,002)     (380)
 Accumulated other comprehensive income                  167       186
                                                    --------  --------
     Total stockholders' equity                      146,114   168,691
                                                    --------  --------
     Total liabilities and stockholders' equity     $170,687  $198,193
                                                    ========  ========

 Vital Images, Inc.
 Condensed Consolidated Statements of Cash Flows
 (In thousands)
 (Unaudited)
                                                       For the Nine
                                                       Months Ended
                                                       September 30,
                                                    --------  --------
                                                      2009      2008
                                                    --------  --------
 Cash flows from operating activities:
   Net loss                                         $(20,622) $ (2,414)
   Adjustments to reconcile net loss to net cash
    provided by operating activities:
     Depreciation and amortization of property
      and equipment                                    3,747     3,679
     Amortization of identified intangibles              336       783
     Loss on disposal of assets                          112        --
     Asset impairment                                  3,147        --
     Provision for doubtful accounts                     141       391
     Deferred income taxes                            14,664    (1,488)
     Excess tax benefit from stock transactions           --      (317)
     Amortization of discount and accretion of
      premium on marketable securities                   241      (538)
     Employee stock-based compensation                 2,926     3,864
     Amortization of deferred rent                      (296)     (280)
     Changes in operating assets and liabilities:
       Accounts receivable                               354     1,168
       Prepaid expenses and other assets                  45      (282)
       Accounts payable                                 (793)      349
       Accrued expenses and other liabilities           (596)      584
       Deferred revenue                               (3,054)      835
                                                    --------  --------
         Net cash provided by operating activities       352     6,334
                                                    --------  --------

 Cash flows from investing activities:
   Purchases of property and equipment                (1,944)   (3,994)
   Purchases of marketable securities                (21,749)  (76,313)
   Proceeds from maturities of marketable securities  36,709    48,857
   Proceeds from sale of marketable securities            --     1,581
                                                    --------  --------
         Net cash provided by (used in) investing
          activities                                  13,016   (29,869)
                                                    --------  --------

 Cash flows from financing activities:
   Repurchases of common stock                        (6,081)  (25,383)
   Proceeds from sale of common stock under
    stock plans                                        1,318     1,713
   Excess tax benefit from stock transactions             --       317
                                                    --------  --------
         Net cash used in financing activities        (4,763)  (23,353)
                                                    --------  --------

 Net increase (decrease) in cash and cash
  equivalents                                          8,605   (46,888)
 Cash and cash equivalents, beginning of period      109,706   146,685
                                                    --------  --------
 Cash and cash equivalents, end of period           $118,311  $ 99,797
                                                    ========  ========

 Vital Images, Inc.
 Supplemental Financial Information

 Revenue Summary (dollars in thousands):

                 For the Three Months Ended  For the Nine Months Ended
                       September 30,               September 30,
                 -------------------------   ------------------------
                    2009          2008          2009         2008
                 -----------   -----------   -----------  -----------
 Revenue:
   License fees  $ 5,624       $ 9,114       $16,183      $26,178
   Maintenance
    and services   8,274         8,157        25,206       23,502
   Hardware          402           408         1,074        1,023
                 -------       -------       -------      -------
     Total
      revenue    $14,300       $17,679       $42,463      $50,703
                 =======       =======       =======      =======

 Revenue by channel
  and as a percent
  of total revenue:
   Direct and
    other
    distributors $ 6,321  44%  $ 7,890  45%  $18,702  44% $24,248  48%
   Toshiba         7,979  56     9,789  55    23,761  56   26,455  52
                 -----------   -----------   -----------  -----------
     Total
      revenue    $14,300 100%  $17,679 100%  $42,463 100% $50,703 100%
                 ===========   ===========   ===========  ===========

 License fee
  revenue by
  channel and as
  a percent of
  total license
  fee revenue:
   Direct and
    other
    distributors $   928  17%  $ 2,296  25%  $ 2,633  16% $ 8,143  31%
   Toshiba         4,696  83     6,818  75    13,550  84   18,035  69
                 -----------   -----------   -----------  -----------
     Total
      license
      fee
      revenue    $ 5,624 100%  $ 9,114 100%  $16,183 100% $26,178 100%
                 ===========   ===========   ===========  ===========

 Maintenance
  and services
  revenue by
  channel and as
  a percent of
  total maintenance
  and services
  revenue:
   Direct and
    other
    distributors $ 5,051  61%  $ 5,288  65%  $15,338  61% $15,218  65%
   Toshiba         3,223  39     2,869  35     9,868  39    8,284  35
                 -----------   -----------   -----------  -----------
     Total
      maintenance
      and services
      revenue    $ 8,274 100%  $ 8,157 100%  $25,206 100% $23,502 100%
                 ===========   ===========   ===========  ===========

 Revenue by
  geography:
   United States $ 9,516       $11,996       $28,195      $37,207
   Europe          2,584         3,475         7,599        7,435
   Asia and
    Pacific        1,279         1,213         3,422        3,162
   Other foreign     921           995         3,247        2,899
                 -------       -------       -------      -------
     Total
      revenue    $14,300       $17,679       $42,463      $50,703
                 =======       =======       =======      =======
 Export revenue
  as a percent of
  total revenue:      33%           32%           34%          27%

Operating Expense Reclassifications:

During the third quarter of 2009, the company reclassified certain items within its operating expense categories. As a result, prior period operating expense amounts have been reclassified in order to conform to the current period presentation. Expenses related to certain product development related activities were reclassified from general and administrative expense and sales and marketing expense to research and development expense, and had no effect on previously reported stockholders' equity, net loss or net cash flows.

Quarterly operating expenses for 2008 and the first three quarters of 2009 using the current period presentation were as follows (in thousands):



                             For the Three Months Ended
               -------------------------------------------------------
                 Mar    June    Sept     Dec     Mar    June    Sept
                 31,     30,     30,     31,     31,     30,     30,
                 2008   2008    2008    2008    2009    2009    2009
               ------- ------- ------- ------- ------- ------- -------

 Operating
  expenses:
  Sales and
   marketing   $ 7,439 $ 7,470 $ 6,298 $ 6,628 $ 5,440 $ 5,487 $ 5,200
  Research
   and
   development   5,091   5,225   5,422   4,617   4,002   3,953   4,245
  General and
   admini-
   strative      3,457   3,130   3,348   3,308   2,743   2,497   2,405
  Restructuring
   charge           --      --      --     660      --      --      --
  Asset
   impairment       --      --      --      --      --   3,147      --
               ------- ------- ------- ------- ------- ------- -------
   Total
    operating
    expenses   $15,987 $15,825 $15,068 $15,213 $12,185 $15,084 $11,850
               ======= ======= ======= ======= ======= ======= =======

Reconciliation from GAAP results to adjusted EBITDA (in thousands):



                                  For the Three         For the Nine
                                  Months Ended          Months Ended
                                  September 30,         September 30,
                                 -----------------   -----------------
                                   2009      2008      2009      2008
                                 -------   -------   -------   -------

 Adjusted EBITDA (in thousands):
 Operating loss                  $(1,014)  $(1,449)  $(6,926)  $(7,758)
 Equity-based compensation           952     1,322     2,926     3,864
 Depreciation and amortization
  of property and equipment        1,202     1,223     3,747     3,679
 Amortization of identified
  intangibles                         90       261       336       783
 Asset impairment                     --        --     3,147        --
                                 -------   -------   -------   -------
 Adjusted EBITDA                 $ 1,230   $ 1,357   $ 3,230   $   568
                                 =======   =======   =======   =======

This news release was distributed by GlobeNewswire, www.globenewswire.com

SOURCE: Vital Images, Inc.

CONTACT:  Vital Images
Peter J. Goepfrich, Chief Financial Officer
(952) 487-9500
www.vitalimages.com
Padilla Speer Beardsley
Nancy A. Johnson
(612) 455-1745
njohnson@psbpr.com
Marian Briggs
(612) 455-1742
mbriggs@psbpr.com

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