EX-99.1 2 exhibit99.htm PRESS RELEASE DATED 04.27.2010 exhibit99.htm







Conference Call:
Today, Tuesday, April 27, 2010 at 10:00 a.m. EDT
Dial-in Numbers:
866-395-2657 or 706-902-0717 (International)
Webcast/Replay URL:
www.integramed.com or www.earnings.com
Phone Replay:
800-642-1687 or 706-645-9291 through May 5, 2010
Conference ID #
67792611

IntegraMed® Q1 Net Income Rose 22% to $1.1 Million
as Revenue Increased 9% to a Record $57.0 Million

- Q1 EPS of $0.11 Despite Dilution Impact of 2.8 Million Share Offering -

PURCHASE, NEW YORK April 27, 2010 -- IntegraMed America, Inc. (NASDAQ: INMD), the leader in developing and managing specialty healthcare facilities in the fertility and vein care markets, today announced strong results for the first quarter ended March 31, 2010.

Summary Financial Results
(in thousands, except per share data)
 
      Q1 2010       Q1 2009    
% Change
 
Revenues:
Fertility Centers
  $ 37,957     $ 36,283       5 %
Consumer Services
    6,086       5,226       16 %
Vein Clinics
    12,981       10,846       20 %
Total Revenues
  $ 57,024     $ 52,355       9 %
Contribution:
Fertility Centers
    3,055       2,640       16 %
Consumer Services
    1,390       1,513       (8 %)
Vein Clinics
    867       754       15 %
Total Contribution
  $ 5,312     $ 4,907       8 %
G&A Costs
  $ 3,196     $ 3,138       2 %
Net Interest Expense
    204       220       (7 %)
Income Before Inc. Taxes
    1,912       1,549       23 %
Net Income
  $ 1,121     $ 920       22 %
Diluted EPS
  $ 0.11     $ 0.10       10 %
Diluted Shares
    10,372       8,827       18 %

Jay Higham, IntegraMed’s CEO, commented, ”Our Q1 financial performance reflects our ability to drive growth in all three segments of the business as well as margin expansion and infrastructure leverage across the company.  Our Fertility Division enjoyed a strong quarter at both the revenue and operating income level.  In our Consumer Services Division, our Attain IVF family of treatment financing solutions achieved very solid rebound in demand with both applications and enrollments up significantly, providing added confirmation of the programs’ appeal and high growth prospects.  Our Vein Clinic business continued to generate attractive top and bottom line results as it achieved double digit increases in inquiries, new patient visits and first leg starts.

 
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“In summary, the investments we made over the last few years are paying off with continued growth and margin expansion.  We believe our businesses will continue to profit from the improving external environment and ongoing operational initiatives focused on patient recruitment, efficiency initiatives and new clinic development.  The additional financial strength and flexibility provided by our successful follow on common stock offering in February is enabling us to aggressively pursue acquisitions in our fertility center business as well as more extensive direct to consumer marketing of Attain IVF and the development of more new vein clinics.   We believe that the benefits from these investments will help push the company to its next stage of growth and development.”

Fertility Centers
 
Q1 2010
Q1 2009
Change
% Change
Revenue:
$38.0M
$36.3M
+ $1.7M
+5%
Operating Income:
  $3.1M
  $2.6M
+$0.5M
+16%
Inquiries:
9,938
9,894
+44
 +0%
New Patient Visits:
7,041
6,980
+61
+1%
IVF Cycles:
3,413
3,624
-211
-6%

Fertility Centers top-line improvement was driven by both same store patient revenue growth of 2.2% in Q1, as well as a full quarter’s benefit from the three fertility contracts acquired in late 2009.  Improved operating efficiencies resulted in operating income growing at three times the rate of revenue.

Though operating efficiencies continued to have a positive effect on results, the previously discussed loss of a payer contract in the Chicago market a year ago, had a significant impact on the comparison of overall patient traffic to the first quarter of 2009.  In addition, inclement weather in the Mid-Atlantic States in January and February affected access to our partner centers, thereby dampening new patient visits and procedure volumes.

IntegraMed manages the most extensive consolidated network of contracted fertility centers in the U.S., encompassing 14 partner centers with 66 locations in 12 major markets across the country.  This growing geographic breadth and diversity plays an important role in enabling the Company to deliver solid financial performance.

Consumer Services (Attain IVF Program)
 
Q1 2010
Q1 2009
Change
% Change
Revenue:
$6.1M
$5.2M
+$0.9M
+16%
Operating Income:
$1.4M
$1.5M
-$0.1M
-8%
Applications:
726
549
+177
+32%
Enrollments:
361
253
+108
+43%
Pregnancies:
219
211
+8
  +4%

The Consumer Services Division continued to achieve top-line growth with a 16% increase in revenue.  Operating income from this business experienced a small negative variance compared to last year primarily due to the unusual and unsustainably high pregnancy rates experienced in Q1 ’09, which led to a record operating margin in the business.  This quarter, pregnancy rates and operating margin reverted to more normal levels.  It should also be noted that this business is the focus of an intensive new direct to consumer marketing effort, which will likely result in stronger growth, but modestly lower margins.

 
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The strong growth in both applications and enrollments was largely driven by the ongoing success of the Attain IVF (in-vitro fertilization) Refund Program as well as the growing popularity of the Attain IVF Multi Cycle program launched in Q2 ‘09.  The Attain IVF Multi Cycle program, which has a lower price point than the Attain IVF Refund Program, broadens the pool of potential patients who are able to enroll in the program.

The Consumer Services Division is expected to achieve continued growth as the benefits of new marketing and consumer outreach initiatives begin to affect operating results.  In addition, IntegraMed remains active in its pursuit of additional affiliates who will offer the program.

The Attain IVF Refund Program was pioneered by IntegraMed to fund the financial cost of a patient’s decision to embark on a series of IVF treatments.  The program is available in a flexible format that combines various treatment and refund options of up to six treatments and up to a 100% refund in the event that treatment does not result in the patient taking a baby home.  The Attain IVF family of programs has strong consumer appeal and represent an important competitive advantage for IntegraMed affiliated fertility centers.

Vein Clinics (VCA)
 
Q1 2010
Q1 2009
Change
% Change
Revenue:
$13.0M
$10.8M
+$2.2M
+20%
Operating Income:
$0.9M
$0.8M
+$0.1M
+15%
Inquiries:
5,224
4,767
457
+10%
New Consultations:
3,420
3,121
+299
+10%
First Leg Starts:
1,882
1,574
+308
+20%

Q1 ‘10 revenues for IntegraMed’s Vein Clinics business grew by 20%, reflecting the benefit of consumer outreach initiatives commenced in 2009 as well as improving clinic performance and new clinic openings.  Vein Clinics contribution margin remained flat at 7% as we continue to invest in consumer outreach programs to drive patient volumes.

IntegraMed announced the opening two additional clinics during the first quarter, bringing the total number of announced clinics to 36, with as many as six more clinics slated to open during the balance of 2010.  The recruiting for new physicians to staff the additional 2010 scheduled openings is going well with 3 signed to contracts and a number of others in the contract discussion stage.

IntegraMed recently announced the incorporation of Interventional Radiology (IR) into a forthcoming new clinic in Columbia, MD.  This enhanced treatment option is expected to bring substantial synergies to the current VCA platform, allowing future clinics with this capability to deliver a broader base of treatments across a wider patient population and thereby enhance their potential revenue opportunities.

Cash Flow and Balance Sheet
IntegraMed’s total assets grew to $146.5 million in Q1 ’10, with cash and equivalents increasing by 62% to $46.6 million versus $28.9 million in Q1 ‘09. The increase in cash was achieved by our public sale of 2.8 million common shares on February 18, 2010 and the generation of cash flow from operations of over $1 million in Q1 2010.  We have invested an additional $1.8 million in fixed assets for anticipated growth and have repaid $0.9 million of outstanding debt.  We expect to use a significant portion of our available cash resources to fund acquisitions within our fertility centers division as well as to fund consumer services marketing initiatives and the opening of new vein clinics over the next 12-24 months.

 
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IntegraMed CFO, John Hlywak, added, “As we look ahead to the balance of 2010, we see a range of growth opportunities across all three of our businesses.  As a national operator and a leader in the fertility and vein care categories, we are uniquely positioned to leverage that platform to create value for patients and doctors and to drive top and bottom line growth.”


About IntegraMed America, Inc.
IntegraMed America, Inc. manages highly specialized outpatient facilities in emerging, technology-based, niche medical markets and is the leading manager of fertility centers and vein clinics in the United States.  IntegraMed supports its provider networks with clinical and business information systems, marketing and sales, facilities and operations management, finance and accounting, human resources, legal, risk management and quality assurance services.  IntegraMed’s fertility network is the nation’s largest fertility network, comprised of 39 contracted centers with over 120 locations in 34 states and the District of Columbia.  Nearly one of every four IVF procedures in the U.S. is performed in an IntegraMed network fertility practice.  The IntegraMed Vein Clinic network is the leading provider of varicose vein care services in the US, currently operating 36 centers in 13 states, principally in the Midwest and Southeast.

For more information about IntegraMed please visit:
www.integramed.com for investor background,
www.atttainfertility.com for fertility, or
www.veinclinics.com for vein care
 
Statements contained in this press release that are not based on historical fact, including statements concerning future results, performance, expectations and expansion of IntegraMed are forward-looking statements that may involve a number of risks and uncertainties.  Actual results may differ materially from the statements made as a result of various factors, including, but not limited to, the risks associated with IntegraMed's ability to identify, consummate and finance future growth, changes in insurance coverage, government laws and regulations regarding health care or managed care contracting; and other risks, including those identified in the company's most recent Form 10-K and in other documents filed by IntegraMed with the U.S. Securities and Exchange Commission.  All information in this press release is as of April 27, 2010 and IntegraMed undertakes no duty to update this information.
 

CONTACT:
 
Investors:
Media/Investors:
John W. Hlywak, Jr., EVP and CFO
Norberto Aja, David Collins
IntegraMed America, Inc.
Jaffoni & Collins Incorporated
jhlywak@integramed.com
inmd@jcir.com
914-251-4143
212-835-8500
   
Physicians:
 
Scott Soifer, EVP Administration, Strategy and Development
IntegraMed America, Inc.
 
scott.soifer@integramed.com
 
914-251-4186
 






(tables follow)

 
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INTEGRAMED AMERICA, INC.
CONSOLIDATED STATEMENT OF OPERATIONS
(all amounts in thousands, except per share amounts)



   
Three months ended
 
   
March 31,
 
   
2010
   
2009
 
   
(unaudited)
 
Revenues:
           
Fertility Centers
  $ 37,957     $ 36,283  
Consumer Services
    6,086       5,226  
Vein Clinics
    12,981       10,846  
Total Revenues
    57,024       52,355  
                 
Costs of services and sales:
               
Fertility Centers
    34,902       33,643  
Consumer Services
    4,696       3,713  
Vein Clinics
    12,114       10,092  
Total Cost of Services and Sales
    51,712       47,448  
                 
Contribution:
               
Fertility Centers
    3,055       2,640  
Consumer Services
    1,390       1,513  
Vein Clinics
    867       754  
Total Contribution
    5,312       4,907  
                 
General and administrative expenses
    3,196       3,138  
Interest income
    (73 )     (77 )
Interest expense
    277       297  
Total other expenses, net
    3,400       3,358  
                 
Income before income taxes
    1,912       1,549  
Income tax provision
    791       629  
Net income
  $ 1,121     $ 920  
                 
Basic and diluted earnings per share:
               
Basic earnings per share
  $ 0.11     $ 0.10  
Diluted earnings per share
  $ 0.11     $ 0.10  
                 
Weighted average shares – basic
    10,302       8,762  
Weighted average shares – diluted
    10,372       8,827  



 
5

 

INTEGRAMED AMERICA, INC.
CONSOLIDATED BALANCE SHEETS
(all amounts in thousands)
(Unaudited)



   
March 31,
   
December 31,
 
   
2010
   
2009
 
ASSETS
           
             
Current assets:
           
Cash and cash equivalents
  $ 46,622     $ 28,865  
Patient and other receivables, net
    7,447       6,964  
Deferred taxes
    3,012       2,883  
Other current assets
    10,522       7,653  
                 
Total current assets
    67,603       46,365  
                 
Fixed assets, net
    17,123       16,705  
Intangible assets, Business Service Rights, net
    23,886       24,210  
Goodwill
    30,334       30,334  
Trademarks
    4,442       4,442  
Other assets
    3,155       2,253  
                 
Total assets
  $ 146,543     $ 124,309  
                 
LIABILITIES AND SHAREHOLDERS' EQUITY
               
Current liabilities:
               
Accounts payable
  $ 2,436     $ 2,846  
Accrued liabilities
    15,036       15,119  
Current portion of long-term notes payable and other obligations
    11,299       11,317  
Due to Fertility Medical Practices, net
    8,474       6,424  
Attain IVF and other patient deposits
    14,528       13,362  
                 
Total current liabilities
    51,773       49,068  
                 
Deferred tax liabilities
    2,370       2,199  
Long-term notes payable and other obligations
    13,848       14,849  
      67,991       66,116  
Commitments and Contingencies
               
                 
Shareholders' equity:
               
Common stock
    118       88  
Capital in excess of par
    75,804       56,354  
Other comprehensive income (loss)
    (124 )     (188 )
Treasury stock
    (681 )     (375 )
Retained Earnings
    3,435       2,314  
Total shareholders' equity
    78,552       58,193  
                 
Total liabilities and shareholders' equity
  $ 146,543     $ 124,309  



 
6

 

INTEGRAMED AMERICA, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(all amounts in thousands)
(Unaudited)

 

 

 
   
Three-months ended
March 31,
 
   
2010
   
2009
 
             
Cash flows from operating activities:
           
Net income
  $ 1,121     $ 920  
Adjustments to reconcile net income to net cash provided by operating activities:
               
Depreciation and amortization
    1,676       1,803  
Deferred income tax provision
    28       (343 )
Deferred or stock based compensation
    366       384  
Changes in assets and liabilities 
               
Decrease (increase) in assets:
               
Patient and other accounts receivable
    (483 )     (580 )
Prepaid and other current assets
    (2,869 )     (1,331 )
Other assets
    (902 )     165  
(Decrease) increase in liabilities:
               
Accounts payable
    (410 )     (1,038 )
Accrued liabilities
    (389 )     (1,515 )
Due to Fertility Medical Practices
    2,050       977  
Attain IVF and Vein Clinic patient deposits
    1,166       (25 )
Net cash provided by (used in) operating activities
    1,354       (583 )
                 
Cash flows used in investing activities:
               
Purchase of fixed assets and leasehold improvements
    (1,770 )     (2,566 )
Net cash used in investing activities
    (1,770 )     (2,566 )
                 
Cash flows provided by financing activities:
               
Principle repayments on debt
    (915 )     (913 )
Common stock transactions
    19,088       (164 )
Net cash provided by (used in) financing activities
    18,173       (1,077 )
                 
Net increase (decrease) in cash and cash equivalents
    17,757       (4,226 )
Cash and cash equivalents at beginning of period
    28,865       28,275  
Cash and cash equivalents at end of period
  $ 46,622     $ 24,049  
                 

 

 

 


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