Vital Images Announces First Quarter Results

Maintains Strong Cash Position of $145 Million


MINNEAPOLIS, May 6, 2009 (GLOBE NEWSWIRE) -- Vital Images, Inc. (Nasdaq:VTAL), a leading provider of advanced visualization and analysis solutions, today reported revenue for the first quarter ended March 31, 2009 of $14.8 million, compared to $17.3 million for the first quarter of 2008. Net loss for the 2009 first quarter was $(251,000), or $(0.02) per diluted share, compared to a net loss of $(594,000), or $(0.03) per diluted share, for the 2008 first quarter.

The company also reported adjusted EBITDA (a non-GAAP measure) for the first quarter of 2009 of $1.5 million, compared to $147,000 for the first quarter of 2008.

Michael H. Carrel, Vital Images president and chief executive officer, said, "The economic downturn has had a significant impact on our customers, causing delays in hospital capital equipment purchases that continue to affect our revenue. However, our profitability improved significantly, and we remain the market leader in advanced visualization. Our pipeline continues to grow, and we are confident that our enterprise strategy of providing anywhere, anytime access to our industry-leading clinical applications is the best way to serve patients, physicians and hospitals."

"Vital is financially strong, with $1.5 million in both cash from operations and adjusted EBITDA this quarter, and $145 million in cash and investments. In 2009, we are focused on profitability while making strategic investments in building the best products, improving market share and maintaining service excellence. Vital is well-positioned to emerge from this recession an even stronger industry leader. In another demonstration of our confidence in our future prospects, we recently announced a new share repurchase program," said Carrel.

Financial Summary



                                            For the Three Months      
                                               Ended March 31,        
                                          ----------------------------
                                            2009           2008       
                                          --------       -------      
 Revenue:                                                             
  License fees                            $  5,994       $ 9,358      
  Maintenance and services                   8,561         7,534      
  Hardware                                     233           425      
                                          --------       -------      
   Total revenue                          $ 14,788       $17,317      
                                          ========       =======      
                                                                      
 Revenue by channel and as a                                          
  percent of total revenue:                                           
 Direct and other distributors            $  6,555  44%  $ 8,535   49%
 Toshiba                                     8,233  56     8,782   51 
                                          -------------  -------------
   Total revenue                          $ 14,788 100%  $17,317  100%
                                          =============  =============
                                                                      
 Revenue by geography:                                                
  United States                           $  9,684       $13,224      
  Europe                                     2,663         2,039      
  Asia and Pacific                           1,348         1,025      
  Other foreign                              1,093         1,029      
                                          --------       -------      
   Total revenue                          $ 14,788       $17,317      
                                          ========       =======
 Export revenue as a percent of                                       
  total revenue:                               35%           24%


 * Cash and investments as of March 31, 2009 were $144.9 million,
   compared to $147.0 million as of December 31, 2008. During the
   2009 first quarter, the company repurchased 295,000 shares of its
   common stock for $3.2 million under its share repurchase
   programs. In March, the company's board of directors approved a
   new share repurchase program authorizing up to an additional one
   million shares to be repurchased pursuant to a 10b5 plan at
   predetermined prices and amounts. As of March 31, 2009, 855,000
   shares remained to be purchased under the new plan.

 * Operating Expenses Summary:

   -- During the 2009 first quarter, the company experienced lower
      compensation costs, compared to the same period in 2008,
      resulting primarily from its 11 percent workforce reduction in
      November 2008. Other cost-control measures also contributed to
      decreased expense across all operating expense categories.

   -- Sales and marketing expense was $6.0 million for the 2009 first
      quarter, compared to $8.1 million for the same period in 2008.
      The decrease was due primarily to lower compensation costs and
      reduced commissions expense associated with a decrease in sales.

   -- Research and development expense was $3.3 million for the 2009
      first quarter, compared to $4.3 million for the first quarter of
      2008. Lower compensation costs and a reduction in the
      utilization of consultants contributed to the expense decrease.

   -- General and administrative expense was $3.0 million for the
      first quarter of 2009, compared to $3.7 million for the 2008
      first quarter, due primarily to lower compensation costs and
      other cost-control measures.

2009 Financial Guidance

The company remains confident in strong adjusted EBITDA profitably in 2009. However, due to the difficult economic environment and associated uncertainty in hospital capital spending, and resulting longer sales cycles, the company will no longer provide 2009 financial guidance. The company continues to be focused on positioning for long-term growth when the market improves.

Conference Call and Webcast

Vital Images will host a live webcast of its first quarter earnings conference call, Thursday, May 7, 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. The webcast replay will be available beginning at 2:00 p.m. CT on the same day. If you wish to listen to an audio replay of the conference call, dial (888) 203-1112 and enter conference call ID #9420218. The audio replay will be available beginning at 2:00 p.m. CT on Thursday, May 7, 2009 through 5:00 p.m. CT on Thursday, May 21, 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. Vital Images also has offices in Beijing, China, and Den Haag, the Netherlands. For more information, visit www.vitalimages.com.

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

Non-GAAP Information

Vital Images provides certain non-GAAP information to supplement GAAP information. Adjusted EBITDA (non-GAAP) is defined as earnings before interest, taxes, depreciation, amortization, impairment of patent, equity-based compensation and reduction in workforce charges. Adjusted EBITDA (non-GAAP) excludes certain items that are non-cash in nature and/or items that are affected by market forces that are difficult to predict and may not be within the control of management. Accordingly, management excludes these items from its internal operating forecasts and models when establishing internal operating budgets, supplementing the financial results and forecasts reported to the company's board of directors, determining a portion of bonus compensation for executive officers and certain other key employees, and evaluating short-term and long-term operating trends in the company's core operations. Management believes that this presentation facilitates the comparison of the company's current operating results to historical operating results.

Non-GAAP information is not prepared in accordance with GAAP and should not be considered a substitute for or an alternative to GAAP and may not be computed the same as similarly titled measures used by other companies. Management expects to continue to incur expenses similar to the non-GAAP adjustments described above, and the exclusion of these items from its non-GAAP net income should not be construed as an inference that these costs are unusual, infrequent or non-recurring.

The following is a reconciliation from GAAP earnings to adjusted EBITDA:



                                                  For the Three Months
                                                     Ended March 31,  
                                                 ---------------------
                                                   2009         2008  
                                                 --------     --------
 Adjusted EBITDA (in thousands):                                      
  Operating loss                                 $  (953)     $(2,590)
  Equity-based compensation                          992        1,232 
  Depreciation and amortization of                                     
   property and equipment                          1,285        1,244 
 Amortization of identified intangibles              156          261 
                                                 --------     --------
 Adjusted EBITDA                                 $ 1,480      $   147 
                                                 ========     ========

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 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 Months
                                                    Ended March 31,  
                                                ----------------------
                                                  2009          2008  
                                               ---------     ---------
 Revenue:                                                             
      License fees                             $  5,994      $  9,358 
      Maintenance and services                    8,561         7,534 
      Hardware                                      233           425 
                                               ---------     ---------
        Total revenue                            14,788        17,317 
                                                                      
  Cost of revenue:                                                    
      License fees                                  970         1,153 
      Maintenance and services                    2,377         2,572 
      Hardware                                      209           195 
                                               ---------     ---------
        Total cost of revenue                     3,556         3,920 
                                                                      
        Gross profit                             11,232        13,397 
                                                                      
  Operating expenses:                                                 
      Sales and marketing                         5,955         8,051 
      Research and development                    3,261         4,285 
      General and administrative                  2,969         3,651 
                                               ---------     ---------
        Total operating expenses                 12,185        15,987 
                                                                      
  Operating loss                                   (953)       (2,590)
                                                                      
  Interest income                                   430         1,685 
                                               ---------     ---------
  Loss before income taxes                         (523)         (905)
  Income tax benefit                               (272)         (311)
                                               ---------     ---------
  Net loss                                     $   (251)     $   (594)
                                               =========     =========
                                                                      
  Net loss per share - basic                   $  (0.02)     $  (0.03)
                                               =========     =========
  Net loss per share - diluted                 $  (0.02)     $  (0.03)
                                               =========     =========
                                                                      
  Weighted average common shares                                      
   outstanding - basic                           14,518        17,075 
                                               =========     =========
  Weighted average common shares                                      
   outstanding - diluted                         14,518        17,075 
                                               =========     =========


 Vital Images, Inc.                                                   
 Condensed Consolidated Balance Sheets                                
 (In thousands, except per share amounts)                             
 (Unaudited)                                                          
                                                                      
                                                                      
                                                March 31,    Dec. 31, 
                                                  2009         2008   
                                               ----------   ----------
 Assets                                                               
 Current assets:                                                      
  Cash and cash equivalents                    $  98,044    $ 109,706 
  Marketable securities                           34,941       37,287 
  Accounts receivable, net                        10,437       13,047 
  Deferred income taxes                              654          654 
  Prepaid expenses and other current assets        1,856        2,179 
                                               ----------   ----------
   Total current assets                          145,932      162,873 
 Marketable securities                            11,934           -- 
 Property and equipment, net                      11,240       11,519 
 Deferred income taxes                            14,252       13,904 
 Other intangible assets, net                        652          808 
 Goodwill                                          9,089        9,089 
                                               ----------   ----------
   Total assets                                $ 193,099    $ 198,193 
                                               ==========   ==========
                                                                      
 Liabilities and Stockholders' Equity                                 
 Current liabilities:                                                 
  Accounts payable                             $   3,024    $   3,792 
  Accrued compensation                             2,485        2,936 
  Accrued royalties                                  600        1,057 
  Other current liabilities                        1,938        1,947 
  Deferred revenue                                16,630       17,724 
                                               ----------   ----------
   Total current liabilities                      24,677       27,456 
 Deferred revenue                                  1,103        1,164 
 Deferred rent                                       780          882 
                                               ----------   ----------
   Total liabilities                              26,560       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; 14,440 issued and                                
  outstanding as of March 31, 2009; and                               
  14,673 shares issued and outstanding                                
  as of December 31, 2008                            144          147 
  Additional paid-in capital                     166,926      168,738 
  Accumulated deficit                               (631)        (380)
  Accumulated other comprehensive income             100          186 
                                               ----------   ----------
   Total stockholders' equity                    166,539      168,691 
                                               ----------   ----------
   Total liabilities and stockholders' equity  $ 193,099    $ 198,193 
                                               ==========   ==========


 Vital Images, Inc.                                                   
 Condensed Consolidated Statements of Cash Flows                      
 (In thousands)                                                       
 (Unaudited)                                                          
                                                                      
                                                 For the Three Months 
                                                    Ended March 31,   
                                               -----------------------
                                                   2009         2008  
                                               ----------   ----------
 Cash flows from operating activities:                                
  Net loss                                      $   (251)   $    (594)
   Adjustments to reconcile net loss to                               
    net cash provided by operating                                    
    activities:                                                       
   Depreciation and amortization of property                          
    and equipment                                  1,285        1,244 
   Amortization of identified intangibles            156          261 
   Provision for doubtful accounts                    88          135 
   Deferred income taxes                            (300)        (311)
   Excess tax benefit from stock transactions        (58)         (66)
   Amortization of discount and accretion                             
    of premium on marketable securities               90         (299)
   Employee stock-based compensation                 992        1,232 
   Amortization of deferred rent                     (97)         (93)
   Changes in operating assets and liabilities:                       
     Accounts receivable                           2,522         (439)
     Prepaid expenses and other assets               323            5 
     Accounts payable                             (1,053)        (439)
     Accrued expenses and other liabilities         (993)          65 
     Deferred revenue                             (1,155)         388 
                                               ----------   ----------
       Net cash provided by operating                                 
        activities                                 1,549        1,089 
                                               ----------   ----------
                                                                      
 Cash flows from investing activities:                                
    Purchases of property and equipment             (721)      (1,300)
    Purchases of marketable securities           (11,902)     (20,609)
    Proceeds from maturities of marketable                            
     securities                                    2,090       16,227 
    Proceeds from sale of marketable                                  
     securities                                       --        1,581 
                                               ----------   ----------
       Net cash used in investing activities     (10,533)      (4,101)
                                               ----------   ----------
                                                                      
 Cash flows from financing activities:                                
    Repurchases of common stock                   (3,249)          -- 
    Proceeds from sale of common stock                                
     under stock plans                               513          319 
    Excess tax benefit from stock                                     
     transactions                                     58           66 
                                               ----------   ----------
       Net cash (used in) provided by                                 
        financing activities                      (2,678)         385 
                                               ----------   ----------
                                                                      
 Net decrease in cash and cash equivalents       (11,662)      (2,627)
 Cash and cash equivalents, beginning of                              
  period                                         109,706      146,685 
                                               ----------   ----------
 Cash and cash equivalents, end of period     $   98,044    $ 144,058 
                                               ==========   ==========


            

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