NightHawk Radiology Holdings, Inc. Announces First Quarter 2009 Results


COEUR D'ALENE, Idaho, April 29, 2009 (GLOBE NEWSWIRE) -- NightHawk Radiology Holdings, Inc. (Nasdaq:NHWK), the leading provider of radiology solutions to radiology groups across the United States, today announced financial results for first quarter 2009.

First Quarter 2009 Highlights



 * Revenue was $38.8 million compared with $41.7 million in the
   year-ago quarter.
 * Scan volume was 722,321 exams compared with 745,075 exams in the
   year-ago quarter.
 * Revenue from new service offerings, including final reads and
   business services, was $9.1 million, or 23% of total revenue.
 * Final reads revenue increased 8% to $5 million, or 13% of total
   revenue.
 * Adjusted net income was $4.0 million, or $0.15 per diluted share,
   compared with $4.2 million, or $0.14 per diluted share, in the
   year-ago quarter. Adjusted net income excludes non-cash charges
   for stock compensation, amortization of intangible assets, losses
   on cancelled interest rate swap contracts and malpractice reserve
   adjustments.  Also excluded in the first quarter of 2009 is a
   non-cash charge of $68.7 million resulting from the impairment of
   the company's goodwill.
 * GAAP net loss of $52.6 million, or $1.97 per share, compared to
   GAAP net income of $0.7 million, or $0.02 per diluted share, in the
   year-ago quarter.  A reconciliation of adjusted net income to GAAP
   net income is included in the tables attached to this press release.
 * Cash flow from operations was $6.2 million, compared with
   $5.8 million in the year-ago quarter.  Free cash flow was
   $5.1 million during the quarter, an increase of 21% from
   $4.2 million in year-ago quarter.
 * Cash and cash equivalents on-hand at March 31, 2009 totaled
   $45.6 million.

"During the quarter we had a non-cash charge relating to the impairment of our goodwill, however, we are pleased with our adjusted operating results for the first quarter and our strong cash flow, even in a quarter that is typically one of our slowest and in a challenging economy. I am also excited about the progress we have made on key initiatives I identified last quarter, including the promotion of a more customer centric organization, a culture of excellence, and importantly, strong financial performance," said David Engert, the company's president and chief executive officer.

2009 Outlook

The company expects scan volume and revenue for the second quarter of 2009 to increase sequentially from the first quarter, with revenue expected to be in the range of $39 million to $41 million. The company also expects second quarter 2009 adjusted earnings per share to be in the range of 15 to 17 cents.

Forward-Looking Statements

This press release contains statements that are forward-looking statements as defined within the Private Securities Litigation Reform Act of 1995. These include statements regarding the company's outlook on its scan volume, revenue and adjusted earnings per share for the second quarter of 2009. These forward-looking statements are subject to risks and uncertainties that could cause actual results to differ materially from the statements made, including the risks associated with general economic conditions, competitive conditions in the radiology industry, and regulatory risks. Other factors that could cause operating and financial results to differ are described in the company's prospectus and periodic reports filed with the Securities and Exchange Commission (SEC). Other risks may be detailed from time to time in reports to be filed with the SEC. NightHawk does not undertake any obligation to publicly update its forward-looking statements based on events or circumstances after the date hereof.

Earnings Conference Call

The first quarter conference call will be held today, April 29, 2009 at 4:30 p.m. (ET). A live webcast of the conference call, as well as a replay, will be available online on the company's corporate website at http://www.nighthawkrad.net. Participants can also access the call by dialing (800) 257-1927 or (303) 262-2138 (for international callers). A replay of the call will be available approximately two hours after the conclusion of the call and will remain available until midnight (ET) on Wednesday, May 20, 2009. To access the replay, dial (800) 405-2236 or (303) 590-3000 (for international callers) and enter the conference ID number: 11130519.

About NightHawk

NightHawk Radiology (Nasdaq:NHWK) is leading the transformation of the practice of radiology by providing high-quality, cost-effective solutions to radiology groups and hospitals throughout the United States. NightHawk provides the most complete suite of solutions, including professional services, business services, and its advanced, proprietary clinical workflow technology, all designed to increase efficiencies and improve the quality of patient care and the lives of physicians who provide it. NightHawk's team of U.S. board-certified, state-licensed, and hospital-privileged physicians located in the United States, Australia, and Switzerland, provides services 24 hours a day, seven days a week, to approximately 1,560 sites, representing approximately 27% of all hospitals in the United States. For more information, visit http://www.nighthawkrad.net.

The NightHawk Radiology Holdings, Inc. logo is available at http://www.globenewswire.com/newsroom/prs/?pkgid=5531

Presentation of Non-GAAP Financial Information

The presentation of adjusted net income and adjusted earnings per diluted share are not measures of financial performance under GAAP and should not be considered a substitute for or superior to GAAP. Management believes these non-GAAP financial measures provide useful information to both management and investors by excluding certain expenses that may not be indicative of our core results and provide consistency in financial reporting. Specifically, the company's non-GAAP adjusted net income measure, and related adjusted earnings per diluted share, described in this release exclude (i) the non-cash charges related to our stock-based compensation, (ii) the non-cash expense associated with the amortization of intangibles associated with acquisitions, (iii) the non-cash expenses (or credits) associated with adjustments to our IBNR reserve (incurred but not reported medical liability reserves), (iv) the non-cash charges for goodwill impairment, and (v) the non-cash charge for the amortization of losses incurred on cancelled interest rate swap contracts. We exclude the non-cash charges related to our stock-based compensation due to the varying valuation methodologies, subjective assumptions and the variety of types of awards that companies can use when applying FAS 123R along with the fact that a substantial portion of our outstanding options and restricted stock units are held by our independent contractor physicians and require accounting treatment that differs from the accounting treatment for options and restricted stock units held by employees.

The company provides non-GAAP adjusted net income and related adjusted earnings per diluted share as financial measures because management believes these measures provide greater transparency with respect to information used by management in its financial and operational decision making and to enhance investors' overall understanding of our current financial performance and our future prospects. For reconciliation of our non-GAAP financial measures to the most applicable GAAP financial measure, please refer to the information included in the attached tables of this press release and in the Investor Relations section of our corporate website.

"NHWKF"



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         NIGHTHAWK RADIOLOGY HOLDINGS, INC. AND SUBSIDIARIES
 --------------------------------------------------------------------
                    CONSOLIDATED BALANCE SHEETS
 --------------------------------------------------------------------

                                                March 31,     Dec. 31,
 ASSETS                                           2009         2008
                                                --------     --------
                                                    (in thousands,
                                                  except share data)
 Current assets:
   Cash and cash equivalents                    $ 40,597     $ 47,160
   Marketable securities                           4,991           --
   Trade accounts receivable, net                 22,684       24,393
   Deferred income taxes                              --          855
   Prepaids and other current assets               6,904        6,231
                                                --------     --------
     Total current assets                         75,176       78,639

   Property and equipment, net                    10,915       10,528
   Goodwill                                           --       68,718
   Intangible assets, net                         77,747       79,616
   Deferred income taxes                          18,749        4,082
   Other assets, net                               3,807        3,566
                                                --------     --------
     Total                                      $186,394     $245,149
                                                ========     ========

 LIABILITIES

 Current liabilities:
   Accounts payable                             $  5,842     $  6,327
   Accrued expenses and other liabilities          3,041        3,617
   Accrued payroll and related benefits            3,061        3,783
   Long-term debt, due within one year               955          955
                                                --------     --------
     Total current liabilities                    12,899       14,682

   Professional liability reserve                  4,097        3,705
   Long-term debt                                 92,906       93,145
   Other liabilities                               3,088        3,850
                                                --------     --------
     Total liabilities                           112,990      115,382
                                                --------     --------

 STOCKHOLDERS' EQUITY

   Common stock-150,000,000 shares authorized;
    $.001 par value; 26,481,401 and 27,590,774
    shares issued and outstanding at March 31,
    2009 and December 31, 2008, respectively          26           28
   Additional paid-in capital                    232,849      237,429
   Retained earnings (deficit)                  (156,129)    (103,516)
   Accumulated other comprehensive loss           (3,342)      (4,174)
                                                --------     --------

     Total stockholders' equity                   73,404      129,767
                                                --------     --------

     Total                                      $186,394     $245,149
                                                ========     ========



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         NIGHTHAWK RADIOLOGY HOLDINGS, INC. AND SUBSIDIARIES
 --------------------------------------------------------------------
          CONSOLIDATED STATEMENTS OF OPERATIONS (unaudited)
 --------------------------------------------------------------------

                                          Three months ended March 31,
                                                2009          2008
                                            -----------   -----------
                                                 (in thousands,
                                              except per share amts)

 Service revenue                            $    38,798   $    41,688

 Operating costs and expenses:
   Professional services (includes non-cash
    compensation expense of $71 and $590)        16,656        17,867
   Sales, general, and administrative
    (includes non-cash compensation expense
    of $974 and $2,356)                          14,734        18,170
   Depreciation and amortization                  2,798         2,798
   Goodwill impairment                           68,718            --
                                            -----------   -----------

     Total operating costs and expenses         102,906        38,835
                                            -----------   -----------

 Operating income (loss)                        (64,108)        2,853

 Other income (expense):
   Interest expense                              (2,302)       (2,187)
   Interest income                                   55           527
   Other, net                                        10            28
                                            -----------   -----------

     Total other income (expense)                (2,237)       (1,632)
                                            -----------   -----------

     Income (loss) before income taxes          (66,345)        1,221

 Income tax expense (benefit)                   (13,732)          490
                                            -----------   -----------

 Net income (loss)                          $   (52,613)  $       731
                                            ===========   ===========

 Earnings (loss) per common share:
   Basic                                    $     (1.97)  $      0.02
   Diluted                                  $     (1.97)  $      0.02
 Weighted averages of common shares
  outstanding:
   Basic                                     26,649,147    30,444,195
   Diluted                                   26,649,147    31,424,363



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        NIGHTHAWK RADIOLOGY HOLDINGS, INC. AND SUBSIDIARIES
 --------------------------------------------------------------------
          CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited)
 --------------------------------------------------------------------

                                          Three months ended March 31,
                                                     2009      2008
                                                   --------  --------
                                                     (in thousands)

 Cash flows from operating activities:
   Net income (loss)                               $(52,613) $    731
   Adjustments to reconcile net income (loss) to
    net cash provided by operating activities:
     Depreciation and amortization                    2,798     2,798
     Goodwill impairment                             68,718        --
     Amortization of debt issuance costs and
      interest rate swaps                             1,046       162
     Loss (gain) on disposal of fixed assets and
      other, net                                        104        (1)
     Deferred income taxes                          (14,287)     (170)
     Non-cash stock compensation expense              1,045     2,946
     Excess tax benefit from exercise of stock
      options                                            (5)      (79)
     Provision for doubtful accounts                    317       190
     Changes in operating assets and liabilities
      (excluding effects of acquisitions):
       Trade accounts receivable, net                 1,347       224
       Prepaid expenses and other assets             (1,097)   (2,478)
       Accounts payable                                (649)      321
       Accrued expenses and other liabilities           203       579
       Accrued payroll and related benefits            (733)      580
                                                   --------  --------
         Net cash provided by operating activities    6,194     5,803

 Cash flows from investing activities:
   Purchase of marketable securities                 (4,991)  (10,305)
   Proceeds from maturities of marketable
    securities                                           --     7,765
   Purchase of property and equipment                (1,110)   (1,634)
                                                   --------  --------
         Net cash used in investing activities       (6,101)   (4,174)

 Cash flows from financing activities:
   Repayment of debt                                   (239)     (250)
   Proceeds from exercise of stock options               30       206
   Excess tax benefit from exercise of stock
    options                                               5        79
   Purchase and retirement of common stock shares    (6,452)       --
                                                   --------  --------
         Net cash (used in) provided by financing
          activities                                 (6,656)       35
                                                   --------  --------
 Net increase (decrease) in cash and cash
  equivalents                                        (6,563)    1,664
 Cash and cash equivalents--beginning of period      47,160    31,956
                                                   --------  --------
 Cash and cash equivalents--end of period          $ 40,597  $ 33,620
                                                   --------  --------



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         NIGHTHAWK RADIOLOGY HOLDINGS, INC. AND SUBSIDIARIES
 --------------------------------------------------------------------
          CONSOLIDATED STATEMENTS OF OPERATIONS (unaudited)
 --------------------------------------------------------------------
         RECONCILIATION BETWEEN GAAP AND ADJUSTED NET INCOME
 --------------------------------------------------------------------

                                         Three months ended
                                -------------------------------------
                                           March 31, 2009
                                           --------------
                                (in thousands, except per share amts)
                                    GAAP     Adjustments  As Adjusted
                                -----------  -----------  -----------

 Service revenue                $    38,798               $    38,798

 Operating costs and expenses:
   Professional services (1)         16,656         (463)      16,193
   Sales, general, and
    administrative (2)               14,734         (974)      13,760
   Depreciation and
    amortization (3)                  2,798       (1,869)         929
   Goodwill impairment               68,718      (68,718)          --
                                -----------  -----------  -----------

     Total operating costs
      and expenses                  102,906      (72,024)      30,882
                                -----------  -----------  -----------

 Operating income (loss)            (64,108)      72,024        7,916

 Other income (expense):
   Interest expense (4)              (2,302)         885       (1,417)
   Interest income                       55                        55
   Other, net                            10                        10
                                -----------  -----------  -----------

     Total other income
      (expense)                      (2,237)         885       (1,352)
                                -----------  -----------  -----------

     Income (loss) before
      income taxes                  (66,345)      72,909        6,564

 Income tax expense 
  (benefit)(5)                      (13,732)      16,299        2,567
                                -----------  -----------  -----------

 Net income (loss)              $   (52,613) $    56,610  $     3,997
                                ===========  ===========  ===========


 Earnings (loss) per share:
   Basic                        $     (1.97)              $      0.15
   Diluted                      $     (1.97)              $      0.15
 Weighted average of shares
  outstanding:
   Basic                         26,649,147                26,649,147
   Diluted                       26,649,147                27,204,606


                                         Three months ended
                                -------------------------------------
                                           March 31, 2008
                                           --------------
                                (in thousands, except per share amts)
                                    GAAP     Adjustments  As Adjusted
                                -----------  -----------  -----------


 Service revenue                $    41,688               $    41,688

 Operating costs and expenses:
   Professional services (1)    $    17,867       (1,459)      16,408
   Sales, general, and
    administrative (2)               18,170       (2,356)      15,814
   Depreciation and
    amortization (3)                  2,798       (1,883)         915
   Goodwill impairment
                                -----------  -----------  -----------

     Total operating costs and
      expenses                       38,835       (5,698)      33,137
                                -----------  -----------  -----------

 Operating income (loss)              2,853        5,698        8,551

 Other income (expense):
   Interest expense (4)              (2,187)                   (2,187)
   Interest income                      527                       527
   Other, net                            28                        28
                                -----------  -----------  -----------

     Total other income
      (expense)                      (1,632)                   (1,632)
                                -----------  -----------  -----------

     Income (loss) before
      income taxes                    1,221        5,698        6,919

 Income tax expense 
  (benefit)(5)                          490        2,182        2,672
                                -----------  -----------  -----------

 Net income (loss)              $       731  $     3,516  $     4,247
                                ===========  ===========  ===========


 Earnings (loss) per share:
   Basic                        $      0.02               $      0.14
   Diluted                      $      0.02               $      0.14
 Weighted average of shares
  outstanding:
   Basic                         30,444,195                30,444,195
   Diluted                       31,424,363                31,424,363


 (1) Adjustments to the 2009 GAAP amounts represent $71 of non-cash
 stock compensation expense and $392 of non-cash malpractice reserve
 changes. The 2008 adjustments to GAAP amounts represent $590 of
 non-cash stock compensation expense and $869 of non-cash malpractice
 reserve changes.
 (2) Adjustments to the 2009 GAAP amounts represent $974 of non-cash
 stock compensation expense. The 2008 adjustments to GAAP amounts
 represent $2,356 of non-cash stock compensation expense.
 (3) Adjustment to GAAP amounts represent non-cash expense associated
 with the amortization of intangibles associated with acquisitions.
 (4) Represents the amortization of losses incurred on interest rate
 swap contracts canceled in 2008.
 (5) Represents the tax effect on the adjustments to GAAP. In addition,
 in 2009 we adjusted our tax expense amount to properly reflect the
 impact of the non-deductible portions of our goodwill impairment.




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                  NIGHTHAWK RADIOLOGY HOLDINGS, INC.
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                          HISTORICAL VOLUMES
 ---------------------------------------------------------------------


 ----------------    -------------     -------------------------------
                                              Growth Rates
    Quarter  Year    Total Volumes     Sequential   Year over Year
 ----------------    -------------     -------------------------------
      Q1     2008        745,075           2%             54%
      Q2     2008        780,108           5%              7%
      Q3     2008        791,613           1%              1%
      Q4     2008        718,299          (9%)            (2%)
                       ---------          ---             ---
      FY     2008      3,035,095          11%             11%

      Q1     2009        722,321           1%             (3%)


            

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