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Impairment
and
restruct-
uring
charges(3) (6.8) - nm(4) (1.0) nm(4) (15.1) - nm(4)
Total $51.3 $59.5 (13.8) $49.5 3.6 $190.7 $250.0 (23.7)
Adjusted
EBITDA(3) $58.0 $59.5 (2.5) $50.5 14.9 $218.7 $250.0 (12.5)
Net income
(loss) (14.8) 3.3 nm(4) (4.2) nm(4) (35.0) 26.2 nm(4)
Operating
cash flow 74.2 57.1 29.9 (3.9) nm(4) 164.7 20.5 nm(4)
(1) Eliminations represent the sale of pharmaceuticals from our
distribution center (pharmaceutical services segment) to our
practices affiliated under comprehensive service agreements (medical
oncology segment).
(2) Corporate costs relate primarily to general and administrative
expenses in support of our network.
(3) Impairment and restructuring charges and the loss on debt
extinguishment are excluded from Adjusted EBITDA. During the fourth
quarter of 2007, these charges consisted of $0.9 million related to
the medical oncology segment, $1.2 million to the cancer center
services segment and $4.7 million to corporate costs. During 2007,
$1.6 million related to the medical oncology services segment,
$4.2 million to the cancer center services segment and $9.3 million
to corporate costs.
(4) Not meaningful.
Medical Oncology Services
In the fourth quarter of 2007, medical oncology services revenue
increased $4.9 million, or 0.9 percent, and EBITDA decreased $5.9 million,
or 23.4 percent, compared to the fourth quarter of 2006. The revenue
increase reflects an increase in daily visits due to growth in our network
of affiliated medical oncologists which was partially offset by reduced
utilization of supportive care drugs. The EBITDA decrease is due primarily
to reduced
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