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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549


FORM 10-Q

[ X ] Quarterly Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

For the Quarterly Period Ended February 28, 2005

or

[   ] Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

Commission File Number 000-19364

AMERICAN HEALTHWAYS, INC.

(Exact Name of Registrant as Specified in its Charter)

Delaware
(State or Other Jurisdiction of Incorporation)
62-1117144
(I.R.S. Employer Identification No.)


3841 Green Hills Village Drive
Nashville, Tennessee

(Address of Principal Executive Offices)

37215

(Zip Code)

(615) 665-1122
(Registrant’s telephone number, including area code)

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding twelve months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.

Yes [X]     No [  ]

Indicate by check mark whether the registrant is an accelerated filer (as defined in Rule 12b-2 of the Exchange Act).

Yes [X]     No [  ]

As of April 5, 2005 there were outstanding 33,164,980 shares of the Registrant’s Common Stock, par value $.001 per share.


Part I
   Item 1. Financial Statements
       CONSOLIDATED BALANCE SHEETS - ASSETS
       CONSOLIDATED BALANCE SHEETS - LIABILITIES AND STOCKHOLDERS' EQUITY
       CONSOLIDATED STATEMENT OF OPERATIONS
       CONSOLIDATED STATEMENT OF CHANGES IN STOCKHOLDERS' EQUITY
       CONSOLIDATED STATEMENTS OF CASH FLOWS
       NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
   Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations
   Item 3. Quantitative and Qualitative Disclosures about Market Risk
   Item 4. Controls and Procedures

Part II
   Item 1. Legal Proceedings
   Item 2. Changes in Securities, Use of Proceeds, and Issuer Purchases of Equity Securities
   Item 3. Defaults Upon Senior Securities
   Item 4. Submission of Matters to a Vote of Security Holders
   Item 5. Other Information
   Item 6. Exhibits and Reports on Form 8-K

SIGNATURES

Ex-10.1   Summary of Named Executive Officer Compensation
Ex-10.2   Summary of 2005 Incentive Bonus Plan
Ex-10.3   Fiscal Year 2005 Bonus Criteria Under Capital Accumulation Plan
Ex-11      Earnings Per Share Reconciliation
Ex-31.1   Section 302 CEO Certification
Ex-31.2   Section 302 CFO Certification
Ex-32      Section 906 CEO and CFO Certification

Part I

Item 1. Financial Statements

AMERICAN HEALTHWAYS, INC.

CONSOLIDATED BALANCE SHEETS

(In thousands)

(Unaudited)

ASSETS

February 28,
2005

August 31,
2004

Current assets:            
  Cash and cash equivalents   $ 28,516   $ 45,147  
  Restricted cash    3,454    1,524  
  Investments    7,040    7,040  
  Accounts receivable, net  
  Billed    40,723    33,235  
  Unbilled    451    866  
  Other current assets    5,927    5,976  
  Income taxes receivable    2,483    --  
  Deferred tax asset    2,271    2,248  


    Total current assets    90,865    96,036  
Property and equipment:  
  Leasehold improvements    9,015    8,730  
  Computer equipment and related software    57,393    53,379  
  Furniture and office equipment    15,133    14,514  


     81,541    76,623  
  Less accumulated depreciation    (45,770 )  (36,796 )


     35,771    39,827  
Other assets    2,595    2,456  
Intangible assets, net    18,090    19,854  
Goodwill, net    92,398    93,574  


    $ 239,719   $ 251,747  


See accompanying notes to the consolidated financial statements.  

2


AMERICAN HEALTHWAYS, INC.

CONSOLIDATED BALANCE SHEETS

(In thousands, except share and per share data)

(Unaudited)

LIABILITIES AND STOCKHOLDERS’ EQUITY

February 28,
2005

August 31,
2004

Current liabilities:            
  Accounts payable   $ 5,000   $ 10,343  
  Accrued salaries and benefits    10,357    4,616  
  Accrued liabilities    4,245    4,688  
  Contract billings in excess of earned revenue    4,916    4,898  
  Income taxes payable    --    3,294  
  Current portion of long-term debt    155    12,243  
  Current portion of long-term liabilities    1,696    1,018  


    Total current liabilities    26,369    41,100  
Long-term debt    18,500    36,562  
Long-term deferred tax liability    12,658    12,658  
Other long-term liabilities    5,716    5,992  
Stockholders' equity:  
  Preferred stock  
    $.001 par value, 5,000,000 shares  
      authorized, none outstanding    --    --  
  Common stock  
    $.001 par value, 75,000,000 shares authorized,  
     33,146,305 and 32,857,041 shares outstanding    33    33  
  Additional paid-in capital    95,852    90,980  
  Retained earnings    80,591    64,387  
  Accumulated other comprehensive income    --    35  


    Total stockholders' equity    176,476    155,435  


    $ 239,719   $ 251,747  


See accompanying notes to the consolidated financial statements.  

3


AMERICAN HEALTHWAYS, INC.

CONSOLIDATED STATEMENTS OF OPERATIONS

(In thousands, except earnings per share data)

(Unaudited)

Three Months Ended
February 28/29,

Six Months Ended
February 28/29,

2005
2004
2005
2004
Revenues     $ 75,337   $ 57,122   $ 146,523   $ 108,200  
Cost of services    48,132    37,020    94,103    71,164  




  Gross margin    27,205    20,102    52,420    37,036  

 Selling, general & administrative expenses
    7,287    6,022    13,460    11,164  
 Depreciation and amortization    5,493    4,429    10,955    8,570  
 Interest    472    890    1,114    1,834  




Income before income taxes    13,953    8,761    26,891    15,468  
Income tax expense    5,512    3,437    10,687    6,187  




Net income   $ 8,441   $ 5,324   $ 16,204   $ 9,281  




Basic income per share:   $ 0.26   $ 0.17   $ 0.49   $ 0.29  




Diluted income per share:   $ 0.24   $ 0.15   $ 0.46   $ 0.27  




Weighted average common shares  
 and equivalents:  
   Basic    33,073    32,039    32,997    31,915  
   Diluted    35,490    34,746    35,390    34,507  
  
See accompanying notes to the consolidated financial statements.  

4


AMERICAN HEALTHWAYS, INC.

CONSOLIDATED STATEMENT OF CHANGES IN STOCKHOLDERS’ EQUITY

For the Six Months Ended February 28, 2005

(In thousands)

(Unaudited)

Preferred
Stock

Common
Stock

Additional
Paid-in
Capital

Retained
Earnings

Accumulated
Other
Comprehensive
Income

Total
Balance, August 31, 2004     $ --   $ 33   $ 90,980   $ 64,387   $ 35   $ 155,435  
  Net income    --    --    --    16,204    --    16,204  
  Termination of interest rate swap    --    --    --    --    (35 )  (35 )
     Total comprehensive income                        16,169  
  Exercise of stock options and other    --    --    1,994    --    --    1,994  
  Tax benefit of option exercises    --    --    2,878    --    --    2,878  






Balance, February 28, 2005   $ --   $ 33   $ 95,852   $ 80,591   $ --   $ 176,476  






  
See accompanying notes to the consolidated financial statements.  

5


AMERICAN HEALTHWAYS, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

(In thousands)

(Unaudited)

Six Months Ended
February 28/29,

2005
2004
Cash flows from operating activities:            
Net income   $ 16,204   $ 9,281  
Adjustments to reconcile net income to net cash provided by  
operating activities, net of business acquisitions:  
  Depreciation and amortization    10,955    8,570  
  Amortization of deferred loan costs    272    384  
  Tax benefit of stock option exercises    2,878    3,781  
  Increase in accounts receivable, net    (7,073 )  (11,574 )
  Increase in other current assets    (2,490 )  (232 )
  (Decrease) increase in accounts payable    (5,343 )  294  
  Increase (decrease) in accrued salaries and benefits    5,741    (6,179 )
  (Decrease) increase in other current liabilities    (3,719 )  2,947  
  Other    1,343    1,488  
Decrease in other assets    319    170  
Payments of other long-term liabilities    (650 )  (300 )


Net cash flows provided by operating activities    18,437    8,630  


Cash flows from investing activities:  
  Acquisition of property and equipment    (5,035 )  (8,538 )
  Business acquisitions, net of cash acquired    1,176    (60,223 )
  Proceeds from sale of investments    2,000    --  
  Purchases of investments    (2,000 )  --  


Net cash flows used in investing activities    (3,859 )  (68,761 )


Cash flows from financing activities:  
  Increase in restricted cash    (1,930 )  --  
  Proceeds from issuance of long-term debt    48,000    60,000  
  Deferred loan costs    (730 )  (2,315 )
  Payments of long-term debt    (78,150 )  (6,214 )
  Exercise of stock options    1,601    1,964  


Net cash flows (used in) provided by financing activities    (31,209 )  53,435  


Net decrease in cash and cash equivalents    (16,631 )  (6,696 )
Cash and cash equivalents, beginning of period    45,147    34,846  


Cash and cash equivalents, end of period   $28,516   $28,150  


  
  
See accompanying notes to the consolidated financial statements.  

6


AMERICAN HEALTHWAYS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(Unaudited)

(1) Interim Financial Reporting

        The accompanying consolidated financial statements of American Healthways, Inc. and its wholly-owned subsidiaries for the six months ended February 28, 2005 and February 29, 2004 are unaudited. However, in our opinion, the financial statements reflect all adjustments consisting of normal, recurring accruals necessary for a fair presentation. We have reclassified certain items in prior periods to conform to current classifications.

        We have omitted certain financial information that is normally included in financial statements prepared in accordance with accounting principles generally accepted in the United States but that is not required for interim reporting purposes. You should read the accompanying consolidated financial statements in conjunction with the financial statements and notes thereto included in our Annual Report on Form 10-K for the fiscal year ended August 31, 2004.

(2) Segment Disclosures

        Statement of Financial Accounting Standards (“SFAS”) No. 131, “Disclosures About Segments of an Enterprise and Related Information,” establishes disclosure standards for segments of a company based on a management approach to defining operating segments. Through November 2003, we distinguished operating and reportable segments based upon the types of customers, hospitals or health plans, that contract for our services. In order to improve operational efficiency, in December 2003 we merged our operations into a single operating segment for purposes of presenting financial information and evaluating performance.

(3) Recently Issued Accounting Standards

         Consolidation of Variable Interest Entities

        In 2003, the Financial Accounting Standards Board (“FASB”) issued Interpretation (“FIN”) No. 46(R), “Consolidation of Variable Interest Entities.” FIN No. 46(R) requires consolidation of variable interest entities if certain conditions are met and generally applies to periods ending after March 15, 2004. The adoption of FIN No. 46(R) did not have a material impact on our financial position or results of operations.

         Share-Based Payment

        In December 2004, the FASB issued SFAS No. 123(R), “Share-Based Payment,” which is a revision of SFAS No. 123, “Accounting for Stock-Based Compensation.” SFAS 123(R) requires all companies to measure and recognize compensation cost for all share-based payments (including employee stock options) at fair value. The Statement is effective for interim or annual periods beginning after June 15, 2005. We will adopt SFAS No. 123(R) on September 1, 2005 using the modified prospective method.

        We do not yet know the full impact on results of operations of adopting SFAS No. 123(R) because it will partially depend on levels of share-based payments granted in the future. However, we have disclosed the pro forma impact of adopting SFAS No. 123(R) on net income and earnings per share for the three and six months ended February 28, 2005 and February 29, 2004 in Note 6, which includes all share-based payment tran