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8-K - FORM 8-K - AMEDISYS INCd8k.htm

Exhibit 99.1

LOGO

 

Contacts:

  

Amedisys, Inc.

   Kevin LeBlanc
   Director of Investor Relations
   (225) 292-2031
   kleblanc@amedisys.com

AMEDISYS REPORTS THIRD QUARTER REVENUE AND EARNINGS AND REAFFIRMS 2009 GUIDANCE

AMEDISYS TO HOST CONFERENCE CALL

TODAY AT 10:00 A.M. ET

BATON ROUGE, Louisiana (October 27, 2009) — Amedisys, Inc. (NASDAQ: AMED), one of America’s leading home health nursing companies, today reported its financial results for the three and nine-month periods ended September 30, 2009. We posted record financial performance with net service revenue and net income attributable to Amedisys, Inc., increasing 20.7% and 53.0%, respectively, over the three-month period ended September 30, 2008.

Three-Month Periods Ended September 30, 2009 and 2008

 

   

Net service revenue increased $66.7 million or 20.7% to $388.3 million compared to $321.6 million in 2008, with $53.2 million of the increase related to growth through base/start-up agencies.

 

   

Net income attributable to Amedisys, Inc. increased $12.4 million or 53.0% to $35.9 million compared to $23.5 million in 2008

 

   

Diluted earnings per share increased 48.3% to $1.29 compared to $0.87 per diluted share in 2008. The weighted average number of diluted shares outstanding increased to approximately 27.9 million compared to 27.0 million in 2008.

 

   

Earnings before interest, taxes, depreciation and amortization (“EBITDA”) increased 40.0% to $69.1 million compared to $49.4 million in 2008.

Nine-Month Periods Ended September 30, 2009 and 2008

 

   

Net service revenue increased $260.7 million or 30.8% to $1.1 billion compared to $847.3 million in 2008, with $153.3 million of the increase related to growth through base/start-up agencies.

 

   

Net income attributable to Amedisys, Inc. increased $37.7 million or 62.5% to $98.0 million compared to $60.3 million in 2008

 

   

Diluted earnings per share increased 57.8% to $3.55 compared to $2.25 per diluted share in 2008. The weighted average number of diluted shares outstanding increased to approximately 27.6 million compared to 26.8 million in 2008.

 

   

EBITDA increased 51.1% to $190.4 million compared to $126.0 million in 2008.

“We are pleased to report another strong quarter,” stated William F. Borne, Chief Executive Officer. “These results are a demonstration of the outstanding efforts everyone in the organization is contributing to the continued clinical excellence and financial success of the Company. The passion for serving our patients, the culture of hard work and the commitment to our core values are at the forefront of our success.”

2009 Guidance

 

   

Net service revenue is anticipated to be in the range of $1.475 billion to $1.500 billion, excluding the effects of future acquisitions, if any are made.

 

   

Diluted earnings per share is expected to be in the range of $4.75 to $4.90 based on an estimated 27.8 million shares outstanding, also excluding the effects of future acquisitions, if any are made.


We urge caution in considering the current trends and 2009 guidance disclosed in this press release. The home health and hospice industry is highly competitive and subject to intensive regulations, and trends and guidance are subject to numerous factors, risks, and uncertainties, some of which are referenced in the cautionary language below and others that are described more fully in our reports filed with the Securities and Exchange Commission (“SEC”) including our Annual Report on Form 10-K for the fiscal year ended December 31, 2008, and subsequent Quarterly Reports on Form 10-Q, and current reports on Form 8-K which can be found on the SEC’s internet website, http://www.sec.gov, and our internet website, http://www.amedisys.com. We disclaim any obligations to update disclosed information on trends or guidance.

Earnings Call and Webcast Information

To participate in the conference call, please dial (877) 208-2391 (Toll free) or (913) 312-0667 (Toll) a few minutes before 10:00 a.m. ET on Tuesday, October 27, 2009. A replay of the conference call will be available beginning at 1:00 p.m. ET on October 27, 2009 through November 3, 2009. The replay dial in number is (888) 203-1112 (Toll free) or (719) 457-0820 (Toll). The replay pin number is 2824502.

The call will also be available on the internet live and in our archived section thereafter at the following web address: http://www.amedisys.com/investors

We are headquartered in Baton Rouge, Louisiana. Our common stock trades on the NASDAQ Global Select Market under the symbol “AMED.”

Additional information

Our company website address is www.amedisys.com, which we use as a channel of distribution for important company information. Important information, including press releases, analyst presentations and financial information regarding our company, is routinely posted on and accessible on the “Investor Relations” subpage of our website, which is accessible by clicking on the tab labeled “Investors” on our website home page. We also use our website to expedite public access to time-critical information regarding our company in advance of or in lieu of distributing a press release or a filing with the SEC disclosing the same information. Therefore, investors should look to the “Investor Relations” subpage of our website for important and time-critical information. Visitors to our website can also register to receive automatic e-mail and other notifications alerting them when new information is made available on the “Investor Relations” subpage of our website.

Forward-Looking Statements

When included in this press release, words like “believes,” “belief,” “expects,” “plans,” “anticipates,” “intends,” “projects,” “estimates,” “may,” “might,” “would,” “should” and similar expressions are intended to identify forward-looking statements as defined by the Private Securities Litigation Reform Act of 1995. These forward-looking statements involve a variety of risks and uncertainties that could cause actual results to differ materially from those described therein. These risks and uncertainties include, but are not limited to the following: changes in Medicare and other medical payment levels, our ability to open agencies, acquire additional agencies and integrate and operate these agencies effectively, changes in or our failure to comply with existing Federal and State laws or regulations or the inability to comply with new government regulations on a timely basis, competition in the home health industry, changes in the case mix of patients and payment methodologies, changes in estimates and judgments associated with critical accounting policies, our ability to maintain or establish new patient referral sources, our ability to attract and retain qualified personnel, changes in payments and covered services due to the economic downturn and deficit spending by Federal and state governments, future cost containment initiatives undertaken by third-party payors, our access to financing due to the volatility and disruption of the capital and credit markets, our ability to meet debt service requirements and comply with covenants in debt agreements, business disruptions due to natural disasters or acts of terrorism, our ability to integrate and manage our information systems and various other matters, many of which are beyond our control.

Because forward-looking statements are inherently subject to risks and uncertainties, some of which cannot be predicted or quantified, you should not rely on any forward-looking statement as a prediction of future events. We expressly disclaim any obligation or undertaking and we do not intend to release publicly any updates or changes in our expectations concerning the forward-looking statements or any changes in events, conditions or circumstances upon which any forward-looking statement may be based, except as required by law.

Non-GAAP Financial Measure

This press release includes the following non-GAAP financial measure as defined under SEC rules: EBITDA, defined as net income attributable to Amedisys, Inc. before provision for income taxes, net interest expense and depreciation and amortization. In accordance with SEC rules, we have provided herein a reconciliation of this non-GAAP financial measure to the most directly comparable measure under generally accepted accounting principles (“GAAP”). Management believes that EBITDA is a useful gauge of our performance and is a common measure used in our industry to assess relative financial performance among companies.


AMEDISYS, INC. AND SUBSIDIARIES

SELECT CONSOLIDATED FINANCIAL STATEMENT DATA

(Amounts in thousands, except per share data)

(Unaudited)

Balance Sheet Information

 

     September 30, 2009    December 31, 2008

Current assets

   $ 200,909    $ 194,350

Total assets

     1,130,940      1,070,194

Total current liabilities

     232,584      204,627

Total long-term obligations

     212,208      303,449

Total equity

     686,148      562,118

Income Statement Information

 

     For the three-month periods ended
September 30,
    For the nine-month periods ended
September 30,
 
     2009     2008     2009     2008  

Net service revenue

   $ 388,257      $ 321,561      $ 1,107,987      $ 847,319   

Cost of service, excluding depreciation and amortization

     183,619        151,122        527,096        400,644   

General and administrative and other expenses

     143,904        126,801        413,699        336,446   
                                

Operating expenses

     327,523        277,923        940,795        737,090   
                                

Operating income

     60,734        43,638        167,192        110,229   

Other expense

     (1,675     (5,019     (6,234     (10,678
                                

Income before income taxes

     59,059        38,619        160,958        99,551   

Income tax expense

     (23,033     (15,144     (62,774     (39,253
                                

Net income

     36,026        23,475        98,184        60,298   

Net (income) loss attributable to noncontrolling interests

     (86     18        (140     43   
                                

Net income attributable to Amedisys, Inc.

   $ 35,940      $ 23,493      $ 98,044      $ 60,341   
                                

Net income attributable to Amedisys, Inc. common stockholders:

        

Basic

   $ 1.31      $ 0.88      $ 3.62      $ 2.29   
                                

Diluted

   $ 1.29      $ 0.87      $ 3.55      $ 2.25   
                                

Weighted average shares outstanding:

        

Basic

     27,340        26,556        27,106        26,363   
                                

Diluted

     27,912        27,018        27,615        26,835   
                                

Cash Flow Information

 

     For the three-month periods ended
September 30,
    For the nine-month periods ended
September 30,
 
     2009     2008     2009     2008  

Net cash provided by operating activities

   $ 88,624      $ 29,290      $ 218,922      $ 86,834   

Net cash (used in) investing activities

     (23,286     (9,033     (64,771     (468,840

Net cash (used in) provided by financing activities

     (21,076     (16,253     (111,838     331,480   
                                

Net increase (decrease) in cash and cash equivalents

     44,262        4,004        42,313        (50,526

Cash and cash equivalents at beginning of period

     898        1,660        2,847        56,190   
                                

Cash and cash equivalents at end of period

   $ 45,160      $ 5,664      $ 45,160      $ 5,664   
                                


AMEDISYS, INC. AND SUBSIDIARIES

SELECT CONSOLIDATED KEY STATISTICAL AND FINANCIAL DATA

(Financial Data in thousands)

(Unaudited)

 

     For the three-month periods ended
September 30,
    For the nine-month periods ended
September 30,
 
     2009     2008     2009     2008  

Financial Data:

        

Depreciation and amortization expense

   $ 7,481      $ 5,885      $ 20,682      $ 15,728   

Capital expenditures

   $ 10,942      $ 8,983      $ 25,998      $ 20,610   

Key Statistical Data:

        

General

        

Number of home health agencies

     508        461        508        461   

Number of hospice agencies

     61        44        61        44   

Number of agencies acquired (1)

     10        —          19        133   

Number of agencies opened as start-up locations (1)

     12        7        31        24   

Days revenue outstanding, net (2)

     33.2        51.0        33.2        51.0   

Internal episodic-based revenue growth (3)

     18     28     20     27

Internal episodic-based admission growth (4)

     4     14     5     11

Internal episodic-based recertification growth (5)

     8     23     10     27

Total visits (6)

     2,236,590        1,879,573        6,441,025        5,012,793   

Home Health

        

Episodic-based admissions (7)

     57,767        53,203        172,088        145,623   

Episodic-based recertifications (8)

     52,834        48,367        153,105        129,067   

Episodic-based completed episodes (9)

     105,107        94,986        303,615        254,484   

Average episodic-based revenue per completed episode (10)

   $ 3,189      $ 2,868      $ 3,132      $ 2,808   

Episodic-based visits per completed episode (11)

     18.7        17.2        18.3        17.0   

 

(1)

Includes both home health and hospice agencies.

(2)

Our calculation of days revenue outstanding, net at September 30, 2009 and 2008 is derived by dividing our ending net patient accounts receivable (i.e. net of estimated revenue adjustments and allowance for doubtful accounts) by our average daily net patient revenue for the three-month period ended September 30, 2009 and 2008, respectively.

(3)

Internal episodic-based revenue growth is the percent increase in our base/start-up episodic-based revenue for the period as a percent of the total episodic-based revenue of the prior period.

(4)

Internal episodic-based admission growth is the percent increase in our base/start-up episodic-based admissions for the period as a percent of the total episodic-based admissions of the prior period.

(5)

Internal episodic-based recertification growth is the percent increase in our base/start-up episodic-based recertifications for the period as a percent of the total episodic-based recertifications of the prior period.

(6)

Total visits are defined as the number of times during the period that our registered nurses, licensed practical nurses, physical therapists, speech therapists, occupational therapists, medical social workers and home health aides visited all eligible patients in their residences.

(7)

Episodic-based admissions are defined as the number of patients admitted to our agencies during the period for the first 60-day episode of care where payors reimburse us for services provided on an episodic-basis, which include Medicare and other insurance carriers, including Medicare Advantage programs.

(8)

Episodic-based recertifications are defined as the number of patients recertified to our agencies during the period for an additional 60-day episode of care where payors reimburse us for services provided on an episodic-basis, which include Medicare and other insurance carriers, including Medicare Advantage programs.

(9)

Episodic-based completed episodes are defined as the number of patients that have either reached the end of their 60-day eligibility period or terminated their service before the 60-day eligibility period has lapsed where payors reimburse us for services provided on an episodic-basis, which include Medicare and other insurance carriers, including Medicare Advantage programs.

(10)

Average episodic-based revenue per completed episode is the average episodic-based revenue earned for each episodic-based completed episode of care.

(11)

Episodic-based visits per episode is calculated by dividing the total number of episodic-based visits on completed episodes in the period by the total number of episodic-based episodes completed in this period.


AMEDISYS, INC. AND SUBSIDIARIES

RECONCILIATION OF NON-GAAP FINANCIAL MEASURE TO GAAP FINANCIAL STATEMENTS

(Amounts in thousands)

(Unaudited)

Earnings before interest, taxes, depreciation and amortization (“EBITDA”)

 

     For the three-month periods ended September 30,    For the nine-month periods ended September 30,
     2009    2008    2009    2008

Net income attributable to Amedisys, Inc.

   $ 35,940    $ 23,493    $ 98,044    $ 60,341

Add:

           

Provision for income taxes

     23,033      15,144      62,774      39,253

Interest expense, net

     2,654      4,833      8,933      10,669

Depreciation and amortization

     7,481      5,885      20,682      15,728
                           

EBITDA (1)

   $ 69,108    $ 49,355    $ 190,433    $ 125,991
                           

 

(1)

EBITDA is defined as net income attributable to Amedisys, Inc. before provision for income taxes, net interest expense, and depreciation and amortization. EBITDA should not be considered as an alternative to, or more meaningful than, income before income taxes, cash flow from operating activities, or other traditional indicators of operating performance. This calculation of EBITDA may not be comparable to a similarly titled measure reported by other companies, since not all companies calculate this non-GAAP financial measure in the same manner.