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

Exhibit 99.1

LOGO

 

Contacts:

    

Investor Contact:

     

Media Contact:

    

Amedisys, Inc.

     

Amedisys, Inc.

    

Kevin LeBlanc

     

Jacqueline Chen Valencia

    

Director of Investor

     

Senior Vice President

    

Relations

     

Marketing & Communications

    

(225) 292-2031

     

(225) 295-9688

    

kevin.leblanc@amedisys.com

     

jacqueline.chen@amedisys.com

AMEDISYS REPORTS FIRST QUARTER REVENUE AND EARNINGS

AND REAFFIRMS 2011 GUIDANCE

AMEDISYS TO HOST CONFERENCE CALL

TODAY AT 10:00 A.M. ET

BATON ROUGE, Louisiana (April 26, 2011) — Amedisys, Inc. (NASDAQ: AMED), a leading home health and hospice company, today reported its financial results for the first quarter ended March 31, 2011 and reaffirms 2011 guidance.

Three-Month Periods Ended March 31, 2011 and 2010

 

 

 

Net service revenue of $364.3 million compared to $413.0 million in 2010, a decrease of $48.7 million or 11.8%. Same store agencies decreased $40.5 million, $16.2 million of the decrease related to agencies closed or consolidated during 2010 offset by $8.0 million in revenue related to start-up and acquisition agencies.

 

 

 

Net income attributable to Amedisys, Inc. of $15.3 million compared to $36.6 million in 2010, a decrease of $21.4 or 58.3%.

 

 

 

Diluted earnings per share of $0.53 compared to $1.29 per diluted share in 2010, a decrease of 58.9%. The weighted average number of diluted shares outstanding increased to approximately 28.9 million compared to 28.4 million in 2010.

 

 

 

Earnings before interest, taxes, depreciation and amortization (“EBITDA”) of $36.8 million compared to $70.7 million in 2010, a decrease of 48.0%.

 

 

 

After adding back $4.4 million ($2.7 million, net of income tax) or $0.09 per diluted share in certain items*, the following would have been our adjusted results:

 

 

 

Net income attributable to Amedisys, Inc. of $18.0 million compared to $36.6 million in 2010, a decrease of 51.0%.

 

 

 

Diluted earnings per share of $0.62 compared to $1.29 per diluted share in 2010, a decrease 51.9%.

 

 

 

EBITDA of $41.2 million compared to $70.7 million in 2010, a decrease of 41.7%.

 

*

See footnote 2 on page 7 for explanation of these certain items.

“Our financial performance for the quarter reflects mixed operating results. Our aggressive efforts over the past few quarters to drive down costs and improve efficiencies generated positive results. However, soft admissions volume drove revenue below our expectations. Going forward, our clear objective is to improve internal growth,” stated William F. Borne, Chief Executive Officer of Amedisys, Inc. “Our balance sheet strength continued to improve over the quarter, leaving us well positioned for acquisitive growth such as our recently announced deal to acquire Beacon Hospice.”

2011 Guidance

 

 

 

Net service revenue is anticipated to be in the range of $1.600 billion to $1.650 billion.

 

 

 

Diluted earnings per share is expected to be in the range of $3.00 to $3.30 based on an estimated 29.3 million shares outstanding.

This guidance includes the effects of our recently announced Beacon acquisition but excludes the effects of the following: any future acquisitions, if any are made; effects of any share repurchases; non-recurring costs that may be incurred during the year; the impact of any future Medicare rate changes; or the impact, if any, of the new regulatory requirements, including face-to-face and therapy requirements.

We urge caution in considering the current trends and 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, 2010, and subsequent Quarterly Reports on Form 10-Q, and current reports on Form 8-K which can be found on the

 

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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.

Earnings Call and Webcast Information

To participate in the conference call, please dial (877) 548-7911 (Toll free) or (719) 325-4745 (Toll) a few minutes before 10:00 a.m. ET on Tuesday, April 26, 2011. A replay of the conference call will be available through May 3, 2011. The replay dial in number is (888) 203-1112 (Toll free) or (719) 457-0820 (Toll). The replay pin number is 8261225.

The call will also be available through our website and for seven days 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. We use our website 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, changes in or developments with respect to any litigation or investigations relating to the Company, including the United States Senate Committee on Finance inquiry, the SEC investigation and the U.S. Department of Justice Civil Investigative Demand 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 Measures

This press release includes the following non-GAAP financial measures 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, adjusted EBITDA, defined as EBITDA plus certain items, adjusted net income attributable to Amedisys, Inc., defined as net income attributable to Amedisys, Inc. plus certain items and adjusted diluted earnings per share, defined as diluted earnings per share plus the earnings per share effect of certain items. In accordance with SEC rules, we have provided herein a reconciliation of these non-GAAP financial measures to the most directly comparable measures under generally accepted accounting principles (“GAAP”). Management believes that these are useful gauges of our performance and are common measures used in our industry to assess relative financial performance among companies.

 

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AMEDISYS, INC. AND SUBSIDIARIES

SELECT CONSOLIDATED FINANCIAL STATEMENT DATA AND SUPPLEMENTAL INFORMATION

(Amounts in thousands, except per share data and statistical information)

(Unaudited)

Balance Sheet Information

 

     March 31, 2011     December 31, 2010  
ASSETS     

Current assets:

    

Cash and cash equivalents

   $ 148,868      $ 120,295   

Patient accounts receivable, net of allowance for doubtful accounts of $19,125 and $20,977

     141,923        141,549   

Prepaid expenses

     11,605        9,947   

Other current assets

     15,701        22,259   
                

Total current assets

     318,097        294,050   

Property and equipment, net of accumulated depreciation of $81,300 and $78,074

     144,023        138,554   

Goodwill

     791,412        791,412   

Intangible assets, net of accumulated amortization of $18,280 and $17,135

     52,248        53,393   

Other assets, net

     21,780        22,454   
                

Total assets

   $ 1,327,560      $ 1,299,863   
                
LIABILITIES AND EQUITY     

Current liabilities:

    

Accounts payable

   $ 21,290      $ 20,663   

Payroll and employee benefits

     88,322        82,961   

Accrued expenses

     69,321        61,254   

Current portion of long-term obligations

     36,101        37,178   

Current portion of deferred income taxes

     12,694        14,285   
                

Total current liabilities

     227,728        216,341   

Long-term obligations, less current portion

     136,138        144,688   

Deferred income taxes

     54,276        52,286   

Other long-term obligations

     5,291        6,833   
                

Total liabilities

     423,433        420,148   
                

Commitments and Contingencies

    

Equity:

    

Preferred stock, $0.001 par value, 5,000,000 shares authorized; none issued or outstanding

     —          —     

Common stock, $0.001 par value, 60,000,000 shares authorized; 30,084,676 and 29,867,701 shares issued; and 29,445,137 and 29,232,807 shares outstanding

     30        29   

Additional paid-in capital

     416,425        407,156   

Treasury stock at cost, 639,539 and 634,894 shares of common stock

     (14,194     (14,022

Accumulated other comprehensive income

     15        25   

Retained earnings

     499,957        484,669   
                

Total Amedisys, Inc. stockholders’ equity

     902,233        877,857   

Noncontrolling interests

     1,894        1,858   
                

Total equity

     904,127        879,715   
                

Total liabilities and equity

   $ 1,327,560      $ 1,299,863   
                

 

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Income Statement Information

 

     For the Three-Month
Periods Ended March 31,
 
     2011     2010  

Net service revenue

   $ 364,302      $ 412,967   

Cost of service, excluding depreciation and amortization

     191,179        204,059   

General and administrative expenses:

    

Salaries and benefits

     85,650        86,967   

Non-cash compensation

     1,910        2,513   

Other

     45,565        45,015   

Provision for doubtful accounts

     3,162        4,345   

Depreciation and amortization

     9,355        8,186   
                

Operating expenses

     336,821        351,085   
                

Operating income

     27,481        61,882   

Other (expense) income:

    

Interest income

     118        85   

Interest expense

     (2,252     (2,411

Equity in earnings from unconsolidated joint ventures

     323        788   

Miscellaneous, net

     (339     33   
                

Total other expense, net

     ( 2,150     (1,505
                

Income before income taxes

     25,331        60,377   

Income tax expense

     (10,007     (23,547
                

Net income

     15,324        36,830   

Net income attributable to noncontrolling interests

     (36     (184
                

Net income attributable to Amedisys, Inc.

   $ 15,288      $ 36,646   
                

Net income per share attributable to Amedisys, Inc. common stockholders:

    

Basic

   $ 0.54      $ 1.32   
                

Diluted

   $ 0.53      $ 1.29   
                

Weighted average shares outstanding:

    

Basic

     28,366        27,821   
                

Diluted

     28,867        28,359   
                

Cash Flow Information

 

     For the Three-Month
Periods Ended March 31,
 
     2011     2010  

Net cash provided by operating activities

   $ 52,554      $ 71,037   

Net cash used in investing activities

     (15,946     (14,366

Net cash used in financing activities

     (8,035     (9,176
                

Net increase in cash and cash equivalents

     28,573        47,495   

Cash and cash equivalents at beginning of period

     120,295        34,485   
                

Cash and cash equivalents at end of period

   $ 148,868      $ 81,980   
                

 

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Supplemental Information – Home Health

 

     For the Three-Month Periods Ended March 31,  
     2011      2010  
     Same Store     Start-ups/
Acquisitions
    Total      Same Store     Other (1)     Total  

Financial Information (in millions):

             

Episodic-based revenue

     300.3        6.9        307.2         347.8        13.9        361.7   

Nonepisodic-based revenue

     18.0        0.3        18.3         17.9        0.9        18.8   
                                                 

Net service revenue

     318.3        7.2        325.5         365.7        14.8        380.5   

Same store episodic-based revenue growth (2)

     (14 )%           14    
                         

Cost of service

     166.9        3.9        170.8         176.3        10.7        187.0   
                                                 

Gross margin

     151.4        3.3        154.7         189.4        4.1        193.5   

Other operating expenses

     79.6        3.5        83.1         82.8        10.9        93.7   
                                                 

Operating income

   $ 71.8      $ (0.2   $ 71.6       $ 106.6      $ (6.8   $ 99.8   
                                                 

Key Statistical Data:

             

Admissions:

             

Episodic-based

     61,158        1,322        62,480         62,445        2,833        65,278   

Nonepisodic-based

     10,504        189        10,693         9,480        512        9,992   
                                                 

Total admissions

     71,662        1,511        73,173         71,925        3,345        75,270   
                                                 

Same store episodic-based admission growth (2)

     (2 )%           10    
                         

Recertifications:

             

Episodic-based

     43,284        447        43,731         48,058        1,657        49,715   

Nonepisodic-based

     4,236        41        4,277         4,785        111        4,896   
                                                 

Total recertifications

     47,520        488        48,008         52,843        1,768        54,611   
                                                 

Same store episodic-based recertification growth (2)

     (10 )%           (1 )%     
                         

Completed episodes

     97,941        1,576        99,517         100,913        4,183        105,096   
                                                 

Visits:

             

Episodic-based

     1,905,098        31,588        1,936,686         2,014,528        76,725        2,091,253   

Nonepisodic-based

     197,308        3,275        200,583         197,426        10,646        208,072   
                                                 

Total visits

     2,102,406        34,863        2,137,269         2,211,954        87,371        2,299,325   
                                                 

Cost per visit

   $ 79.38      $ 111.34      $ 79.91       $ 79.69      $ 122.36      $ 81.32   
                                                 

Average episodic-based revenue per completed episode (3)

   $ 3,029      $ 3,007      $ 3,029       $ 3,284      $ 3,216      $ 3,282   
                                                 

Episodic-based visits per completed episode (4)

     18.5        17.2        18.5         18.7        17.4        18.6   
                                                 

 

(1)

Agencies for the prior period which are not considered same store agencies (i.e. agencies closed or consolidated in current or prior period or unopened startups).

(2)

Same store episodic-based revenue, admissions or recertifications growth is the percent increase (decrease) in our same store episodic-based revenue, admissions or recertifications for the period as a percent of the same store episodic-based revenue, admissions or recertifications of the prior period.

(3)

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

(4)

Episodic-based visits per completed episode is the home health episodic-based visits on completed episodes divided by the home health episodic-based episodes completed during the period.

 

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Supplemental Information – Hospice

 

     For the Three-Month Periods Ended March 31,  
     2011      2010  
     Same Store     Start-ups/
Acquisitions
    Total      Same Store     Other (1)     Total  

Financial Information (in millions):

             

Medicare revenue

   $ 35.7      $ 0.8      $ 36.5       $ 29.5      $ 1.3      $ 30.8   

Non-Medicare revenue

     2.3        —          2.3         1.6        0.1        1.7   
                                                 

Net service revenue

     38.0        0.8        38.8         31.1        1.4        32.5   

Same store Medicare revenue growth (2)

     21          33    
                         

Cost of service

     19.6        0.8        20.4         15.8        1.3        17.1   
                                                 

Gross margin

     18.4        —          18.4         15.3        0.1        15.4   

Other operating expenses

     7.4        0.8        8.2         7.3        1.1        8.4   
                                                 

Operating income

   $ 11.0      $ (0.8   $ 10.2       $ 8.0      $ (1.0   $ 7.0   
                                                 

Key Statistical Data:

             

Hospice admits

     3,088        109        3,197         2,629        164        2,793   

Hospice days

     277,500        6,245        283,745         226,481        10,038        236,519   

Average daily census

     3,083        69        3,153         2,516        112        2,628   

Revenue per day

   $ 136.84      $ 134.32      $ 136.78       $ 137.22      $ 139.56      $ 137.32   

Cost of service per day

   $ 70.50      $ 133.46      $ 71.89       $ 69.89      $ 125.70      $ 72.26   

Average length of stay

     89        48        88         89        61        87   

 

(1)

Agencies for the prior period which are not considered same store agencies (i.e. agencies closed or consolidated in current or prior period or unopened startups).

(2)

Same Store Medicare revenue growth is the percent increase in our same store Medicare revenue for the period as a percent of the same store Medicare revenue of the prior period.

AMEDISYS, INC. AND SUBSIDIARIES

SELECT CONSOLIDATED KEY STATISTICAL DATA

(Unaudited)

 

     For the Three-Month
Periods Ended March 31,
 
     2011      2010  

Key Statistical Data:

     

General

     

Number of home health agencies

     489         532   

Number of hospice agencies

     69         68   

Number of agencies acquired (1)

     —           1   

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

     6         17   

Days revenue outstanding, net (2)

     34.8         32.6   

 

(1)

Includes both home health and hospice agencies.

(2)

Our calculation of days revenue outstanding, net at March 31, 2011 and 2010 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 March 31, 2011 and 2010, respectively.

 

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AMEDISYS, INC. AND SUBSIDIARIES

RECONCILIATION OF NON-GAAP FINANCIAL MEASURE TO GAAP FINANCIAL STATEMENTS

(Amounts in thousands, except per share data)

(Unaudited)

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

 

     For the Three-Month
Periods Ended March 31,
 
     2011      2010  

Net income attributable to Amedisys, Inc.

   $ 15,288       $ 36,646   

Add:

     

Provision for income taxes

     10,007         23,547   

Interest expense, net

     2,134         2,326   

Depreciation and amortization

     9,355         8,186   
                 

EBITDA (1)

   $ 36,784       $ 70,705   
                 

Add:

     

Certain items (2)

     4,418         —     
                 

Adjusted EBITDA (3)

   $ 41,202       $ 70,705   
                 

Adjusted Net Income Attributable to Amedisys, Inc. Reconciliation

 

     For the Three-Month
Periods Ended March 31,
 
     2011      2010  

Net income attributable to Amedisys, Inc.

   $ 15,288       $ 36,646   

Add:

     

Certain items (2)

     2,673         —     
                 

Adjusted net income attributable to Amedisys, Inc. (4)

   $ 17,961       $ 36,646   
                 

Adjusted Diluted Earnings Per Share Reconciliation

 

     For the  Three-Month
Periods Ended March 31,
 
     2011      2010  

Net income attributable to Amedisys, Inc. common stockholders - diluted

   $ 0.53       $ 1.29   

Add:

     

Certain items (2)

     0.09         —     
                 

Adjusted net income attributable to Amedisys, Inc. common stockholders - diluted (5)

   $ 0.62       $ 1.29   
                 

 

(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.

(2)

During the three-month period March 31, 2011, we incurred certain costs of $3.3 million ($2.0 million, net of tax or $0.07 per diluted share) associated with the realignment of operations, acquisition costs and legal expenses related to the United States Senate Committee on Finance inquiry and SEC and DOJ investigation. We also incurred costs associated with our agency closings/consolidations we announced in 2010 of $1.1 million ($0.7 million net of tax or $0.02 per diluted share).

(3)

Adjusted EBITDA is defined as net income attributable to Amedisys, Inc. before provision for income taxes, net interest expense, depreciation and amortization plus certain items as described in footnote 2. Adjusted 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 adjusted 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.

(4)

Adjusted net income attributable to Amedisys, Inc. is defined as net income attributable to Amedisys, Inc. plus certain items as described in footnote 2. Adjusted net income attributable to Amedisys, Inc. 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 adjusted net income attributable to Amedisys, Inc. may not be comparable to a similarly titled measure reported by other companies, since not all companies calculate this non-GAAP measure in the same manner.

(5)

Adjusted diluted earnings per share is defined as diluted earnings per share plus the earnings per share effect of certain items as described in footnote 2. Adjusted diluted earnings per share 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 or operating performance. This calculation of adjusted diluted earnings per share 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.

 

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