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Exhibit 99.1
 



Almost Family, Inc.
Steve Guenthner
(502) 891-1000
 
 
The Ruth Group
Investor Relations
Nick Laudico/Zack Kubow
(646) 536-7030/7020
nlaudico@theruthgroup.com
zkubow@theruthgroup.com
 

Almost Family Reports Second Quarter 2012 Results

Louisville, KY, August 8, 2012 – Almost Family, Inc. (Nasdaq: AFAM), a leading regional provider of home health nursing and personal care services, announced today its financial results for the three and six month periods ended June 30, 2012.

Second Quarter Highlights:
·  
Net service revenues of $87 million for the quarter
·  
Net income was $4.5 million, or $0.49 per diluted share
·  
Diluted EPS includes $0.01 for transaction related costs, excluding which diluted EPS would have been $0.50
·  
Visiting Nurse segment net revenues were $68 million, on 2% admission growth overall, including  4% in Florida
·  
Personal Care segment net revenues grew to $19 million from a combination of the Cambridge acquisition and 5% organic volume growth

Comments on Results
 
William Yarmuth, Chief Executive Officer, commented on the results: “We're very pleased to report significant earnings progress despite continued Medicare rate cuts and a slowing Medicare home health market.  During the first half of 2012, our VN segment staff and management have been intensely focused on improving our operational efficiency while continuing to provide quality care to the patients we serve.  During the second quarter, in our PC segment we completed the system conversion of the final branches from last fall’s Cambridge acquisition.  I'm pleased with the extent to which we've improved our results.  Our charge for the second half of 2012 is to leverage the progress achieved in both segments, while turning a more substantial part of our focus toward driving the organic growth of our business.”
 
Second Quarter Financial Results

Almost Family reported second quarter results that included: i) the favorable impact of our Cambridge Home Health Care Holdings, Inc. (Cambridge) acquisition, which closed in early August of 2011, ii) the unfavorable impact of higher than normal workers compensation costs which lowered EPS by $0.04 and iii) the unfavorable impact of the 2012 Medicare reimbursement rate cut in the Visiting Nurse (VN) segment.  The Medicare rate changes reduced revenue and operating income by $2.8 million and earnings per diluted share by $0.18.

 
 

 
Almost Family Reports Second Quarter 2012 Results
Page  2
August 8, 2012

 
 
Net service revenues for the second quarter grew to $86.9 million, a 6% increase from $81.7 million reported in the second quarter of 2011, as a result of the Cambridge acquisition, partially offset by the VN segment’s Medicare rate cut.

Net income for the second quarter of 2012 was $4.5 million, or $0.49 per diluted share, down from second quarter of 2011 net income of $5.0 million, or $0.53 per diluted share.

Diluted EPS for the quarter was increased by $0.07 as compared to the second quarter of 2011 as a result of the Cambridge acquisition. Unallocated corporate overhead included approximately $0.2 million of transitional expenses related to the Cambridge home office which is expected to wind down during the remainder of 2012. Diluted EPS for the quarter includes a $0.01 for transaction related costs, similar costs in the prior year quarter totaled $0.02.  Our effective tax rate for the quarter declined to 39.5% from 40.2% in the prior year quarter, primarily due to a lower state tax rate from the Cambridge acquisition.

Second Quarter Segment Results

VN Segment second quarter results include the unfavorable impact of the Medicare rate cuts.  As a result, VN segment second quarter net service revenues declined 5% to $67.6 million, from $71.2 million in the second quarter of 2011, while operating income before corporate expenses for the second quarter of 2012 declined to $10.8 million from $11.8 million reported for the second quarter of 2011.  Total admissions grew 2%, substantially all organic, which was partially offset by a 0.6% decline in re-certifications.  Organic VN admission growth in Florida was 4%.

Primarily as a result of our Cambridge acquisition, Personal Care (PC) segment net service revenues grew 83% or $8.8 million in the second quarter of 2012 to a record $19.3 million from $10.5 million in the second quarter of 2011, while operating income before unallocated corporate expenses increased 85%, or $1.1 million to $2.3 million in the second quarter of 2012.

Six Month Period Ended June 30, 2012

Almost Family reported six month results that included: i) the favorable impact of our Cambridge Home Health Care Holdings, Inc. (Cambridge) acquisition, which closed in early August of 2011 and ii) the unfavorable impact of the 2012 Medicare reimbursement rate cut in the Visiting Nurse (VN) segment.  The Medicare rate changes reduced revenue and operating income by $5.7 million and earnings per diluted share by $0.37.

Net income for the six month period of 2012 was $9.5 million, or $1.02 per diluted share, down from the six month period of 2011 net income of $10.7 million, or $1.14 per diluted share. Fees and expenses related to governmental inquiries did not impact the 2012 six month period, while lowering the 2011 six month period EPS by approximately $0.05.  Deal costs lowered year to date 2012 and 2011 EPS by approximately $0.01 and $0.03, respectively.


 
 

 
Almost Family Reports Second Quarter 2012 Results
Page  3
August 8, 2012


 
Six Month Period Segment Results

Net service revenues in the VN segment for the six month period declined to $138.3 million, a 3.9% decrease from $143.9 million in the six month period of 2011, after the effect of the previously mentioned Medicare rate cut which was partially offset by volume growth.  Total admissions grew 4%, of which 2% was organic.

Operating income before corporate expenses in the VN segment for the six month period of 2012 was $21.8 million, a $3.0 million decrease from $24.9 million reported for the six month period of 2011, primarily as a result of the impact of the Medicare rate cut.

Primarily as a result of our Cambridge acquisition, net service revenues in the PC segment for the six month period of 2012 grew 89% or $18.1 million to $38.5 million from $20.4 million in the six month period of 2011.  Operating income before unallocated corporate expenses in the PC segment increased 76% to $4.7 million from $2.7 million in the six month period of 2011.

Conference Call

A conference call to review the results will begin at 11:00 a.m. ET on August 8, 2012, and will be hosted by William Yarmuth, Chief Executive Officer, and Steve Guenthner, President and Principal Financial Officer. To participate in the conference call, please dial 1-877-407-4018 (USA) or 1-201-689-8471 (International).  In addition, a dial-up replay of the conference call will be available beginning August 8, 2012 at 2:00 p.m. ET and ending on August 22, 2012. The replay telephone number is 1-877-870-5176 (USA) or 1-858-384-5517 (International). Passcode 398221.  A live Web cast of the call will also be available from the Investor Relations section of the corporate Web site at http://www.almostfamily.com. A Web cast replay can be accessed on the corporate Web site beginning August 8, 2012 at approximately 2:00 p.m. ET and will remain available until September 8, 2012.

 
 

 
Almost Family Reports Second Quarter 2012 Results
Page 4  
August 8, 2012

 
ALMOST FAMILY, INC. AND SUBSIDIARIES
 
CONSOLIDATED STATEMENTS OF INCOME
 
(UNAUDITED)
 
(In thousands, except per share data)
 
                         
   
Three Months Ended June 30,
   
Six months Ended June 30,
 
   
2012
   
2011
   
2012
   
2011
 
 Net service revenues
  $ 86,892     $ 81,721     $ 176,842     $ 164,314  
 Cost of service revenues (excluding depreciation & amortization)
    45,338       39,615       91,106       78,580  
 Gross margin
    41,554       42,106       85,736       85,734  
General and administrative expenses:
                         
 Salaries and benefits
    24,547       23,606       49,828       47,945  
 Other
    9,456       10,172       20,360       19,859  
 Total general and administrative expenses
    34,003       33,778       70,188       67,804  
 Operating income
    7,551       8,328       15,548       17,930  
 Interest expense, net
    (32 )     (44 )     (70 )     (99 )
 Income before income taxes
    7,519       8,284       15,478       17,831  
 Income tax expense
    (2,970 )     (3,334 )     (5,998 )     (7,177 )
 Net income
  $ 4,549     $ 4,950     $ 9,480     $ 10,654  
                                 
 Per share amounts-basic:
                               
 Average shares outstanding
    9,255       9,284       9,265       9,249  
 Net income
  $ 0.49     $ 0.53     $ 1.02     $ 1.15  
                                 
 Per share amounts-diluted:
                               
 Average shares outstanding
    9,315       9,377       9,328       9,360  
 Net income
  $ 0.49     $ 0.53     $ 1.02     $ 1.14  


 
 

 
Almost Family Reports Second Quarter 2012 Results
Page  5
August 8, 2012


 
ALMOST FAMILY, INC. AND SUBSIDIARIES
 
CONSOLIDATED BALANCE SHEETS
 
(In thousands)
 
   
   
June 30, 2012
       
 ASSETS
 
(UNAUDITED)
   
December 31, 2011
 
 CURRENT ASSETS:
           
 Cash and cash equivalents
  $ 37,609     $ 33,693  
 Accounts receivable - net
    47,897       45,166  
 Prepaid expenses and other current assets
    6,463       6,437  
 Deferred tax assets
    7,731       7,470  
 TOTAL CURRENT ASSETS
    99,700       92,766  
                 
 PROPERTY AND EQUIPMENT - NET
    5,130       5,229  
 GOODWILL
    133,096       132,653  
 OTHER INTANGIBLE ASSETS
    19,676       19,709  
 OTHER ASSETS
    649       465  
    $ 258,251     $ 250,822  
                 
 LIABILITIES AND STOCKHOLDERS' EQUITY
               
 CURRENT LIABILITIES:
               
 Accounts payable
  $ 6,901     $ 6,489  
 Accrued other liabilities
    19,983       21,129  
 Current portion - capital leases and notes payable
    500       1,200  
 TOTAL CURRENT LIABILITIES
    27,384       28,818  
                 
 LONG-TERM LIABILITIES:
               
 Notes payable
    625       1,125  
 Deferred tax liabilities
    14,929       13,631  
 Other liabilities
    714       951  
 TOTAL LONG-TERM LIABILITIES
    16,268       15,707  
 TOTAL LIABILITIES
    43,652       44,525  
                 
 STOCKHOLDERS' EQUITY:
               
 Preferred stock, par value $0.05; authorized
               
 2,000 shares; none issued or outstanding
    -       -  
 Common stock, par value $0.10; authorized
               
 25,000; 9,420 and 9,381
               
 issued and outstanding
    942       938  
 Treasury stock, at cost, 89 and 13 shares
    (2,283 )     (431 )
 Additional paid-in capital
    101,348       100,678  
 Retained earnings
    114,592       105,112  
 TOTAL STOCKHOLDERS' EQUITY
    214,599       206,297  
    $ 258,251     $ 250,822  


 
 

 
Almost Family Reports Second Quarter 2012 Results
Page  6
August 8, 2012



 
ALMOST FAMILY, INC. AND SUBSIDIARIES
 
CONSOLIDATED STATEMENTS OF CASH FLOWS
 
(UNAUDITED)
 
(In thousands)
 
   
Six Months Ended June 30,
 
   
2012
   
2011
 
 Cash flows from operating activities:
           
 Net income
  $ 9,480     $ 10,654  
 Adjustments to reconcile income to net cash provided by operating activities:
               
 Depreciation and amortization
    1,259       1,475  
 Provision for uncollectible accounts
    1,181       684  
 Stock-based compensation
    746       730  
 Deferred income taxes
    1,134       2,567  
      13,800       16,110  
 Change in certain net assets and liabilities, net of the effects of acquisitions:
               
 Decrease (increase) in:
               
 Accounts receivable
    (4,157 )     115  
 Prepaid expenses and other current assets
    (408 )     386  
 Other assets
    (185 )     115  
 Decrease in:
               
 Accounts payable and accrued expenses
    (978 )     (2,984 )
 Net cash provided by operating activities
    8,072       13,742  
                 
 Cash flows from investing activities:
               
 Capital expenditures
    (1,032 )     (1,104 )
 Acquisitions, net of cash acquired
    -       (4,249 )
 Net cash used in investing activities
    (1,032 )     (5,353 )
                 
 Cash flows from financing activities:
               
 Proceeds from exercise of stock options
    70       292  
 Purchase of common stock in connection with share awards
    (1,852 )     (428 )
 Tax impact of share awards
    (142 )     1,577  
 Principal payments on capital leases and notes payable
    (1,200 )     (1,595 )
 Net cash used in financing activities
    (3,124 )     (154 )
                 
 Net change in cash and cash equivalents
    3,916       8,235  
 Cash and cash equivalents at beginning of period
    33,693       47,943  
 Cash and cash equivalents at end of period
  $ 37,609     $ 56,178  
                 
 Summary of non-cash investing and financing activities:
               
 Settlement of Directors Deferred Compensation Plan
  $ -     $ 501  
 Acquisitions funded by notes payable
  $ -     $ 1,000  

 

 
 

 
Almost Family Reports Second Quarter 2012 Results
Page 7
August 8, 2012


 
ALMOST FAMILY, INC. AND SUBSIDIARIES
 
RESULTS OF OPERATIONS
 
(UNAUDITED)
 
(In thousands)
 
   
   
Three Months Ended June 30,
 
   
2012
   
2011
   
Change
 
   
Amount
   
% Rev
   
Amount
   
% Rev
   
Amount
   
%
 
Net service revenues:
                                   
 Visiting Nurse
  $ 67,614       77.8 %   $ 71,208       87.1 %   $ (3,594 )     -5.0 %
 Personal Care
    19,278       22.2 %     10,513       12.9 %     8,765       83.4 %
      86,892       100.0 %     81,721       100.0 %     5,171       6.3 %
Operating income before corporate expenses:
                                               
 Visiting Nurse
    10,795       16.0 %     11,835       16.6 %     (1,040 )     -8.8 %
 Personal Care
    2,294       11.9 %     1,243       11.8 %     1,051       84.6 %
      13,089       15.1 %     13,078       16.0 %     11       0.1 %
Corporate expenses
    5,538       6.4 %     4,750       5.8 %     788       16.6 %
Operating income
    7,551       8.7 %     8,328       10.2 %     (777 )     -9.3 %
Interest expense, net
    (32 )     0.0 %     (44 )     0.1 %     12       -27.3 %
Income tax expense
    (2,970 )     3.4 %     (3,334 )     4.1 %     364       -10.9 %
Net income
  $ 4,549       5.2 %   $ 4,950       6.1 %   $ (401 )     -8.1 %
                                                 
EBITDA
  $ 8,573       9.9 %   $ 9,396       11.5 %   $ (823 )     -8.8 %

 
   
Six Months Ended June 30,
 
   
2012
   
2011
   
Change
 
   
Amount
   
% Rev
   
Amount
   
% Rev
   
Amount
   
%
 
Net service revenues:
                                   
 Visiting Nurse
  $ 138,317       78.2 %   $ 143,897       87.6 %   $ (5,580 )     -3.9 %
 Personal Care
    38,525       21.8 %     20,417       12.4 %     18,108       88.7 %
      176,842       100.0 %     164,314       100.0 %     12,528       7.6 %
Operating income before corporate expenses:
                                               
 Visiting Nurse
    21,844       15.8 %     24,867       17.3 %     (3,023 )     -12.2 %
 Personal Care
    4,746       12.3 %     2,701       13.2 %     2,045       75.7 %
      26,590       15.0 %     27,568       16.8 %     (978 )     -3.5 %
Corporate expenses
    11,042       6.2 %     9,638       5.9 %     1,404       14.6 %
Operating income
    15,548       8.8 %     17,930       10.9 %     (2,382 )     -13.3 %
Interest expense, net
    (70 )     0.0 %     (99 )     0.1 %     29       -29.3 %
Income tax expense
    (5,998 )     3.4 %     (7,177 )     4.4 %     1,179       -16.4 %
Net income
  $ 9,480       5.4 %   $ 10,654       6.5 %   $ (1,174 )     -11.0 %
                                                 
EBITDA
  $ 17,553       9.9 %   $ 20,135       12.3 %   $ (2,582 )     -12.8 %

 

 
 

 
Almost Family Reports Second Quarter 2012 Results
Page 8 
August 8, 2012



 
ALMOST FAMILY, INC. AND SUBSIDIARIES
 
VISITING NURSE SEGMENT OPERATING METRICS
 
                                     
   
Three Months Ended June 30,
 
   
2012
   
2011
   
Change
 
   
Amount
   
% Rev
   
Amount
   
% Rev
   
Amount
   
%
 
Average number of locations
    110             93             17       18.3 %
                                             
All payors:
                                           
Patients Months
    52,851             52,464             387       0.7 %
Admissions
    15,560             15,292             268       1.8 %
Billable Visits
    471,387             482,593             (11,206 )     -2.3 %
                                             
Medicare Statistics:
                                           
Revenue (in thousands)
  $ 61,437       90.9 %   $ 65,755       92.3 %   $ (4,318 )     -6.6 %
Billable visits
    384,881               407,957               (23,076 )     -5.7 %
Admissions
    13,728               14,023               (295 )     -2.1 %
Recertifications
    7,860               7,907               (47 )     -0.6 %
Episodes Completed
    21,490               22,267               (777 )     -3.5 %
                                                 
Revenue per completed episode
  $ 2,880             $ 3,052             $ (172 )     -5.6 %
Visits per episode
    17.7               18.4               (0.7 )     -3.8 %
                                                 
PERSONAL CARE OPERATING METRICS
 
                                                 
   
Three Months Ended June 30,
 
      2012               2011            
Change
 
   
Amount
           
Amount
           
Amount
   
%
 
Average number of locations
    60               23               37       160.9 %
                                                 
Admissions
    1,294               732               562       76.8 %
Patient months of care
    18,700               10,886               7,814       71.8 %
Patient days of care
    253,294               143,253               110,041       76.8 %
Billable hours
    1,057,143               572,608               484,535       84.6 %
Revenue per billable hour
  $ 18.24             $ 18.36             $ (0.12 )     -0.7 %

 

 
 

 
Almost Family Reports Second Quarter 2012 Results
Page  9
August 8, 2012


 
ALMOST FAMILY, INC. AND SUBSIDIARIES
 
VISITING NURSE SEGMENT OPERATING METRICS
 
                                     
   
Six Months Ended June 30,
 
   
2012
   
2011
   
Change
 
   
Amount
   
% Rev
   
Amount
   
% Rev
   
Amount
   
%
 
Average number of locations
    110             92             18       19.6 %
                                             
All payors:
                                           
Patients Months
    108,053             104,936             3,117       3.0 %
Admissions
    32,066             30,965             1,101       3.6 %
Billable Visits
    951,260             962,247             (10,987 )     -1.1 %
                                             
Medicare Statistics:
                                           
Revenue (in thousands)
  $ 126,221       91.3 %   $ 133,059       92.5 %   $ (6,838 )     -5.1 %
Billable visits
    786,773               815,459               (28,686 )     -3.5 %
Admissions
    28,404               28,375               29       0.1 %
Recertifications
    15,924               16,234               (310 )     -1.9 %
Episodes Completed
    44,024               44,184               (160 )     -0.4 %
                                                 
Revenue per completed episode
  $ 2,852             $ 3,011             $ (159 )     -5.3 %
Visits per episode
    17.6               18.1               (0.5 )     -2.8 %
                                                 
PERSONAL CARE OPERATING METRICS
 
                                                 
   
Six Months Ended June 30,
 
      2012               2011            
Change
 
   
Amount
           
Amount
           
Amount
   
%
 
Average number of locations
    60               22               38       172.7 %
                                                 
Admissions
    2,658               1,513               1,145       75.7 %
Patient months of care
    36,441               21,835               14,606       66.9 %
Patient days of care
    507,126               283,884               223,242       78.6 %
Billable hours
    2,109,613               1,124,122               985,491       87.7 %
Revenue per billable hour
  $ 18.26             $ 18.16             $ 0.10       0.5 %


 
 

 
Almost Family Reports Second Quarter 2012 Results
Page  10
August 8, 2012

Non-GAAP Financial Measure
The information provided in some of the tables in this release includes certain non-GAAP financial measures as defined under SEC rules.  In accordance with SEC rules, the Company has provided, in the supplemental information and the footnotes to the tables, a reconciliation of those measures to the most directly comparable GAAP measures.

EBITDA
Earnings before interest, income taxes, depreciation and amortization (EBITDA) is not a measure of financial performance under accounting principles generally accepted in the United States of America.  It should not be considered in isolation or as a substitute for net income, operating income, cash flows from operating, investing or financing activities, or any other measure calculated in accordance with generally accepted accounting principles. The items excluded from EBITDA are significant components in understanding and evaluating financial performance and liquidity. Management routinely calculates and communicates EBITDA and believes that it is useful to investors because it is commonly used as an analytical indicator within our industry to evaluate performance, measure leverage capacity and debt service ability, and to estimate current or prospective enterprise value. EBITDA is also used in certain covenants contained in our credit agreement.

The following tables set forth a reconciliation of net income to EBITDA:

 
ALMOST FAMILY, INC. AND SUBSIDIARIES
 
RECONCILIATION OF EBITDA
 
(In thousands)
 
               
   
Three Months Ended June 30,
   
Six Months Ended June 30,
 
   
2012
   
2011
   
2012
   
2011
 
Net income
  $ 4,549     $ 4,950     $ 9,480     $ 10,654  
Add back:
                               
Interest expense
    32       44       70       99  
Income tax expense
    2,970       3,334       5,998       7,177  
Depreciation and amortization
    637       730       1,259       1,475  
Amortization of stock-based compensation
    385       338       746       730  
Earnings before interest, income taxes, depreciation and amortization (EBITDA)
  $ 8,573     $ 9,396     $ 17,553     $ 20,135  

About Almost Family
Almost Family, Inc., founded in 1976, is a leading regional provider of home health nursing and personal care services, with branch locations in Florida, Ohio, Kentucky, Connecticut, New Jersey, Massachusetts, Missouri, Alabama, Illinois, Indiana, and Pennsylvania, (in order of revenue significance). Almost Family, Inc. and its subsidiaries operate a Medicare-certified segment and a personal care segment. Altogether, Almost Family operates over 160 branch locations in 11 U.S. states.

 
 

 
Almost Family Reports Second Quarter 2012 Results
Page 11
August 8, 2012


 
Forward Looking Statements
All statements, other than statements of historical facts, included in this news release are forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements may be identified by the use of forward-looking terminology such as "may," "will," "expect," "believe," "estimate," "project," "anticipate," "continue," or similar terms, variations of those terms or the negative of those terms. These forward-looking statements are based on the Company's current plans, expectations and projections about future events.

Because forward-looking statements involve risks and uncertainties, the Company's actual results could differ materially from any future results, performance or achievements expressed or implied by such forward-looking statements. The potential risks and uncertainties which could cause actual results to differ materially include: regulatory approvals or third party consents may not be obtained, the impact of further changes in healthcare reimbursement systems, including the ultimate outcome of potential changes to Medicare reimbursement for home health services and to Medicaid reimbursement due to state budget shortfalls; the ability of the Company to maintain its level of operating performance and achieve its cost control objectives; changes in our relationships with referral sources; the ability of the Company to integrate acquired operations including obtaining synergies, integration objectives and anticipated timelines; government regulation; health care reform; pricing pressures from Medicare, Medicaid and other third-party payers; changes in laws and interpretations of laws relating to the healthcare industry; and the Company’s self-insurance risks.  For a more complete discussion regarding these and other factors which could affect the Company's financial performance, refer to the Company's various filings with the Securities and Exchange Commission, including its filing on Form 10-K for the year ended December 31, 2011, in particular information under the headings "Special Caution Regarding Forward-Looking Statements" and “Risk Factors.” The Company undertakes no obligation to update or revise its forward-looking statements.