For the Three-Month Periods Ended December 31, | For the Years Ended December 31, | ||||||||||||||||||||||
2022 | 2021 | 2022 | 2021 | ||||||||||||||||||||
(Unaudited) | |||||||||||||||||||||||
Net service revenue | $ | 562,064 | $ | 559,317 | $ | 2,223,199 | $ | 2,214,112 | |||||||||||||||
Other operating income | — | — | — | 13,300 | |||||||||||||||||||
Cost of service, excluding depreciation and amortization | 317,167 | 317,168 | 1,260,425 | 1,233,356 | |||||||||||||||||||
General and administrative expenses: | |||||||||||||||||||||||
Salaries and benefits | 132,003 | 125,185 | 508,791 | 474,718 | |||||||||||||||||||
Non-cash compensation | 570 | 5,949 | 16,560 | 23,809 | |||||||||||||||||||
Other | 60,856 | 53,718 | 228,707 | 212,713 | |||||||||||||||||||
Depreciation and amortization | 5,230 | 9,138 | 24,935 | 30,901 | |||||||||||||||||||
Impairment charge | — | — | 3,009 | — | |||||||||||||||||||
Operating expenses | 515,826 | 511,158 | 2,042,427 | 1,975,497 | |||||||||||||||||||
Operating income | 46,238 | 48,159 | 180,772 | 251,915 | |||||||||||||||||||
Other income (expense): | |||||||||||||||||||||||
Interest income | 70 | — | 178 | 49 | |||||||||||||||||||
Interest expense | (5,781) | (2,791) | (22,228) | (9,525) | |||||||||||||||||||
Equity in earnings (loss) from equity method investments | 397 | 1,017 | (45) | 4,949 | |||||||||||||||||||
Gain on equity method investments | — | 6 | — | 31,098 | |||||||||||||||||||
Miscellaneous, net | 412 | 492 | 1,567 | 1,745 | |||||||||||||||||||
Total other (expense) income, net | (4,902) | (1,276) | (20,528) | 28,316 | |||||||||||||||||||
Income before income taxes | 41,336 | 46,883 | 160,244 | 280,231 | |||||||||||||||||||
Income tax expense | (9,790) | (12,873) | (42,545) | (70,065) | |||||||||||||||||||
Net income | 31,546 | 34,010 | 117,699 | 210,166 | |||||||||||||||||||
Net loss (income) attributable to noncontrolling interests | 171 | 37 | 910 | (1,094) | |||||||||||||||||||
Net income attributable to Amedisys, Inc. | $ | 31,717 | $ | 34,047 | $ | 118,609 | $ | 209,072 | |||||||||||||||
Basic earnings per common share: | |||||||||||||||||||||||
Net income attributable to Amedisys, Inc. common stockholders | $ | 0.98 | $ | 1.04 | $ | 3.65 | $ | 6.41 | |||||||||||||||
Weighted average shares outstanding | 32,511 | 32,594 | 32,517 | 32,642 | |||||||||||||||||||
Diluted earnings per common share: | |||||||||||||||||||||||
Net income attributable to Amedisys, Inc. common stockholders | $ | 0.97 | $ | 1.04 | $ | 3.63 | $ | 6.34 | |||||||||||||||
Weighted average shares outstanding | 32,602 | 32,823 | 32,653 | 32,972 |
As of December 31, | |||||||||||
2022 | 2021 | ||||||||||
ASSETS | |||||||||||
Current assets: | |||||||||||
Cash and cash equivalents | $ | 40,540 | $ | 42,694 | |||||||
Restricted cash | 13,593 | 3,075 | |||||||||
Patient accounts receivable | 296,785 | 274,961 | |||||||||
Prepaid expenses | 11,628 | 10,356 | |||||||||
Other current assets | 26,415 | 25,598 | |||||||||
Total current assets | 388,961 | 356,684 | |||||||||
Property and equipment, net of accumulated depreciation of $101,364 and $96,937 | 16,026 | 18,435 | |||||||||
Operating lease right of use assets | 102,856 | 101,257 | |||||||||
Goodwill | 1,287,399 | 1,196,090 | |||||||||
Intangible assets, net of accumulated amortization of $14,604 and $19,900 | 101,167 | 111,190 | |||||||||
Deferred income tax assets | — | 289 | |||||||||
Other assets | 79,836 | 73,023 | |||||||||
Total assets | $ | 1,976,245 | $ | 1,856,968 | |||||||
LIABILITIES AND EQUITY | |||||||||||
Current liabilities: | |||||||||||
Accounts payable | $ | 43,735 | $ | 38,217 | |||||||
Payroll and employee benefits | 125,387 | 141,001 | |||||||||
Accrued expenses | 137,390 | 150,836 | |||||||||
Current portion of long-term obligations | 15,496 | 12,995 | |||||||||
Current portion of operating lease liabilities | 33,521 | 31,233 | |||||||||
Total current liabilities | 355,529 | 374,282 | |||||||||
Long-term obligations, less current portion | 419,420 | 432,075 | |||||||||
Operating lease liabilities, less current portion | 69,504 | 69,309 | |||||||||
Deferred income tax liabilities | 20,411 | — | |||||||||
Other long-term obligations | 4,808 | 4,979 | |||||||||
Total liabilities | 869,672 | 880,645 | |||||||||
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; 37,891,186 and 37,674,868 shares issued; and 32,518,278 and 32,509,969 shares outstanding | 38 | 38 | |||||||||
Additional paid-in capital | 755,063 | 728,118 | |||||||||
Treasury stock at cost, 5,372,908 and 5,164,899 shares of common stock | (461,200) | (435,868) | |||||||||
Retained earnings | 757,672 | 639,063 | |||||||||
Total Amedisys, Inc. stockholders’ equity | 1,051,573 | 931,351 | |||||||||
Noncontrolling interests | 55,000 | 44,972 | |||||||||
Total equity | 1,106,573 | 976,323 | |||||||||
Total liabilities and equity | $ | 1,976,245 | $ | 1,856,968 |
For the Three-Month Periods Ended December 31, | For the Years Ended December 31, | ||||||||||||||||||||||
2022 | 2021 | 2022 | 2021 | ||||||||||||||||||||
(Unaudited) | |||||||||||||||||||||||
Cash Flows from Operating Activities: | |||||||||||||||||||||||
Net income | $ | 31,546 | $ | 34,010 | $ | 117,699 | $ | 210,166 | |||||||||||||||
Adjustments to reconcile net income to net cash provided by operating activities: | |||||||||||||||||||||||
Depreciation and amortization | 5,230 | 9,138 | 24,935 | 30,901 | |||||||||||||||||||
Non-cash compensation | 570 | 5,949 | 16,560 | 23,809 | |||||||||||||||||||
Amortization and impairment of operating lease right of use assets | 11,247 | 10,183 | 46,029 | 40,364 | |||||||||||||||||||
Loss (gain) on disposal of property and equipment | 12 | (60) | 519 | (124) | |||||||||||||||||||
Gain on equity method investments | — | (6) | — | (31,098) | |||||||||||||||||||
Deferred income taxes | 4,346 | 9,853 | 23,377 | 44,582 | |||||||||||||||||||
Equity in (earnings) loss from equity method investments | (397) | (1,017) | 45 | (4,949) | |||||||||||||||||||
Amortization of deferred debt issuance costs/debt discount | 248 | 248 | 991 | 917 | |||||||||||||||||||
Return on equity method investments | 1,365 | 1,075 | 5,163 | 5,343 | |||||||||||||||||||
Impairment charge | — | — | 3,009 | — | |||||||||||||||||||
Changes in operating assets and liabilities, net of impact of acquisitions: | |||||||||||||||||||||||
Patient accounts receivable | 4,036 | (392) | (14,230) | (18,030) | |||||||||||||||||||
Other current assets | 16,404 | (5,983) | (3,525) | (12,202) | |||||||||||||||||||
Other assets | 155 | (79) | 438 | (1,017) | |||||||||||||||||||
Accounts payable | (992) | (3,161) | 4,894 | (4,353) | |||||||||||||||||||
Accrued expenses | (12,592) | (17,552) | (39,382) | (26,915) | |||||||||||||||||||
Other long-term obligations | (9,065) | (27,011) | (8,822) | (28,796) | |||||||||||||||||||
Operating lease liabilities | (10,311) | (9,273) | (41,175) | (36,645) | |||||||||||||||||||
Operating lease right of use assets | (919) | (756) | (3,242) | (3,060) | |||||||||||||||||||
Net cash provided by operating activities | 40,883 | 5,166 | 133,283 | 188,893 | |||||||||||||||||||
Cash Flows from Investing Activities: | |||||||||||||||||||||||
Proceeds from the sale of deferred compensation plan assets | 163 | 9 | 252 | 135 | |||||||||||||||||||
Proceeds from the sale of property and equipment | — | 4 | 66 | 144 | |||||||||||||||||||
Purchases of property and equipment | (1,827) | (1,115) | (6,165) | (6,302) | |||||||||||||||||||
Investments in technology assets | (202) | (272) | (1,050) | (419) | |||||||||||||||||||
Investment in equity method investee | — | (200) | (637) | (200) | |||||||||||||||||||
Purchase of cost method investment | — | (5,000) | (15,000) | (5,000) | |||||||||||||||||||
Acquisitions of businesses, net of cash acquired | — | (5,093) | (71,952) | (269,965) | |||||||||||||||||||
Net cash used in investing activities | (1,866) | (11,667) | (94,486) | (281,607) | |||||||||||||||||||
Cash Flows from Financing Activities: | |||||||||||||||||||||||
Proceeds from issuance of stock upon exercise of stock options | 1,226 | 348 | 2,304 | 2,054 | |||||||||||||||||||
Proceeds from issuance of stock to employee stock purchase plan | 991 | 946 | 3,848 | 3,968 | |||||||||||||||||||
Shares withheld to pay taxes on non-cash compensation | (32) | (204) | (7,981) | (16,898) | |||||||||||||||||||
Noncontrolling interest contributions | 1,401 | 250 | 3,501 | 250 | |||||||||||||||||||
Noncontrolling interest distributions | (136) | (494) | (1,561) | (1,747) | |||||||||||||||||||
Proceeds from sale of noncontrolling interest | 1,876 | — | 5,817 | — | |||||||||||||||||||
Proceeds from borrowings under term loan | — | — | — | 290,312 | |||||||||||||||||||
Proceeds from borrowings under revolving line of credit | 50,500 | — | 534,500 | 500,700 | |||||||||||||||||||
Repayments of borrowings under revolving line of credit | (69,000) | — | (534,500) | (551,700) | |||||||||||||||||||
Principal payments of long-term obligations | (3,170) | (3,250) | (13,296) | (9,143) | |||||||||||||||||||
Debt issuance costs | — | — | — | (2,792) | |||||||||||||||||||
Provider relief fund advance | — | (58,535) | — | (60,000) | |||||||||||||||||||
Purchase of company stock | — | (14,999) | (17,351) | (99,878) | |||||||||||||||||||
Payment of accrued contingent consideration | — | — | (5,714) | — | |||||||||||||||||||
Net cash (used in) provided by financing activities | (16,344) | (75,938) | (30,433) | 55,126 | |||||||||||||||||||
Net increase (decrease) in cash, cash equivalents and restricted cash | 22,673 | (82,439) | 8,364 | (37,588) | |||||||||||||||||||
Cash, cash equivalents and restricted cash at beginning of period | 31,460 | 128,208 | 45,769 | 83,357 | |||||||||||||||||||
Cash, cash equivalents and restricted cash at end of period | $ | 54,133 | $ | 45,769 | $ | 54,133 | $ | 45,769 | |||||||||||||||
For the Three-Month Periods Ended December 31, | For the Years Ended December 31, | ||||||||||||||||||||||
2022 | 2021 | 2022 | 2021 | ||||||||||||||||||||
(Unaudited) | |||||||||||||||||||||||
Supplemental Disclosures of Cash Flow Information: | |||||||||||||||||||||||
Cash paid for interest | $ | 5,786 | $ | 1,812 | $ | 14,939 | $ | 5,291 | |||||||||||||||
Cash paid for Infinity ZPIC interest | $ | 1,211 | $ | — | $ | 12,755 | $ | — | |||||||||||||||
Cash paid for income taxes, net of refunds received | $ | 431 | $ | 8,615 | $ | 24,013 | $ | 34,097 | |||||||||||||||
Supplemental Disclosures of Non-Cash Activity: | |||||||||||||||||||||||
Accrued contingent consideration | $ | — | $ | — | $ | 19,195 | $ | — | |||||||||||||||
Noncontrolling interest contribution | $ | — | $ | — | $ | 8,900 | $ | — | |||||||||||||||
Days revenue outstanding (1) | 46.1 | 43.2 | 46.1 | 43.2 |
For the Three-Month Periods Ended December 31, | |||||||||||
2022 | 2021 | ||||||||||
Financial Information (in millions): | |||||||||||
Medicare | $ | 222.8 | $ | 230.1 | |||||||
Non-Medicare | 119.8 | 107.2 | |||||||||
Net service revenue | 342.6 | 337.3 | |||||||||
Cost of service | 195.7 | 193.1 | |||||||||
Gross margin | 146.9 | 144.2 | |||||||||
Depreciation and amortization | 0.7 | 1.0 | |||||||||
Other general and administrative expenses | 89.1 | 84.7 | |||||||||
Operating income | $ | 57.1 | $ | 58.5 | |||||||
Same Store Growth (1): | |||||||||||
Medicare revenue | (6 | %) | 1 | % | |||||||
Non-Medicare revenue | 8 | % | 6 | % | |||||||
Total admissions | 5 | % | 2 | % | |||||||
Total volume (2) | 1 | % | 2 | % | |||||||
Key Statistical Data - Total (3): | |||||||||||
Admissions | 94,365 | 87,142 | |||||||||
Recertifications | 44,546 | 46,390 | |||||||||
Total volume | 138,911 | 133,532 | |||||||||
Medicare completed episodes | 75,835 | 78,693 | |||||||||
Average Medicare revenue per completed episode (4) | $ | 2,989 | $ | 2,951 | |||||||
Medicare visits per completed episode (5) | 12.5 | 13.7 | |||||||||
Visiting clinician cost per visit | $ | 103.83 | $ | 98.16 | |||||||
Clinical manager cost per visit | 11.73 | 10.39 | |||||||||
Total cost per visit | $ | 115.56 | $ | 108.55 | |||||||
Visits | 1,693,215 | 1,778,512 |
For the Years Ended December 31, | |||||||||||
2022 | 2021 | ||||||||||
Financial Information (in millions): | |||||||||||
Medicare | $ | 891.3 | $ | 914.5 | |||||||
Non-Medicare | 464.2 | 439.3 | |||||||||
Net service revenue | 1,355.5 | 1,353.8 | |||||||||
Other operating income | — | 7.3 | |||||||||
Cost of service | 769.0 | 756.6 | |||||||||
Gross margin | 586.5 | 604.5 | |||||||||
Depreciation and amortization | 4.0 | 4.3 | |||||||||
Other general and administrative expenses | 348.5 | 328.5 | |||||||||
Operating income | $ | 234.0 | $ | 271.7 | |||||||
Same Store Growth (1): | |||||||||||
Medicare revenue | (5 | %) | 8 | % | |||||||
Non-Medicare revenue | 2 | % | 9 | % | |||||||
Total admissions | 3 | % | 6 | % | |||||||
Total volume (2) | — | % | 5 | % | |||||||
Key Statistical Data - Total (3): | |||||||||||
Admissions | 374,631 | 353,075 | |||||||||
Recertifications | 178,101 | 183,134 | |||||||||
Total volume | 552,732 | 536,209 | |||||||||
Medicare completed episodes | 304,012 | 311,531 | |||||||||
Average Medicare revenue per completed episode (4) | $ | 3,010 | $ | 2,959 | |||||||
Medicare visits per completed episode (5) | 12.9 | 13.9 | |||||||||
Visiting clinician cost per visit | $ | 99.90 | $ | 93.44 | |||||||
Clinical manager cost per visit | 11.08 | 9.75 | |||||||||
Total cost per visit | $ | 110.98 | $ | 103.19 | |||||||
Visits | 6,929,137 | 7,331,935 |
For the Three-Month Periods Ended December 31, | |||||||||||
2022 | 2021 | ||||||||||
Financial Information (in millions): | |||||||||||
Medicare | $ | 186.3 | $ | 193.9 | |||||||
Non-Medicare | 11.3 | 11.0 | |||||||||
Net service revenue | 197.6 | 204.9 | |||||||||
Cost of service | 103.3 | 110.8 | |||||||||
Gross margin | 94.3 | 94.1 | |||||||||
Depreciation and amortization | 0.6 | 0.7 | |||||||||
Other general and administrative expenses | 51.3 | 54.0 | |||||||||
Operating income | $ | 42.4 | $ | 39.4 | |||||||
Same Store Growth (1): | |||||||||||
Medicare revenue | (4 | %) | — | % | |||||||
Hospice admissions | (8 | %) | (1 | %) | |||||||
Average daily census | (2 | %) | (4 | %) | |||||||
Key Statistical Data - Total (2): | |||||||||||
Hospice admissions | 12,629 | 13,857 | |||||||||
Average daily census | 12,878 | 13,237 | |||||||||
Revenue per day, net | $ | 166.82 | $ | 168.24 | |||||||
Cost of service per day | $ | 87.21 | $ | 91.01 | |||||||
Average discharge length of stay | 94 | 90 |
For the Years Ended December 31, | |||||||||||
2022 | 2021 | ||||||||||
Financial Information (in millions): | |||||||||||
Medicare | $ | 744.1 | $ | 750.1 | |||||||
Non-Medicare | 43.7 | 41.7 | |||||||||
Net service revenue | 787.8 | 791.8 | |||||||||
Other operating income | — | 6.0 | |||||||||
Cost of service | 426.5 | 425.2 | |||||||||
Gross margin | 361.3 | 372.6 | |||||||||
Depreciation and amortization | 2.3 | 2.7 | |||||||||
Other general and administrative expenses | 203.3 | 198.4 | |||||||||
Operating income | $ | 155.7 | $ | 171.5 | |||||||
Same Store Growth (1): | |||||||||||
Medicare revenue | (1 | %) | — | % | |||||||
Hospice admissions | (1 | %) | 2 | % | |||||||
Average daily census | (1 | %) | (4 | %) | |||||||
Key Statistical Data - Total (2): | |||||||||||
Hospice admissions | 52,656 | 53,507 | |||||||||
Average daily census | 13,091 | 13,271 | |||||||||
Revenue per day, net | $ | 164.88 | $ | 163.47 | |||||||
Cost of service per day | $ | 89.26 | $ | 87.77 | |||||||
Average discharge length of stay | 91 | 94 |
For the Three-Month Periods Ended December 31, | |||||||||||
2022 | 2021 | ||||||||||
Financial Information (in millions): | |||||||||||
Medicare | $ | — | $ | — | |||||||
Non-Medicare | 15.9 | 15.1 | |||||||||
Net service revenue | 15.9 | 15.1 | |||||||||
Cost of service | 12.3 | 11.7 | |||||||||
Gross margin | 3.6 | 3.4 | |||||||||
Depreciation and amortization | — | — | |||||||||
Other general and administrative expenses | 2.3 | 2.4 | |||||||||
Operating income | $ | 1.3 | $ | 1.0 | |||||||
Key Statistical Data - Total: | |||||||||||
Billable hours | 453,644 | 500,546 | |||||||||
Clients served | 7,720 | 7,867 | |||||||||
Shifts | 193,220 | 215,167 | |||||||||
Revenue per hour | $ | 35.07 | $ | 30.09 | |||||||
Revenue per shift | $ | 82.34 | $ | 69.99 | |||||||
Hours per shift | 2.3 | 2.3 |
For the Years Ended December 31, | |||||||||||
2022 | 2021 | ||||||||||
Financial Information (in millions): | |||||||||||
Medicare | $ | — | $ | — | |||||||
Non-Medicare | 61.4 | 65.0 | |||||||||
Net service revenue | 61.4 | 65.0 | |||||||||
Cost of service | 46.7 | 49.1 | |||||||||
Gross margin | 14.7 | 15.9 | |||||||||
Depreciation and amortization | 0.1 | 0.2 | |||||||||
Other general and administrative expenses | 9.2 | 11.2 | |||||||||
Operating income | $ | 5.4 | $ | 4.5 | |||||||
Key Statistical Data - Total: | |||||||||||
Billable hours | 1,851,563 | 2,275,511 | |||||||||
Clients served | 10,448 | 12,074 | |||||||||
Shifts | 791,596 | 974,409 | |||||||||
Revenue per hour | $ | 33.15 | $ | 28.54 | |||||||
Revenue per shift | $ | 77.55 | $ | 66.66 | |||||||
Hours per shift | 2.3 | 2.3 |
For the Three-Month Periods Ended December 31, | |||||||||||
2022 | 2021 | ||||||||||
Financial Information (in millions): | |||||||||||
Medicare | $ | 1.9 | $ | — | |||||||
Non-Medicare | 4.0 | 2.0 | |||||||||
Net service revenue | 5.9 | 2.0 | |||||||||
Cost of service | 5.9 | 1.6 | |||||||||
Gross margin | — | 0.4 | |||||||||
Depreciation and amortization | 0.9 | 0.8 | |||||||||
Other general and administrative expenses | 8.3 | 6.1 | |||||||||
Operating loss | $ | (9.2) | $ | (6.5) | |||||||
Key Statistical Data - Total: | |||||||||||
Full risk admissions | 108 | 61 | |||||||||
Limited risk admissions | 374 | 225 | |||||||||
Total admissions | 482 | 286 | |||||||||
Full risk revenue per episode | $ | 12,282 | $ | 11,565 | |||||||
Limited risk revenue per episode | $ | 5,545 | $ | 5,740 | |||||||
Number of admitting joint ventures (1) | 8 | 7 |
For the Years Ended December 31, | |||||||||||
2022 | 2021 | ||||||||||
Financial Information (in millions): | |||||||||||
Medicare | $ | 5.2 | $ | — | |||||||
Non-Medicare | 13.3 | 3.5 | |||||||||
Net service revenue | 18.5 | 3.5 | |||||||||
Cost of service | 18.2 | 2.5 | |||||||||
Gross margin | 0.3 | 1.0 | |||||||||
Depreciation and amortization | 3.3 | 1.3 | |||||||||
Impairment charge | 3.0 | — | |||||||||
Other general and administrative expenses | 33.1 | 10.0 | |||||||||
Operating loss | $ | (39.1) | $ | (10.3) | |||||||
Key Statistical Data - Total: | |||||||||||
Full risk admissions | 448 | 107 | |||||||||
Limited risk admissions | 1,142 | 413 | |||||||||
Total admissions | 1,590 | 520 | |||||||||
Full risk revenue per episode | $ | 11,273 | $ | 10,457 | |||||||
Limited risk revenue per episode | $ | 5,553 | $ | 5,693 | |||||||
Number of admitting joint ventures (1) | 8 | 7 | |||||||||
For the Three-Month Periods Ended December 31, | |||||||||||
2022 | 2021 | ||||||||||
Financial Information (in millions): | |||||||||||
Other general and administrative expenses | $ | 42.3 | $ | 37.6 | |||||||
Depreciation and amortization | 3.0 | 6.6 | |||||||||
Total operating expenses | $ | 45.3 | $ | 44.2 |
For the Years Ended December 31, | |||||||||||
2022 | 2021 | ||||||||||
Financial Information (in millions): | |||||||||||
Other general and administrative expenses | $ | 160.0 | $ | 163.1 | |||||||
Depreciation and amortization | 15.2 | 22.4 | |||||||||
Total operating expenses | $ | 175.2 | $ | 185.5 |
For the Three-Month Periods Ended December 31, | For the Years Ended December 31, | ||||||||||||||||||||||
2022 | 2021 | 2022 | 2021 | ||||||||||||||||||||
Net income attributable to Amedisys, Inc. | $ | 31,717 | $ | 34,047 | $ | 118,609 | $ | 209,072 | |||||||||||||||
Add: | |||||||||||||||||||||||
Income tax expense | 9,790 | 12,873 | 42,545 | 70,065 | |||||||||||||||||||
Interest expense, net | 5,711 | 2,791 | 22,050 | 9,476 | |||||||||||||||||||
Depreciation and amortization | 5,230 | 9,138 | 24,935 | 30,901 | |||||||||||||||||||
Certain items (1) | 7,441 | 6,412 | 58,361 | (18,028) | |||||||||||||||||||
Interest component of certain items (1) | — | (451) | (4,445) | (1,888) | |||||||||||||||||||
Adjusted EBITDA (2) (7) | $ | 59,889 | $ | 64,810 | $ | 262,055 | $ | 299,598 |
For the Three-Month Periods Ended December 31, | For the Years Ended December 31, | ||||||||||||||||||||||
2022 | 2021 | 2022 | 2021 | ||||||||||||||||||||
Net service revenue | $ | 562,064 | $ | 559,317 | $ | 2,223,199 | $ | 2,214,112 | |||||||||||||||
Add: | |||||||||||||||||||||||
Certain items (1) | — | — | 9,305 | (6,541) | |||||||||||||||||||
Adjusted net service revenue (3) (7) | $ | 562,064 | $ | 559,317 | $ | 2,232,504 | $ | 2,207,571 |
For the Three-Month Periods Ended December 31, | For the Years Ended December 31, | ||||||||||||||||||||||
2022 | 2021 | 2022 | 2021 | ||||||||||||||||||||
Other operating income | $ | — | $ | — | $ | — | $ | 13,300 | |||||||||||||||
Add: | |||||||||||||||||||||||
Certain items (1) | — | — | — | (13,300) | |||||||||||||||||||
Adjusted other operating income (4) (7) | $ | — | $ | — | $ | — | $ | — |
For the Three-Month Periods Ended December 31, | For the Years Ended December 31, | ||||||||||||||||||||||
2022 | 2021 | 2022 | 2021 | ||||||||||||||||||||
Net income attributable to Amedisys, Inc. | $ | 31,717 | $ | 34,047 | $ | 118,609 | $ | 209,072 | |||||||||||||||
Add: | |||||||||||||||||||||||
Certain items (1) | 6,251 | 4,764 | 44,838 | (12,923) | |||||||||||||||||||
Adjusted net income attributable to Amedisys, Inc. (5) (7) | $ | 37,968 | $ | 38,811 | $ | 163,447 | $ | 196,149 |
For the Three-Month Periods Ended December 31, | For the Years Ended December 31, | ||||||||||||||||||||||
2022 | 2021 | 2022 | 2021 | ||||||||||||||||||||
Net income attributable to Amedisys, Inc. common stockholders per diluted share | $ | 0.97 | $ | 1.04 | $ | 3.63 | $ | 6.34 | |||||||||||||||
Add: | |||||||||||||||||||||||
Certain items (1) | 0.19 | 0.15 | 1.37 | (0.39) | |||||||||||||||||||
Adjusted net income attributable to Amedisys, Inc. common stockholders per diluted share (6) (7) | $ | 1.16 | $ | 1.18 | $ | 5.01 | $ | 5.95 |
For the Three-Month Period Ended December 31, 2022 | For the Year Ended December 31, 2022 | ||||||||||
(Income) Expense | (Income) Expense | ||||||||||
Certain Items Impacting Net Service Revenue: | |||||||||||
Contingency accrual | $ | — | $ | 9,305 | |||||||
Certain Items Impacting Cost of Service: | |||||||||||
COVID-19 costs | 1,510 | 8,747 | |||||||||
Clinical optimization and reorganization costs | 33 | 1,382 | |||||||||
Fuel supplement | 261 | 3,576 | |||||||||
Integration costs | — | 1,712 | |||||||||
Certain Items Impacting General and Administrative Expenses: | |||||||||||
Acquisition and integration costs | 1,443 | 11,298 | |||||||||
COVID-19 costs | 107 | 503 | |||||||||
Executive Board of Directors transition award | — | 3,500 | |||||||||
Severance | 993 | 993 | |||||||||
Legal fees - non-routine | — | 241 | |||||||||
Clinical optimization and reorganization costs | 2,247 | 5,792 | |||||||||
Legal settlement | — | (1,058) | |||||||||
Fuel supplement | 33 | 251 | |||||||||
Investment impairment | — | 3,009 | |||||||||
Certain Items Impacting Total Other Income (Expense): | |||||||||||
Interest component of certain items | — | 4,445 | |||||||||
Other (income) expense, net | 814 | 4,665 | |||||||||
Total | $ | 7,441 | $ | 58,361 | |||||||
Net of tax | $ | 6,251 | $ | 44,838 | |||||||
Diluted EPS | $ | 0.19 | $ | 1.37 |
For the Three-Month Period Ended December 31, 2021 | For the Year Ended December 31, 2021 | ||||||||||
(Income) Expense | (Income) Expense | ||||||||||
Certain Items Impacting Net Service Revenue: | |||||||||||
Contingency accrual | $ | — | $ | (6,541) | |||||||
Certain Items Impacting Other Operating Income: | |||||||||||
CARES Act funds | — | (13,300) | |||||||||
Certain Items Impacting Cost of Service: | |||||||||||
COVID-19 costs | 4,323 | 20,780 | |||||||||
Certain Items Impacting General and Administrative Expenses: | |||||||||||
Acquisition and integration costs | 1,310 | 7,559 | |||||||||
COVID-19 costs | 140 | 716 | |||||||||
Pre-acquisition legal settlement | — | 1,825 | |||||||||
Certain Items Impacting Total Other Income (Expense): | |||||||||||
Interest component of certain items | 451 | 1,888 | |||||||||
Other (income) expense, net | 188 | (30,955) | |||||||||
Total | $ | 6,412 | $ | (18,028) | |||||||
Net of tax | $ | 4,764 | $ | (12,923) | |||||||
Diluted EPS | $ | 0.15 | $ | (0.39) |