For the Three-Month Periods Ended June 30, | For the Six-Month Periods Ended June 30, | ||||||||||||||||||||||
2023 | 2022 | 2023 | 2022 | ||||||||||||||||||||
Net service revenue | $ | 552,968 | $ | 557,890 | $ | 1,109,357 | $ | 1,103,147 | |||||||||||||||
Operating expenses: | |||||||||||||||||||||||
Cost of service, inclusive of depreciation | 297,455 | 316,211 | 612,465 | 621,031 | |||||||||||||||||||
General and administrative expenses: | |||||||||||||||||||||||
Salaries and benefits | 125,504 | 127,758 | 251,843 | 251,238 | |||||||||||||||||||
Non-cash compensation | 9,108 | 5,148 | 12,381 | 12,495 | |||||||||||||||||||
Depreciation and amortization | 4,725 | 6,220 | 9,168 | 14,228 | |||||||||||||||||||
Other | 78,381 | 54,912 | 143,326 | 108,552 | |||||||||||||||||||
Total operating expenses | 515,173 | 510,249 | 1,029,183 | 1,007,544 | |||||||||||||||||||
Operating income | 37,795 | 47,641 | 80,174 | 95,603 | |||||||||||||||||||
Other income (expense): | |||||||||||||||||||||||
Interest income | 742 | 36 | 1,148 | 49 | |||||||||||||||||||
Interest expense | (7,502) | (8,311) | (15,019) | (11,484) | |||||||||||||||||||
Equity in earnings (loss) from equity method investments | 7,991 | 659 | 8,114 | (744) | |||||||||||||||||||
Merger termination fee | (106,000) | — | (106,000) | — | |||||||||||||||||||
Miscellaneous, net | 4,743 | 331 | 4,061 | 664 | |||||||||||||||||||
Total other expense, net | (100,026) | (7,285) | (107,696) | (11,515) | |||||||||||||||||||
(Loss) income before income taxes | (62,231) | 40,356 | (27,522) | 84,088 | |||||||||||||||||||
Income tax expense | (18,250) | (11,319) | (28,050) | (23,338) | |||||||||||||||||||
Net (loss) income | (80,481) | 29,037 | (55,572) | 60,750 | |||||||||||||||||||
Net loss attributable to noncontrolling interests | 206 | 542 | 543 | 500 | |||||||||||||||||||
Net (loss) income attributable to Amedisys, Inc. | $ | (80,275) | $ | 29,579 | $ | (55,029) | $ | 61,250 | |||||||||||||||
Basic earnings per common share: | |||||||||||||||||||||||
Net (loss) income attributable to Amedisys, Inc. common stockholders | $ | (2.46) | $ | 0.91 | $ | (1.69) | $ | 1.88 | |||||||||||||||
Weighted average shares outstanding | 32,579 | 32,522 | 32,568 | 32,538 | |||||||||||||||||||
Diluted earnings per common share: | |||||||||||||||||||||||
Net (loss) income attributable to Amedisys, Inc. common stockholders | $ | (2.46) | $ | 0.91 | $ | (1.69) | $ | 1.87 | |||||||||||||||
Weighted average shares outstanding | 32,579 | 32,681 | 32,568 | 32,722 |
June 30, 2023 (unaudited) | December 31, 2022 | ||||||||||
ASSETS | |||||||||||
Current assets: | |||||||||||
Cash and cash equivalents | $ | 95,377 | $ | 40,540 | |||||||
Restricted cash | 15,784 | 13,593 | |||||||||
Patient accounts receivable | 278,785 | 296,785 | |||||||||
Prepaid expenses | 13,774 | 11,628 | |||||||||
Other current assets | 22,824 | 26,415 | |||||||||
Total current assets | 426,544 | 388,961 | |||||||||
Property and equipment, net of accumulated depreciation of $90,523 and $101,364 | 36,399 | 16,026 | |||||||||
Operating lease right of use assets | 85,142 | 102,856 | |||||||||
Goodwill | 1,244,679 | 1,287,399 | |||||||||
Intangible assets, net of accumulated amortization of $17,714 and $14,604 | 104,744 | 101,167 | |||||||||
Other assets | 84,894 | 79,836 | |||||||||
Total assets | $ | 1,982,402 | $ | 1,976,245 | |||||||
LIABILITIES AND EQUITY | |||||||||||
Current liabilities: | |||||||||||
Accounts payable | $ | 38,557 | $ | 43,735 | |||||||
Payroll and employee benefits | 123,234 | 125,387 | |||||||||
Accrued expenses | 137,359 | 137,390 | |||||||||
Termination fee paid by UnitedHealth Group | 106,000 | — | |||||||||
Current portion of long-term obligations | 31,465 | 15,496 | |||||||||
Current portion of operating lease liabilities | 25,786 | 33,521 | |||||||||
Total current liabilities | 462,401 | 355,529 | |||||||||
Long-term obligations, less current portion | 369,896 | 419,420 | |||||||||
Operating lease liabilities, less current portion | 59,634 | 69,504 | |||||||||
Deferred income tax liabilities | 28,085 | 20,411 | |||||||||
Other long-term obligations | 1,629 | 4,808 | |||||||||
Total liabilities | 921,645 | 869,672 | |||||||||
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; 38,030,397 and 37,891,186 shares issued; 32,608,325 and 32,511,465 shares outstanding | 38 | 38 | |||||||||
Additional paid-in capital | 768,789 | 755,063 | |||||||||
Treasury stock, at cost, 5,422,072 and 5,379,721 shares of common stock | (464,688) | (461,200) | |||||||||
Retained earnings | 702,643 | 757,672 | |||||||||
Total Amedisys, Inc. stockholders’ equity | 1,006,782 | 1,051,573 | |||||||||
Noncontrolling interests | 53,975 | 55,000 | |||||||||
Total equity | 1,060,757 | 1,106,573 | |||||||||
Total liabilities and equity | $ | 1,982,402 | $ | 1,976,245 |
For the Three-Month Periods Ended June 30, | For the Six-Month Periods Ended June 30, | ||||||||||||||||||||||
2023 | 2022 | 2023 | 2022 | ||||||||||||||||||||
Cash Flows from Operating Activities: | |||||||||||||||||||||||
Net (loss) income | $ | (80,481) | $ | 29,037 | $ | (55,572) | $ | 60,750 | |||||||||||||||
Adjustments to reconcile net (loss) income to net cash provided by operating activities: | |||||||||||||||||||||||
Depreciation and amortization (inclusive of depreciation included in cost of service) | 6,199 | 6,220 | 11,893 | 14,228 | |||||||||||||||||||
Non-cash compensation | 9,108 | 5,148 | 12,381 | 12,495 | |||||||||||||||||||
Amortization and impairment of operating lease right of use assets | 8,349 | 12,367 | 16,971 | 22,463 | |||||||||||||||||||
Loss on disposal of property and equipment | 426 | 526 | 356 | 531 | |||||||||||||||||||
Loss on personal care divestiture | — | — | 2,186 | — | |||||||||||||||||||
Merger termination fee | 106,000 | — | 106,000 | — | |||||||||||||||||||
Deferred income taxes | 5,332 | 2,798 | 8,104 | 6,003 | |||||||||||||||||||
Equity in (earnings) loss from equity method investments | (7,991) | (659) | (8,114) | 744 | |||||||||||||||||||
Amortization of deferred debt issuance costs | 247 | 247 | 495 | 495 | |||||||||||||||||||
Return on equity method investments | 966 | 718 | 2,753 | 2,428 | |||||||||||||||||||
Changes in operating assets and liabilities, net of impact of acquisitions: | |||||||||||||||||||||||
Patient accounts receivable | 15,338 | (2,726) | 7,862 | (21,344) | |||||||||||||||||||
Other current assets | 5,817 | (12,350) | 1,689 | (4,468) | |||||||||||||||||||
Operating lease right of use assets | (1,019) | (913) | (1,937) | (1,662) | |||||||||||||||||||
Other assets | 355 | (27) | 244 | 220 | |||||||||||||||||||
Accounts payable | (1,274) | 6,613 | (4,731) | 4,498 | |||||||||||||||||||
Accrued expenses | 4,034 | 22,046 | 4,775 | 29,529 | |||||||||||||||||||
Other long-term obligations | (3,151) | (166) | (3,179) | (223) | |||||||||||||||||||
Operating lease liabilities | (7,496) | (11,470) | (15,456) | (20,657) | |||||||||||||||||||
Net cash provided by operating activities | 60,759 | 57,409 | 86,720 | 106,030 | |||||||||||||||||||
Cash Flows from Investing Activities: | |||||||||||||||||||||||
Proceeds from the sale of deferred compensation plan assets | 6 | 6 | 25 | 28 | |||||||||||||||||||
Proceeds from the sale of property and equipment | 100 | — | 100 | 37 | |||||||||||||||||||
Purchases of property and equipment | (1,394) | (1,880) | (2,744) | (2,782) | |||||||||||||||||||
Investments in technology assets | (6,457) | (323) | (6,667) | (559) | |||||||||||||||||||
Purchase of cost method investment | — | — | — | (15,000) | |||||||||||||||||||
Proceeds from personal care divestiture | — | — | 47,787 | — | |||||||||||||||||||
Acquisitions of businesses, net of cash acquired | — | (73,311) | (350) | (73,311) | |||||||||||||||||||
Net cash (used in) provided by investing activities | (7,745) | (75,508) | 38,151 | (91,587) | |||||||||||||||||||
Cash Flows from Financing Activities: | |||||||||||||||||||||||
Proceeds from issuance of stock upon exercise of stock options | 75 | 686 | 75 | 772 | |||||||||||||||||||
Proceeds from issuance of stock under employee stock purchase plan | 938 | 906 | 1,754 | 1,891 | |||||||||||||||||||
Shares withheld to pay taxes on non-cash compensation | (2,180) | (80) | (3,488) | (4,762) | |||||||||||||||||||
Noncontrolling interest contributions | 376 | 300 | 376 | 952 | |||||||||||||||||||
Noncontrolling interest distributions | (427) | (303) | (712) | (975) | |||||||||||||||||||
Proceeds from borrowings under revolving line of credit | 15,000 | 298,500 | 23,000 | 298,500 | |||||||||||||||||||
Repayments of borrowings under revolving line of credit | (15,000) | (283,500) | (23,000) | (283,500) | |||||||||||||||||||
Principal payments of long-term obligations | (5,680) | (3,204) | (60,993) | (6,975) | |||||||||||||||||||
Purchase of company stock | — | (17,351) | — | (17,351) | |||||||||||||||||||
Payment of accrued contingent consideration | (4,055) | — | (4,055) | — | |||||||||||||||||||
Purchase of noncontrolling interest | — | — | (800) | — | |||||||||||||||||||
Net cash used in financing activities | (10,953) | (4,046) | (67,843) | (11,448) | |||||||||||||||||||
Net increase (decrease) in cash, cash equivalents and restricted cash | 42,061 | (22,145) | 57,028 | 2,995 | |||||||||||||||||||
Cash, cash equivalents and restricted cash at beginning of period | 69,100 | 70,909 | 54,133 | 45,769 | |||||||||||||||||||
Cash, cash equivalents and restricted cash at end of period | $ | 111,161 | $ | 48,764 | $ | 111,161 | $ | 48,764 | |||||||||||||||
For the Three-Month Periods Ended June 30, | For the Six-Month Periods Ended June 30, | ||||||||||||||||||||||
2023 | 2022 | 2023 | 2022 | ||||||||||||||||||||
Supplemental Disclosures of Cash Flow Information: | |||||||||||||||||||||||
Cash paid for interest | $ | 6,377 | $ | 2,625 | $ | 13,031 | $ | 4,489 | |||||||||||||||
Cash paid for income taxes, net of refunds received | $ | 15,468 | $ | 22,426 | $ | 15,820 | $ | 22,977 | |||||||||||||||
Cash paid for operating lease liabilities | $ | 8,516 | $ | 12,383 | $ | 17,394 | $ | 22,319 | |||||||||||||||
Cash paid for finance lease liabilities | $ | 2,864 | $ | 378 | $ | 5,321 | $ | 735 | |||||||||||||||
Supplemental Disclosures of Non-Cash Activity: | |||||||||||||||||||||||
Right of use assets obtained in exchange for operating lease liabilities | $ | 7,719 | $ | 15,387 | $ | 14,802 | $ | 26,590 | |||||||||||||||
Right of use assets obtained in exchange for finance lease liabilities | $ | 7,154 | $ | 1,100 | $ | 27,944 | $ | 1,316 | |||||||||||||||
Reductions to right of use assets resulting from reductions to operating lease liabilities | $ | 14,994 | $ | 2,464 | $ | 15,135 | $ | 2,763 | |||||||||||||||
Reductions to right of use assets resulting from reductions to finance lease liabilities | $ | 525 | $ | — | $ | 894 | $ | — | |||||||||||||||
Accrued contingent consideration | $ | — | $ | 19,195 | $ | — | $ | 19,195 | |||||||||||||||
Noncontrolling interest contribution | $ | — | $ | — | $ | — | $ | 8,900 | |||||||||||||||
Days revenue outstanding (1) | 43.4 | 46.8 | 43.4 | 46.8 |
For the Three-Month Periods Ended June 30, | |||||||||||
2023 | 2022 | ||||||||||
Financial Information (in millions) (6): | |||||||||||
Medicare | $ | 219.8 | $ | 222.0 | |||||||
Non-Medicare | 130.0 | 119.9 | |||||||||
Net service revenue | 349.8 | 341.9 | |||||||||
Cost of service, inclusive of depreciation | 194.5 | 194.7 | |||||||||
Gross margin | 155.3 | 147.2 | |||||||||
General and administrative expenses | 90.2 | 88.8 | |||||||||
Depreciation and amortization | 1.2 | 1.5 | |||||||||
Operating income | $ | 63.9 | $ | 56.9 | |||||||
Same Store Growth(1): | |||||||||||
Medicare revenue | (1 | %) | (9 | %) | |||||||
Non-Medicare revenue | 10 | % | (3 | %) | |||||||
Total admissions | 4 | % | — | % | |||||||
Total volume(2) | 3 | % | (2 | %) | |||||||
Key Statistical Data - Total(3)(6): | |||||||||||
Admissions | 97,453 | 94,063 | |||||||||
Recertifications | 45,808 | 45,821 | |||||||||
Total volume | 143,261 | 139,884 | |||||||||
Medicare completed episodes | 74,848 | 78,321 | |||||||||
Average Medicare revenue per completed episode(4) | $ | 3,005 | $ | 3,051 | |||||||
Medicare visits per completed episode(5) | 12.5 | 13.2 | |||||||||
Visiting clinician cost per visit | $ | 99.81 | $ | 97.68 | |||||||
Clinical manager cost per visit | 11.14 | 10.77 | |||||||||
Total cost per visit | $ | 110.95 | $ | 108.45 | |||||||
Visits | 1,752,449 | 1,795,611 |
For the Six-Month Periods Ended June 30, | |||||||||||
2023 | 2022 | ||||||||||
Financial Information (in millions) (6): | |||||||||||
Medicare | $ | 435.2 | $ | 446.1 | |||||||
Non-Medicare | 257.9 | 231.5 | |||||||||
Net service revenue | 693.1 | 677.6 | |||||||||
Cost of service, inclusive of depreciation | 391.5 | 379.9 | |||||||||
Gross margin | 301.6 | 297.7 | |||||||||
General and administrative expenses | 179.3 | 172.0 | |||||||||
Depreciation and amortization | 2.3 | 2.4 | |||||||||
Operating income | $ | 120.0 | $ | 123.3 | |||||||
Same Store Growth(1): | |||||||||||
Medicare revenue | (4 | %) | (4 | %) | |||||||
Non-Medicare revenue | 11 | % | — | % | |||||||
Total admissions | 6 | % | 1 | % | |||||||
Total volume(2) | 4 | % | (1 | %) | |||||||
Key Statistical Data - Total(3)(6): | |||||||||||
Admissions | 199,416 | 185,827 | |||||||||
Recertifications | 89,133 | 88,677 | |||||||||
Total volume | 288,549 | 274,504 | |||||||||
Medicare completed episodes | 148,411 | 152,764 | |||||||||
Average Medicare revenue per completed episode(4) | $ | 2,990 | $ | 3,032 | |||||||
Medicare visits per completed episode(5) | 12.4 | 13.1 | |||||||||
Visiting clinician cost per visit | $ | 99.83 | $ | 97.41 | |||||||
Clinical manager cost per visit | 11.13 | 10.77 | |||||||||
Total cost per visit | $ | 110.96 | $ | 108.18 | |||||||
Visits | 3,527,655 | 3,511,822 |
For the Three-Month Periods Ended June 30, | |||||||||||
2023 | 2022 | ||||||||||
Financial Information (in millions): | |||||||||||
Medicare | $ | 188.2 | $ | 187.5 | |||||||
Non-Medicare | 11.0 | 10.9 | |||||||||
Net service revenue | 199.2 | 198.4 | |||||||||
Cost of service, inclusive of depreciation | 98.8 | 107.4 | |||||||||
Gross margin | 100.4 | 91.0 | |||||||||
General and administrative expenses | 47.9 | 51.6 | |||||||||
Depreciation and amortization | 0.7 | 0.6 | |||||||||
Operating income | $ | 51.8 | $ | 38.8 | |||||||
Same Store Growth(1): | |||||||||||
Medicare revenue | — | % | — | % | |||||||
Hospice admissions | (6 | %) | 6 | % | |||||||
Average daily census | (2 | %) | — | % | |||||||
Key Statistical Data - Total(2): | |||||||||||
Hospice admissions | 12,395 | 13,359 | |||||||||
Average daily census | 12,918 | 13,249 | |||||||||
Revenue per day, net | $ | 169.47 | $ | 164.55 | |||||||
Cost of service per day | $ | 84.03 | $ | 89.05 | |||||||
Average discharge length of stay | 90 | 87 |
For the Six-Month Periods Ended June 30, | |||||||||||
2023 | 2022 | ||||||||||
Financial Information (in millions): | |||||||||||
Medicare | $ | 370.9 | $ | 370.0 | |||||||
Non-Medicare | 21.7 | 21.4 | |||||||||
Net service revenue | 392.6 | 391.4 | |||||||||
Cost of service, inclusive of depreciation | 200.2 | 213.8 | |||||||||
Gross margin | 192.4 | 177.6 | |||||||||
General and administrative expenses | 95.8 | 102.9 | |||||||||
Depreciation and amortization | 1.3 | 1.3 | |||||||||
Operating income | $ | 95.3 | $ | 73.4 | |||||||
Same Store Growth(1): | |||||||||||
Medicare revenue | — | % | — | % | |||||||
Hospice admissions | (6 | %) | 4 | % | |||||||
Average daily census | (1 | %) | (1 | %) | |||||||
Key Statistical Data - Total(2): | |||||||||||
Hospice admissions | 25,393 | 27,245 | |||||||||
Average daily census | 12,825 | 13,086 | |||||||||
Revenue per day, net | $ | 169.15 | $ | 165.28 | |||||||
Cost of service per day | $ | 86.24 | $ | 90.24 | |||||||
Average discharge length of stay | 90 | 88 |
For the Three-Month Periods Ended June 30, | |||||||||||
2023 | 2022 | ||||||||||
Financial Information (in millions): | |||||||||||
Medicare | $ | — | $ | — | |||||||
Non-Medicare | — | 14.9 | |||||||||
Net service revenue | — | 14.9 | |||||||||
Cost of service, inclusive of depreciation | — | 11.4 | |||||||||
Gross margin | — | 3.5 | |||||||||
General and administrative expenses | — | 2.3 | |||||||||
Depreciation and amortization | — | — | |||||||||
Operating income | $ | — | $ | 1.2 | |||||||
Key Statistical Data - Total: | |||||||||||
Billable hours | — | 472,523 | |||||||||
Clients served | — | 7,759 | |||||||||
Shifts | — | 201,996 | |||||||||
Revenue per hour | $ | — | $ | 31.59 | |||||||
Revenue per shift | $ | — | $ | 73.89 | |||||||
Hours per shift | — | 2.3 |
For the Six-Month Periods Ended June 30, | |||||||||||
2023 | 2022 | ||||||||||
Financial Information (in millions): | |||||||||||
Medicare | $ | — | $ | — | |||||||
Non-Medicare | 15.0 | 28.9 | |||||||||
Net service revenue | 15.0 | 28.9 | |||||||||
Cost of service, inclusive of depreciation | 11.1 | 22.2 | |||||||||
Gross margin | 3.9 | 6.7 | |||||||||
General and administrative expenses | 2.3 | 4.5 | |||||||||
Depreciation and amortization | — | 0.1 | |||||||||
Operating income | $ | 1.6 | $ | 2.1 | |||||||
Key Statistical Data - Total: | |||||||||||
Billable hours | 440,464 | 923,555 | |||||||||
Clients served | 7,892 | 8,591 | |||||||||
Shifts | 191,379 | 395,738 | |||||||||
Revenue per hour | $ | 33.97 | $ | 31.27 | |||||||
Revenue per shift | $ | 78.19 | $ | 72.99 | |||||||
Hours per shift | 2.3 | 2.3 |
For the Three-Month Periods Ended June 30, | |||||||||||
2023 | 2022 | ||||||||||
Financial Information (in millions) (1): | |||||||||||
Medicare | $ | — | $ | — | |||||||
Non-Medicare | 4.0 | 2.7 | |||||||||
Net service revenue | 4.0 | 2.7 | |||||||||
Cost of service, inclusive of depreciation | 4.2 | 2.7 | |||||||||
Gross margin | (0.2) | — | |||||||||
General and administrative expenses | 5.3 | 5.2 | |||||||||
Depreciation and amortization | 0.8 | 0.8 | |||||||||
Operating loss | $ | (6.3) | $ | (6.0) | |||||||
Key Statistical Data - Total: | |||||||||||
Full risk admissions | 186 | 104 | |||||||||
Limited risk admissions | 348 | 241 | |||||||||
Total admissions | 534 | 345 | |||||||||
Full risk revenue per episode | $ | 9,303 | $ | 11,278 | |||||||
Limited risk revenue per episode | $ | 6,098 | $ | 5,316 | |||||||
Number of admitting joint venture markets | 11 | 9 |
For the Six-Month Periods Ended June 30, | |||||||||||
2023 | 2022 | ||||||||||
Financial Information (in millions) (1): | |||||||||||
Medicare | $ | — | $ | — | |||||||
Non-Medicare | 8.7 | 5.2 | |||||||||
Net service revenue | 8.7 | 5.2 | |||||||||
Cost of service, inclusive of depreciation | 9.7 | 5.1 | |||||||||
Gross margin | (1.0) | 0.1 | |||||||||
General and administrative expenses | 9.7 | 9.5 | |||||||||
Depreciation and amortization | 1.6 | 1.6 | |||||||||
Operating loss | $ | (12.3) | $ | (11.0) | |||||||
Key Statistical Data - Total: | |||||||||||
Full risk admissions | 344 | 210 | |||||||||
Limited risk admissions | 807 | 468 | |||||||||
Total admissions | 1,151 | 678 | |||||||||
Full risk revenue per episode | $ | 10,236 | $ | 10,672 | |||||||
Limited risk revenue per episode | $ | 5,878 | $ | 5,541 | |||||||
Number of admitting joint venture markets | 11 | 9 |
For the Three-Month Periods Ended June 30, | |||||||||||
2023 | 2022 | ||||||||||
Financial Information (in millions) (1): | |||||||||||
General and administrative expenses | $ | 69.6 | $ | 40.0 | |||||||
Depreciation and amortization | 2.0 | 3.3 | |||||||||
Total operating expenses | $ | 71.6 | $ | 43.3 |
For the Six-Month Periods Ended June 30, | |||||||||||
2023 | 2022 | ||||||||||
Financial Information (in millions) (1): | |||||||||||
General and administrative expenses | $ | 120.4 | $ | 83.4 | |||||||
Depreciation and amortization | 4.0 | 8.8 | |||||||||
Total operating expenses | $ | 124.4 | $ | 92.2 |
For the Three-Month Periods Ended June 30, | For the Six-Month Periods Ended June 30, | ||||||||||||||||||||||
2023 | 2022 | 2023 | 2022 | ||||||||||||||||||||
Net (loss) income attributable to Amedisys, Inc. | $ | (80,275) | $ | 29,579 | $ | (55,029) | $ | 61,250 | |||||||||||||||
Add: | |||||||||||||||||||||||
Income tax expense | 18,250 | 11,319 | 28,050 | 23,338 | |||||||||||||||||||
Interest expense, net | 6,760 | 8,275 | 13,871 | 11,435 | |||||||||||||||||||
Depreciation and amortization | 6,199 | 6,220 | 11,893 | 14,228 | |||||||||||||||||||
Certain items(1) | 123,704 | 23,609 | 133,691 | 35,059 | |||||||||||||||||||
Interest component of certain items(1) | — | (4,652) | — | (4,652) | |||||||||||||||||||
Adjusted EBITDA(2)(6) | $ | 74,638 | $ | 74,350 | $ | 132,476 | $ | 140,658 |
For the Three-Month Periods Ended June 30, | For the Six-Month Periods Ended June 30, | ||||||||||||||||||||||
2023 | 2022 | 2023 | 2022 | ||||||||||||||||||||
Net service revenue | $ | 552,968 | $ | 557,890 | $ | 1,109,357 | $ | 1,103,147 | |||||||||||||||
Add: | |||||||||||||||||||||||
Certain items(1) | — | 8,374 | — | 8,374 | |||||||||||||||||||
Adjusted net service revenue(3) (6) | $ | 552,968 | $ | 566,264 | $ | 1,109,357 | $ | 1,111,521 |
For the Three-Month Periods Ended June 30, | For the Six-Month Periods Ended June 30, | ||||||||||||||||||||||
2023 | 2022 | 2023 | 2022 | ||||||||||||||||||||
Net (loss) income attributable to Amedisys, Inc. | $ | (80,275) | $ | 29,579 | $ | (55,029) | $ | 61,250 | |||||||||||||||
Add: | |||||||||||||||||||||||
Certain items(1) | 125,153 | 18,373 | 132,642 | 26,847 | |||||||||||||||||||
Adjusted net income attributable to Amedisys, Inc.(4)(6) | $ | 44,878 | $ | 47,952 | $ | 77,613 | $ | 88,097 |
For the Three-Month Periods Ended June 30, | For the Six-Month Periods Ended June 30, | ||||||||||||||||||||||
2023 | 2022 | 2023 | 2022 | ||||||||||||||||||||
Net (loss) income attributable to Amedisys, Inc. common stockholders per diluted share | $ | (2.46) | $ | 0.91 | $ | (1.69) | $ | 1.87 | |||||||||||||||
Add: | |||||||||||||||||||||||
Certain items(1) | 3.83 | 0.56 | 4.06 | 0.82 | |||||||||||||||||||
Adjusted net income attributable to Amedisys, Inc. common stockholders per diluted share(5)(6) | $ | 1.37 | $ | 1.47 | $ | 2.38 | $ | 2.69 |
For the Three-Month Periods Ended June 30, 2023 | For the Six-Month Periods Ended June 30, 2023 | ||||||||||
(Income) Expense | (Income) Expense | ||||||||||
Certain Items Impacting Cost of Service, Inclusive of Depreciation: | |||||||||||
Clinical optimization and reorganization costs | $ | — | $ | 114 | |||||||
Certain Items Impacting General and Administrative Expenses: | |||||||||||
Acquisition and integration costs | 1,101 | 2,768 | |||||||||
Executive Board of Directors/CEO transition award | 3,435 | 4,185 | |||||||||
Merger-related legal and professional fees | 19,451 | 20,171 | |||||||||
Clinical optimization and reorganization costs | 567 | 3,737 | |||||||||
Personal care divestiture | 11 | 525 | |||||||||
Certain Items Impacting Total Other Income (Expense): | |||||||||||
Other (income) expense, net (includes $106,000 merger termination fee) | 99,139 | 102,191 | |||||||||
Total | $ | 123,704 | $ | 133,691 | |||||||
Net of tax | $ | 125,153 | $ | 132,642 | |||||||
Diluted EPS | $ | 3.83 | $ | 4.06 |
For the Three-Month Periods Ended June 30, 2022 | For the Six-Month Periods Ended June 30, 2022 | ||||||||||
(Income) Expense | (Income) Expense | ||||||||||
Certain Items Impacting Net Service Revenue: | |||||||||||
Contingency accrual | $ | 8,374 | $ | 8,374 | |||||||
Certain Items Impacting Cost of Service: | |||||||||||
COVID-19 costs | 1,803 | 5,536 | |||||||||
Clinical optimization and reorganization costs | 195 | 195 | |||||||||
Fuel supplement | 1,016 | 1,353 | |||||||||
Integration costs | 1,401 | 1,401 | |||||||||
Certain Items Impacting General and Administrative Expenses: | |||||||||||
Acquisition and integration costs | 5,323 | 6,701 | |||||||||
COVID-19 costs | 84 | 237 | |||||||||
Executive Board of Directors/CEO transition award | — | 3,500 | |||||||||
Legal fees - non-routine | 190 | 241 | |||||||||
Clinical optimization and reorganization costs | 869 | 869 | |||||||||
Legal settlement | (1,058) | (1,058) | |||||||||
Certain Items Impacting Total Other Income (Expense): | |||||||||||
Interest component of certain items | 4,652 | 4,652 | |||||||||
Other (income) expense, net | 760 | 3,058 | |||||||||
Total | $ | 23,609 | $ | 35,059 | |||||||
Net of tax | $ | 18,373 | $ | 26,847 | |||||||
Diluted EPS | $ | 0.56 | $ | 0.82 |