-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Vayic5IWqBT5sH4lMNS0FqHv/5epLjzuJu86CbIiUrHjIMBI/SPX+p9MmHYBFVVV ecvaBfb1iriSqf5Tv/HAvA== 0000899243-98-001192.txt : 19980619 0000899243-98-001192.hdr.sgml : 19980618 ACCESSION NUMBER: 0000899243-98-001192 CONFORMED SUBMISSION TYPE: 10-Q/A PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 19970630 FILED AS OF DATE: 19980617 SROS: NASD FILER: COMPANY DATA: COMPANY CONFORMED NAME: AMEDISYS INC CENTRAL INDEX KEY: 0000896262 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOME HEALTH CARE SERVICES [8082] IRS NUMBER: 113131700 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 10-Q/A SEC ACT: SEC FILE NUMBER: 000-24260 FILM NUMBER: 98649936 BUSINESS ADDRESS: STREET 1: 3029 S SHERWOOD FOREST BLVD STE 300 CITY: BATON ROUGE STATE: LA ZIP: 70816 BUSINESS PHONE: 5042922031 MAIL ADDRESS: STREET 1: 3029 SOUTH SHERWOOD FOREST BLVD STREET 2: SUITE 300 CITY: BATON ROUGE STATE: LA ZIP: 70816 FORMER COMPANY: FORMER CONFORMED NAME: ANALYTICAL NURSING MANAGEMENT CORP DATE OF NAME CHANGE: 19940819 FORMER COMPANY: FORMER CONFORMED NAME: M&N CAPITAL CORP DATE OF NAME CHANGE: 19930125 - -----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, AVO0JFGXd8mbdIni1V+36pkJU4kd/sjUwoF3639r2OGTILhmJgSEZ2RzNTqkxZex xf/QI73dXhVXkCmBGJGKNw== 0000899243-98-001192.txt : 19980618 0000899243-98-001192.hdr.sgml : 19980618 ACCESSION NUMBER: 0000899243-98-001192 CONFORMED SUBMISSION TYPE: 10-Q/A PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 19970630 FILED AS OF DATE: 19980617 SROS: NASD FILER: COMPANY DATA: COMPANY CONFORMED NAME: AMEDISYS INC CENTRAL INDEX KEY: 0000896262 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOME HEALTH CARE SERVICES [8082] IRS NUMBER: 113131700 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 10-Q/A SEC ACT: SEC FILE NUMBER: 000-24260 FILM NUMBER: 98649936 BUSINESS ADDRESS: STREET 1: 3029 S SHERWOOD FOREST BLVD STE 300 CITY: BATON ROUGE STATE: LA ZIP: 70816 BUSINESS PHONE: 5042922031 MAIL ADDRESS: STREET 1: 3029 SOUTH SHERWOOD FOREST BLVD STREET 2: SUITE 300 CITY: BATON ROUGE STATE: LA ZIP: 70816 FORMER COMPANY: FORMER CONFORMED NAME: ANALYTICAL NURSING MANAGEMENT CORP DATE OF NAME CHANGE: 19940819 FORMER COMPANY: FORMER CONFORMED NAME: M&N CAPITAL CORP DATE OF NAME CHANGE: 19930125 10-Q/A 1 FORM 10-Q/A U.S. SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 10-Q/A ________________________________________________________________________________ [X] QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15 (D) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended June 30, 1997 or [ ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from _________________ to _____________________ Commission file number: 0-24260 -------- AMEDISYS, INC. -------------- (Exact Name of Registrant as Specified in Charter) Delaware 11-3131700 -------- ---------- (State or Other Jurisdiction of (I.R.S. Employer Identification No.) Incorporation or Organization) 3029 S. Sherwood Forest Blvd., Ste. 300 Baton Rouge, LA 70816 --------------------------------------------------------------- (Address of principal executive offices including zip code) (504) 292-2031 (Registrant's telephone number, including area code) Indicate by check mark whether the issuer (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes [X] No [ ] Number of shares of Common Stock outstanding as of June 30, 1997: 2,734,549 shares 1 PART I. FINANCIAL INFORMATION
ITEM 1. FINANCIAL STATEMENTS Consolidated Balance Sheet as of June 30, 1997 and December 31, 1996............. 3 Consolidated Statements of Income for the Three and Six Months ended June 30, 1997 and 1996..................................................... 4 Consolidated Statements of Cash Flows for the Six Months ended June 30, 1997 and 1996..................................................... 5 Notes to Consolidated Financial Statements....................................... 6 ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS.............................................. 7 General.......................................................................... 7 Industry Overview................................................................ 8 Company Overview of Business Segments............................................ 9 Health Care Provider Services.................................................... 9 Outpatient Surgery........................................................ 9 Home Health Care.......................................................... 9 Supplemental Staffing..................................................... 9 Management Services.............................................................. 9 Home Health Care Management Services...................................... 9 Physician Practice Management Services.................................... 10 FutureCare................................................................ 10 Results of Operations............................................................ 10 Liquidity and Capital Resources........................................... 12 Inflation................................................................. 13 Seasonality............................................................... 13
PART II. OTHER INFORMATION -----------------
ITEM 1. LEGAL PROCEEDINGS.............................................................. 13 ITEM 2. CHANGES IN SECURITIES.......................................................... 13 ITEM 3. DEFAULTS UPON SENIOR SECURITIES................................................ 13 ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS............................ 13 ITEM 5. OTHER INFORMATION.............................................................. 13 ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K.................................................. 13
2 Amedisys, Inc. and Subsidiaries CONSOLIDATED BALANCE SHEETS as of June 30, 1997 and December 31, 1996 (Unaudited)
ASSETS June 30, 1997 December 31, 1996 ------------- ----------------- Current Assets: Cash $ 1,461,664 $ 103,165 Accounts Receivable, Net of Allowance for Doubtful Accounts of $925,878 in June 1997 and $732,166 in Dec 1996 8,820,099 8,270,982 Prepaid Expenses 452,958 264,125 Other Current Assets 519,177 515,993 ----------- ----------- Total Current Assets 11,253,897 9,154,265 Notes Receivable: Related Parties 195,464 190,208 Property, Plant and Equipment, Net 4,827,365 4,609,718 Other Assets, Net 3,204,522 2,904,596 ----------- ----------- Total Assets $19,481,247 $16,858,787 =========== =========== LIABILITIES Current Liabilities: Notes Payable $5,051,008 $4,378,688 Current Portion of Long-Term Debt 779,266 779,266 Accounts Payable 813,000 1,416,259 Accrued Expenses: Payroll and Payroll Taxes 1,030,958 1,033,250 Income Taxes 359,604 0 Insurance 946,333 642,607 Other 869,222 882,627 ----------- ----------- Total Current Liabilities 9,849,389 9,132,697 Notes Payable to Related Parties 46,241 943,592 Long-Term Debt 3,516,743 2,279,448 ----------- ----------- Total Liabilities 13,412,373 12,355,737 ----------- ----------- Minority Interest 215,687 188,269 ----------- ----------- STOCKHOLDERS' EQUITY Common Stock 2,735 2,576 Additional paid-in capital 2,804,980 1,915,514 Treasury Stock (25,000) 0 Stock Subscriptions Receivable 0 (266) Retained Earnings 3,070,472 2,396,957 ----------- ----------- Total Stockholders' Equity 5,853,187 4,314,781 ----------- ----------- Total Liabilities and Stockholders' Equity $19,481,247 $16,858,787 =========== ===========
See accompanying notes to financial statements. 3 Amedisys, Inc. and Subsidiaries CONSOLIDATED STATEMENTS OF INCOME for the three and six months ended June 30, 1997 and 1996 (Unaudited)
Three Months Ended Six Months Ended ------------------------------------------ ----------------------------------------- June 97 June 96 June 97 June 96 ------------------- ------------------- ------------------- ------------------- Income: Service revenue $13,879,721 100.0% $11,769,253 100.0% $27,264,438 100.0% $21,885,452 100.0% Cost of service revenue 8,093,814 58.3% 6,709,723 57.0% 15,972,986 58.6% 12,326,823 56.3% ----------- ----- ----------- ----- ----------- ----- ----------- ----- Gross margin 5,785,906 41.7% 5,059,530 43.0% 11,291,451 41.4% 9,558,629 43.7% ----------- ----- ----------- ----- ----------- ----- ----------- ----- General and administrative expenses: Salaries and benefits 2,762,979 19.9% 2,583,100 21.9% 5,497,448 20.2% 4,628,737 21.1% Other 2,276,327 16.4% 1,997,704 17.0% 4,432,688 16.3% 4,090,893 18.7% ----------- ----- ----------- ----- ----------- ----- ----------- ----- Total general and administrative expenses 5,039,306 36.3% 4,580,804 38.9% 9,930,136 36.4% 8,719,630 39.8% ----------- ----- ----------- ----- ----------- ----- ----------- ----- Operating income 746,600 5.4% 478,727 4.1% 1,361,315 5.0% 839,000 3.8% ----------- ----- ----------- ----- ----------- ----- ----------- ----- Other income and expense: Interest income 15,158 0.1% 10,356 0.1% 17,520 0.1% 32,339 0.1% Interest expense (209,046) (1.5%) (127,185) (1.1%) (393,321) (1.4%) (241,848) (1.1%) Miscellaneous 58,005 0.4% 34,501 0.3% 75,867 0.3% 83,882 0.4% ----------- ----- ----------- ----- ----------- ----- ----------- ----- Total other income and expenses (135,883) (1.0%) (82,329) (0.7%) (299,934) (1.1%) (125,628) (0.6%) ----------- ----- ----------- ----- ----------- ----- ----------- ----- Income before income taxes and minority interest 610,717 4.4% 396,398 3.4% 1,061,381 3.9% 713,372 3.3% Provision for estimated income taxes 216,790 1.6% 134,250 1.1% 378,621 1.4% 241,950 1.1% ----------- ----- ----------- ----- ----------- ----- ----------- ----- Income before minority interest 393,927 2.8% 262,148 2.2% 682,760 2.5% 471,422 2.2% Minority interest in consolidated subsidiary (20,952) (0.2%) (9,961) (0.1%) (9,245) 0.0% (25,066) (0.1%) ----------- ----- ----------- ----- ----------- ----- ----------- ----- Net income $372,975 2.7% $252,187 2.1% $673,515 2.5% $446,356 2.0% =========== ===== =========== ===== =========== ===== =========== ===== Earnings per common share $0.14 $0.10 $0.26 $0.17 =========== =========== =========== ===========
See accompanying notes to financial statements. 4 Amedisys, Inc. and Subsidiaries CONSOLIDATED STATEMENTS OF CASH FLOWS for the six months ended June 30, 1997 and 1996 (Unaudited)
June 97 June 96 --------- --------- Cash Flows from operating activities: Net Income $673,515 $446,356 Adjustments to reconcile net income to net cash provided by (used in) operating activities: Depreciation and amortization 582,224 369,947 Provision for bad debts 424,627 347,973 Minority interest in affiliated company 9,245 25,066 (Gain) on disposal of property and equipment (12,756) (3,711) Loss on sale of marketable securities 2,994 0 Changes in assets and liabilities: (Increase) in accounts receivable (973,744) (2,986,802) (Increase) in prepaid expenses (188,831) (54,132) (Increase) in other current assets (3,183) (208,883) (Increase) in other assets (390,760) (138,787) Increase (decrease) in accounts payable (603,259) 347,327 Increase in accrued expenses 723,418 140,434 ---------- ----------- Net cash provided by (used in) operating activities 243,490 (1,715,211) ---------- ----------- Cash flow from investing activities: Purchase of furniture, fixtures & equipment (753,447) (946,036) Proceeds from sale of furniture, fixtures & equipment 56,147 156,388 (Increase) in notes receivable from related parties (5,256) (2,384) ---------- ----------- Net cash (used in) investing activities (702,556) (792,032) ---------- ----------- Cash flow from financing activities: Purchase of Treasury Stock (25,000) 0 Net increase (decrease) in borrowings on line of credit 672,319 1,634,501 Payments on notes payable (376,996) (421,821) Proceeds from note payables 1,703,933 874,143 (Decrease) in note payable to related parties (987,924) (65,081) Proceeds from common stock 830,967 7,199 Decrease in stock subscriptions 266 10,213 ---------- ----------- Net cash provided by financing activities 1,817,565 2,039,154 ---------- ----------- Net increase in cash and cash equivalents 1,358,499 (468,089) Cash and cash equivalents at December 31, 1996 and 1995 103,165 870,004 ---------- ----------- Cash and cash equivalents at June 30, 1997 and 1996 $1,461,664 $401,915 ========== =========== Supplemental disclosures of cash flow information: Cash payments for: Interest $360,455 $92,044 ========== =========== Income taxes $21,820 $122,000 ========== ===========
See accompanying notes to financial statements. 5 AMEDISYS, INC. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED) 1. UNAUDITED FINANCIAL INFORMATION The financial information as of June 30, 1997 and 1996, included herein is unaudited; however, such information reflects, in the opinion of management, all adjustments (consisting solely of normal recurring adjustments) that are necessary to present fairly the results of operations for such periods. Results of operations for the interim periods are not necessarily indicative of results of operations which will be realized for the year ending December 31, 1997. 2. INCOME TAXES The subsidiaries in which the Company owns interests greater that 80% file a consolidated federal income tax return. The primary care subsidiaries file individual income tax returns. 3. PLACEMENT OF COMMON STOCK As of April 17, 1997, AMEDISYS completed a placement of its common stock with an institutional investor. According to the terms of the placement, the Company issued 37,500 shares of Common Stock for gross proceeds of $262,500. The Company issued 112,500 shares of Common Stock for gross proceeds of $675,000. The total net proceeds from both of these offerings was $830,967. 4. SUBSEQUENT EVENTS On August 1, 1997, AMEDISYS, Inc. agreed to purchase all of the assets and certain liabilities of Allgood Medical Services, Inc., a Louisiana corporation doing business as Care Medical and Mobility Equipment Company with its headquarters in Metairie, Louisiana. Care Medical and Mobility Equipment Company is a durable medical equipment supplier. The purchase was for $1,165,000 with $465,000 in cash, $600,000 in stock and a $100,000 note. On July 1, 1997 AMEDISYS, Inc. advanced an additional $500,000, which increases the total advances to $1,500,000, to FutureCare Health Plans to meet minimum capital and surplus requirements of the Louisiana State Department of Insurance to maintain its Health Maintenance Organization license and certificate of authority. On August 12, 1997, AMEDISYS signed an option to purchase a home health care company located in Oklahoma in a stock for stock transaction. The Company provides home health care with locations throughout the State of Oklahoma. The close of the transaction is subject to due diligence by both parties and the entering into a definitive agreement containing standard conditions, representation, and warranties customary for these types of transactions. 6 ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS The following discussion and analysis provides information which management believes is relevant to an assessment and understanding of the Company's results of operations and financial condition. This discussion should be read in conjunction with the Consolidated Financial Statements appearing in Item 1. GENERAL AMEDISYS, INC. ("Company"), provides health care and management services. Health care provider services include home health care, temporary medical staffing and outpatient surgery. The Company has also developed a Management Services Organization ("MSO") which offers a comprehensive scope of management services to physician practices, Independent Practice Associations and home health care agencies. The Company provides services through a network of subsidiaries, which consist of the following: AMEDISYS STAFFING SERVICES, INC. ("ASS") supplies highly trained critical care registered nurses and licensed practical nurses to all types of health care facilities. Independent contract nurses are utilized to meet the staffing needs of client health care facilities. AMEDISYS NURSING SERVICES, INC. ("ANS") is an employee-based staffing agency that provides a variety of relief personnel such as registered and licensed practical nurses, and certified nurses' aides for staff relief in all types of health care facilities. AMEDISYS SPECIALIZED MEDICAL SERVICES, INC. ("ASM"), AMEDISYS HOME HEALTH, INC. AND AMEDISYS HOME HEALTH, INC. OF TEXAS provide skilled nursing care, home health aides, physical therapy, occupational therapy, speech therapy and medical social workers to homebound patients. AMEDISYS SURGERY CENTERS, L. C. ("ASC") operates two outpatient surgery centers in Houston, Texas, and one surgery center in Hammond, Louisiana, which commenced operation in November, 1996. AMEDISYS PHYSICIAN SERVICES, INC. ("APS") provides management of physician practices and networks including Independent Practice Associations. AMEDISYS MANAGEMENT SERVICES ORGANIZATION D/B/A AMEDISYS RESOURCE MANAGEMENT - Provides management of home health agencies. The Company currently operates three outpatient surgery centers. The two centers in Houston are wholly owned by AMEDISYS and the recently completed center in Hammond, Louisiana is a joint venture with local physicians in which the Company owns 56%. The Houston sites have recently been accredited by the Accreditation Association for Ambulatory Health Care and accreditation for St. Luke's in Hammond is pending. The Company recently began construction on a fourth center, in the Houston area, which will be majority owned by physicians with the Company as a 42% shareholder and providing management services. This center is anticipating beginning operations in January, 1998. 7 The Company operates 17 home health care sites in Louisiana, Texas and North Carolina. All Medicare sites are accredited by the Joint Commission on Accreditation of Health Care Organizations (JCAHO) which is the nationally recognized quality standard in the home health care industry. As part of the management program for home health care agencies the Company is leasing its proprietary software system which meets Medicare financial reporting and clinical data collection requirements. The system was introduced in July 1996 after three years of development and field testing. Temporary medical staffing offices operate in eight states with a concentration of sites in Louisiana and Texas. Private duty services were added in 1996 to offices which had dual operations of home health care and staffing. In 1995, AMEDISYS developed an MSO system. This system allows more flexibility for physicians and the Company than the equity models used by competitors in the industry. The Company is also developing and managing Independent Practice Associations and developing a statewide Preferred Provider Organization in Louisiana which it will manage and provide services to "MCOs". INDUSTRY OVERVIEW The Company believes that the health care industry is in a period of rapid change being driven by employers and insurers who want to reduce the cost of providing health care benefits to their employees and by federal and state governments who want to decrease spending on Medicare and Medicaid programs. Managed care is emerging as a possible solution. Managed Care Organizations ("MCOs") include Health Maintenance Organizations ("HMOs") and Preferred Provider Organizations ("PPOs"). Large self insured employer groups are also trying to reduce their health care costs by negotiating with provider groups for capitated or discounted fees. The Company recognizes the industry trend towards cost reduction and has positioned its services as cost effective alternatives to hospitalization. Hospital services are the most costly in the health care delivery system. Home health care, outpatient surgery centers, home medical equipment, pharmaceuticals, and ambulatory infusion centers can provide many of the services formerly found in the hospital setting at a lower cost. The Company's management services are focused on the physician and home health care industries to help independent providers become cost effective and competitive during an era of consolidation, changes in government regulations, and corporate acquistions. Since the Company has business segments which reduce the cost of health care and promote relationships with physician groups, an opportunity to form integrated networks and/or service group agreements is present in some markets. These strategic alliances, networks or service groups are attractive to MCOs since they provide economies of scale, large provider panels and "one stop shop" convenience for the patients. The Company operates such agreements according to its understanding of the requirements and restrictions of the Stark legislation. Congress has included changes in regulations governing the reimbursement system for home health care in its current Medicare budget. The changes include a provision for prospective pay for home health care which will take effect October 1, 1999. A prospective pay system could enable efficient home health care operators to retain their profits. The Company is positioned for this change since it has reduced costs in its home health care delivery system and has developed and implemented a software system which can make the transition from cost reimbursement to prospective pay. Prior to the initiation of prospective pay, Medicare authorities have indicated that they may institute a fee reduction in reimbursement rates for home health care. Congress has also enacted legislation to curtail the growth in Medicare home health care reimbursement limits which could potentially reduce these limits. 8 COMPANY OVERVIEW OF BUSINESS SEGMENTS HEALTH CARE PROVIDER SERVICES: OUTPATIENT SURGERY The Company currently operates two centers in the Houston, Texas area and one in Hammond, Louisiana which is a joint venture with local physicians. The outpatient center in Hammond is a model which can be replicated in various markets from a physical plant, clinical and business perspective. The Company began construction on a fourth center in May, 1997 in the Houston area. The outpatient surgery strategy of the Company fits the health care delivery system model and offers an additional platform for the the Company's physician practice management services. In addition, this business segment's margins are higher than the Company's home health care and medical staffing components. The Company believes that the industry will grow because technological advances enable more procedures to be performed in this setting at a significantly lower cost than in a hospital surgical suite. Physicians who participate in the centers can also have ownership and share in the profits generated from facility fees. HOME HEALTH CARE Home health care has been one of the fastest growing segments of the Company's business mix. The home health care industry is continuing to grow. Growth is driven by payors who want to reduce hospital stays by utilizing a cost effective alternative and by patients who prefer to be treated at home. The Company has 17 home health care offices. AMEDISYS was initially positioned as a specialty home health care service of highly qualified and specialized nurses who could provide quality care for acutely ill patients at home. The Company continues to provide these services and has expanded to traditional home health care services as well. The Company has also positioned itself to handle changes in the home health care business by establishing systems that are necessary to succeed in the new health care environment. One of those key developments is its proprietary software system which meets the multifaceted reporting requirements of Medicare and another is achieving JCAHO accreditation with commendation. SUPPLEMENTAL STAFFING The Company has 12 supplemental staffing offices and has successfully competed in the industry for 14 years. The Company built its reputation on providing highly qualified specialty nurses but has since expanded to providing practical and vocational nurses, therapists and certified nurse aides. A clerical staffing program is being introduced into three test markets this year. The Company has also expanded client facilities and currently staffs hospitals, nursing homes, assisted living centers, physician offices and other home health care agencies. The Company distinguishes itself from its competitors in the following ways: (1) the ability to recruit and staff specialty nurses in all of its markets; (2) 24-hour access to staffing coordinators using computerized scheduling and information systems; (3) rigorous orientation and screening procedures; and (4) a proprietary software scheduling program which generates a faster scheduling response time than traditional methods. MANAGEMENT SERVICES: HOME HEALTH CARE MANAGEMENT SERVICES AMEDISYS offers management services to home health care agencies. The scope of services provided by the Resource Management division include financial systems, general agency management, business development, management information system support, and development of quality improvement programs. Services also include a complete program which assists a home health care agency with JCAHO accreditation preparation. AMEDISYS home health care software system, Analytical Medical Systems (AMS), is a comprehensive medical software system designed to monitor Medicare cost reimbursement, decrease collection turnaround time, and provide accurate utilization reports. Agencies can contract with the Company for the software system and/or a more comprehensive management package. 9 AMEDISYS Resource Management distinguishes itself from other management companies by (1) the availability of the software system, (2) the experience and reputation of the professional staff, (3) the knowledge of the regulatory environment and trends among the private and governmental payors to shift to managed care and (4) the ability to offer continuing education credits to nurses attending Company sponsored health care courses. PHYSICIAN PRACTICE MANAGEMENT SERVICES Physician Practice Management services physician group practices and Independent Physician Associations. In the AMEDISYS system, the physician can remain independent but have access to information and business systems which enable the practice to remain competitive. The physician can choose to use the Company's management services or to join an Independent Practice Association developed and /or managed by the Company. Leverage in negotiating contracts with managed care organizations is a key reason physicians belong to Independent Practice Associations. Negotiating strength is particularly attractive in capitated (prepaid) managed care contracts. On May 1,1996, the Company signed an agreement with the Louisiana Health Care Authority, the Louisiana state agency which controls the public hospital system in Louisiana, to manage physician services at a state hospital in Lake Charles, Louisiana. Under the agreement the Company coordinates the services of the inpatient staff with community physicians working in outpatient clinics. The arrangement is a unique public-private partnership which opens access to a full range of medical services in the community. RESULTS OF OPERATIONS The Company continued to show strong growth in revenue and earnings for the second consecutive quarter in 1997. The Company derives revenues from its provider and management services in health care. Provider services include home health care and supplemental medical staffing which are reported as "Staffing and Patient Care Services" and outpatient surgery. Management services include physician practice and home care management. The Company's revenues increased by 18% and 25% for the three and six months ended June 30,1997, respectively, compared to the same periods last year. The largest increase in revenue was from the outpatient surgery division which had increases of 70% and 85% in the three months and six months ended June 30,1997, respectively, compared to the same periods in 1996. Management services also showed significant growth in revenue of 43% and 66% for the three and six months ended June 30,1997, respectively, compared to those same periods in 1996. Staffing and patient care services reported growth in revenue of 9% and 15% for the reporting periods. Outpatient surgery revenue growth was due to the opening of St. Luke's SurgiCenter in Hammond, Louisiana in November, 1996. Home health care management services, which is part of the Company's management services organization ("MSO"), increased revenue growth due to more aggressive marketing strategies and the introduction of the home health care software system. 10 Supplemental medical staffing, which is reported in staffing and patient care services, showed significant revenue growth for the three months and six months ended June 30, 1997 compared to these periods last year. Its growth is attributable to increasing the scope of services including private duty, as well as an increased demand for specialty nursing services in hospitals whose staffs were downsized during consolidation and restructuring activities. Gross margins decreased by 1% and 2% from the same periods in 1996. The decrease is attributable to a physician services cost plus contract and reduced general and administrative expenses in home health care which are cost reimbursed. General and administrative expenses decreased by 3% for the three and six months ended June 30,1997 compared to the same periods in 1996. The reductions in general and administrative expenses were primarily in the supplemental staffing division due to internal controls and cost reductions. The Company's net income increased for the second consecutive quarter in 1997. The Company's net income increased to $372,975 or $.14 per share from $252,187 or $.10 per share for the three months ended June 30,1997 and 1996, respectively. Net income for the six months period ended June 30,1997 was $673,515 or $.26 per share compared to $446,356 or $.17 per share in the same period in 1996. The increased net income is primarily attributable to increased revenues in the Company's staffing and patient care and home care management divisions, as well as, internal controls on costs and internal goals which are linked with a budgetary process.
=================================================================================================================================== STAFFING AND PATIENT CARE SERVICES (DOLLARS IN THOUSANDS) =================================================================================================================================== THREE MONTHS ENDED SIX MONTHS ENDED JUNE, 1997 JUNE, 1996 JUNE, 1997 JUNE 1996 Revenue $10,500 100.0% $9,629 100.0% $21,045 100.0% $18,362 100.0% Cost of Revenue 6,506 62.0% 5,783 60.1% 13,009 61.8% 10,912 58.3% ------- ------ ------- ------- Gross Margin 3,994 38.0% 3,846 39.9% 8,036 38.2% 7,450 41.7% Gen. & Admin. 2,653 25.3% 2,901 30.1% 5,174 24.6% 5,518 30.1% ------- ------ ------- ------- Operating Income $ 1,341 12.8% $ 945 9.8% $ 2,862 13.6% $ 1,932 11.6% ======= ====== ======= ======= ===================================================================================================================================
=================================================================================================================================== MANAGEMENT SERVICES (DOLLARS IN THOUSANDS) =================================================================================================================================== THREE MONTHS ENDED SIX MONTHS ENDED JUNE, 1997 JUNE, 1996 JUNE, 1997 JUNE 1996 Revenue $1,376 100.0% $ 963 100.0% $ 2,606 100.0% $ 1,570 100.0% Cost of Revenue 845 61.4% 615 63.9% 1,653 63.4% 880 56.1% ------ ------ ------ ------ Gross Margin 531 38.6% 348 36.1% 953 36.6% 690 43.9% Gen. & Admin. 289 21.0% 210 21.8% 585 22.5% 394 25.1% ------ ------ ------ ------ Operating Income $ 242 17.6% $ 138 14.3% $ 368 14.1% $ 296 18.8% ====== ====== ====== ====== ===================================================================================================================================
11
=================================================================================================================================== OUTPATIENT SURGERY (DOLLARS IN THOUSANDS) =================================================================================================================================== THREE MONTHS ENDED SIX MONTHS ENDED JUNE, 1997 JUNE, 1996 JUNE, 1997 JUNE 1996 Revenue $2,003 100.0% $1,178 100.0% $ 3,613 100.0% $ 1,953 100.0% Cost of Revenue 742 37.0% 312 26.5% 1,312 36.3% 535 27.4% ------ ------ ------ ------ Gross Margin 1,261 63.0% 866 73.5% 2,301 63.7% 1,418 72.6% Gen. & Admin. 923 46.1% 406 34.5% 1,846 51.1% 829 42.5% ------ ------ ------ ------ Operating Income $ 338 16.9% $ 460 39.0% $ 455 12.6% $ 589 30.1% ====== ====== ====== ====== ===================================================================================================================================
LIQUIDITY AND CAPITAL RESOURCES At June 30, 1997 the Company had revolving bank lines of credit of $5,500,000 and $750,000 bearing interest at the lender's prime rate and prime rate plus 1%, respectively. As of June 30, 1997, $1,198,992 was available under the combined lines of credit. The lines of credit are collateralized by 80% of eligible receivables in staffing and outpatient surgery, 75% of eligible receivables in home health care, and 80% of physician notes receivable. Eligible receivables are defined principally as accounts that are aged less than 90 days for staffing and outpatient surgery and 120 days for home health care. The Company's operating activities provided $242,490 during the first six months of 1997, whereas such activities used $1,715,211 in cash during the first six months of 1996. This change is primarily attributable to a decrease in the rate of growth of accounts receivables. Net cash used in investing activities decreased from $792,032 in the six months ended June 30, 1996 to $702,556 in the six months ended June 30, 1997. This decrease is attributable to reduced purchases of furniture, fixtures and equipment. Net cash provided by financing activities decreased from $2,039,154 to $1,817,565 for the six months ended June 30, 1996 and 1997, respectively. The change is primarily due to a decrease in the Company's borrowings on its lines of credit offset by proceeds from a private stock placement. At June 30, 1997, the Company had working capital of $1,404,508 and stockholder's equity of $5,853,187. The Company's ratio of total liabilities to equity at June 30,1997 was 2.3 to 1.0. The Company's sources of external and internal financing are limited. The Company may need to obtain additional financing, either through public or private securities offerings or borrowing, in order to meet future capital requirements. In April 1997, AMEDISYS issued a total of 150,000 shares of Common Stock for net proceeds of $830,967 pursuant to a shelf registration statement on Form S-1, file number 333-08329 filed July 18, 1996, amended October 28, 1996 and declared effective October 28, 1996. To date, the Company has no other source of external financing. INFLATION The Company does not believe that inflation has had a material effect on its results of operations. The Company expects that any increase in costs attributable to inflation in the future would be offset by an increase in fees charged for services. SEASONALITY The demand for the Company's home health care and management services are not typically influenced by seasonal factors. However, demand for supplemental staffing services is affected by variations in the hospital census at various times of the year. Outpatient surgery services also have seasonal factors. 12 PART II. OTHER INFORMATION ITEM 1. LEGAL PROCEEDINGS None ITEM 2. CHANGES IN SECURITIES None ITEM 3. DEFAULTS UPON SENIOR SECURITIES None ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS None. ITEM 5. OTHER INFORMATION On August 6,1997, shareholders approved the following Board of Directors for AMEDISYS, INC.: Mr. William F. Borne, Chairperson; Dr. S.F. Hartley, a leading podiatrist in Houston; Ronald A. LaBorde; the President and CEO of Piccadilly Cafeterias; Jake L. Netterville, the managing director of Postlethwaite & Netterville, a public accounting firm; David R. Pitts, President and CEO of Pitts Management Associates, Inc; Peter F. Ricchiuti, Assistant Dean and Director of Research at Tulane University's A.B. Freeman School of Business; William M. Hession, Jr. President of Key Medical Supply; Dr. Karl A. LeBlanc, a general surgeon in private practice; and Dr. Alan J. Ostrowe, an anesthesiologist and specialist in pain management. On August 6, 1997 shareholders approved the reappointment of the Company's auditing firms which are Arthur Andersen & Company and Hannis T. Bourgeois & Co., and they further approved that 500,000 options be added to the Company's Statutory Employee Stock Option Plan. ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K None 13 SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized. AMEDISYS, INC. By:/s/ MITCHEL G. MOREL --------------------- Mitchel G. Morel, Chief Financial Officer Principal Financial and Accounting Officer June 17, 1998 14 EX-27 2 FINANCIAL DATA SCHEDULE
5 6-MOS DEC-31-1997 JAN-01-1997 JUN-30-1997 1,461,664 0 8,820,099 925,878 519,177 11,253,897 4,827,365 2,403,363 19,481,247 9,849,389 0 0 0 2,735 5,850,452 19,481,247 27,264,438 27,264,438 15,972,986 9,930,136 299,934 424,627 393,321 1,061,381 378,621 673,515 0 0 0 673,515 .26 0
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