EX-99.1 3 d97932exv99w1.txt TEXT OF INVESTOR RELATIONS SLIDE SHOW EXHIBIT 99.1 Amedisys A Healthy Investment for the 21st Century NASDAQ: AMED ================================================================================ Statements contained in this presentation which are not historical facts are forward-looking statements. These forward-looking statements and all other statements that may be contained in this presentation that are not historical facts are subject to a number of risks and uncertainties, and actual results may differ materially than those forecasted. Such forward-looking statements are estimates reflecting the best judgment of Amedisys, Inc. management based upon currently available information. Certain factors which could affect the accuracy of such forward-looking statements are identified in the public filings made by Amedisys, Inc. with the Securities and Exchange Commission, and forward-looking statements contained herein, or other public statements of Amedisys, Inc. or its management should be considered in light of those factors. ================================================================================ Amedisys Facts o Largest home nursing company in the South o Leader in the largest industry segment o Profitable under Medicare payment system o Revenue growth and earnings momentum o Improved balance sheet o Experienced management team ================================================================================ Largest Home Care Nursing Company in the South 57 Locations Oklahoma - 4 Texas - 1 Louisiana - 5 Alabama - 10 Tennessee - 11 Georgia - 21 Florida - 2 South Carolina - 1 North Carolina - 1 Virginia - 1 ================================================================================ Leader in the Largest Industry Segment Total in 2001 - $41.3 Billion Nursing 70% Infusion 14% Respiratory 10% NURSING DME 6% Amedisys Gentiva Odyssey RESPIRATORY Apria Lincare INFUSION Option Care Source: Jefferies & Co. 2001 ================================================================================ What is Medicare's Prospective Payment System? Enacted with Balance Budget Act in 1997 Implemented On October 1, 2000 Fixed rate of payment for an episode of care Standard episode is 60 days Payment determined by... National standardized base rate Diagnosis and acuity of the patient Regional location Cost effective companies can be profitable ================================================================================ Profitable in Medicare Payment System
Prospective Payment System Example: Average Amedisys Patient Fixed Rate $ 2,274 Average Illness Adj. 289 Wage Index (63) Total Payment Per Episode $ 2,500
================================================================================ Profitable in Medicare Payment System
Prospective Payment System Example: Average Amedisys Patient Total Payment Per Episode $ 2,500 Average Visits Per Episode 20 Direct Cost Per Visit $ 50 ---- Total Direct Cost Per Episode (20 Visits X $50 per visit) $(1,000) Gross Margin Per Episode $ 1,500
================================================================================ Revenue Growth
In Millions 1st Q 01 $22.1 2nd Q 01 $27.2 3rd Q 01 $29.7 4th Q 01 $31.1 1st Q 02 $31.9
================================================================================ Earnings Momentum Financial Performance
1st Q 02 1st Q 01 2001 2000 Amounts in millions except Earnings Per Share Net Service Revenues $ 31.9 $ 22.2 $ 110.2 $ 88.2 Operating Income (Loss) $ 3.0 $ 0.1 $ 7.5 $ (2.6) Net Income from Continuing $ 2.6 $ (0.4) $ 5.3 $ (4.3) Operations - Pre-Tax EPS from Continuing Operations - Fully Diluted $ 0.25 $ (0.07) $ 0.64 $ (1.00) EPS - Fully Diluted and Fully Taxed $ 0.19 $ 0.41
================================================================================ Improved Balance Sheet o Recently completed $9.5 M private placement of common stock o Significant improvement in collections and working capital o On-going reduction in debt ================================================================================ Improved Balance Sheet
Total Debt (In Millions) Total Stockholders Equity (In Millions) 1st Q 01 $ 41.1 $ (3.9) 2nd Q 01 $ 37.2 $ (2.4) 3rd Q 01 $ 36.6 $ 0.7 4th Q 01 $ 40.1 $ 3.3 1st Q 02 $ 32.4 $ 6.5
================================================================================ Experienced Management Team o William F. Borne o Chairman and Chief Executive Officer o Larry R. Graham o Chief Operating Officer o Gregory H. Browne o Chief Financial Officer ================================================================================ Amedisys is Positioned for Growth Growth Drivers Consolidation of Home Health Transition from Facility to Aging of America Industry Non-Facility Care
================================================================================ Consolidation of Home Health Industry Internal Growth Strategies o Gain market share from agency attrition o Increase referral base with superior DSM programs o Build physician relationships with strong sales force o Develop managed care business ================================================================================ Consolidation of Home Health Industry External Growth Strategies o Expand service area with quality acquisitions o Valuations of agencies increasing but still attractive o 26% decrease in companies since BBA 1997 o 30% of Medicare certified agencies are hospital based o Hospitals lost the cost shifting benefit and are divesting ================================================================================
Acquisition History Alliance Home Health January 1998 Oklahoma Precision Home Health April 1998 Louisiana Columbia HCA November 1998 Southern States Northwest Home Health October 2000 Georgia Mid-Florida Home Health November 2000 Florida Seton Home Health Services April 2001 Alabama HealthCalls June 2001 South Carolina Christus Spohn Home Health April 2002 Texas
================================================================================ Transition from Facility to Non-Facility Care o Health care costs are 14% of the GDP o Home care is a cost effective alternative o Millimann & Robertson - 56-64% of inpatient care is avoidable o Home care reduces the length of hospital stays o Payors encourage home care to preserve margins o 90% of AARP members prefer to be treated at home ================================================================================ Transition from Facility to Non-Facility Care
National Healthcare Expenditures as a Percentage of GDP 1980 8.8% 1990 12.0% 1993 13.4% 1996 13.3% 1997 13.2% 1998 13.0% 1999 13.0% 2000* 13.1% 2001* 13.4% 2002* 13.9% 2003* 14.3% 2004* 14.6% 2005* 14.9% 2006* 15.1% 2007* 15.3% 2008* 15.5% 2009* 15.7% 2010* 15.9% Source: HCFA Online * Estimated
================================================================================ Transition from Facility to Non-Facility Care
Average Per Diem Cost Comparison Inpatient Hospital $1,000 Skilled Nursing Facility $500 Home Health Care $90 Source: Jefferies & Co. 2001
================================================================================ Transition from Facility to Non-Facility Care
Home Healthcare Spending 1980 $ 2.4 1990 $12.6 1993 $21.9 1996 $33.6 1997 $34.5 1998 $33.5 1999 $33.1 2000* $36.6 2001* $41.3 2002* $46.6 2003* $51.4 2004* $56.4 2005* $61.1 2006* $66.0 2007* $71.2 2008* $76.2 2009* $81.5 2010* $87.0 Dollars in billions * Projected Source: HCFA Online
================================================================================ Aging of America
Pop. 65 yrs. and over. US, 1950 - 2030 1950 1960 1970 1980 1990 2000 2010 2020 2030 85+ 0.6 0.9 1.5 2.2 3.0 4.3 5.7 6.5 8.5 65+ 12.2 16.6 20.1 25.5 31.1 34.7 39.4 53.2 69.4
Numbers in millions Source: Health, U.S. 1999, Health and Aging Chartbook, U.S. Health and Human Services Dept.
Current Patients per 1,000 Population Women Men 65-74 yrs. 27.6 18.2 75-84 yrs. 84.1 55.4 85+ 130.1 99.5
================================================================================ Aging of America
Home Health Services Received By Patients 65 Years of Age and Over Nursing 85.3% Homemaker 28.7% Physical therapy 20.0% Social services 10.9% Medications 9.9% Continuous home care 5.8% Occupational therapy 4.8% MD services 3.7% Nutrition 3.4% Other services 15.1%
Source, U.S. 1999, Health and Aging Chartbook, U.S. Health and Human Services Dept. ================================================================================ Amedisys has a Profitable Growth Strategy
Growth Strategy Going Forward Capitalize on Exploit Trend to Grow with the Industry Non-Facility Aging of America Consolidation Based Care o Patients need more o AMED will expand o AMED will provide a health care as they age Markets with sale force viable solution to the o AMED provides home o AMED will acquire increasing cost of health care - a patient's first hospital based agencies care choice for care
================================================================================ Why Invest in Amedisys? o Demonstrated capacity for profitable growth o Well positioned in a rapidly growing health care segment o Successful record of acquiring and integrating companies o Operating with the right capital base in place o Strong and experienced management team o Clear and identifiable growth strategy ================================================================================ Amedisys The Healthy Investment for the 21st Century