EX-99.1 2 dex991.htm TEXT OF INVESTOR RELATIONS SLIDE SHOW IN USE BEGINNING MARCH 1, 2006 Text of Investor Relations Slide Show in use beginning March 1, 2006
Amedisys, Inc.
NASDAQ: AMED
March 2006
Exhibit 99.1


1
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.
Forward Looking Statements


2
Investment Highlights
Large, growing and fragmented industry
Focus on Medicare home nursing
Strong internal growth
Demonstrated ability to identify and integrate acquisitions
Proven operating model
Experienced management team


3
Management Team
William F. Borne -
Chairman and Chief Executive Officer
-
CEO since founding the Company in 1982
-
Registered nurse, extensive hospital administrative and clinical
experience
Larry R. Graham -
President and Chief Operating Officer
-
Joined Amedisys in 1996; COO since 1999; President in 2004
-
General Health Systems; Arthur Andersen
Gregory H. Browne*-
Chief Financial Officer
-
Joined Amedisys as CFO in 2002
-
CEO for PeopleWorks, Ramsay Health Care, Ramsay-HMO
*Announcement
of
intention
to
resign
made
on
2/23/06


4
Corporate Overview
Leading provider of home nursing services
236 locations primarily in the southern United States
Services include skilled nursing and therapy
Medicare accounts for > 90% of revenue
Hospice care accounts for ~ 7% of revenue


5
Our Locations
Largest home nursing provider in the
southern United States
-
224 home nursing locations
-
12 hospice locations
10
10
13
13
11
11
23
23
55
55
36
36
15
15
3
3
38
38
15
15
1
1
4
4
March 2006
1
1
3
3
6
6
2
2


6
Our Strategy
Focus on Medicare-eligible patients
Develop and deploy specialized nursing programs
Expand disease management capabilities
Prioritize internal growth
Select, acquire and integrate quality home care agencies
Leverage cost-efficient operating platform


7
Home health
care is a $62.8
billion industry
Home nursing
is the largest
segment in the
home health
industry
Medicare
spending for
home nursing
totaled $13.1
billion in 2005
Home Health Care Spending
Home Health Industry Expenditures ($ billions)
Medicare
Home Nursing
$13.1
Home Nursing
(Commercial,
Medicaid &
Other)
$23.3
Home Nursing
$46.1
Infusion
Therapy
$5.5
Durable Medical
Equipment
$2.8
Respiratory
Therapy
$8.4
Hospice $9.7
Source:  Company Reports,  CMS and CIBC World Markets Corp. estimates for 2005


8
Home Nursing Market
Industry is highly fragmented
7,500 Medicare-certified nursing agencies
Most are single site or small regional providers:
-
Independently-owned agencies
-
Visiting nurse associations
-
Facility-
and hospital-based agencies
Publicly-owned providers account for less than 7% of the
home nursing market


9
Industry Growth Drivers
Trend from inpatient to home-based care:
-
Patient preference
-
Payor incentives
-
Technology advancements
Demographics –
aging population
Increased prevalence of chronic and co-morbid conditions


10
Internal Growth
-
Overall industry growth
-
Expanded and more effective sales force
-
Comprehensive range of clinical programs
-
Enhanced referral source education efforts
-
Increased focus on start-ups
Strong recent internal growth in Medicare admissions
-
Approximately 18% for 2005
Internal growth being driven by:


11
Acquisition Strategy
Disciplined approach
Acquisition criteria:
-
Defined pricing objectives
-
Targeted geographic profile
-
Compatible payor mix
-
Consistent clinical metrics
-
Expandable referral base
-
Opportunities for internal growth
Target hospital-based and multi-site agencies


12
Recent Acquisitions
NC
1
Davidson County
November 2005
AR, OK
2
Hulbert Therapy Services
January 2006
OK
7
ASAP Home Health
January 2006
Tennessee
2
St. Thomas Health Services
June 2005
KY, IN, OH, TN
9
SpectraCare Home Health Services
August 2005
Virginia
2
NCare
August 2005
TN, FL, KY, VA, IN
66*
Housecall Medical Resources
July 2005
Mississippi
1
Covington County Hospital
May 2005
Maryland
1
Baltimore/Washington Medical Center
March 2005
South Carolina
10
Winyah Health Care Group
February 2005
*Includes nine hospice locations
Location
Locations
Prior Ownership
Date


13
Acquisition…Housecall
Medical Resources
4
4
30
30
29
29
2
2
1
1


14
Acquisition…Housecall
Medical Resources
180 days
Transition Timetable
$6.5
Estimated Synergies
$11.5
TTM Adjusted EBITDA
$103.0
TTM Revenue
$106.8
Purchase Price
Transaction Summary
$ in Millions


15
Investments in Technology
Strategic advantages from technology
Standardized processes:
-
Automated review of assessment forms
-
Automatic scheduling
-
Web-based HR and payroll system
Centralized management of clinical oversight/utilization
-
Real time episode analysis
-
Daily/weekly review of quality indicators
-
Executive information system
Point of care trial currently underway


16
Comprehensive Compliance Program
Local Level
Clinical Nurse Review of
Assessments
Standardized Care Plans
Physician Review/Approval
Monthly Audits
Regional Level
Unannounced Compliance &
Billing Audits
Regional Directors Resolve
Errors
Corporate Level
Semiannual
Clinical/Compliance Reviews
Compliance Review of Metric
Variances
Compliance Manager Site
Visits
Compliance Training for all
Employees
Compliance Concerns Hotline
Annual Sarbanes-Oxley Audit


17
Medicare Prospective Payment System
Implemented in October 2000
Base payment for 60-day episode of care
-
Adjusted for patient acuity and market factors
-
Reviewed and updated annually
Encourages efficient delivery of care


18
Medicare Reimbursement
Outlook for 2006
-
Market basket freeze
-
Rural add-on: 5%
-
CBSA based wage index
Outlook for 2007
-
Market basket
-
Case mix weighting
-
Therapy threshold


19
Financial Highlights
Increasing revenue
Expanded margins
Strong cash flow
EPS growth
Solid balance
sheet


20
Annual Financial Results
EBITDA
is
net
income
before
provision
for
income
taxes,
interest
expense,
and
depreciation
and
amortization.
EBITDA
should
not
be
considered
as
an
alternative
to,
or
more
meaningful
than,
income
before
income
taxes,
cash
flow
from
operating
activities,
or
other
traditional
indicators
of
operating
performance.
Rather,
EBITDA
is
presented
because
it
is
a
widely
accepted
supplemental
financial
measure
that
we
believe
provides
relevant
and
useful
information.
Our
calculation
of
EBITDA
may
not
be
comparable
to
a
similarly
titled
measure
reported
by
other
companies,
since
all
companies
do
not
calculate
this
non-GAAP
measure
in
the
same
manner.
$ millions, except per share data
Year-over-year growth
Fully-diluted EPS
Percentage of revenue
EBITDA
Percentage of revenue
Operating income
Percentage of revenue
Gross margin
Year-over-year growth
Net revenue
24.5%
81.9%
$1.88
$1.51
15.3%
16.8%
$58.5
$38.1
13.1%
14.7%
$50.1
$33.4
57.3%
57.7%
$218.5
$131.0
68.0%
59.4%
$381.6
$227.1
2005
2004


21
Quarterly Financial Results
EBITDA
is
net
income
before
provision
for
income
taxes,
interest
expense,
and
depreciation
and
amortization.
EBITDA
should
not
be
considered
as
an
alternative
to,
or
more
meaningful
than,
income
before
income
taxes,
cash
flow
from
operating
activities,
or
other
traditional
indicators
of
operating
performance.
Rather,
EBITDA
is
presented
because
it
is
a
widely
accepted
supplemental
financial
measure
that
we
believe
provides
relevant
and
useful
information.
Our
calculation
of
EBITDA
may
not
be
comparable
to
a
similarly
titled
measure
reported
by
other
companies,
since
all
companies
do
not
calculate
this
non-GAAP
measure
in
the
same
manner.
$ millions, except per share data
12/31/05
12/31/04
Quarter-over-Quarter growth
Fully-diluted EPS
Percentage of revenue
EBITDA
Percentage of revenue
Operating income
Percentage of revenue
Gross margin
Quarter-over-Quarter growth
Net revenue
15.4%
30.0%
$0.45
$0.39
11.9%
17.7%
$14.1
$11.4
10.0%
15.5%
$11.8
$10.0
55.8%
57.5%
$66.4
$37.0
84.7%
52.9%
$118.9
$64.4
Three Months Ended


22
Net Revenue
Revenue of $381.6 million       
in 2005
Year-over-year increase          
of 68.0%
Revenue of $118.9 million     
4Q 2005
Quarter-over-quarter increase 
of 84.7%
Continued strong internal growth
Completed Housecall acquisition
Continued deployment of
specialty programs
Year-Over-Year Revenue
($ millions)
$0
$100
$200
$300
$400
$500
2001
2002
2003
2004
2005
Quarterly Revenue
($ millions)
$0
$20
$40
$60
$80
$100
$120
$140
Q1
Q2
Q3
Q4
2004
2005


23
EBITDA
EBITDA of $58.5 million  
for 2005
Year-over-year increase of
53.5%
EBITDA of $14.1 million  
4Q 2005
Quarter-over-quarter
increase of  23.7%
EBITDA
is
net
income
before
provision
for
income
taxes,
interest
expense,
and
depreciation
and
amortization.
EBITDA
should
not
be
considered
as
an
alternative
to,
or
more
meaningful
than,
income
before
income
taxes,
cash
flow
from
operating
activities,
or
other
traditional
indicators
of
operating
performance.
Rather,
EBITDA
is
presented
because
it
is
a
widely
accepted
supplemental
financial
measure
that
we
believe
provides
relevant
and
useful
information.
Our
calculation
of
EBITDA
may
not
be
comparable
to
a
similarly
titled
measure
reported
by
other
companies,
since
all
companies
do
not
calculate
this
non-GAAP
measure
in
the
same
manner.
Year-Over-Year EBITDA
($ millions)
$0
$10
$20
$30
$40
$50
$60
$70
2001
2002
2003
2004
2005
Quarterly EBITDA
($ millions)
$0
$10
$20
Q1
Q2
Q3
Q4
2004
2005


24
Earnings Per Share
Fully-diluted EPS of $1.88
for 2005
Year-over-year increase of
24.5%
Fully diluted EPS of $0.45
for 4Q 2005
Quarter-over-quarter
increase of 15.4%
*Results exclude nonrecurring and one-time charges
Quarterly EPS
$0.00
$0.10
$0.20
$0.30
$0.40
$0.50
$0.60
Q1
Q2
Q3
Q4
2004
2005
Year-Over-Year EPS
$0.00
$0.50
$1.00
$1.50
$2.00
2001*
2002*
2003
2004
2005


25
Capitalization Summary
December 31, 2005
Cash and cash equivalents
$17,200
Total debt and capital lease obligations
53,200
Total stockholders' equity
192,600
Total capitalization
$245,800
$ in thousands


26
$510 million
$2.33-$2.43
16.4 million
Guidance
Net Revenue
Diluted EPS
Diluted Shares
February 2006
FY 2006


27
Investment Highlights
Large, growing and fragmented industry
Focus on Medicare home nursing
Strong internal growth
Demonstrated ability to identify and integrate acquisitions
Proven operating model
Experienced management team