EX-99.1 2 dex991.htm INVESTOR RELATIONS SLIDE SHOW Investor Relations Slide Show
Amedisys, Inc.
www.amedisys.com
NASDAQ: AMED
May 2007
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
from
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 home nursing and related services to Medicare population
Strong internal growth and cash flow with low recurring cap ex
Proven operating model supported by sophisticated technology
system
Demonstrated ability to identify and integrate acquisitions
Substantial liquidity and balance sheet capacity to fund external
growth
Extensive delivery platform ideally positioned for Medicare disease
management initiatives and payor diversification
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 since 2004
-
General Health Systems
-
Arthur Andersen
Dale E. Redman, CPA –
Interim
Chief Financial
Officer
-
Joined Amedisys in February 2007
-
CFO of United Companies
-
Ernst & Young


4
Corporate Overview
Leading
provider
of
home
nursing
services
290
1
locations
primarily
in
the
Southern
and
Southeastern
United
States
Services
include
skilled
nursing
and
therapy
Medicare
accounts
for
approximately
91%
of
net
service
revenue
Hospice
care
accounts
for
approximately
6%
of
net
service
revenue
1) Both home health and hospice; as of March 31, 2007


5
16
16
13
13
12
12
27
27
52
52
40
40
18
18
4
4
42
42
16
16
1
1
7
7
1
1
6
6
7
7
3
3
3
3
Our Locations
1
Largest home nursing provider in the
Southern and Southeastern United
States
-
273 home nursing locations
(shown)
-
17 hospice locations
1) As of
March
31, 2007
CON State
Non-CON State
1
1
4
4


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
8,500 Medicare-certified nursing agencies
Most are single-site, small local or 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 internal growth in episodic-based admissions
-
Approximately 15% for Q1 2007
Internal growth being driven by:


11
Start-Up Strategy
Start-ups
typically
generate
$1.5
-
$2.0
million
in
run-rate
revenue by the end of their second year of operations
~ 18 months to recoup the $250,000 -
$350,000 investment
Yearly Start-Ups
8
13
25
40
36
0
10
20
30
40
2003
2004
2005
2006
2007
* As of March  31, 2007
Completed
Projected


12
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
Nine acquisitions over the last twelve months ended 5/1/2007; 23
agencies representing $39 million in revenues


13
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 roll-out currently underway:
-
Rolled out over 200 sites as of the end of Q1 2007
-
Expect $1.0 -
$1.5 million in quarterly savings by Q4 2007
-
One-time cap ex investment of $9 -
$10 million


14
Comprehensive Compliance Program
Local Level
Clinical nurse review of
assessments
Standardized care plans
Physician
review/approval
Weekly case conferences
Monthly audits
End of episode case
review
Point-of-care system
enhances clinical
documentation accuracy
with real-time
assessment input
Regional Level
Corporate Level
Unannounced
compliance & billing
audits
Regional directors
monitor compliance
status and resolve
errors
Real-time monitoring
capability of local level
activity via point-of-
care system
Semi-annual
clinical/compliance
reviews
Compliance review of
metric variances
Compliance manager
site visits
Compliance training for
all employees
Compliance concerns
hotline
Annual Sarbanes-Oxley
audit


15
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
Benefits high-quality/low-cost providers


16
Medicare Reimbursement
Outlook for 2007 and 2008
-
Market basket
-
Case mix weighting
-
Rural add-on
-
Therapy threshold


17
Financial Highlights
Increasing revenue
Expanding margins
Cash flow/low cap ex requirements
Consistent EPS growth
Strong balance sheet to fund future growth


18
EBITDA
is
net
income
before
provision
for
income
taxes,
net
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.
1)
Per
share
information
for
the
year
ended
December
31,
2005
has
been
adjusted
to
reflect
the
four-for-three
stock
split
effected
in
the
form
of
a
33
1/3%
stock
dividend
for
holders
of
record
as
of
November
27,
2006.
2)
Adjusted
to
exclude
$0.03
charge
for
write-off
of
deferred
financing
fees.
Summary Financial Results
1
CY2005
CY2006
Net revenue
$381.6
$541.1
Period-over-period growth
68.0%
41.8%
Gross margin
218.5
305.7
Margin
57.3%
56.5%
Operating income
50.1
65.7
Margin
13.1%
12.1%
EBITDA
57.2
75.7
Margin
15.0%
14.0%
Fully-diluted EPS
$1.41
$1.75²
Period-over-period growth
23.7%
24.1%
($ millions, except per share data)


19
EBITDA
is
net
income
before
provision
for
income
taxes,
net
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)
Summary Quarter Financial Results
Q2 2006
Q3 2006
Q4 2006
Net revenue
$132.9
$137.0
$144.0
Period-over-period growth
66.0%
22.2%
21.1%
Gross margin
76.2
77.2
80.9
Margin
57.4%
56.3%
56.2%
Operating income
15.7
18.2
19.1
Margin
11.8%
13.3%
13.3%
EBITDA
18.2
20.4
21.9
Margin
13.7%
14.9%
15.2%
Fully-diluted EPS
$0.42
$0.48
$0.51
1
Period-over-period growth
10.5%
33.3%
50.0%
Trailing Four Quarters
Q1 2007
$153.6
20.8%
86.5
56.4%
20.7
13.5%
15.4%
$0.51
50.0%
1)
Adjusted to exclude $0.03 charge for write-off of deferred financing fees.
23.6


20
Net Revenue
Annual Revenue
($ millions)
0
100
200
300
400
500
600
2003
2004
2005
2006
Quarterly Revenue
($ millions)
0
25
50
75
100
125
150
Q1
Q2
Q3
Q4
2005
2006
2007
Revenue of $541.1 million       
in 2006; 41.8% year-over-
year growth
Revenue of $153.6 million
for Q1 2007; 20.8%
quarter-over-quarter growth
Strong internal growth


21
EBITDA
1
EBITDA of $75.7 million in
2006; 32.4% year-over-year
increase
EBITDA of $23.6 million for 
Q1 2007; 55.3% quarter-
over-quarter increase
1)
EBITDA
is
net
income
before
provision
for
income
taxes,
net
interest
expense,
and
depreciation
and
amortization.
EBITDA
should
not
be
considered
as
an
alternative
to,
or
more
meaningful
than,
income
before
income
taxes,
cash
flow
from
operating
activities,
or
other
traditional
indicators
of
operating
performance.
Rather,
EBITDA
is
presented
because
it
is
a
widely
accepted
supplemental
financial
measure
that
we
believe
provides
relevant
and
useful
information.
Our
calculation
of
EBITDA
may
not
be
comparable
to
a
similarly
titled
measure
reported
by
other
companies,
since
all
companies
do
not
calculate
this
non-GAAP
measure
in
the
same
manner.
Annual EBITDA
($ millions)
0
10
20
30
40
50
60
70
80
2003
2004
2005
2006
Quarterly EBITDA
($ millions)
0
5
10
15
20
25
Q1
Q2
Q3
Q4
2005
2006
2007


22
Earnings Per Share
Fully-diluted
EPS
of
$1.75
1
for
2006;
24.1%
year-over-
year
increase
Fully-diluted
EPS
of
$0.51
for
Q1
2007;
50.0%
quarter-over-quarter
increase
1)
Adjusted to exclude $0.03 charge for write-off
of deferred financing fees.
Quarterly EPS
1
0.00
0.10
0.20
0.30
0.40
0.50
Q1
Q2
Q3
Q4
2005
2006
2007
Annual EPS
1
0.00
0.25
0.50
0.75
1.00
1.25
1.50
1.75
2003
2004
2005
2006


23
Capitalization Summary
($ in thousands)
March 31, 2007
Cash and cash equivalents
$107,483
Total debt and capital lease obligations
6,334
Stockholders' equity
379,983
Total capitalization
$386,317
Net debt / LTM EBITDA
---


24
Guidance
1) Assumes no utilization of proceeds from equity offering.
CY2007
1
Net revenue:
$625 -
$650 million
EPS:
$2.05 -
$2.15
Diluted shares:
26.5 million


25
Investment Highlights
Large, growing and fragmented industry
Focus on home nursing and related services to Medicare population
Strong internal growth and cash flow with low recurring cap ex
Proven operating model supported by sophisticated technology
system
Demonstrated ability to identify and integrate acquisitions
Substantial liquidity and balance sheet capacity to fund external
growth
Extensive delivery platform ideally positioned for Medicare disease
management initiatives and payor diversification
Experienced management team


26
Contact Information
Thomas J. Dolan
SVP of Finance
Amedisys, Inc.
5959 S. Sherwood Forest
Boulevard
Baton Rouge, LA 70816
Office –
225.292.2031
Fax –
225.295.9624
tdolan@amedisys.com
Dale Redman
CFO
Amedisys, Inc.
5959 S. Sherwood Forest
Boulevard
Baton Rouge, LA 70816
Office –
225.292.2031
Fax –
225.295.9624
dredman@amedisys.com