EX-99.1 2 dex991.htm INVESTOR RELATIONS SLIDE SHOW IN USE BEGINING MAY 4, 2010. Investor Relations Slide Show in use begining May 4, 2010.
May 2010
www.amedisys.com
NASDAQ: AMED
Exhibit 99.1


1
Forward-Looking Statements
This presentation may include forward-looking statements as defined by the
Private Securities Litigation Reform Act of 1995. These forward-looking
statements are based upon current expectations and assumptions about
our business that are subject to a variety of risks and uncertainties that
could cause actual results to differ materially from those described in this
presentation. You should not rely on forward-looking statements as a
prediction of future events. Additional information regarding factors that
could cause actual results to differ materially from those discussed in any
forward-looking statements are described in reports and registration
statements we file with the SEC, including our Annual Report on Form
10-K and subsequent Quarterly Reports on Form 10-Q and Current Reports
on Form 8-K, copies of which are available on the Amedisys
internet
website http://www.amedisys.com
or by contacting the Amedisys
Investor
Relations department at (800) 467-2662. We disclaim any obligation to
update any forward-looking statements or any changes in events, conditions
or circumstances upon which any forward-looking statement may be based
except as required by law.


2
Important Website Information
We encourage everyone to visit the Investors Section of our
website at www.amedisys.com, where we have posted additional
important information such as press releases, profiles concerning
our business and clinical operations and control processes, and
SEC filings. We intend to use our website to expedite public access
to time-critical information regarding the Company in advance of or
in lieu of distributing a press release or a filing with the SEC
disclosing the same information.


3
Our Strategy
Clinical Excellence
Focus on outcomes
Develop and deploy specialized programs for chronic
diseases and conditions
Expand care coordination platform
Growth
Focus on chronic co-morbid patients
Large, growing and highly fragmented market
Internal growth/start-ups
Acquisitions
Efficiency
Proven operating model supported by sophisticated
technology system
Leverage cost-efficient platform
Experienced management team


4
William F. Borne
Chairman and Chief Executive Officer
CEO since founding the Company in 1982
Michael D. Snow
Chief Operating Officer
Joined
Amedisys
in
February
2010
Tim Barfield
Chief Development Officer
Joined Amedisys
in January 2010
Dale E. Redman, CPA
Chief Financial Officer
Joined Amedisys
in 2007
Management Team
Jeffrey D. Jeter
Chief Compliance Officer
Joined Amedisys
in 2001
Michael O. Fleming, MD
Chief Medical Officer
Joined Amedisys
in 2009
G. Patrick Thompson
Chief Information Officer
Joined Amedisys
in January 2010
David R. Bucey
General Counsel and Secretary
Joined Amedisys
in 2008


5
92%
8%
Home Health
Hospice
Corporate Overview¹
Founded in 1982, publicly listed
1994
600 locations in 42 states
Leading provider of home health
services
Services include skilled
nursing and therapy services
95% of Home Health revenue is
episodic based (both Medicare &
non-Medicare)
1
For the quarter ended March 31, 2010
2
Provided as of the date of our Form 8-K filed with the Securities and Exchange Commission on April 27,
2010.
.
Revenue Mix
Stats
17,200
employees
Daily visits = 30,000
9.1 million visits run rate in 2010
2010 revenue guidance = $1.750 billion²


6
Patient Overview
Average patient is 83 years old
Higher acuity patient
Patient is taking an average of 13
medications
15 medications for greater than
two episodes


7
84% receive care/
discharged within 2
episodes
11% received care within
3
rd
and 4
th
episodes
5% -
Chronic Subset
Patient Length of Stay
Days
Patients
Percentage
1-60
140,714
      
66.74%
61-120
39,788
         
17.75%
121-180
15,386
         
7.07%
181-240
7,608
           
3.97%
241-300
4,271
           
2.12%
301-360
2,590
           
1.18%
361-420
1,795
           
0.64%
421-480
1,275
           
0.34%
481-540
967
               
0.15%
541-600
687
               
0.03%
Grand Total
215,081
      
100.0%
2009 Patients by Service Days


8
Our Locations
National home nursing provider located in 42 states, the District of Columbia and
Puerto Rico.  Largest provider in the Southern and Southeastern United States.
532 home nursing
locations*
68 hospice locations*
*As of March 31, 2010


9
$17.8
$19.0
$20.7
$22.7
$25.1
$27.1
$28.9
$30.4
$32.2
$34.9
$37.6
$-
$5.0
$10.0
$15.0
$20.0
$25.0
$30.0
$35.0
$40.0
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
Medicare Home Health Adjusted Revenue
Medicare Revenue Market Size
2009: Medicare spending for home health estimated at  $17.8 billion
2019: Medicare spending for home health will reach $37.6 billion
Source: CBO's
March 2009 Baseline: MEDICARE, offset by cuts in Health Care Reform Bills.


10
6,878
7,223
7,710
8,218
8,868
9,284
9,824
10,581
-
2,000
4,000
6,000
8,000
10,000
12,000
2002
2003
2004
2005
2006
2007
2008
2009
Medicare Certified Home Health
Provider Numbers
Home Nursing Market
Source:
National
Association
for
Home
Care
&
Hospice
and
Medpac
reports


11
Industry Growth Drivers
Trend from inpatient to home-based care:
Patient preference
Payor
incentives
Technology advancements
Demographics –
aging population
8,000 Americans will become Medicare eligible each day
beginning in 2011 and by 2030, 57.8 million baby
boomers will be eligible for Medicare benefits
Increased prevalence of chronic and co-morbid conditions
1
Source: United States Census Bureau
1


12
Internal Growth
Internal revenue growth of 17% for Q1 2010
Internal growth driven by:
Overall industry growth
Increase in episodic-based admissions
Focus on start-ups
Increase in episodic-based revenue per episode
Continued deployment of therapy intensive specialty
programs
Increase in base rate of 1.8% effective January 1,
2010
3% rural add-on effective April 1, 2010


13
Start-Up Strategy
Home health start-ups
typically generate $1.5 -
$2.0
million in run-rate revenue
by the end of their second
year of operations
~ 18 to 30 months to recoup
the $300,000 -
$500,000
investment
50 home health and 5
hospice start-ups projected
in 2010
150 start-ups in pipeline, 62
incurring expenses
* Reported numbers are for home health start-ups
Yearly Start-Ups*


14
Acquisition Strategy
Reported Purchase Price
$148.6M
$17.8M
$120.5M
$478.1M
$63.0M
$2.5 M
Number of Deals
8
9
10
6
6
1


15
Higher Acuity Level Patients
Source: OCS BBI Reporter Corporate Comparative Report   
Date Range:   2008-2009
Case Mix Weight


16
High Quality Outcomes
Outcomes –
December 2009
Amedisys
vs. Nation
*
Lower % is better
Source: www.medicare.gov
Exceeded or met 9 out of 12 outcomes vs. nation


17
High Quality Health Care
Care Management
13 disease management programs
70 clinical tracks
Specialty Division
Balanced For Life first program in
division
Serves higher acuity patients
Rolled out to 355 locations through
March 2010
Piloting Behavioral Health program


18
Marwood
Group Report
Reviewed Amedisys
procedures, corporate compliance
processes, controls, clinical infrastructure, technology
offerings and future strategies.
Compared against three other publicly traded home health
companies and 14 large, private non-hospital home health
companies.
Amedisys
ranked highest compared to publicly traded
companies
Overall score of 84.6% compared to average score of
76.9%


19
Investments in Technology


20
Comprehensive Compliance Program
Local Level
Point of care system
enhances clinical
documentation accuracy
with real-time assessment
input
Clinical nurse review of
assessments
Physician review/approval
Standardized care plans
Weekly case conferences
Monthly audits
End of episode case review
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
Compliance training for all
employees
Compliance concerns hotline
Compliance review of metric
variances
Compliance manager site
visits
Semi-annual
clinical/compliance reviews
Annual Sarbanes-Oxley audit
Annual billing competency
testing
http://www.amedisys.com/pdf/Compliance3/Compliance_Controls.pdf


21
Medicare Reimbursement
2010 Changes
Market basket increase of 2.0%
Negative 2.75% case mix creep adjustment
10% cap on outlier payments per agency, offset by base         
payment increase of 2.5%
3% rural add-on effective April 1, 2010
2011 Changes
Market basket update
Negative 1.0% adjustment to market basket
Negative 2.71% case mix creep adjustment
Anticipate negative 2.5%, due to elimination of 2010 increase  
of the 10% cap on outlier payments per agency            
2012 Changes
Market basket update
Negative 1.0% adjustment to market basket


22
Strong revenue growth
EPS growth of greater than 20% for seven consecutive years
Stable margins
Low leverage
Strong cash flow from operations
Financial Highlights


23
Financial Highlights
Revenue and EPS


24
Summary Financial Results
($ in millions, except per share data)
2008
2009
1Q09
1Q10
Net revenue
$1,187.4
$1,513.5
$341.8
$413.0
Period-over-period growth
70.1%
27.5%
60.4%
20.8%
Gross margin
624.8
789.0
176.8
208.9
Percent of revenue
52.6%
52.1%
51.7%
50.6%
CFFO
150.7
247.7
54.5
71.0
Adjusted EBITDA¹
181.4
261.8
54.0
70.7
Percent of revenue
15.3%
17.3%
15.8%
17.1%
Adjusted Fully-diluted EPS²
$3.31
$4.89
$0.99
$1.29
1
Adjusted EBITDA is defined as net income attributable to Amedisys, Inc. before provision for income taxes, net interest (income) expense, and depreciation and amortization plus
certain TLC integration costs. Adjusted 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. This calculation of adjusted EBITDA may not be comparable to a similarly titled measure reported by other companies, since not
all companies calculate this non-GAAP financial measure in the same manner.
2
Adjusted diluted earnings per share is defined as diluted earnings per share plus the earnings per share effect of certain TLC acquisition costs. Adjusted diluted earnings per share
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. This calculation of adjusted diluted earnings per share may not be comparable to a similarly titled measure reported by other companies, since not all companies calculate
this non-GAAP financial measure in the same manner.


25
2008
2009
1Q09
1Q10
Agencies at period end
528
586
540
600
Period-over-period growth
49.2%
11.0%
12.5%
11.1%
Total visits
7,004,200
8,702,146
2,018,920
2,299,325
Period-over-period growth
62.8%
24.2%
57.6%
13.9%
Episodic-based admissions
199,371
231,782
56,112
65,278
Period-over-period growth
53.8%
16.3%
44.4%
16.3%
Episodic-based completed
episodes
353,076
411,975
96,299
105,096
Period-over-period growth
60.6%
16.7%
47.5%
9.1%
Episodic-based revenue per
episode
$2,854
$3,166
$3,033
$3,282
Period-over-period growth
7.3%
10.9%
13.5%
8.2%
Summary Performance Results


26
Dec. 31, 2009
Mar. 31, 2010
Assets
Cash
$      34.5
$      82.0
Accounts Receivable, Net
150.3
150.6
Property and Equipment
91.9
95.4
Goodwill
786.9
789.1
Other
108.8
105.3
Total Assets
$ 1,172.4
$ 1,222.4
Liabilities and Equity
Debt
$    215.2
$    203.4
All Other Liabilities
220.9
234.6
Equity
736.3
784.4
Total Liabilities and Equity
$ 1,172.4
$ 1,222.4
Leverage Ratio
0.8x
0.7x
Summary Balance Sheet
($ in millions)


27
47.7
43.7
53.3
46.8
39.1
39.6
43.3
45.2
45.0
46.8
51.0
47.2
40.4
36.9
33.2
33.9
32.6
25.0
30.0
35.0
40.0
45.0
50.0
55.0
DSO -
Net
(2)
Days Revenue Outstanding (DSO)
(1)
Our calculation of days revenue outstanding, net at March 31, 2008 is derived by dividing our ending net patient accounts receivable (i.e. net of estimated revenue adjustments, allowance for doubtful
accounts and excluding the patient accounts receivable assumed in the TLC Health Care Services, Inc. (“TLC”) and Family Home Health Care, Inc. & Comprehensive Home Healthcare Services, Inc.
(“HMA”) acquisitions) by our average daily net patient revenue, excluding the results of TLC and HMA for the three-month period ended March 31, 2008.
(2)
Our calculation of days revenue outstanding, net is derived by dividing our ending net patient accounts receivable (i.e. net of estimated revenue adjustments and allowance for doubtful accounts) by our
average daily net patient revenue for the three-month period.
(1)


28
Liquidity
Available line of credit (LOC): 3/31/10
=
$235m
2010 Estimated CFFO -
Cap Ex -
Required Debt Pay   =
$160m


29
Summary
Strong revenue growth
EPS growth of greater than 20% for seven consecutive
years
Stable margins
Low leverage
Strong cash flow from operations


30
Guidance
1
1
Guidance excludes the effects of future acquisitions, if they are made.
2
Provided as of the date of our Form 8-K filed with the Securities and Exchange Commission on April 27,
2010.
Calendar Year 2010
Net revenue:
$1.700 -
$1.750 billion
EPS:
$5.50 -
$5.70
Diluted shares:
28.8
million
2


31
Contact Information
Kevin B. LeBlanc
Director of Investor Relations
Amedisys, Inc.
5959 S. Sherwood Forest Boulevard
Baton Rouge, LA 70816
Office –
225.292.2031
Fax –
225.295.9653
kleblanc@amedisys.com
We encourage everyone to visit the Investors section on our website at www.amedisys.com, where we
have posted additional important information such as press releases, profiles concerning our business and
clinical operations and control processes, and SEC filings. We intend to use our website to expedite public
access to time-critical information regarding the Company in advance of or in lieu of distributing a press
release or a filing with the SEC disclosing the same information.