0001193125-11-205510.txt : 20110802 0001193125-11-205510.hdr.sgml : 20110802 20110802080135 ACCESSION NUMBER: 0001193125-11-205510 CONFORMED SUBMISSION TYPE: 8-K PUBLIC DOCUMENT COUNT: 4 CONFORMED PERIOD OF REPORT: 20110802 ITEM INFORMATION: Results of Operations and Financial Condition ITEM INFORMATION: Regulation FD Disclosure ITEM INFORMATION: Financial Statements and Exhibits FILED AS OF DATE: 20110802 DATE AS OF CHANGE: 20110802 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: 8-K SEC ACT: 1934 Act SEC FILE NUMBER: 000-24260 FILM NUMBER: 111002036 BUSINESS ADDRESS: STREET 1: 5959 S SHERWOOD FOREST BLVD CITY: BATON ROUGE STATE: LA ZIP: 70816 BUSINESS PHONE: 2252922031 MAIL ADDRESS: STREET 1: 5959 S SHERWOOD FOREST BLVD 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 8-K 1 d8k.htm FORM 8-K Form 8-K

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

FORM 8-K

 

 

CURRENT REPORT

PURSUANT TO SECTION 13 OR 15(D) OF THE

SECURITIES EXCHANGE ACT OF 1934

DATE OF REPORT (DATE OF EARLIEST EVENT REPORTED): AUGUST 2, 2011

Commission File Number: 0-24260

LOGO

 

 

AMEDISYS, INC.

(Exact Name of Registrant as specified in its Charter)

 

 

 

Delaware   11-3131700

(State or other jurisdiction of

incorporation or organization)

 

(I.R.S. Employer

Identification No.)

5959 S. Sherwood Forest Blvd., Baton Rouge, LA 70816

(Address of principal executive offices, including zip code)

(225) 292-2031 or (800) 467-2662

(Registrant’s telephone number, including area code)

 

(Former name or former address, if changed since last report)

 

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

 

¨

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

¨

Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

¨

Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

¨

Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

 

 

 


SECTION 2 – FINANCIAL INFORMATION

ITEM 2.02. RESULTS OF OPERATIONS AND FINANCIAL CONDITION

On August 2, 2011, Amedisys, Inc. (“we,” “us,” “our” or the “Company”) issued a press release announcing our earnings for the three and six-month periods ended June 30, 2011. A copy of the press release is attached hereto as Exhibit 99.1 and is incorporated herein by reference.

The information presented in Item 2.02 of this Current Report on Form 8-K and Exhibit 99.1 attached hereto shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that section, unless we specifically state that the information is to be considered “filed” under the Exchange Act or specifically incorporate it by reference in any filing under the Securities Exchange Act of 1933, as amended, or the Exchange Act.

SECTION 7 – REGULATION FD

ITEM 7.01. REGULATION FD DISCLOSURE

Item 2.02 of this Current Report on Form 8-K is incorporated herein by reference.

The information presented in Item 7.01 of this Current Report on Form 8-K shall not be deemed “filed” for purposes of Section 18 of the Exchange Act, or otherwise subject to the liabilities of that section, unless we specifically state that the information is to be considered “filed” under the Exchange Act or specifically incorporate it by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act.

SECTION 9 – FINANCIAL STATEMENTS AND EXHIBITS

ITEM 9.01. FINANCIAL STATEMENTS AND EXHIBITS

(d) Exhibits.

 

99.1   Press release dated August 2, 2011, announcing the Company’s earnings for the three and six-month periods ended June 30, 2011 (furnished only)

 

1


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 hereunto duly authorized.

 

AMEDISYS, INC.

(Registrant)

  

By:

  

/s/ Dale E. Redman

  

Dale E. Redman

  

Chief Financial Officer and Duly Authorized Officer

DATE: August 2, 2011

 

2


Exhibit Index

 

Exhibit
No.

  

Description

99.1    Press release dated August 2, 2011, announcing the Company’s earnings for the three and six-month periods ended June 30, 2011 (furnished only)

 

3

EX-99.1 2 dex991.htm PRESS RELEASE Press Release

Exhibit 99.1

LOGO

 

Contacts:

   Investor Contact:       Media Contact:
  

Amedisys, Inc.

     

Amedisys, Inc.

  

Kevin LeBlanc

     

Jacqueline Chen Valencia

  

Director of Investor

     

Senior Vice President

  

Relations

     

Marketing & Communications

  

(225) 292-2031

     

(225) 295-9688

  

kevin.leblanc@amedisys.com

     

jacqueline.chen@amedisys.com

AMEDISYS REPORTS SECOND QUARTER REVENUE AND EARNINGS AND LOWERS 2011 GUIDANCE

AMEDISYS TO HOST CONFERENCE CALL

TODAY AT 10:00 A.M. ET

BATON ROUGE, Louisiana (August 2, 2011) — Amedisys, Inc. (NASDAQ: AMED), a leading home health and hospice company, today reported its financial results for the three and six-month periods ended June 30, 2011 and lowered 2011 guidance.

Three-Month Periods Ended June 30, 2011 and 2010

 

   

Net service revenue of $373.7 million compared to $422.3 million in 2010, a decrease of $48.6 million or 11.5%. Same store agencies decreased $45.4 million, $15.6 million of the decrease related to agencies closed or consolidated during 2010 offset by $12.4 million in revenue related to start-up and acquisition agencies.

 

   

Net income attributable to Amedisys, Inc. of $21.7 million compared to $32.2 million in 2010, a decrease of $10.5 or 32.7%.

 

   

Diluted earnings per share of $0.75 compared to $1.13 per diluted share in 2010, a decrease of 33.6%. The weighted average number of diluted shares outstanding increased to approximately 29.0 million compared to 28.6 million in 2010.

 

   

Earnings before interest, taxes, depreciation and amortization (“EBITDA”) of $47.7 million compared to $63.4 million in 2010, a decrease of 24.7%.

 

   

After excluding $3.6 million and adding back $1.2 million ($2.2 million and $0.7 million, net of income tax) or $0.08 and $0.02 per diluted share in certain items* for 2011 and 2010, respectively, the following would have been our adjusted results:

 

   

Net income attributable to Amedisys, Inc. of $19.5 million compared to $32.9 million in 2010, a decrease of 40.9%.

 

   

Diluted earnings per share of $0.67 compared to $1.15 per diluted share in 2010, a decrease 41.7%.

 

   

EBITDA of $44.1 million compared to $64.6 million in 2010, a decrease of 31.7%.

Six-Month Periods Ended June 30, 2011 and 2010

 

   

Net service revenue of $738.0 million compared to $835.3 million in 2010, a decrease of $97.3 million or 11.6%. Same store agencies decreased $85.9 million, $31.8 million of the decrease related to agencies closed or consolidated during 2010 offset by $20.4 million in revenue related to start-up and acquisition agencies.

 

   

Net income attributable to Amedisys, Inc. of $36.9 million compared to $68.8 million in 2010, a decrease of $31.9 million or 46.3%.

 

   

Diluted earnings per share of $1.28 compared to $2.42 per diluted share in 2010, a decrease of 47.1%. The weighted average number of diluted shares outstanding increased to approximately 28.9 million compared to 28.5 million in 2010.

 

   

EBITDA of $84.5 million compared to $134.1 million in 2010, a decrease of 37.0%.

 

   

After adding back $0.8 million and $1.2 million ($0.5 million and $0.07 million, net of income tax) or $0.01 and $0.02 per diluted share in certain items*, the following would have been our adjusted results:

 

   

Net income attributable to Amedisys, Inc. of $37.4 million compared to $69.6 million in 2010, a decrease of 46.2%.

 

   

Diluted earnings per share of $1.29 compared to $2.44 per diluted share in 2010, a decrease 47.1%.

 

   

EBITDA of $85.3 million compared to $135.3 million in 2010, a decrease of 36.9%.

“This was a mixed quarter for the company with home health performance lower than our expectations, but strong hospice results. Regulatory changes mainly in our home health division have had a dampening impact on volume and pricing resulting in our downward adjustment to guidance for the year,” stated William F. Borne, Chief Executive Officer of Amedisys, Inc. “On a positive note, we completed a strategic acquisition in our hospice division. In addition, we are very proud to have been awarded a bonus payment from Medicare in recognition of providing quality care and system cost savings under a pay for performance demonstration, which validates the long-term potential we see in the business.”

 

*

See footnote 2 on page 10 for explanation of these certain items.

 

1


2011 Guidance

 

   

Net service revenue is anticipated to be in the range of $1.475 billion to $1.5 billion.

 

   

Diluted earnings per share is expected to be in the range of $2.20 to $2.40 based on an estimated 29.3 million shares outstanding.

This guidance includes the effects of our recently announced Beacon acquisition but excludes the effects of the following: any future acquisitions, if any are made; effects of any share repurchases; non-recurring costs that may be incurred during the year or the impact of the final 2012 Medicare rate changes.

We urge caution in considering the current trends and guidance disclosed in this press release. The home health and hospice industry is highly competitive and subject to intensive regulations, and trends and guidance are subject to numerous factors, risks, and uncertainties, some of which are referenced in the cautionary language below and others that are described more fully in our reports filed with the Securities and Exchange Commission (“SEC”) including our Annual Report on Form 10-K for the fiscal year ended December 31, 2010, and subsequent Quarterly Reports on Form 10-Q, and current reports on Form 8-K which can be found on the SEC’s internet website, http://www.sec.gov, and our internet website, http://www.amedisys.com. We disclaim any obligations to update disclosed information on trends.

Earnings Call and Webcast Information

To participate in the conference call, please dial (888) 695-0608 (Toll free) or (719) 457-2714 (Toll) a few minutes before 10:00 a.m. ET on Tuesday, August 2, 2011. A replay of the conference call will be available through August 9, 2011. The replay dial in number is (888) 203-1112 (Toll free) or (719) 457-0820 (Toll). The replay pin number is 1479597.

The call will also be available through our website and for seven days thereafter at the following web address: http://www.amedisys.com/investors.

We are headquartered in Baton Rouge, Louisiana. Our common stock trades on the NASDAQ Global Select Market under the symbol “AMED.”

Additional information

Our company website address is www.amedisys.com. We use our website as a channel of distribution for important company information. Important information, including press releases, analyst presentations and financial information regarding our company, is routinely posted on and accessible on the Investor Relations subpage of our website, which is accessible by clicking on the tab labeled “Investors” on our website home page. We also use our website to expedite public access to time-critical information regarding our company in advance of or in lieu of distributing a press release or a filing with the SEC disclosing the same information. Therefore, investors should look to the Investor Relations subpage of our website for important and time-critical information. Visitors to our website can also register to receive automatic e-mail and other notifications alerting them when new information is made available on the Investor Relations subpage of our website.

Forward-Looking Statements

When included in this press release, words like “believes,” “belief,” “expects,” “plans,” “anticipates,” “intends,” “projects,” “estimates,” “may,” “might,” “would,” “should” and similar expressions are intended to identify forward-looking statements as defined by the Private Securities Litigation Reform Act of 1995. These forward-looking statements involve a variety of risks and uncertainties that could cause actual results to differ materially from those described therein. These risks and uncertainties include, but are not limited to the following: changes in Medicare and other medical payment levels, adverse effects of a failure of the Federal government to fund government programs in which we participate, such as Medicare or Medicaid, adverse effects of a possible delay in the Federal budget process or a Federal government shutdown, our ability to open agencies, acquire additional agencies and integrate and operate these agencies effectively, changes in or our failure to comply with existing Federal and State laws or regulations or the inability to comply with new government regulations on a timely basis, competition in the home health industry, changes in the case mix of patients and payment methodologies, changes in estimates and judgments associated with critical accounting policies, our ability to maintain or establish new patient referral sources, our ability to attract and retain qualified personnel, changes in payments and covered services due to the economic downturn and deficit spending by Federal and State governments, future cost containment initiatives undertaken by third-party payors, our access to financing due to the volatility and disruption of the capital and credit markets, our ability to meet debt service requirements and comply with covenants in debt agreements, business disruptions due to natural disasters or acts of terrorism, our ability to integrate and manage our information systems, changes in or developments with respect to any litigation or investigations relating to the Company, including the United States Senate Committee on Finance inquiry, the SEC investigation and the U.S. Department of Justice Civil Investigative Demand and various other matters, many of which are beyond our control.

 

2


Because forward-looking statements are inherently subject to risks and uncertainties, some of which cannot be predicted or quantified, you should not rely on any forward-looking statement as a prediction of future events. We expressly disclaim any obligation or undertaking and we do not intend to release publicly any updates or changes in our expectations concerning the 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.

Non-GAAP Financial Measures

This press release includes the following non-GAAP financial measures as defined under SEC rules: EBITDA, defined as net income attributable to Amedisys, Inc. before provision for income taxes, net interest expense and depreciation and amortization, adjusted EBITDA, defined as EBITDA plus certain items, adjusted net income attributable to Amedisys, Inc., defined as net income attributable to Amedisys, Inc. plus certain items and adjusted diluted earnings per share, defined as diluted earnings per share plus the earnings per share effect of certain items. In accordance with SEC rules, we have provided herein a reconciliation of these non-GAAP financial measures to the most directly comparable measures under generally accepted accounting principles (“GAAP”). Management believes that these are useful gauges of our performance and are common measures used in our industry to assess relative financial performance among companies.

 

3


AMEDISYS, INC. AND SUBSIDIARIES

SELECT CONSOLIDATED FINANCIAL STATEMENT DATA AND SUPPLEMENTAL INFORMATION

(Amounts in thousands, except share, per share data and statistical information)

(Unaudited)

Balance Sheet Information

 

     June 30, 2011     December 31, 2010  
ASSETS     

Current assets:

    

Cash and cash equivalents

   $ 28,132      $ 120,295   

Patient accounts receivable, net of allowance for doubtful accounts of $18,162 and $20,977

     153,273        141,549   

Prepaid expenses

     10,976        9,947   

Other current assets

     12,400        22,259   
  

 

 

   

 

 

 

Total current assets

     204,781        294,050   

Property and equipment, net of accumulated depreciation of $77,832 and $78,074

     144,446        138,554   

Goodwill

     901,611        791,412   

Intangible assets, net of accumulated amortization of $19,130 and $17,135

     62,331        53,393   

Other assets, net

     27,478        22,454   
  

 

 

   

 

 

 

Total assets

   $ 1,340,647      $ 1,299,863   
  

 

 

   

 

 

 
LIABILITIES AND EQUITY     

Current liabilities:

    

Accounts payable

   $ 21,843      $ 20,663   

Payroll and employee benefits

     78,077        82,961   

Accrued expenses

     70,014        61,254   

Current portion of long-term obligations

     35,448        37,178   

Current portion of deferred income taxes

     10,408        14,285   
  

 

 

   

 

 

 

Total current liabilities

     215,790        216,341   

Long-term obligations, less current portion

     127,901        144,688   

Deferred income taxes

     61,516        52,286   

Other long-term obligations

     5,460        6,833   
  

 

 

   

 

 

 

Total liabilities

     410,667        420,148   
  

 

 

   

 

 

 

Commitments and Contingencies

    

Equity:

    

Preferred stock, $0.001 par value, 5,000,000 shares authorized; none issued or outstanding

     —          —     

Common stock, $0.001 par value, 60,000,000 shares authorized; 30,575,814 and 29,867,701 shares issued; and 29,890,269 and 29,232,807 shares outstanding

     30        29   

Additional paid-in capital

     422,273        407,156   

Treasury stock at cost, 685,545 and 634,894 shares of common stock

     (15,702     (14,022

Accumulated other comprehensive income

     15        25   

Retained earnings

     521,612        484,669   
  

 

 

   

 

 

 

Total Amedisys, Inc. stockholders’ equity

     928,228        877,857   

Noncontrolling interests

     1,752        1,858   
  

 

 

   

 

 

 

Total equity

     929,980        879,715   
  

 

 

   

 

 

 

Total liabilities and equity

   $ 1,340,647      $ 1,299,863   
  

 

 

   

 

 

 

 

4


Income Statement Information

 

     For the Three-Month
Periods Ended June 30,
    For the Six-Month
Periods Ended June 30,
 
     2011     2010     2011     2010  

Net service revenue

   $ 373,722      $ 422,349      $ 738,024      $ 835,316   

Cost of service, excluding depreciation and amortization

     193,147        209,293        384,326        413,352   

General and administrative expenses:

        

Salaries and benefits

     80,862        88,586        166,512        175,553   

Non-cash compensation

     3,205        3,168        5,115        5,681   

Other

     46,644        52,431        92,209        97,446   

Provision for doubtful accounts

     2,128        4,463        5,290        8,808   

Depreciation and amortization

     9,726        8,279        19,081        16,465   
  

 

 

   

 

 

   

 

 

   

 

 

 

Operating expenses

     335,712        366,220        672,533        717,305   
  

 

 

   

 

 

   

 

 

   

 

 

 

Operating income

     38,010        56,129        65,491        118,011   

Other (expense) income:

        

Interest income

     89        92        207        177   

Interest expense

     (2,254     (2,350     (4,506     (4,761

Equity in earnings from unconsolidated joint ventures

     466        734        789        1,522   

Miscellaneous, net

     (425     (1,576     (764     (1,543
  

 

 

   

 

 

   

 

 

   

 

 

 

Total other expense, net

     (2,124     (3,100     (4,274     (4,605
  

 

 

   

 

 

   

 

 

   

 

 

 

Income before income taxes

     35,886        53,029        61,217        113,406   

Income tax expense

     (14,175     (20,663     (24,182     (44,210
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income

     21,711        32,366        37,035        69,196   

Net income attributable to noncontrolling interests

     (55     (164     (91     (348
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income attributable to Amedisys, Inc.

   $ 21,656      $ 32,202      $ 36,944      $ 68,848   
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income per share attributable to Amedisys, Inc. common stockholders:

        

Basic

   $ 0.76      $ 1.15      $ 1.30      $ 2.46   
  

 

 

   

 

 

   

 

 

   

 

 

 

Diluted

   $ 0.75      $ 1.13      $ 1.28      $ 2.42   
  

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average shares outstanding:

        

Basic

     28,625        28,106        28,495        27,963   
  

 

 

   

 

 

   

 

 

   

 

 

 

Diluted

     29,010        28,597        28,938        28,478   
  

 

 

   

 

 

   

 

 

   

 

 

 

Cash Flow Information

 

     For the Three-Month
Periods Ended June 30,
    For the Six-Month
Periods Ended June 30,
 
     2011     2010     2011     2010  

Net cash provided by operating activities

   $ 23,959      $ 54,397      $ 76,513      $ 125,434   

Net cash used in investing activities

     (135,589     (13,320     (151,535     (27,686

Net cash used in financing activities

     (9,106     (7,030     (17,141     (16,206
  

 

 

   

 

 

   

 

 

   

 

 

 

Net (decrease) increase in cash and cash equivalents

     (120,736     34,047        (92,163     81,542   

Cash and cash equivalents at beginning of period

     148,868        81,980        120,295        34,485   
  

 

 

   

 

 

   

 

 

   

 

 

 

Cash and cash equivalents at end of period

   $ 28,132      $ 116,027      $ 28,132      $ 116,027   
  

 

 

   

 

 

   

 

 

   

 

 

 

 

5


Supplemental Information – Home Health

 

     For the Three-Month Periods Ended June 30,  
     2011      2010  
     Same Store     Start-ups/
Acquisitions
    Total      Same Store     Other (1)     Total  

Financial Information (in millions):

             

Episodic-based revenue

   $ 302.7      $ 5.0      $ 307.7       $ 356.1      $ 13.2      $ 369.3   

Nonepisodic-based revenue

     18.4        0.3        18.7         17.9        0.8        18.7   
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Net service revenue

     321.1        5.3        326.4         374.0        14.0        388.0   

Same store episodic-based revenue growth (2)

     (15 )%           6    
  

 

 

        

 

 

     

Cost of service

     164.2        3.4        167.6         179.9        10.8        190.7   
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Gross margin

     156.9        1.9        158.8         194.1        3.2        197.3   

Other operating expenses

     76.5        3.0        79.5         85.7        13.3        99.0   
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Operating income

   $ 80.4      $ (1.1   $ 79.3       $ 108.4      $ (10.1   $ 98.3   
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Key Statistical Data:

             

Admissions:

             

Episodic-based

     57,799        1,181        58,980         60,426        2,650        63,076   

Nonepisodic-based

     10,400        204        10,604         9,577        511        10,088   
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Total admissions

     68,199        1,385        69,584         70,003        3,161        73,164   
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Same store episodic-based admission growth (2)

     (4 )%           4    
  

 

 

        

 

 

     

Recertifications:

             

Episodic-based

     43,751        464        44,215         46,025        1,545        47,570   

Nonepisodic-based

     4,374        39        4,413         4,623        113        4,736   
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Total recertifications

     48,125        503        48,628         50,648        1,658        52,306   
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Same store episodic-based recertification growth (2)

     (5 )%           (9 )%     
  

 

 

        

 

 

     

Completed episodes

     99,593        1,553        101,146         104,951        4,469        109,420   
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Visits:

             

Episodic-based

     1,904,019        29,063        1,933,082         2,034,885        72,568        2,107,453   

Nonepisodic-based

     200,058        3,666        203,724         202,300        10,983        213,283   
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Total visits

     2,104,077        32,729        2,136,806         2,237,185        83,551        2,320,736   
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Cost per visit

   $ 78.04      $ 106.34      $ 78.47       $ 80.44      $ 128.66      $ 82.18   
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Average episodic-based revenue per completed episode (3)

   $ 3,032      $ 3,189      $ 3,034       $ 3,378      $ 3,243      $ 3,372   
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Episodic-based visits per completed episode (4)

     18.9        18.3        18.9         19.4        17.7        19.4   
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

 

6


     For the Six-Month Periods Ended June 30,  
     2011      2010  
     Same Store     Start-ups/
Acquisitions
    Total      Same Store     Other (1)     Total  

Financial Information (in millions):

             

Episodic-based revenue

   $ 603.0      $ 11.9      $ 614.9       $ 703.9      $ 27.1      $ 731.0   

Nonepisodic-based revenue

     36.4        0.6        37.0         35.8        1.7        37.5   
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Net service revenue

     639.4        12.5        651.9         739.7        28.8        768.5   

Same store episodic-based revenue growth (2)

     (14 )%           10    
  

 

 

        

 

 

     

Cost of service

     331.1        7.3        338.4         356.2        21.5        377.7   
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Gross margin

     308.3        5.2        313.5         383.5        7.3        390.8   

Other operating expenses

     156.1        6.5        162.6         168.5        24.2        192.7   
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Operating income

   $ 152.2      $ (1.3   $ 150.9       $ 215.0      $ (16.9   $ 198.1   
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Key Statistical Data:

             

Admissions:

             

Episodic-based

     118,957        2,503        121,460         122,871        5,483        128,354   

Nonepisodic-based

     20,904        393        21,297         19,057        1,023        20,080   
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Total admissions

     139,861        2,896        142,757         141,928        6,506        148,434   
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Same store episodic-based admission growth (2)

     (3 )%           7    
  

 

 

        

 

 

     

Recertifications:

             

Episodic-based

     87,035        911        87,946         94,083        3,202        97,285   

Nonepisodic-based

     8,610        80        8,690         9,408        224        9,632   
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Total recertifications

     95,645        991        96,636         103,491        3,426        106,917   
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Same store episodic-based recertification growth (2)

     (7 )%           (5 )%     
  

 

 

        

 

 

     

Completed episodes

     197,534        3,129        200,663         205,864        8,652        214,516   
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Visits:

             

Episodic-based

     3,809,117        60,651        3,869,768         4,049,413        149,293        4,198,706   

Nonepisodic-based

     397,367        6,941        404,308         399,726        21,629        421,355   
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Total visits

     4,206,484        67,592        4,274,076         4,449,139        170,922        4,620,061   
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Cost per visit

   $ 78.71      $ 108.92      $ 79.19       $ 80.07      $ 125.44      $ 81.75   
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Average episodic-based revenue per completed episode (3)

   $ 3,030      $ 3,098      $ 3,032       $ 3,332      $ 3,230      $ 3,328   
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Episodic-based visits per completed episode (4)

     18.7        17.7        18.7         19.1        17.5        19.0   
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

 

(1)

Agencies for the prior period which are not considered same store agencies (i.e. agencies closed or consolidated in current or prior period or unopened startups).

(2)

Same store episodic-based revenue, admissions or recertifications growth is the percent increase (decrease) in our same store episodic-based revenue, admissions or recertifications for the period as a percent of the same store episodic-based revenue, admissions or recertifications of the prior period.

(3)

Average episodic-based revenue per completed episode is the average episodic-based revenue earned for each episodic-based completed episode of care.

(4)

Episodic-based visits per completed episode is the home health episodic-based visits on completed episodes divided by the home health episodic-based episodes completed during the period.

 

7


Supplemental Information – Hospice

 

     For the Three-Month Periods Ended June 30,  
     2011      2010  
     Same Store     Start-ups/
Acquisitions
     Total      Same Store     Other (1)     Total  

Financial Information (in millions):

              

Medicare revenue

   $ 37.5      $ 6.6       $ 44.1       $ 30.8      $ 1.5      $ 32.3   

Non-Medicare revenue

     2.7        0.5         3.2         1.9        0.1        2.0   
  

 

 

   

 

 

    

 

 

    

 

 

   

 

 

   

 

 

 

Net service revenue

     40.2        7.1         47.3         32.7        1.6        34.3   

Same store Medicare revenue growth (2)

     22           22    
  

 

 

         

 

 

     

Cost of service

     21.0        4.5         25.5         17.2        1.4        18.6   
  

 

 

   

 

 

    

 

 

    

 

 

   

 

 

   

 

 

 

Gross margin

     19.2        2.6         21.8         15.5        0.2        15.7   

Other operating expenses

     7.7        2.1         9.8         7.3        1.2        8.5   
  

 

 

   

 

 

    

 

 

    

 

 

   

 

 

   

 

 

 

Operating income

   $ 11.5      $ 0.5       $ 12.0       $ 8.2      $ (1.0   $ 7.2   
  

 

 

   

 

 

    

 

 

    

 

 

   

 

 

   

 

 

 

Key Statistical Data:

              

Hospice admits

     3,140        600         3,740         2,676        198        2,874   

Hospice days

     301,724        42,629         344,353         246,575        11,597        258,172   

Average daily census

     3,316        468         3,784         2,710        127        2,837   

Revenue per day

   $ 133.04      $ 166.52       $ 137.18       $ 132.61      $ 139.11      $ 132.90   

Cost of service per day

   $ 69.37      $ 106.43       $ 73.96       $ 69.45      $ 126.69      $ 72.02   

Average length of stay

     88        73         86         88        63        87   

 

     For the Six-Month Periods Ended June 30,  
     2011      2010  
     Same Store     Start-ups/
Acquisitions
    Total      Same Store     Other (1)     Total  

Financial Information (in millions):

             

Medicare revenue

   $ 73.2      $ 7.4      $ 80.6       $ 60.3      $ 2.8      $ 63.1   

Non-Medicare revenue

     5.0        0.5        5.5         3.5        0.2        3.7   
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Net service revenue

     78.2        7.9        86.1         63.8        3.0        66.8   

Same store Medicare revenue growth (2)

     21          27    
  

 

 

        

 

 

     

Cost of service

     40.6        5.3        45.9         33.0        2.7        35.7   
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Gross margin

     37.6        2.6        40.2         30.8        0.3        31.1   

Other operating expenses

     15.1        2.9        18.0         14.6        2.3        16.9   
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Operating income

   $ 22.5      $ (0.3   $ 22.2       $ 16.2      $ (2.0   $ 14.2   
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Key Statistical Data:

             

Hospice admits

     6,228        709        6,937         5,305        362        5,667   

Hospice days

     579,224        48,874        628,098         473,056        21,635        494,691   

Average daily census

     3,200        270        3,470         2,614        120        2,733   

Revenue per day

   $ 134.86      $ 162.41      $ 137.00       $ 134.81      $ 139.32      $ 135.01   

Cost of service per day

   $ 69.91      $ 109.88      $ 73.02       $ 69.66      $ 126.23      $ 72.13   

Average length of stay

     89        70        87         89        62        87   

 

(1)

Agencies for the prior period which are not considered same store agencies (i.e. agencies closed or consolidated in current or prior period or unopened startups).

(2)

Same Store Medicare revenue growth is the percent increase in our same store Medicare revenue for the period as a percent of the same store Medicare revenue of the prior period.

 

8


AMEDISYS, INC. AND SUBSIDIARIES

SELECT CONSOLIDATED KEY STATISTICAL DATA

(Unaudited)

 

     For the Three-Month
Periods Ended June 30,
     For the Six-Month
Periods Ended June 30,
 
     2011      2010      2011      2010  

Key Statistical Data:

           

General

           

Number of home health agencies

     485         529         485         529   

Number of hospice agencies

     90         72         90         72   

Number of agencies acquired (1)

     22         1         22         2   

Number of agencies opened as start-up locations (1)

     2         12         8         29   

Days revenue outstanding, net (2)

     36.0         32.5         36.0         32.5   

 

(1)

Includes both home health and hospice agencies.

(2)

Our calculation of days revenue outstanding, net at June 30, 2011 and 2010 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 ended June 30, 2011 and 2010, respectively.

 

9


AMEDISYS, INC. AND SUBSIDIARIES

RECONCILIATION OF NON-GAAP FINANCIAL MEASURE TO GAAP FINANCIAL STATEMENTS

(Amounts in thousands, except per share data)

(Unaudited)

Earnings before interest, taxes, depreciation and amortization (“EBITDA”) and Adjusted EBITDA

 

     For the Three-Month
Periods Ended June 30,
     For the Six-Month
Periods Ended June 30,
 
     2011     2010      2011      2010  

Net income attributable to Amedisys, Inc.

   $ 21,656      $ 32,202       $ 36,944       $ 68,848   

Add:

          

Provision for income taxes

     14,175        20,663         24,182         44,210   

Interest expense, net

     2,165        2,258         4,299         4,584   

Depreciation and amortization

     9,726        8,279         19,081         16,465   
  

 

 

   

 

 

    

 

 

    

 

 

 

EBITDA (1)

   $ 47,722      $ 63,402       $ 84,506       $ 134,107   
  

 

 

   

 

 

    

 

 

    

 

 

 

Add:

          

Certain items (2)

     (3,606     1,201         811         1,201   
  

 

 

   

 

 

    

 

 

    

 

 

 

Adjusted EBITDA (3)

   $ 44,116      $ 64,603       $ 85,317       $ 135,308   
  

 

 

   

 

 

    

 

 

    

 

 

 

Adjusted Net Income Attributable to Amedisys, Inc. Reconciliation

 

     For the Three-Month
Periods Ended June 30,
     For the Six-Month
Periods Ended June 30,
 
     2011     2010      2011      2010  

Net income attributable to Amedisys, Inc.

   $ 21,656      $ 32,202       $ 36,944       $ 68,848   

Add:

          

Certain items (2)

     (2,182     732         491         732   
  

 

 

   

 

 

    

 

 

    

 

 

 

Adjusted net income attributable to Amedisys, Inc. (4)

   $ 19,474      $ 32,934       $ 37,435       $ 69,580   
  

 

 

   

 

 

    

 

 

    

 

 

 

Adjusted Diluted Earnings Per Share Reconciliation

 

     For the Three-Month
Periods Ended June 30,
     For the Six-Month
Periods Ended June 30,
 
     2011     2010      2011      2010  

Net income attributable to Amedisys, Inc. common stockholders - diluted

   $ 0.75      $ 1.13       $ 1.28       $ 2.42   

Add:

          

Certain items (2)

     (0.08     0.02         0.01         0.02   
  

 

 

   

 

 

    

 

 

    

 

 

 

Adjusted net income attributable to Amedisys, Inc. common stockholders - diluted (5)

   $ 0.67      $ 1.15       $ 1.29       $ 2.44   
  

 

 

   

 

 

    

 

 

    

 

 

 

 

(1)

EBITDA is defined as net income attributable to Amedisys, Inc. 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. This calculation of 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)

During the three and six month period ended June 30, 2011, we incurred certain costs associated with acquisitions and related integration costs and legal expenses related to the United States Senate Committee on Finance inquiry and SEC and DOJ investigation discussed in Note 6 to the condensed consolidated financial statements and incurred costs associated with agency closings we announced in 2010. These costs were offset by the reversal of accrued bonuses. In addition, during the three-month period ended June 30, 2011 we recorded a receivable for a CMS bonus payment as the result of the pay for performance demonstration. The following details these items (amounts in millions, except per share data):

 

     For the Three-Month Periods Ended June 30, 2011     For the Six-Month Periods Ended June 30, 2011  
     (Income) Expense     Net of Tax     Diluted EPS     (Income) Expense     Net of Tax     Diluted EPS  

Bonus reversal

   $ (1,500   $ (908   $ (0.03   $ (1,500   $ (908   $ (0.03

CMS bonus

     (4,733     (2,864     (0.10     (4,733     (2,864     (0.10

Exit activities

     —          —          —          1,073        649        0.02   

Certain costs

     2,627        1,590        0.05        5,971        3,614        0.12   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Total

   $ (3,606   $ (2,182   $ (0.08   $ 811      $ 491      $ 0.01   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

10


During the three and six-month period ended June 30, 2010, we incurred certain costs associated with our realignment of our operations as well as legal expenses related to the United States Senate Committee on Finance inquiry and SEC and DOJ investigation discussed in Note 6 to the condensed consolidated financial statements. These costs were offset by the reversal of accrued bonuses. In addition, during the six-month period ended June 30, 2010 we received a CMS bonus payment as the result of the pay for performance demonstration. The following details these items (amounts in millions, except per share data):

 

     For the Three and Six-Month Periods Ended June 30,  2010  
     (Income) Expense     Net of Tax     Diluted EPS  

Bonus reversal

   $ (3,096   $ (1,889   $ (0.07

CMS bonus

     (3,587     (2,188     (0.08

Exit activities

     1,436        876        0.03   

Certain costs

     6,448        3,933        0.14   
  

 

 

   

 

 

   

 

 

 

Total

   $ 1,201      $ 732      $ 0.02   
  

 

 

   

 

 

   

 

 

 

 

(3)

Adjusted EBITDA is defined as net income attributable to Amedisys, Inc. before provision for income taxes, net interest expense, depreciation and amortization plus certain items as described in footnote 2. 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.

(4)

Adjusted net income attributable to Amedisys, Inc. is defined as net income attributable to Amedisys, Inc. plus certain items as described in footnote 2. Adjusted net income attributable to Amedisys, Inc. 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 net income attributable to Amedisys, Inc. may not be comparable to a similarly titled measure reported by other companies, since not all companies calculate this non-GAAP measure in the same manner.

(5)

Adjusted diluted earnings per share is defined as diluted earnings per share plus the earnings per share effect of certain items as described in footnote 2. 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 or 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.

 

11

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