EX-99.1 2 d927047dex991.htm EX-99.1 EX-99.1

Exhibit 99.1

 

LOGO

AMEDISYS REPORTS FIRST QUARTER 2020 FINANCIAL RESULTS

BATON ROUGE, Louisiana (May 6, 2020) — Amedisys, Inc. (NASDAQ: AMED) today reported its financial results for the three-month period ended March 31, 2020.

Three-Month Periods Ended March 31, 2020 and 2019

 

   

Net service revenue increased $24.4 million to $491.7 million compared to $467.3 million in 2019.

 

   

Net income attributable to Amedisys, Inc. of $31.8 million compared to $31.3 million in 2019.

 

   

Net income attributable to Amedisys, Inc. per diluted share of $0.96 compared to $0.95 in 2019.

Adjusted Quarterly Results*

 

   

Adjusted EBITDA of $53.3 million compared to $54.9 million in 2019.

 

   

Adjusted net service revenue of $491.7 million compared to $467.8 million in 2019.

 

   

Adjusted net income attributable to Amedisys, Inc. of $34.8 million compared to $36.4 million in 2019.

 

   

Adjusted net income attributable to Amedisys, Inc. per diluted share of $1.05 compared to $1.11 in 2019.

 

*

See pages 10 and 11 for the definition and reconciliations of non-GAAP financial measures to GAAP measures.

Paul B. Kusserow, President and Chief Executive Officer stated, “I am very proud of our first quarter results and even more proud of the way our employees on the front lines have battled through the Public Health Emergency. COVID-19 impacted our volumes and costs beginning the second half of March, and though we do expect near term disruption, this pandemic has only strengthened the medium and long-term value proposition of all of our lines of business. Caring for patients in wherever they call home and doing it by delivering the highest quality care is more important now than ever and will continue to be at the forefront of how care is delivered in the United States. A special thank you to all our essential healthcare workers. You are true heroes and none of this would be possible without you.”

2020 Guidance

Given the rapidly changing operating conditions related to the novel coronavirus pandemic (“COVID-19”), we have decided to withdraw our full-year 2020 guidance as we cannot accurately estimate the effects that COVID-19 will have on our annual financial results.

We urge caution in considering the current trends disclosed in this press release. The home health, hospice and personal care industries are highly competitive and subject to intensive regulations, and trends 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, 2019, 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.

Earnings Call and Webcast Information

Amedisys will host a conference call on Thursday, May 7, 2020, at 11:00 a.m. ET to discuss its first quarter results. To participate on the conference call, please call before 11:00 a.m. ET to either (877) 524-8416 (Toll-Free) or (412) 902-1028 (Toll). A replay of the conference call will be available through June 7, 2020 by dialing (877) 660-6853 (Toll-Free) or (201) 612-7415 (Toll) and entering conference ID #13702263.

A live webcast of the call will be accessible through our website on our Investor Relations section at the following web address: http://investors.amedisys.com.

 

1


Non-GAAP Financial Measures

This press release includes reconciliations of the most comparable financial measures calculated and presented in accordance with accounting principles generally accepted in the U.S. (“GAAP”) to non-GAAP financial measures. The non-GAAP financial measures as defined under SEC rules are as follows: (1) adjusted EBITDA, defined as net income attributable to Amedisys, Inc. before provision for income taxes, net interest expense and depreciation and amortization, excluding certain items; (2) adjusted net service revenue, defined as net service revenue excluding certain items; (3) adjusted net income attributable to Amedisys, Inc., defined as net income attributable to Amedisys, Inc. excluding certain items; and (4) adjusted net income attributable to Amedisys, Inc. per diluted share, defined as net income attributable to Amedisys, Inc. common stockholders per diluted share excluding certain items. Management believes that these non-GAAP financial measures, when reviewed in conjunction with GAAP financial measures, are useful gauges of our current performance and are also included in internal management reporting. These non-GAAP financial measures should be considered in addition to, and not more meaningful than or as an alternative to the GAAP financial measures presented in this earnings release and the company’s financial statements. Non-GAAP measures as presented herein may not be comparable to similarly titled measures reported by other companies since not all companies calculate these non-GAAP measures consistently.

Additional information

Amedisys, Inc. (the “Company”) is a leading healthcare at home company delivering personalized home health, hospice and personal care. Amedisys is focused on delivering the care that is best for our patients, whether that is home-based personal care; recovery and rehabilitation after an operation or injury; care focused on empowering our patients to manage a chronic disease; or hospice care at the end of life. More than 2,600 hospitals and 67,000 physicians nationwide have chosen Amedisys as a partner in post-acute care. Founded in 1982, headquartered in Baton Rouge, LA with an executive office in Nashville, TN, Amedisys is a publicly held company. With more than 21,000 employees in 480 care centers within 38 states and the District of Columbia, Amedisys is dedicated to delivering the highest quality of care to the doorsteps of more than 415,000 patients and clients in need every year. For more information about the Company, please visit: www.amedisys.com.

We use our website as a channel of distribution for important company information. Important information, including press releases, investor 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. 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,” “strategy,” “plans,” “anticipates,” “intends,” “projects,” “estimates,” “may,” “might,” “could,” “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: the impact of the novel coronavirus pandemic (“COVID-19”), including the measures that have been and may be taken by governmental authorities to mitigate it, on our business, financial condition and results of operations, 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, changes in Medicare and other medical payment levels, our ability to open care centers, acquire additional care centers and integrate and operate these care centers effectively, competition in the healthcare 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 consistently provide high-quality care, our ability to attract and retain qualified personnel, our ability to keep our patients and employees safe, changes in payments and covered services by federal and state governments, future cost containment initiatives undertaken by third-party payors, our access to financing, 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, manage and keep our information systems secure, our ability to realize the anticipated benefits of acquisitions and changes in law or developments with respect to any litigation relating to the Company, including various other matters, many of which are beyond our control.

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.

 

Contact:    Investor Contact:    Media Contact:
   Amedisys, Inc.    Amedisys, Inc.
   Nick Muscato    Kendra Kimmons
   Vice President, Strategic Finance    Vice President, Marketing & Communications
   (855) 259-2046    (225) 299-3720
   IR@amedisys.com    kendra.kimmons@amedisys.com

 

2


AMEDISYS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(Amounts in thousands, except per share data)

(Unaudited)

 

     For the Three-Month
Periods Ended March 31,
 
     2020     2019  

Net service revenue

   $ 491,685   $ 467,340

Cost of service, excluding depreciation and amortization

     285,737     275,274

General and administrative expenses:

    

Salaries and benefits

     101,566     94,830

Non-cash compensation

     5,909     6,615

Other

     49,265     43,402

Depreciation and amortization

     5,338     2,895
  

 

 

   

 

 

 

Operating expenses

     447,815     423,016
  

 

 

   

 

 

 

Operating income

     43,870     44,324

Other income (expense):

    

Interest income

     13     24

Interest expense

     (3,231     (3,349

Equity in earnings from equity method investments

     477     1,216

Miscellaneous, net

     263     236
  

 

 

   

 

 

 

Total other expense, net

     (2,478     (1,873
  

 

 

   

 

 

 

Income before income taxes

     41,392     42,451

Income tax expense

     (9,346     (10,878
  

 

 

   

 

 

 

Net income

     32,046     31,573

Net income attributable to noncontrolling interests

     (244     (269
  

 

 

   

 

 

 

Net income attributable to Amedisys, Inc.

   $ 31,802   $ 31,304
  

 

 

   

 

 

 

Basic earnings per common share:

    

Net income attributable to Amedisys, Inc. common stockholders

   $ 0.98   $ 0.98

Weighted average shares outstanding

     32,331     32,001

Diluted earnings per common share:

    

Net income attributable to Amedisys, Inc. common stockholders

   $ 0.96   $ 0.95

Weighted average shares outstanding

     33,234     32,893

 

3


AMEDISYS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS

(Amounts in thousands, except share data)

 

     March 31, 2020
(unaudited)
    December 31,
2019
 
ASSETS     

Current assets:

    

Cash and cash equivalents

   $ 174,756   $ 30,294

Restricted cash

     3,056     66,196

Patient accounts receivable

     268,551     237,596

Prepaid expenses

     12,487     8,243

Other current assets

     9,278     8,225
  

 

 

   

 

 

 

Total current assets

     468,128     350,554

Property and equipment, net of accumulated depreciation of $98,472 and $96,137

     26,477     28,113

Operating lease right of use assets

     83,693     84,791

Goodwill

     721,049     658,500

Intangible assets, net of accumulated amortization of $9,341 and $7,044

     68,251     64,748

Deferred income taxes

     20,199     21,427

Other assets

     52,287     54,612
  

 

 

   

 

 

 

Total assets

   $ 1,440,084   $ 1,262,745
  

 

 

   

 

 

 
LIABILITIES AND EQUITY     

Current liabilities:

    

Accounts payable

   $ 31,147   $ 31,259

Payroll and employee benefits

     109,713     120,877

Accrued expenses

     136,659     137,111

Current portion of long-term obligations

     11,122     9,927

Current portion of operating lease liabilities

     27,465     27,769
  

 

 

   

 

 

 

Total current liabilities

     316,106     326,943

Long-term obligations, less current portion

     379,942     232,256

Operating lease liabilities, less current portion

     54,926     56,128

Other long-term obligations

     8,966     5,905
  

 

 

   

 

 

 

Total liabilities

     759,940     621,232

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; 36,746,554 and 36,638,021 shares issued; and 32,370,345 and 32,284,051 shares outstanding

     37     37

Additional paid-in capital

     656,266     645,256

Treasury stock, at cost 4,376,209 and 4,353,970 shares of common stock

     (255,291     (251,241

Accumulated other comprehensive income

     —         15

Retained earnings

     278,185     246,383
  

 

 

   

 

 

 

Total Amedisys, Inc. stockholders’ equity

     679,197     640,450

Noncontrolling interests

     947     1,063
  

 

 

   

 

 

 

Total equity

     680,144     641,513
  

 

 

   

 

 

 

Total liabilities and equity

   $ 1,440,084   $ 1,262,745
  

 

 

   

 

 

 

 

4


AMEDISYS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS AND DAYS REVENUE OUTSTANDING

(Amounts in thousands, except statistical information)

(Unaudited)

 

     For the Three-Month
Periods Ended March 31,
 
     2020     2019  

Cash Flows from Operating Activities:

    

Net income

   $ 32,046   $ 31,573

Adjustments to reconcile net income to net cash provided by operating activities:

    

Depreciation and amortization

     5,338     2,895

Non-cash compensation

     5,909     6,615

401(k) employer match

     3,291     2,379

Amortization and impairment of operating lease right of use assets

     9,058     8,345

Loss (gain) on disposal of property and equipment

     55     (4

Write-off of other comprehensive income

     (15     —    

Deferred income taxes

     1,228     3,269

Equity in earnings from equity method investments

     (477     (1,216

Amortization of deferred debt issuance costs/debt discount

     220     213

Return on equity investment

     2,369     725

Changes in operating assets and liabilities, net of impact of acquisitions:

    

Patient accounts receivable

     (25,459     (22,333

Other current assets

     (5,756     (10,635

Other assets

     417     (338

Accounts payable

     (2,673     (11,140

Accrued expenses

     (13,627     18,838

Other long-term obligations

     3,060     (144

Operating lease liabilities

     (8,132     (8,139

Operating lease right of use assets

     (817     (844
  

 

 

   

 

 

 

Net cash provided by operating activities

     6,035     20,059
  

 

 

   

 

 

 

Cash Flows from Investing Activities:

    

Proceeds from sale of deferred compensation plan assets

     16     208

Proceeds from the sale of property and equipment

     12     65

Purchases of property and equipment

     (1,434     (1,198

Investments in equity method investees

     —         (120

Acquisitions of businesses, net of cash acquired

     (69,349     (327,867
  

 

 

   

 

 

 

Net cash used in investing activities

     (70,755     (328,912
  

 

 

   

 

 

 

Cash Flows from Financing Activities:

    

Proceeds from issuance of stock upon exercise of stock options

     1,184     356

Proceeds from issuance of stock to employee stock purchase plan

     860     782

Shares withheld upon stock vesting

     (4,050     (2,688

Noncontrolling interest distribution

     (360     (366

Proceeds from borrowings under term loan

     —         175,000

Proceeds from borrowings under revolving line of credit

     187,500     161,500

Repayments of borrowings under revolving line of credit

     (37,500     (34,000

Principal payments of long-term obligations

     (1,592     (559

Debt issuance costs

     —         (847
  

 

 

   

 

 

 

Net cash provided by financing activities

     146,042     299,178

Net increase (decrease) in cash, cash equivalents and restricted cash

     81,322     (9,675

Cash, cash equivalents and restricted cash at beginning of period

     96,490     20,229
  

 

 

   

 

 

 

Cash, cash equivalents and restricted cash at end of period

   $ 177,812   $ 10,554
  

 

 

   

 

 

 

 

5


Supplemental Disclosures of Cash Flow Information:

     

Cash paid for interest

   $ 1,755    $ 725
  

 

 

    

 

 

 

Cash paid for income taxes, net of refunds received

   $ 5,272    $ 404
  

 

 

    

 

 

 

Cash paid for operating lease liabilities

   $ 8,949    $ 8,983
  

 

 

    

 

 

 

Cash paid for finance lease liabilities

   $ 499    $ 384
  

 

 

    

 

 

 

Supplemental Disclosures of Non-Cash Activity:

     

Right of use assets obtained in exchange for operating lease liabilities

   $ 6,437    $ 91,743
  

 

 

    

 

 

 

Right of use assets obtained in exchange for finance lease liabilities

   $ 254    $ 808
  

 

 

    

 

 

 

Reductions to right of use assets resulting from reductions to operating lease liabilities

   $ 159    $ 625
  

 

 

    

 

 

 

Days revenue outstanding (1)

     46.6      41.2

 

(1)

Our calculation of days revenue outstanding at March 31, 2020 and 2019 is derived by dividing our ending patient accounts receivable by our average daily patient revenue for the three-month periods ended March 31, 2020 and 2019, respectively.

 

6


AMEDISYS, INC. AND SUBSIDIARIES

SEGMENT INFORMATION

(Amounts in millions, except statistical information)

(Unaudited)

Segment Information - Home Health

 

     For the Three-Month Periods
Ended March 31,
 
     2020     2019  

Financial Information (in millions):

    

Medicare

   $ 203.9   $ 213.4

Non-Medicare

     99.7     96.7
  

 

 

   

 

 

 

Net service revenue

     303.6     310.1

Cost of service

     179.8     185.7
  

 

 

   

 

 

 

Gross margin

     123.8     124.4

Other operating expenses

     76.7     72.4
  

 

 

   

 

 

 

Operating income

   $ 47.1   $ 52.0
  

 

 

   

 

 

 

Same Store Growth (1):

    

Medicare revenue

     (4 %)      4

Non-Medicare revenue

     3     22

Total admissions

     3     6

Total volume (2)

     1     6

Key Statistical Data - Total (3):

    

Admissions

     85,975     83,969

Recertifications

     40,541     41,795
  

 

 

   

 

 

 

Total volume

     126,516     125,764

Medicare completed episodes (6)

     75,636     75,483

Average Medicare revenue per completed episode (4) (6)

   $ 2,734   $ 2,838

Medicare visits per completed episode (5) (6)

     15.8     17.2

Visiting Clinician Cost per Visit

   $ 84.01   $ 81.05

Clinical Manager Cost per Visit

   $ 8.97   $ 8.01
  

 

 

   

 

 

 

Total Cost per Visit

   $ 92.98   $ 89.06

Visits

     1,933,445     2,085,088

 

(1)

Same store information represents the percent change in our Medicare, Non-Medicare and Total revenue, admissions or volume for the period as a percent of the Medicare, Non-Medicare and Total revenue, admissions or volume of the prior period. Effective July 1, 2019, same store is defined as care centers that we have operated for at least the last twelve months and startups that are an expansion of a same store care center.

(2)

Total volume includes all admissions and recertifications.

(3)

Total includes acquisitions and denovos.

(4)

Average Medicare revenue per completed episode is the average Medicare revenue earned for each Medicare completed episode of care. Average Medicare revenue per completed episode for the three-month period ended March 31, 2020 reflects the transition to PDGM during the quarter and therefore includes reimbursement under both the 60-day episode of care (pre-PDGM) payment rate and the 30-day period of care (PDGM) payment rate.

(5)

Medicare visits per completed episode are the home health Medicare visits on completed episodes divided by the home health Medicare episodes completed during the period.

(6)

Prior year amounts have been recast to conform to the current year calculation.

 

7


Segment Information - Hospice

 

     For the Three-Month Periods
Ended March 31,
 
     2020     2019  

Financial Information (in millions):

    

Medicare

   $ 160.5   $ 130.7

Non-Medicare

     8.9     6.3
  

 

 

   

 

 

 

Net service revenue

     169.4     137.0

Cost of service

     91.8     74.1
  

 

 

   

 

 

 

Gross margin

     77.6     62.9

Other operating expenses

     39.3     29.4
  

 

 

   

 

 

 

Operating income

   $ 38.3   $ 33.5
  

 

 

   

 

 

 

Same Store Growth (1):

    

Medicare revenue

     5     9

Hospice admissions

     1     5

Average daily census

     4     8

Key Statistical Data - Total (2):

    

Hospice admissions

     11,318     9,711

Average daily census

     12,046     9,982

Revenue per day, net

   $ 154.55   $ 152.56

Cost of service per day

   $ 83.78   $ 82.43

Average discharge length of stay

     98     98

 

(1)

Same store information represents the percent change in our Medicare revenue, Hospice admissions or average daily census for the period as a percent of the Medicare revenue, Hospice admissions or average daily census of the prior period. Effective July 1, 2019, same store is defined as care centers that we have operated for at least the last twelve months and startups that are an expansion of a same store care center.

(2)

Total includes acquisitions and denovos.

Segment Information - Personal Care

 

     For the Three-Month Periods
Ended March 31,
 
     2020      2019  

Financial Information (in millions):

     

Medicare

   $ —      $ —  

Non-Medicare

     18.7      20.2
  

 

 

    

 

 

 

Net service revenue

     18.7      20.2

Cost of service

     14.1      15.5
  

 

 

    

 

 

 

Gross margin

     4.6      4.7

Other operating expenses

     3.4      3.2
  

 

 

    

 

 

 

Operating income

   $ 1.2    $ 1.5
  

 

 

    

 

 

 

Key Statistical Data - Total (1):

     

Billable hours

     752,077      833,617

Clients served

     11,770      12,801

Shifts

     333,464      376,182

Revenue per hour

   $ 24.87    $ 24.19

Revenue per shift

   $ 56.09    $ 53.60

Hours per shift

     2.3      2.2

 

(1)

Total includes acquisitions.

 

8


Segment Information - Corporate

 

     For the Three-Month Periods
Ended March 31,
 
     2020      2019  

Financial Information (in millions):

     

Other operating expenses

   $ 39.0    $ 41.3

Depreciation and amortization

     3.7      1.4
  

 

 

    

 

 

 

Total operating expenses

   $ 42.7    $ 42.7
  

 

 

    

 

 

 

 

9


AMEDISYS, INC. AND SUBSIDIARIES

RECONCILIATION OF NON-GAAP FINANCIAL MEASURES TO GAAP MEASURES

(Amounts in thousands)

(Unaudited)

Adjusted Earnings Before Interest, Taxes, Depreciation and Amortization (“Adjusted EBITDA”) Reconciliation:

 

     For the Three-
Month Periods
Ended March 31,
 
     2020     2019  

Net income attributable to Amedisys, Inc.

   $ 31,802   $ 31,304

Add:

    

Income tax expense

     9,346     10,878

Interest expense, net

     3,218     3,325

Depreciation and amortization

     5,338     2,895

Certain items (1)

     4,036     6,914

Interest component of certain items (1)

     (446     (441
  

 

 

   

 

 

 

Adjusted EBITDA (2) (6)

   $ 53,294   $ 54,875
  

 

 

   

 

 

 

Adjusted Net Service Revenue Reconciliation:

 

     For the Three-
Month Periods
Ended March 31,
 
     2020      2019  

Net service revenue

   $ 491,685    $ 467,340

Add:

     

Certain items (1)

     —          478
  

 

 

    

 

 

 

Adjusted net service revenue (3) (6)

   $ 491,685    $ 467,818
  

 

 

    

 

 

 

Adjusted Net Income Attributable to Amedisys, Inc Reconciliation:

 

     For the Three-
Month Periods
Ended March 31,
 
     2020      2019  

Net income attributable to Amedisys, Inc.

   $ 31,802    $ 31,304

Add:

     

Certain items (1)

     2,987      5,141
  

 

 

    

 

 

 

Adjusted net income attributable to Amedisys, Inc. (4) (6)

   $ 34,789    $ 36,445
  

 

 

    

 

 

 

Adjusted Net Income Attributable to Amedisys, Inc. per Diluted Share Reconciliation:

 

     For the Three-
Month Periods
Ended March 31,
 
     2020      2019  

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

   $ 0.96    $ 0.95

Add:

     

Certain items (1)

     0.09      0.16
  

 

 

    

 

 

 

Adjusted net income attributable to Amedisys, Inc. common stockholders per diluted share (5) (6)

   $ 1.05    $ 1.11
  

 

 

    

 

 

 

 

10


(1)

The following details the certain items for the three-month periods ended March 31, 2020 and 2019:

Certain Items:

 

     For the Three-Month Period
Ended March 31, 2020
     For the Three-Month Period
Ended March 31, 2019
 
     (Income) Expense      (Income) Expense  

Certain Items Impacting Net Service Revenue:

     

Contingency accrual

   $ —      $ 1,018

Planned closures (7)

     —          (540

Certain Items Impacting Cost of Service:

     

Planned closures (7)

     —          844

COVID-19 costs

     1,017      —    

Certain Items Impacting Operating Expenses:

     

Planned closures (7)

     —          88

Acquisition and integration costs

     2,336      5,758

Legal fees - non-routine

     —          (132

COVID-19 costs

     12      —    

Certain Items Impacting Total Other Income (Expense):

     

Interest component of certain items

     446      441

Other (income) expense, net

     225      (563
  

 

 

    

 

 

 

Total

   $ 4,036    $ 6,914
  

 

 

    

 

 

 

Net of tax

   $ 2,987    $ 5,141
  

 

 

    

 

 

 

Diluted EPS

   $ 0.09    $ 0.16
  

 

 

    

 

 

 

 

(2)

Adjusted EBITDA is defined as net income attributable to Amedisys, Inc. before provision for income taxes, net interest expense and depreciation and amortization, excluding certain items as described in footnote 1.

(3)

Adjusted net service revenue is defined as net service revenue excluding certain items as described in footnote 1.

(4)

Adjusted net income attributable to Amedisys, Inc. is defined as net income attributable to Amedisys, Inc. calculated in accordance with GAAP excluding certain items as described in footnote 1.

(5)

Adjusted net income attributable to Amedisys, Inc. common stockholders per diluted share is defined as diluted income per share calculated in accordance with GAAP excluding the earnings per share effect of certain items as described in footnote 1.

(6)

Adjusted EBITDA, adjusted net service revenue, adjusted net income attributable to Amedisys, Inc. and adjusted net income attributable to Amedisys, Inc. common stockholders per diluted share should not be considered as an alternative to, or more meaningful than, income before income taxes or other measures calculated in accordance with GAAP. These calculations may not be comparable to a similarly titled measure reported by other companies, since not all companies calculate these non-GAAP financial measures in the same manner.

(7)

Planned closures consist of in-patient units acquired from Compassionate Care Hospice whose operations ceased in April 2019.

 

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