EX-99.1 2 d245311dex991.htm EX-99.1 EX-99.1

Exhibit 99.1

 

LOGO

AMEDISYS REPORTS THIRD QUARTER 2021 FINANCIAL RESULTS

UPDATES 2021 GUIDANCE

BATON ROUGE, Louisiana (November 2, 2021) — Amedisys, Inc. (NASDAQ: AMED) today reported its financial results for the three and nine-month periods ended September 30, 2021.

Three-Month Periods Ended September 30, 2021 and 2020

 

   

Net service revenue increased $9.4 million to $553.5 million compared to $544.1 million in 2020.

 

   

Net income attributable to Amedisys, Inc. of $45.0 million compared to $72.0 million (inclusive of a $24.0 million income tax benefit related to executive stock option exercise) in 2020.

 

   

Net income attributable to Amedisys, Inc. per diluted share of $1.37 compared to $2.16 (inclusive of $0.72 income tax benefit related to executive stock option exercise) in 2020.

Adjusted Quarterly Results*

 

   

Adjusted EBITDA of $72.4 million compared to $75.7 million in 2020.

 

   

Adjusted net service revenue of $553.5 million compared to $544.1 million in 2020.

 

   

Adjusted net income attributable to Amedisys, Inc. of $50.5 million compared to $74.6 million (inclusive of a $24.0 million income tax benefit related to executive stock option exercise) in 2020.

 

   

Adjusted net income attributable to Amedisys, Inc. per diluted share of $1.53 compared to $2.24 (inclusive of $0.72 income tax benefit related to executive stock option exercise) in 2020.

Nine-Month Periods Ended September 30, 2021 and 2020

 

   

Net service revenue increased $134.0 million to $1,654.8 million compared to $1,520.8 million in 2020.

 

   

Net income attributable to Amedisys, Inc. of $175.0 million compared to $138.5 million (inclusive of a $24.0 million income tax benefit related to executive stock option exercise) in 2020.

 

   

Net income attributable to Amedisys, Inc. per diluted share of $5.30 compared to $4.16 (inclusive of $0.72 income tax benefit related to executive stock option exercise) in 2020.

Adjusted Year to Date Results*

 

   

Adjusted EBITDA of $234.8 million compared to $195.4 million in 2020.

 

   

Adjusted net service revenue of $1,648.3 million compared to $1,520.8 million in 2020.

 

   

Adjusted net income attributable to Amedisys, Inc. of $157.5 million compared to $153.9 million (inclusive of a $24.0 million income tax benefit related to executive stock option exercise) in 2020.

 

   

Adjusted net income attributable to Amedisys, Inc. per diluted share of $4.77 compared to $4.63 (inclusive of $0.72 income tax benefit related to executive stock option exercise) in 2020.

 

*

See pages 3 and 16 - 18 for the definition and reconciliations of non-GAAP financial measures to GAAP measures.

 

1


Updated 2021 Guidance

COVID-19 has continued to impact the operating metrics typically used to forecast both growth and cost assumptions for both core Amedisys and Contessa. We are basing our guidance on our current operating environment. COVID-19 continues to evolve in both the disease itself as well as disruptions to the healthcare systems and the economy. Any future regulations or government interventions, spike in clinicians and business development staff on quarantine, staffing shortages due to current and proposed federal, state and local vaccine mandates, reduction in elective procedures, change in patient behavior and further decline in senior living occupancy could impact our ability to achieve this guidance.

Based upon the above discussion, our updated 2021 guidance is as follows:

 

   

Adjusted net service revenue is anticipated to be in the range of $2.200 billion to $2.205 billion.

 

   

Adjusted EBITDA is anticipated to be in the range of $296 million to $298 million.

 

   

Adjusted diluted earnings per share is anticipated to be in the range of $5.88 to $5.93 based on an estimated 33.0 million shares outstanding.

This guidance excludes the effects of any future acquisitions, if any are made.

Paul B. Kusserow, Chairman and Chief Executive Officer stated, “Though COVID-19 continues to impact all of our lines of business, I am very proud of the efforts of the nearly 21,000 Amedisys employees and thank them for their continued dedication and tireless work throughout this quarter and for the results their work produced. Our operating environment continues to change in real-time and yet we have been able to grow Home Health and Hospice admissions. We have made significant progress on recovering our Hospice Business Development staff and remain very confident in our ability to continue to expand this group, translating into further admissions growth. Though it is hard to predict when the impacts of COVID-19 will truly subside, we remain very excited about all of the opportunity ahead of us. We are well positioned to capitalize on the aging demographics of the U.S. population; our industry leading quality scores make us a provider of choice for those that want to be cared for in their homes; and via our acquisition of Contessa, we have assembled a group of assets that truly differentiate Amedisys from our peers. It is a time unlike any other to be in our spaces and tackling the challenges of COVID-19 has, and continues to, energize our entire organization. My enthusiasm for the future of Amedisys has never been stronger.”

We urge caution in considering the current trends and 2021 guidance disclosed in this press release. The home health, hospice, personal care and high acuity 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, 2020, 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.

 

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Earnings Call and Webcast Information

Amedisys will host a conference call on Wednesday, November 3, 2021, at 11:00 a.m. ET to discuss its third 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 December 3, 2021 by dialing (877) 660-6853 (Toll-Free) or (201) 612-7415 (Toll) and entering conference ID #13724253.

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.

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 net interest expense, provision for income taxes and depreciation and amortization, excluding certain items; (2) adjusted net service revenue, defined as net service revenue excluding certain items; (3) adjusted other operating income, defined as other operating income excluding certain items; (4) adjusted net income attributable to Amedisys, Inc., defined as net income attributable to Amedisys, Inc. excluding certain items; and (5) 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, personal care and high acuity care services. 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 2,900 hospitals and 78,000 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 approximately 21,000 employees in 527 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 418,000 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,” “will,” “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, the impact of current and proposed federal, state and local vaccine mandates, including potential staff shortages, 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

 

3


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, widespread protests or civil unrest, our ability to integrate, manage and keep our information systems secure, our ability to realize the anticipated benefits of acquisitions, 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
   Senior Vice President, Finance    Vice President, Marketing & Communications
   (615) 928- 5452    (225) 299-3720
   IR@amedisys.com    kendra.kimmons@amedisys.com

 

4


AMEDISYS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(Amounts in thousands, except per share data)

(Unaudited)

 

     For the Three-Month
Periods Ended September 30,
    For the Nine-Month
Periods Ended September 30,
 
                          
     2021     2020     2021     2020  
                          

Net service revenue

   $ 553,485   $ 544,070   $ 1,654,795   $ 1,520,814

Other operating income

     (4     4,812     13,300     27,592

Cost of service, excluding depreciation and amortization

     310,294     297,668     916,188     878,633

General and administrative expenses:

        

Salaries and benefits

     119,373     123,146     349,533     330,329

Non-cash compensation

     4,397     7,124     17,860     19,758

Other

     55,158     49,348     158,995     142,616

Depreciation and amortization

     7,487     8,283     21,763     19,955
  

 

 

   

 

 

   

 

 

   

 

 

 

Operating expenses

     496,709     485,569     1,464,339     1,391,291
  

 

 

   

 

 

   

 

 

   

 

 

 

Operating income

     56,772     63,313     203,756     157,115

Other income (expense):

        

Interest income

     —         31     49       258

Interest expense

     (2,730     (2,692     (6,734     (8,675

Equity in earnings from equity method investments

     1,444     1,435     3,932     2,399

Gain (loss) on equity method investments

     —         —         31,092     (2,980

Miscellaneous, net

     490     122     1,253     662
  

 

 

   

 

 

   

 

 

   

 

 

 

Total other (expense) income, net

     (796     (1,104     29,592     (8,336
  

 

 

   

 

 

   

 

 

   

 

 

 

Income before income taxes

     55,976     62,209     233,348     148,779

Income tax (expense) benefit

     (10,731     10,202     (57,192     (9,175
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income

     45,245     72,411     176,156     139,604

Net income attributable to noncontrolling interests

     (239     (430     (1,131     (1,147
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income attributable to Amedisys, Inc.

   $ 45,006   $ 71,981   $ 175,025   $ 138,457
  

 

 

   

 

 

   

 

 

   

 

 

 

Basic earnings per common share:

        

Net income attributable to Amedisys, Inc. common stockholders

   $ 1.38   $ 2.20   $ 5.36   $ 4.26

Weighted average shares outstanding

     32,607     32,662     32,658     32,469

Diluted earnings per common share:

        

Net income attributable to Amedisys, Inc. common stockholders

   $ 1.37   $ 2.16   $ 5.30   $ 4.16

Weighted average shares outstanding

     32,899     33,260     33,021     33,267

 

5


AMEDISYS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS

(Amounts in thousands, except share data)

 

     September 30,
2021
(unaudited)
    December 31,
2020
 
              
ASSETS     

Current assets:

    

Cash and cash equivalents

   $ 124,458   $ 81,808

Restricted cash

     3,750     1,549

Patient accounts receivable

     274,570     255,145

Prepaid expenses

     16,080     10,217

Other current assets

     14,024     13,265
  

 

 

   

 

 

 

Total current assets

     432,882     361,984

Property and equipment, net of accumulated depreciation of $100,407 and $95,024

     20,381     23,719

Operating lease right of use assets

     100,028     93,440

Goodwill

     1,188,054     932,685

Intangible assets, net of accumulated amortization of $20,309 and $22,973

     118,084     74,183

Deferred income taxes

     10,111     47,987

Other assets

     68,105     33,200
  

 

 

   

 

 

 

Total assets

   $ 1,937,645   $ 1,567,198
  

 

 

   

 

 

 
LIABILITIES AND EQUITY     

Current liabilities:

    

Accounts payable

   $ 41,649   $ 42,674

Payroll and employee benefits

     155,123     146,929

Accrued expenses

     154,264     166,192

Provider relief fund advance

     58,535     60,000

Current portion of long-term obligations

     13,225     10,496

Current portion of operating lease liabilities

     31,553     30,046
  

 

 

   

 

 

 

Total current liabilities

     454,349     456,337

Long-term obligations, less current portion

     434,781     204,511

Operating lease liabilities, less current portion

     67,723     61,987

Other long-term obligations

     31,991     33,622
  

 

 

   

 

 

 

Total liabilities

     988,844     756,457
  

 

 

   

 

 

 

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; 37,659,284 and 37,470,212 shares issued; and 32,590,775 and 32,814,278 shares outstanding

     38     38

Additional paid-in capital

     720,875     698,287

Treasury stock, at cost 5,068,509 and 4,655,934 shares of common stock

     (420,665     (319,092

Retained earnings

     605,016     429,991
  

 

 

   

 

 

 

Total Amedisys, Inc. stockholders’ equity

     905,264     809,224

Noncontrolling interests

     43,537     1,517
  

 

 

   

 

 

 

Total equity

     948,801     810,741
  

 

 

   

 

 

 

Total liabilities and equity

   $ 1,937,645   $ 1,567,198
  

 

 

   

 

 

 

 

6


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 September 30,
    For the Nine-Month
Periods Ended September 30,
 
              
     2021     2020     2021     2020  
                          

Cash Flows from Operating Activities:

        

Net income

   $ 45,245   $ 72,411   $ 176,156   $ 139,604

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

        

Depreciation and amortization

     7,487     8,283     21,763     19,955

Non-cash compensation

     4,397     7,124     17,860     19,758

Amortization and impairment of operating lease right of use assets

     10,479     10,591     30,181     29,149

(Gain) loss on disposal of property and equipment

     (72     17     (64     (77

(Gain) loss on equity method investments

     —         —         (31,092     2,980

Write-off of other comprehensive income

     —         —         —         (15

Deferred income taxes

     12,013     1,274     34,729     (2,762

Equity in earnings from equity method investments

     (1,444     (1,435     (3,932     (2,399

Amortization of deferred debt issuance costs/debt discount

     237     216     669     653

Return on equity method investments

     1,585     1,175     4,268     3,919

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

        

Patient accounts receivable

     5,149     (2,511     (17,638     6,486

Other current assets

     (9,779     (24,748     (6,219     (28,217

Other assets

     (886     584     (938     (91

Accounts payable

     5,338     4,825     (1,192     (1,627

Accrued expenses

     (7,736     (2,396     (9,363     25,594

Other long-term obligations

     (49     17,735     (1,785     38,481

Operating lease liabilities

     (9,417     (9,211     (27,372     (25,576

Operating lease right of use assets

     (780     (851     (2,304     (2,775
  

 

 

   

 

 

   

 

 

   

 

 

 

Net cash provided by operating activities

     61,767     83,083     183,727     223,040
  

 

 

   

 

 

   

 

 

   

 

 

 

Cash Flows from Investing Activities:

        

Proceeds from sale of deferred compensation plan assets

     101     73     126     94

Proceeds from sale of property and equipment

     98     —         140     80

Purchases of property and equipment

     (2,244     (1,294     (5,187     (2,995

Investments in technology assets

     (147     —         (147     —    

Investments in equity method investees

     —         —         —         (875

Proceeds from sale of equity method investment

     —         —         —         17,876

Acquisitions of businesses, net of cash acquired

     (262,369     —         (264,872     (299,723
  

 

 

   

 

 

   

 

 

   

 

 

 

Net cash used in investing activities

     (264,561     (1,221     (269,940     (285,543
  

 

 

   

 

 

   

 

 

   

 

 

 

Cash Flows from Financing Activities:

        

Proceeds from issuance of stock upon exercise of stock options

     1,083     3,123     1,706     6,070

Proceeds from issuance of stock to employee stock purchase plan

     1,061     914     3,022     2,600

Shares withheld to pay taxes on non-cash compensation

     (9,750     (47,788     (16,694     (54,172

Noncontrolling interest distribution

     (459     (300     (1,253     (672

Proceeds from borrowings under term loan

     290,312     —         290,312     —    

Proceeds from borrowings under revolving line of credit

     111,500     7,500     500,700     432,000

Repayments of borrowings under revolving line of credit

     (141,500     (97,500     (551,700     (357,000

Principal payments of long-term obligations

     (501     (2,685     (5,893     (7,360

Debt issuance costs

     (2,792     —         (2,792     —    

Purchase of company stock

     (10,805     —         (84,879     —    

Provider relief fund advance

     207     (10,000     (1,465     60,000
  

 

 

   

 

 

   

 

 

   

 

 

 

Net cash provided by (used in) financing activities

     238,356     (146,736     131,064     81,466

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

     35,562     (64,874     44,851     18,963

Cash, cash equivalents and restricted cash at beginning of period

     92,646     180,327     83,357     96,490
  

 

 

   

 

 

   

 

 

   

 

 

 

Cash, cash equivalents and restricted cash at end of period

   $ 128,208   $ 115,453   $ 128,208   $ 115,453
  

 

 

   

 

 

   

 

 

   

 

 

 

 

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     For the Three-Month
Periods Ended September 30,
     For the Nine-Month
Periods Ended September 30,
 
               
     2021      2020      2021      2020  
                             

Supplemental Disclosures of Cash Flow Information:

           

Cash paid for interest

   $ 1,565      $ 1,610    $ 3,479      $ 4,902
  

 

 

    

 

 

    

 

 

    

 

 

 

Cash paid for income taxes, net of refunds received

   $ 16,815    $ 22,137    $ 25,482    $ 30,290
  

 

 

    

 

 

    

 

 

    

 

 

 

Cash paid for operating lease liabilities

   $ 10,197    $ 10,062    $ 29,676    $ 28,351
  

 

 

    

 

 

    

 

 

    

 

 

 

Cash paid for finance lease liabilities

   $ 492    $ 497    $ 1,509    $ 1,483
  

 

 

    

 

 

    

 

 

    

 

 

 

Supplemental Disclosures of Non-Cash Activity:

           

Right of use assets obtained in exchange for operating lease liabilities

   $ 14,192    $ 10,982    $ 34,881    $ 29,876
  

 

 

    

 

 

    

 

 

    

 

 

 

Right of use assets obtained in exchange for finance lease liabilities

   $ 287    $ 335    $ 814    $ 822
  

 

 

    

 

 

    

 

 

    

 

 

 

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

   $ 279    $ 360    $ 1,183    $ 767
  

 

 

    

 

 

    

 

 

    

 

 

 

Days revenue outstanding

     43.5      40.0      43.5      40.0

 

(1)

Our calculation of days revenue outstanding, net is derived by dividing our ending patient accounts receivable at September 30, 2021 and 2020 by our average daily net patient service revenue for the three-month periods ended September 30, 2021 and 2020, respectively.

 

8


AMEDISYS, INC. AND SUBSIDIARIES

SEGMENT INFORMATION

(Amounts in millions, except statistical information)

(Unaudited)

Segment Information - Home Health

 

     For the Three-Month Periods
Ended September 30,
 
        
     2021     2020  
              

Financial Information (in millions):

    

Medicare

   $ 228.2   $ 222.2

Non-Medicare

     110.4     103.8
  

 

 

   

 

 

 

Net service revenue

     338.6     326.0

Other operating income

     —         2.6

Cost of service

     190.1     180.0
  

 

 

   

 

 

 

Gross margin

     148.5     148.6

Other operating expenses

     82.4     78.8

Depreciation and amortization

     1.1     1.0
  

 

 

   

 

 

 

Operating income

   $ 65.0   $ 68.8
  

 

 

   

 

 

 

Same Store Growth (1):

    

Medicare revenue

     2     5

Non-Medicare revenue

     6     4

Total admissions

     1     5

Total volume (2) (6)

     1     6

Key Statistical Data - Total (3):

    

Admissions

     86,732     85,578

Recertifications (6)

     46,919     46,186
  

 

 

   

 

 

 

Total volume (6)

     133,651     131,764

Medicare completed episodes

     78,318     77,552

Average Medicare revenue per completed episode (4)

   $ 2,969   $ 2,886

Medicare visits per completed episode (5)

     13.8     14.4

Visiting Clinician Cost per Visit

   $ 94.24   $ 89.10

Clinical Manager Cost per Visit

   $ 9.85   $ 8.91
  

 

 

   

 

 

 

Total Cost per Visit

   $ 104.09   $ 98.01

Visits

     1,826,505     1,836,895

 

9


     For the Nine-Month Periods
Ended September 30,
 
        
     2021     2020  
              

Financial Information (in millions):

    

Medicare

   $ 684.4   $ 619.0

Non-Medicare

     332.1     300.8
  

 

 

   

 

 

 

Net service revenue

     1,016.5     919.8

Other operating income

     7.3     17.7

Cost of service

     563.5     543.8
  

 

 

   

 

 

 

Gross margin

     460.3     393.7

Other operating expenses

     243.8     226.7

Depreciation and amortization

     3.3     2.9
  

 

 

   

 

 

 

Operating income

   $ 213.2   $ 164.1
  

 

 

   

 

 

 

Same Store Growth (1):

    

Medicare revenue

     10     (4 %) 

Non-Medicare revenue

     10     2

Total admissions

     8     (1 %) 

Total volume (2)(6)

     6     1

Key Statistical Data - Total (3):

    

Admissions

     265,933     245,880

Recertifications (6)

     136,744     132,811
  

 

 

   

 

 

 

Total volume (6)

     402,677     378,691

Medicare completed episodes

     232,838     221,848

Average Medicare revenue per completed episode (4)

   $ 2,962   $ 2,811

Medicare visits per completed episode (5)

     14.0     15.2

Visiting Clinician Cost per Visit

   $ 91.94   $ 88.64

Clinical Manager Cost per Visit

   $ 9.54   $ 9.10
  

 

 

   

 

 

 

Total Cost per Visit

   $ 101.48   $ 97.74

Visits

     5,553,423     5,563,992

 

(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. 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, start-ups 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 reflects the transition to PDGM effective January 1, 2020 and the suspension of sequestration effective May 1, 2020.

(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.

 

10


Segment Information - Hospice

 

     For the Three-Month Periods
Ended September 30,
 
        
     2021     2020  
              

Financial Information (in millions):

    

Medicare

   $ 187.8   $ 189.0

Non-Medicare

     9.7     10.7
  

 

 

   

 

 

 

Net service revenue

     197.5     199.7

Other operating income

     —         1.7

Cost of service

     107.6     104.1
  

 

 

   

 

 

 

Gross margin

     89.9     97.3

Other operating expenses

     49.5     47.8

Depreciation and amortization

     0.7     0.6
  

 

 

   

 

 

 

Operating income

   $ 39.7   $ 48.9
  

 

 

   

 

 

 

Same Store Growth (1):

    

Medicare revenue

     (1 %)      3

Hospice admissions

     1     9

Average daily census

     (5 %)      —  

Key Statistical Data - Total (2):

    

Hospice admissions

     13,292     13,026

Average daily census

     13,272     13,953

Revenue per day, net

   $ 161.74   $ 155.57

Cost of service per day

   $ 88.06   $ 81.05

Average discharge length of stay

     94     101

 

11


     For the Nine-Month Periods
Ended September 30,
 
        
     2021     2020  
              

Financial Information (in millions):

    

Medicare

   $ 556.2   $ 516.5

Non-Medicare

     30.7     29.7
  

 

 

   

 

 

 

Net service revenue

     586.9     546.2

Other operating income

     6.0     8.9

Cost of service

     314.4     293.1
  

 

 

   

 

 

 

Gross margin

     278.5     262.0

Other operating expenses

     144.4     127.4

Depreciation and amortization

     2.0     1.7
  

 

 

   

 

 

 

Operating income

   $ 132.1   $ 132.9
  

 

 

   

 

 

 

Same Store Growth (1):

    

Medicare revenue

     —       4

Hospice admissions

     3     3

Average daily census

     (4 %)      1

Key Statistical Data - Total (2):

    

Hospice admissions

     39,650     35,755

Average daily census

     13,282     12,841

Revenue per day, net

   $ 161.87   $ 155.23

Cost of service per day

   $ 86.68   $ 83.29

Average discharge length of stay

     95     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. 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, start-ups and denovos.

 

12


Segment Information - Personal Care

 

     For the Three-Month Periods
Ended September 30,
 
        
     2021      2020  
               

Financial Information (in millions):

     

Medicare

   $  —        $  —    

Non-Medicare

     15.9      18.4
  

 

 

    

 

 

 

Net service revenue

     15.9      18.4

Other operating income

     —          0.5

Cost of service

     11.7      13.5
  

 

 

    

 

 

 

Gross margin

     4.2      5.4

Other operating expenses

     2.6      3.2

Depreciation and amortization

     0.1      —    
  

 

 

    

 

 

 

Operating income

   $ 1.5    $ 2.2
  

 

 

    

 

 

 

Key Statistical Data - Total:

     

Billable hours

     558,227      673,161

Clients served

     8,697      10,153

Shifts

     240,736      280,470

Revenue per hour

   $ 28.44    $ 27.33

Revenue per shift

   $ 65.95    $ 65.59

Hours per shift

     2.3      2.4

 

     For the Nine-Month Periods
Ended September 30,
 
        
     2021      2020  
               

Financial Information (in millions):

     

Medicare

   $  —        $  —    

Non-Medicare

     49.9      54.8
  

 

 

    

 

 

 

Net service revenue

     49.9      54.8

Other operating income

     —          1.0

Cost of service

     37.4      41.7
  

 

 

    

 

 

 

Gross margin

     12.5      14.1

Other operating expenses

     8.8      9.5

Depreciation and amortization

     0.2      0.1
  

 

 

    

 

 

 

Operating income

   $ 3.5    $ 4.5
  

 

 

    

 

 

 

Key Statistical Data - Total:

     

Billable hours

     1,774,965      2,067,958

Clients served

     11,597      14,057

Shifts

     759,242      896,141

Revenue per hour

   $ 28.11    $ 26.51

Revenue per shift

   $ 65.71    $ 61.18

Hours per shift

     2.3      2.3

 

13


Segment Information - High Acuity Care

 

     For the Three-Month Periods
Ended September 30,
 
        
     2021     2020  
              

Financial Information (in millions):

    

Medicare

   $  —       $ —  

Non-Medicare

     1.5     —    
  

 

 

   

 

 

 

Net service revenue

     1.5     —    

Other operating income

     —         —    

Cost of service

     0.9     —    
  

 

 

   

 

 

 

Gross margin

     0.6     —    

Other operating expenses

     3.9     —    

Depreciation and amortization

     0.5     —    
  

 

 

   

 

 

 

Operating income

   $ (3.8   $ —  
  

 

 

   

 

 

 

Key Statistical Data - Total:

    

Full risk admissions

     46     —    

Limited risk admissions

     188     —    
  

 

 

   

 

 

 

Total admissions

     234     —    

Direct medical loss ratio

     52.6     —    

Number of joint ventures

     8     —    

Market penetration

     31     —    

Patient satisfaction

     92     —    

 

     For the Nine-Month Periods
Ended September 30,
 
        
     2021     2020  
              

Financial Information (in millions):

    

Medicare

   $  —       $ —  

Non-Medicare

     1.5     —    
  

 

 

   

 

 

 

Net service revenue

     1.5     —    

Other operating income

     —         —    

Cost of service

     0.9     —    
  

 

 

   

 

 

 

Gross margin

     0.6     —    

Other operating expenses

     3.9     —    

Depreciation and amortization

     0.5     —    
  

 

 

   

 

 

 

Operating income

   $ (3.8   $ —  
  

 

 

   

 

 

 

Key Statistical Data - Total:

    

Full risk admissions

     46     —    

Limited risk admissions

     188     —    
  

 

 

   

 

 

 

Total admissions

     234     —    

Direct medical loss ratio

     52.6     —    

Number of joint ventures

     8     —    

Market penetration

     31     —    

Patient satisfaction

     92     —    

 

14


Segment Information - Corporate

 

     For the Three-Month Periods
Ended September 30,
 
        
     2021      2020  
               

Financial Information (in millions):

     

Other operating expenses

   $ 40.5    $ 49.9

Depreciation and amortization

     5.1      6.7
  

 

 

    

 

 

 

Total operating expenses

   $ 45.6    $ 56.6
  

 

 

    

 

 

 

 

     For the Nine-Month Periods
Ended September 30,
 
        
     2021      2020  
               

Financial Information (in millions):

     

Other operating expenses

   $ 125.5    $ 129.2

Depreciation and amortization

     15.8      15.2
  

 

 

    

 

 

 

Total operating expenses

   $ 141.3    $ 144.4
  

 

 

    

 

 

 

 

15


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 September 30,
     For the Nine-
Month Periods
Ended September 30,
 
               
     2021      2020      2021      2020  
                             

Net income attributable to Amedisys, Inc.

   $ 45,006    $ 71,981    $ 175,025    $ 138,457

Add:

           

Income tax expense (benefit)

     10,731      (10,202      57,192      9,175

Interest expense, net

     2,730      2,661      6,685      8,417

Depreciation and amortization

     7,487      8,283      21,763      19,955

Certain items (1)

     6,858      3,494      (24,440      20,843

Interest component of certain items (1)

     (451      (558      (1,437      (1,450
  

 

 

    

 

 

    

 

 

    

 

 

 

Adjusted EBITDA (2) (7)

   $ 72,361    $ 75,659    $ 234,788    $ 195,397
  

 

 

    

 

 

    

 

 

    

 

 

 

Adjusted Net Service Revenue Reconciliation:

 

     For the Three-
Month Periods
Ended September 30,
     For the Nine-
Month Periods
Ended September 30,
 
               
     2021      2020      2021      2020  
                             

Net service revenue

   $ 553,485    $ 544,070    $ 1,654,795    $ 1,520,814

Add:

           

Certain items (1)

     —          —          (6,541      —    
  

 

 

    

 

 

    

 

 

    

 

 

 

Adjusted net service revenue (3) (7)

   $ 553,485    $ 544,070    $ 1,648,254    $ 1,520,814
  

 

 

    

 

 

    

 

 

    

 

 

 

Adjusted Other Operating Income Reconciliation:

 

     For the Three-
Month Periods
Ended September 30,
     For the Nine-
Month Periods
Ended September 30,
 
               
     2021      2020      2021      2020  
                             

Other operating income

   $ (4    $ 4,812    $ 13,300    $ 27,592

Add:

           

Certain items (1)

     4      (4,812      (13,300      (27,592
  

 

 

    

 

 

    

 

 

    

 

 

 

Adjusted other operating income (4) (7)

   $ —      $  —        $  —        $  —    
  

 

 

    

 

 

    

 

 

    

 

 

 

Adjusted Net Income Attributable to Amedisys, Inc Reconciliation:

 

     For the Three-
Month Periods
Ended September 30,
     For the Nine-
Month Periods
Ended September 30,
 
               
     2021      2020      2021      2020  
                             

Net income attributable to Amedisys, Inc.

   $ 45,006    $ 71,981    $ 175,025    $ 138,457

Add:

           

Certain items (1)

     5,474      2,585      (17,495      15,424
  

 

 

    

 

 

    

 

 

    

 

 

 

Adjusted net income attributable to Amedisys, Inc. (5) (7)

   $ 50,480    $ 74,566    $ 157,530    $ 153,881
  

 

 

    

 

 

    

 

 

    

 

 

 

 

16


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

 

     For the Three-
Month Periods
Ended September 30,
     For the Nine-
Month Periods
Ended September 30,
 
                             
     2021      2020      2021      2020  
                             

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

   $ 1.37    $ 2.16    $ 5.30    $ 4.16

Add:

           

Certain items (1)

     0.17      0.08      (0.53      0.46
  

 

 

    

 

 

    

 

 

    

 

 

 

Adjusted net income attributable to Amedisys, Inc. common stockholders per diluted share (6) (7)

   $ 1.53    $ 2.24    $ 4.77    $ 4.63
  

 

 

    

 

 

    

 

 

    

 

 

 

 

(1)

The following details the certain items for the three and nine-month periods ended September 30, 2021 and 2020:

Certain Items:

 

     For the Three-Month Period
Ended September 30, 2021
     For the Nine-Month Period
Ended September 30, 2021
 
     (Income) Expense      (Income) Expense  

Certain Items Impacting Net Service Revenue:

     

Contingency accrual

   $  —          (6,541

Certain Items Impacting Other Operating Income:

     

CARES Act & State COVID-19 grants

     4      (13,300

Certain Items Impacting Cost of Service:

     

COVID-19 costs

     3,513      16,457

Certain Items Impacting Operating Expenses:

     

Acquisition and integration costs

     2,757      6,249

COVID-19 costs

     199      576

Pre-acquisition legal settlement

     —          1,825

Certain Items Impacting Total Other Income (Expense):

     

Interest component of certain items

     451      1,437

Other (income) expense, net

     (66      (31,143
  

 

 

    

 

 

 

Total

   $ 6,858    $ (24,440
  

 

 

    

 

 

 

Net of tax

   $ 5,474    $ (17,495
  

 

 

    

 

 

 

Diluted EPS

   $ 0.17    $ (0.53
  

 

 

    

 

 

 

 

     For the Three-Month Period
Ended September 30, 2020
     For the Nine-Month Period
Ended September 30, 2020
 
     (Income) Expense      (Income) Expense  

Certain Items Impacting Other Operating Income:

     

CARES Act & State COVID-19 grants

   $ (4,812    $ (27,592

Certain Items Impacting Cost of Service:

     

COVID-19 costs

     4,389      27,399

Severance - reductions in staffing levels

     (550      4,633

Certain Items Impacting Operating Expenses:

     

Acquisition and integration costs

     3,626      9,561

COVID-19 costs

     322      1,385

Severance - reductions in staffing levels

     —          271

Certain Items Impacting Total Other Income (Expense):

     

Interest component of certain items

     558      1,450

Other (income) expense, net

     (39      3,736
  

 

 

    

 

 

 

Total

   $ 3,494    $ 20,843
  

 

 

    

 

 

 

Net of tax

   $ 2,585    $ 15,424
  

 

 

    

 

 

 

Diluted EPS

   $ 0.08    $ 0.46
  

 

 

    

 

 

 

 

17


(2)

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

(5)

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.

(6)

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.

(7)

Adjusted EBITDA, adjusted net service revenue, adjusted other operating income, 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.

 

18