EX-99.1 2 d231276dex991.htm EX-99.1 EX-99.1

Exhibit 99.1

 

LOGO

AMEDISYS REPORTS FOURTH QUARTER AND YEAR END 2021 FINANCIAL RESULTS

ISSUES 2022 GUIDANCE

BATON ROUGE, Louisiana (February 23, 2022) — Amedisys, Inc. (NASDAQ: AMED) today reported its financial results for the three-month period and year ended December 31, 2021.

Three-Month Periods Ended December 31, 2021 and 2020

 

   

Net service revenue increased $8.6 million to $559.3 million compared to $550.7 million in 2020.

 

   

Net income attributable to Amedisys, Inc. of $34.0 million compared to $45.2 million in 2020.

 

   

Net income attributable to Amedisys, Inc. per diluted share of $1.04 compared to $1.36 in 2020.

Adjusted Quarterly Results*

 

   

Adjusted EBITDA of $64.8 million compared to $78.1 million in 2020.

 

   

Adjusted net service revenue of $559.3 million compared to $550.7 million in 2020.

 

   

Adjusted net income attributable to Amedisys, Inc. of $38.8 million compared to $49.5 million in 2020.

 

   

Adjusted net income attributable to Amedisys, Inc. per diluted share of $1.18 compared to $1.49 in 2020.

Years Ended December 31, 2021 and 2020

 

   

Net service revenue increased $142.6 million to $2,214.1 million compared to $2,071.5 million in 2020.

 

   

Net income attributable to Amedisys, Inc. of $209.1 million compared to $183.6 million in 2020.

 

   

Net income attributable to Amedisys, Inc. per diluted share of $6.34 compared to $5.52 in 2020.

Adjusted Year End Results*

 

   

Adjusted EBITDA of $299.6 million compared to $273.5 million in 2020.

 

   

Adjusted net service revenue of $2,207.6 million compared to $2,071.5 million in 2020.

 

   

Adjusted net income attributable to Amedisys, Inc. of $196.1 million compared to $203.3 million in 2020.

 

   

Adjusted net income attributable to Amedisys, Inc. per diluted share of $5.95 compared to $6.11 in 2020.

 

*

See pages 2 and 14-16 for the definition and reconciliations of non-GAAP financial measures to GAAP measures.

2022 Guidance

 

   

Adjusted net service revenue is anticipated to be in the range of $2.330 billion to $2.365 billion.

 

   

Adjusted EBITDA is anticipated to be in the range of $275 million to $285 million.

 

1


   

Adjusted diluted earnings per share is anticipated to be in the range of $5.23 to $5.45 based on an estimated 33.2 million shares outstanding.

This guidance excludes the effects of any future acquisitions and potential share repurchases, if any are made. 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.

Paul B. Kusserow, Chairman and Chief Executive Officer stated, “I am very pleased with our fourth quarter and full year 2021 results. Though 2021 saw COVID-19 impact all of our lines of business, the effort our nearly 21,000 Amedisys employees showed all year is something I am incredibly proud of. While 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. 2022 is a year that will set us up to capitalize on the aging demographics of the U.S. population which will position us for accelerated growth in the future. We continue to lead the industry in quality, are working through new and innovative workforce optimization initiatives and are seeing tremendous interest in what a combined Amedisys and Contessa platform can offer to payors. I am excited to see all the good that Amedisys will do as we work our way through 2022 and am confident that Chris and team will continue to lead this organization to new levels of success.”

We urge caution in considering the current trends and 2022 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, 2021, 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.

Earnings Call and Webcast Information

Amedisys will host a conference call on Thursday, February 24, 2022, at 11:00 a.m. ET to discuss its fourth quarter and year end 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 March 24, 2022 by dialing (877) 660-6853 (Toll-Free) or (201) 612-7415 (Toll) and entering conference ID #13726704.

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. Over 3,000 hospitals and 90,000 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 530 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 445,000 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.

 

2


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; the impact of current and proposed federal, state and local vaccine mandates, including potential staffing 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 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, investments and joint ventures; and changes in laws 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

 

3


AMEDISYS, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF OPERATIONS

(Amounts in thousands, except per share data)

 

     For the Three-Month
Periods Ended December 31,
    For the Years Ended
December 31,
 
            2021                   2020                   2021                   2020         
     (Unaudited)              

Net service revenue

   $ 559,317     $ 550,705     $ 2,214,112     $ 2,071,519  

Other operating income

     —         6,780       13,300       34,372  

Cost of service, excluding depreciation and amortization

     317,168       306,736       1,233,356       1,185,369  

General and administrative expenses:

        

Salaries and benefits

     125,185       119,119       474,718       449,448  

Non-cash compensation

     5,949       6,972       23,809       26,730  

Other

     53,718       49,506       212,713       192,122  

Depreciation and amortization

     9,138       8,847       30,901       28,802  

Asset impairment charge

     —         4,152       —         4,152  
  

 

 

   

 

 

   

 

 

   

 

 

 

Operating expenses

     511,158       495,332       1,975,497       1,886,623  
  

 

 

   

 

 

   

 

 

   

 

 

 

Operating income

     48,159       62,153       251,915       219,268  

Other income (expense):

        

Interest income

     —         34       49       292  

Interest expense

     (2,791     (2,363     (9,525     (11,038

Equity in earnings from equity method investments

     1,017       1,567       4,949       3,966  

Gain (loss) on equity method investments

     6       —         31,098       (2,980

Miscellaneous, net

     492       649       1,745       1,311  
  

 

 

   

 

 

   

 

 

   

 

 

 

Total other (expense) income, net

     (1,276     (113     28,316       (8,449
  

 

 

   

 

 

   

 

 

   

 

 

 

Income before income taxes

     46,883       62,040       280,231       210,819  

Income tax expense

     (12,873     (16,460     (70,065     (25,635
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income

     34,010       45,580       210,166       185,184  

Net loss (income) attributable to noncontrolling interests

     37       (429     (1,094     (1,576
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income attributable to Amedisys, Inc.

   $ 34,047     $ 45,151     $ 209,072     $ 183,608  
  

 

 

   

 

 

   

 

 

   

 

 

 

Basic earnings per common share:

        

Net income attributable to Amedisys, Inc. common stockholders

   $ 1.04     $ 1.38     $ 6.41     $ 5.64  

Weighted average shares outstanding

     32,594       32,825       32,642       32,559  

Diluted earnings per common share:

        

Net income attributable to Amedisys, Inc. common stockholders

   $ 1.04     $ 1.36     $ 6.34     $ 5.52  

Weighted average shares outstanding

     32,823       33,243       32,972       33,268  

 

4


AMEDISYS, INC. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS

(Amounts in thousands, except share data)

 

     As of December 31,  
     2021     2020  
ASSETS     

Current assets:

    

Cash and cash equivalents

   $ 42,694     $ 81,808  

Restricted cash

     3,075       1,549  

Patient accounts receivable

     274,961       255,145  

Prepaid expenses

     10,356       10,217  

Other current assets

     25,598       13,265  
  

 

 

   

 

 

 

Total current assets

     356,684       361,984  

Property and equipment, net of accumulated depreciation of $96,937 and $95,024

     18,435       23,719  

Operating lease right of use assets

     101,257       93,440  

Goodwill

     1,196,090       932,685  

Intangible assets, net of accumulated amortization of $19,900 and $22,973

     111,190       74,183  

Deferred income taxes

     289       47,987  

Other assets

     73,023       33,200  
  

 

 

   

 

 

 

Total assets

   $ 1,856,968     $ 1,567,198  
  

 

 

   

 

 

 
LIABILITIES AND EQUITY     

Current liabilities:

    

Accounts payable

   $ 38,217     $ 42,674  

Payroll and employee benefits

     141,001       146,929  

Accrued expenses

     150,836       166,192  

Provider relief fund advance

     —         60,000  

Current portion of long-term obligations

     12,995       10,496  

Current portion of operating lease liabilities

     31,233       30,046  
  

 

 

   

 

 

 

Total current liabilities

     374,282       456,337  

Long-term obligations, less current portion

     432,075       204,511  

Operating lease liabilities, less current portion

     69,309       61,987  

Other long-term obligations

     4,979       33,622  
  

 

 

   

 

 

 

Total liabilities

     880,645       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; 37,674,868 and 37,470,212 shares issued; and 32,509,969 and 32,814,278 shares outstanding

     38       38  

Additional paid-in capital

     728,118       698,287  

Treasury stock at cost, 5,164,899 and 4,655,934 shares of common stock

     (435,868     (319,092

Retained earnings

     639,063       429,991  
  

 

 

   

 

 

 

Total Amedisys, Inc. stockholders’ equity

     931,351       809,224  

Noncontrolling interests

     44,972       1,517  
  

 

 

   

 

 

 

Total equity

     976,323       810,741  
  

 

 

   

 

 

 

Total liabilities and equity

   $ 1,856,968     $ 1,567,198  
  

 

 

   

 

 

 

 

5


AMEDISYS, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS AND DAYS REVENUE OUTSTANDING

(Amounts in thousands, except statistical information)

 

    

For the Three-Month

Periods Ended December 31,

   

For the Years Ended

December 31,

 
    

       2021       

   

       2020       

   

       2021       

   

       2020       

 
    

(Unaudited)

             

Cash Flows from Operating Activities:

        

Net income

  

$

34,010

 

 

$

45,580

 

 

$

210,166

 

 

$

185,184

 

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

        

Depreciation and amortization

  

 

9,138

 

 

 

8,847

 

 

 

30,901

 

 

 

28,802

 

Non-cash compensation

  

 

5,949

 

 

 

6,972

 

 

 

23,809

 

 

 

26,730

 

Amortization and impairment of operating lease right of use assets

  

 

10,183

 

 

 

9,991

 

 

 

40,364

 

 

 

39,140

 

(Gain) loss on disposal of property and equipment

  

 

(60

 

 

47

 

 

 

(124

 

 

(30

(Gain) loss on equity method investments

  

 

(6

 

 

—  

 

 

 

(31,098

 

 

2,980

 

Write-off of other comprehensive income

  

 

—  

 

 

 

—  

 

 

 

—  

 

 

 

(15

Deferred income taxes

  

 

9,853

 

 

 

(23,798

 

 

44,582

 

 

 

(26,560

Equity in earnings from equity method investments

  

 

(1,017

 

 

(1,567

 

 

(4,949

 

 

(3,966

Amortization of deferred debt issuance costs/debt discount

  

 

248

 

 

 

216

 

 

 

917

 

 

 

869

 

Return on equity method investments

  

 

1,075

 

 

 

1,525

 

 

 

5,343

 

 

 

5,444

 

Asset impairment charge

  

 

—  

 

 

 

4,152

 

 

 

—  

 

 

 

4,152

 

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

        

Patient accounts receivable

  

 

(392

 

 

(4,372

 

 

(18,030

 

 

2,114

 

Other current assets

  

 

(5,983

 

 

21,036

 

 

 

(12,202

 

 

(7,181

Other assets

  

 

(79

 

 

122

 

 

 

(1,017

 

 

31

 

Accounts payable

  

 

(3,161

 

 

3,568

 

 

 

(4,353

 

 

1,941

 

Accrued expenses

  

 

(17,552

 

 

14,245

 

 

 

(26,915

 

 

39,839

 

Other long-term obligations

  

 

(27,011

 

 

(10,764

 

 

(28,796

 

 

27,717

 

Operating lease liabilities

  

 

(9,273

 

 

(9,119

 

 

(36,645

 

 

(34,695

Operating lease right of use assets

  

 

(756

 

 

(769

 

 

(3,060

 

 

(3,544

  

 

 

   

 

 

   

 

 

   

 

 

 

Net cash provided by operating activities

  

 

5,166

 

 

 

65,912

 

 

 

188,893

 

 

 

288,952

 

  

 

 

   

 

 

   

 

 

   

 

 

 

Cash Flows from Investing Activities:

        

Proceeds from the sale of deferred compensation plan assets

  

 

9

 

 

 

7

 

 

 

135

 

 

 

101

 

Proceeds from the sale of property and equipment

  

 

4

 

 

 

—  

 

 

 

144

 

 

 

80

 

Purchases of property and equipment

  

 

(1,115

 

 

(2,337

 

 

(6,302

 

 

(5,332

Investments in technology assets

  

 

(272

 

 

—  

 

 

 

(419

 

 

—  

 

Purchase of investment

  

 

(5,200

 

 

—  

 

 

 

(5,200

 

 

(875

Proceeds from sale of equity method investment

  

 

—  

 

 

 

—  

 

 

 

—  

 

 

 

17,876

 

Acquisitions of businesses, net of cash acquired

  

 

(5,093

 

 

765

 

 

 

(269,965

 

 

(298,958

  

 

 

   

 

 

   

 

 

   

 

 

 

Net cash used in investing activities

  

 

(11,667

 

 

(1,565

 

 

(281,607

 

 

(287,108

  

 

 

   

 

 

   

 

 

   

 

 

 

Cash Flows from Financing Activities:

        

Proceeds from issuance of stock upon exercise of stock options

  

 

348

 

 

 

255

 

 

 

2,054

 

 

 

6,325

 

Proceeds from issuance of stock to employee stock purchase plan

  

 

946

 

 

 

962

 

 

 

3,968

 

 

 

3,562

 

Shares withheld to pay taxes on non-cash compensation

  

 

(204

 

 

(321

 

 

(16,898

 

 

(54,493

Noncontrolling interest contributions

  

 

250

 

 

 

—  

 

 

 

250

 

 

 

—  

 

Noncontrolling interest distributions

  

 

(494

 

 

(450

 

 

(1,747

 

 

(1,122

Proceeds from borrowings under term loan

  

 

—  

 

 

 

—  

 

 

 

290,312

 

 

 

—  

 

Proceeds from borrowings under revolving line of credit

  

 

—  

 

 

 

252,200

 

 

 

500,700

 

 

 

684,200

 

Repayments of borrowings under revolving line of credit

  

 

—  

 

 

 

(346,200

 

 

(551,700

 

 

(703,200

Principal payments of long-term obligations

  

 

(3,250

 

 

(2,889

 

 

(9,143

 

 

(10,249

Debt issuance costs

  

 

—  

 

 

 

—  

 

 

 

(2,792

 

 

—  

 

Provider relief fund advance

  

 

(58,535

 

 

—  

 

 

 

(60,000

 

 

60,000

 

Purchase of company stock

  

 

(14,999

 

 

—  

 

 

 

(99,878

 

 

—  

 

  

 

 

   

 

 

   

 

 

   

 

 

 

Net cash (used in) provided by financing activities

  

 

(75,938

 

 

(96,443

 

 

55,126

 

 

 

(14,977

Net decrease in cash, cash equivalents and restricted cash

  

 

(82,439

 

 

(32,096

 

 

(37,588

 

 

(13,133

Cash, cash equivalents and restricted cash at beginning of period

  

 

128,208

 

 

 

115,453

 

 

 

83,357

 

 

 

96,490

 

  

 

 

   

 

 

   

 

 

   

 

 

 

Cash, cash equivalents and restricted cash at end of period

  

$

45,769

 

 

$

83,357

 

 

$

45,769

 

 

$

83,357

 

  

 

 

   

 

 

   

 

 

   

 

 

 

Supplemental Disclosures of Cash Flow Information:

        

Cash paid for interest

  

$

1,812

 

 

$

1,305

 

 

$

5,291

 

 

$

6,207

 

  

 

 

   

 

 

   

 

 

   

 

 

 

Cash paid for income taxes, net of refunds received

  

$

8,615

 

 

$

20,431

 

 

$

34,097

 

 

$

50,721

 

  

 

 

   

 

 

   

 

 

   

 

 

 

Days revenue outstanding (1)

  

 

43.2

 

 

 

40.2

 

 

 

43.2

 

 

 

40.2

 

 

(1)

Our calculation of days revenue outstanding at December 31, 2021 and 2020 is derived by dividing our ending patient accounts receivable by our average daily patient revenue for the three-month periods ended December 31, 2021 and 2020, 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 December 31,
 
     2021     2020  

Financial Information (in millions):

    

Medicare

   $ 230.1     $ 228.3  

Non-Medicare

     107.2       101.1  
  

 

 

   

 

 

 

Net service revenue

     337.3       329.4  

Other operating income

     —         2.5  

Cost of service

     193.1       186.1  
  

 

 

   

 

 

 

Gross margin

     144.2       145.8  

Depreciation and amortization

     1.0       1.0  

Asset impairment charge

     —         3.4  

Other operating expenses

     84.7       80.5  
  

 

 

   

 

 

 

Operating income

   $ 58.5     $ 60.9  
  

 

 

   

 

 

 

Same Store Growth (1):

    

Medicare revenue

     1     6

Non-Medicare revenue

     6     —  

Total admissions

     2     6

Total volume (2)(6)

     2     5

Key Statistical Data - Total (3):

    

Admissions

     87,142       85,474  

Recertifications (6)

     46,390       44,820  
  

 

 

   

 

 

 

Total volume (6)

     133,532       130,294  

Medicare completed episodes

     78,693       80,008  

Average Medicare revenue per completed episode (4)

   $ 2,951     $ 2,906  

Medicare visits per completed episode (5)

     13.7       14.0  

Visiting Clinician Cost per Visit

   $ 98.16     $ 92.62  

Clinical Manager Cost per Visit

   $ 10.39     $ 9.38  
  

 

 

   

 

 

 

Total Cost per Visit

   $ 108.55     $ 102.00  
  

 

 

   

 

 

 

Visits

     1,778,512       1,824,557  

 

7


     For the Years Ended
December 31,
 
     2021     2020  

Financial Information (in millions):

    

Medicare

   $ 914.5     $ 847.3  

Non-Medicare

     439.3       401.9  
  

 

 

   

 

 

 

Net service revenue

     1,353.8       1,249.2  

Other operating income

     7.3       20.2  

Cost of service

     756.6       729.9  
  

 

 

   

 

 

 

Gross margin

     604.5       539.5  

Depreciation and amortization

     4.3       3.9  

Asset impairment charge

     —         3.4  

Other operating expenses

     328.5       307.2  
  

 

 

   

 

 

 

Operating income

   $ 271.7     $ 225.0  
  

 

 

   

 

 

 

Same Store Growth (1):

    

Medicare revenue

     8     (1 %) 

Non-Medicare revenue

     9     1

Total admissions

     6     1

Total volume (2)(6)

     5     2

Key Statistical Data - Total (3):

    

Admissions

     353,075       331,354  

Recertifications (6)

     183,134       177,631  
  

 

 

   

 

 

 

Total volume (6)

     536,209       508,985  

Medicare completed episodes

     311,531       301,856  

Average Medicare revenue per completed episode (4)

   $ 2,959     $ 2,836  

Medicare visits per completed episode (5)

     13.9       14.9  

Visiting Clinician Cost per Visit

   $ 93.44     $ 89.62  

Clinical Manager Cost per Visit

   $ 9.75     $ 9.17  
  

 

 

   

 

 

 

Total Cost per Visit

   $ 103.19     $ 98.79  
  

 

 

   

 

 

 

Visits

     7,331,935       7,388,549  

 

(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 for the years ended December 31, 2021 and 2020 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.

 

8


Segment Information - Hospice

 

     For the Three-Month Periods
Ended December 31,
 
     2021     2020  

Financial Information (in millions):

    

Medicare

   $ 193.9     $ 193.5  

Non-Medicare

     11.0       10.4  
  

 

 

   

 

 

 

Net service revenue

     204.9       203.9  

Other operating income

     —         4.2  

Cost of service

     110.8       107.5  
  

 

 

   

 

 

 

Gross margin

     94.1       100.6  

Depreciation and amortization

     0.7       0.5  

Asset impairment

     —         0.8  

Other operating expenses

     54.0       48.0  
  

 

 

   

 

 

 

Operating income

   $ 39.4     $ 51.3  
  

 

 

   

 

 

 

Same Store Growth (1):

    

Medicare revenue

     —       4

Hospice admissions

     (1 %)      15

Average daily census

     (4 %)      —  

Key Statistical Data - Total (2):

    

Hospice admissions

     13,857       13,939  

Average daily census

     13,237       13,793  

Revenue per day, net

   $ 168.24     $ 160.72  

Cost of service per day

   $ 91.01     $ 84.72  

Average discharge length of stay

     90       102  

 

9


     For the Years Ended
December 31,
 
     2021     2020  

Financial Information (in millions):

    

Medicare

   $ 750.1     $ 710.0  

Non-Medicare

     41.7       40.1  
  

 

 

   

 

 

 

Net service revenue

     791.8       750.1  

Other operating income

     6.0       13.1  

Cost of service

     425.2       400.6  
  

 

 

   

 

 

 

Gross margin

     372.6       362.6  

Depreciation and amortization

     2.7       2.2  

Asset impairment

     —         0.8  

Other operating expenses

     198.4       175.4  
  

 

 

   

 

 

 

Operating income

   $ 171.5     $ 184.2  
  

 

 

   

 

 

 

Same Store Growth (1):

    

Medicare revenue

     —       4

Hospice admissions

     2     6

Average daily census

     (4 %)      1

Key Statistical Data - Total (2):

    

Hospice admissions

     53,507       49,694  

Average daily census

     13,271       13,081  

Revenue per day, net

   $ 163.47     $ 156.69  

Cost of service per day

   $ 87.77     $ 83.67  

Average discharge length of stay

     94       99  

 

(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 and denovos.

 

10


Segment Information - Personal Care

 

     For the Three-Month Periods
Ended December 31,
 
     2021      2020  

Financial Information (in millions):

     

Medicare

   $ —        $ —    

Non-Medicare

     15.1        17.4  
  

 

 

    

 

 

 

Net service revenue

     15.1        17.4  

Other operating income

     —          0.1  

Cost of service

     11.7        13.2  
  

 

 

    

 

 

 

Gross margin

     3.4        4.3  

Depreciation and amortization

     —          0.1  

Other operating expenses

     2.4        2.9  
  

 

 

    

 

 

 

Operating income

   $ 1.0      $ 1.3  
  

 

 

    

 

 

 

Key Statistical Data - Total:

     

Billable hours

     500,546        662,163  

Clients served

     7,867        10,057  

Shifts

     215,167        281,445  

Revenue per hour

   $ 30.09      $ 26.24  

Revenue per shift

   $ 69.99      $ 61.74  

Hours per shift

     2.3        2.4  

 

     For the Years Ended
December 31,
 
     2021      2020  

Financial Information (in millions):

     

Medicare

   $ —        $ —    

Non-Medicare

     65.0        72.2  
  

 

 

    

 

 

 

Net service revenue

     65.0        72.2  

Other operating income

     —          1.1  

Cost of service

     49.1        54.9  
  

 

 

    

 

 

 

Gross margin

     15.9        18.4  

Depreciation and amortization

     0.2        0.2  

Other operating expenses

     11.2        12.4  
  

 

 

    

 

 

 

Operating income

   $ 4.5      $ 5.8  
  

 

 

    

 

 

 

Key Statistical Data - Total:

     

Billable hours

     2,275,511        2,730,121  

Clients served

     12,074        15,019  

Shifts

     974,409        1,177,586  

Revenue per hour

   $ 28.54      $ 26.45  

Revenue per shift

   $ 66.66      $ 61.31  

Hours per shift

     2.3        2.3  

 

11


Segment Information - High Acuity Care

 

     For the Three-Month Periods
Ended December 31,
 
     2021     2020  

Financial Information (in millions):

    

Medicare

   $ —       $ —    

Non-Medicare

     2.0       —    
  

 

 

   

 

 

 

Net service revenue

     2.0       —    

Other operating income

     —         —    

Cost of service

     1.6       —    
  

 

 

   

 

 

 

Gross margin

     0.4       —    

Depreciation and amortization

     0.8       —    

Other operating expenses

     6.1       —    
  

 

 

   

 

 

 

Operating loss

   $ (6.5   $ —    
  

 

 

   

 

 

 

Key Statistical Data - Total:

    

Full risk admissions

     61       —    

Limited risk admissions

     225       —    
  

 

 

   

 

 

 

Total admissions

     286       —    

Direct medical loss ratio

     54.6     —    

Number of joint ventures

     8       —    

Market penetration

     31     —    

Patient satisfaction

     97     —    
     For the Years Ended
December 31,
 
     2021     2020  

Financial Information (in millions):

    

Medicare

   $ —       $ —    

Non-Medicare

     3.5       —    
  

 

 

   

 

 

 

Net service revenue

     3.5       —    

Other operating income

     —         —    

Cost of service

     2.5       —    
  

 

 

   

 

 

 

Gross margin

     1.0       —    

Depreciation and amortization

     1.3       —    

Other operating expenses

     10.0       —    
  

 

 

   

 

 

 

Operating loss

   $ (10.3   $ —    
  

 

 

   

 

 

 

Key Statistical Data - Total:

    

Full risk admissions

     107       —    

Limited risk admissions

     413       —    
  

 

 

   

 

 

 

Total admissions

     520       —    

Direct medical loss ratio

     54.0     —    

Number of joint ventures

     8       —    

Market penetration

     31     —    

Patient satisfaction

     97     —    

 

12


Segment Information - Corporate

 

     For the Three-Month Periods
Ended December 31,
 
     2021      2020  

Financial Information (in millions):

     

Other operating expenses

   $ 37.6      $ 44.0  

Depreciation and amortization

     6.6        7.3  
  

 

 

    

 

 

 

Total operating expenses

   $ 44.2      $ 51.3  
  

 

 

    

 

 

 

 

             For the Years Ended          
December 31,
 
     2021      2020  

Financial Information (in millions):

     

Other operating expenses

   $ 163.1      $ 173.2  

Depreciation and amortization

     22.4        22.5  
  

 

 

    

 

 

 

Total operating expenses

   $ 185.5      $ 195.7  
  

 

 

    

 

 

 

 

13


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 December 31,
    For the Years Ended
December 31,
 
     2021     2020     2021     2020  

Net income attributable to Amedisys, Inc.

   $ 34,047     $ 45,151     $ 209,072     $ 183,608  

Add:

        

Income tax expense

     12,873       16,460       70,065       25,635  

Interest expense, net

     2,791       2,329       9,476       10,746  

Depreciation and amortization

     9,138       8,847       30,901       28,802  

Certain items (1)

     6,412       5,815       (18,028     26,658  

Interest component of certain items (1)

     (451     (464     (1,888     (1,914
  

 

 

   

 

 

   

 

 

   

 

 

 

Adjusted EBITDA (2) (7)

   $ 64,810     $ 78,138     $ 299,598     $ 273,535  
  

 

 

   

 

 

   

 

 

   

 

 

 

Adjusted Net Service Revenue Reconciliation:

 

     For the Three-Month Periods
Ended December 31,
     For the Years Ended
December 31,
 
     2021      2020      2021     2020  

Net service revenue

   $ 559,317      $ 550,705      $ 2,214,112     $ 2,071,519  

Add:

          

Certain items (1)

     —          —          (6,541     —    
  

 

 

    

 

 

    

 

 

   

 

 

 

Adjusted net service revenue (3) (7)

   $ 559,317      $ 550,705      $ 2,207,571     $ 2,071,519  
  

 

 

    

 

 

    

 

 

   

 

 

 

Adjusted Other Operating Income Reconciliation:

 

     For the Three-Month Periods
Ended December 31,
    For the Years Ended
December 31,
 
     2021      2020     2021     2020  

Other operating income

   $ —        $ 6,780     $ 13,300     $ 34,372  

Add:

         

Certain items (1)

     —          (6,780     (13,300     (34,372
  

 

 

    

 

 

   

 

 

   

 

 

 

Adjusted other operating income (4) (7)

   $ —        $ —       $ —       $ —    
  

 

 

    

 

 

   

 

 

   

 

 

 

Adjusted Net Income Attributable to Amedisys, Inc Reconciliation:

 

     For the Three-Month Periods
Ended December 31,
     For the Years Ended
December 31,
 
     2021      2020      2021     2020  

Net income attributable to Amedisys, Inc.

   $ 34,047      $ 45,151      $ 209,072     $ 183,608  

Add:

          

Certain items (1)

     4,764        4,303        (12,923     19,727  
  

 

 

    

 

 

    

 

 

   

 

 

 

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

   $ 38,811      $ 49,454      $ 196,149     $ 203,335  
  

 

 

    

 

 

    

 

 

   

 

 

 

 

14


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

 

     For the Three-Month Periods
Ended December 31,
     For the Years Ended
December 31,
 
     2021      2020      2021     2020  

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

   $ 1.04      $ 1.36      $ 6.34     $ 5.52  

Add:

          

Certain items (1)

     0.15        0.13        (0.39     0.59  
  

 

 

    

 

 

    

 

 

   

 

 

 

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

   $ 1.18      $ 1.49      $ 5.95     $ 6.11  
  

 

 

    

 

 

    

 

 

   

 

 

 

 

(1)

The following details the certain items for the three-month periods and years ended December 31, 2021 and 2020:

Certain Items:

 

     For the Three-Month Period
Ended December 31, 2021
     For the Year Ended
December 31, 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

     —          (13,300

Certain Items Impacting Cost of Service:

     

COVID-19 costs

     4,323        20,780  

Certain Items Impacting Operating Expenses:

     

Acquisition and integration costs

     1,310        7,559  

COVID-19 costs

     140        716  

Pre-acquisition legal settlement

     —          1,825  

Certain Items Impacting Total Other Income (Expense):

     

Interest component of certain items

     451        1,888  

Other (income) expense, net

     188        (30,955
  

 

 

    

 

 

 

Total

   $ 6,412      $ (18,028
  

 

 

    

 

 

 

Net of tax

   $ 4,764      $ (12,923
  

 

 

    

 

 

 

Diluted EPS

   $ 0.15      $ (0.39
  

 

 

    

 

 

 

 

15


     For the Three-Month Period
Ended December 31, 2020
    For the Year Ended
December 31, 2020
 
     (Income) Expense     (Income) Expense  

Certain Items Impacting Other Operating Income:

    

CARES Act & State COVID-19 grants

   $ (6,780   $ (34,372

Certain Items Impacting Cost of Service:

    

COVID-19 costs

     6,568       33,967  

Severance - reductions in staffing levels

     —         4,633  

Certain Items Impacting Operating Expenses:

    

Acquisition and integration costs

     1,234       10,795  

COVID-19 costs

     177       1,562  

Severance - reductions in staffing levels

     —         271  

Asset impairment

     4,152       4,152  

Certain Items Impacting Total Other Income (Expense):

    

Interest component of certain items

     464       1,914  

Other (income) expense, net

     —         3,736  
  

 

 

   

 

 

 

Total

   $ 5,815     $ 26,658  
  

 

 

   

 

 

 

Net of tax

   $ 4,303     $ 19,727  
  

 

 

   

 

 

 

Diluted EPS

   $ 0.13     $ 0.59  
  

 

 

   

 

 

 

 

(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.

 

16