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LHC Group Announces Earnings Per Diluted Share of $0.44 for First Quarter 2016, Up 12.8% From First Quarter 2015

Affirms Established Financial Guidance for Fiscal 2016

LAFAYETTE, La., May 04, 2016 (GLOBE NEWSWIRE) -- LHC Group, Inc. (NASDAQ:LHCG) today announced its financial results for the three months ended March 31, 2016.

Financial Results for the First Quarter

  • Net service revenue increased 15.3% to $222.6 million for the first quarter of 2016 compared with $193.1 million for the first quarter of 2015.
  • Net income attributable to LHC Group for the first quarter of 2016 grew 12.9% to $7.7 million compared with $6.8 million for the same period in 2015.
  • Net income attributable to LHC Group per diluted share increased 12.8% to $0.44 for the first quarter of 2016 from $0.39 for the first quarter last year.
  • Total comparable-quarter growth in admissions for all service lines was 10.7%.
  • Total comparable-quarter organic growth in home health admissions was 7.2%.

“We are pleased with our financial results for the first quarter of 2016, which included the impact of previously discussed Medicare reimbursement changes that we estimate reduced revenue by $1.5 million for the quarter and earnings per diluted share by $0.05,” remarked Keith G. Myers, LHC Group’s chairman and CEO. “We attribute the 15.3% increase in net service revenue primarily to a relatively balanced contribution from organic revenue growth and acquisitions.”

Organic revenue for home health services increased 8.1% for the quarter from the first quarter of 2015. This growth was primarily driven by a 7.2% increase in total new admissions for the quarter, as well as improved reimbursement reflecting increased acuity in the Company’s case mix. Net service revenue also benefited from a full quarter of operations for the seven acquisitions completed in 2015. For the first quarter of 2016, LHC Group acquired two home health locations and opened a de novo location. The Company also acquired six hospice locations, four of which were acquired in the purchase of Heartlite Hospice in March 2016.

With revenue growth generating additional operating leverage, combined with continuous cost control efforts, LHC Group achieved a 90 basis-point improvement in general and administrative expenses as a percent of revenue to 29.8% for the first quarter of 2016 compared with the first quarter last year.  For the quarter, this improvement was more than offset by a 160 basis-point reduction in gross margin, primarily due to higher expenses related to acquisition integration and to the increased costs of providing care for a higher-acuity case mix.

Mr. Myers added, “Looking forward, we expect increased admission volume and patient acuity to have a further positive net impact on our organic growth rate, as payors and health systems shift patients in need of non-acute care from more intensive and expensive clinical settings. Consistent with this expectation, we were pleased to announce our 66th joint venture with hospitals and health systems in early April. Our new joint venture is with Northern Arizona Healthcare (NAH), the largest healthcare organization in a region encompassing more than 700,000 people. NAH has more than 3,000 doctors and staff providing comprehensive healthcare services through a variety of venues anchored by two major medical centers in Flagstaff and Verde Valley. Through the joint venture, we are operating, and have become the majority owner of, NAH’s two home health agencies and one hospice agency. In addition to providing us our first partnership in Arizona and the Southwest, this latest joint venture further validates our ongoing work to be a leading partner of choice for health systems and payors as they seek to improve their patients’ non-acute care.

“We also expect to continue executing on our robust corporate development pipeline, which produced five transactions in the first quarter – two acquisitions and three joint ventures – that include service lines producing an aggregate of $15.4 million in trailing 12 months revenue. With LHC Group’s trailing 12 months cash flow from operations of over $50 million at March 31, 2016, and current availability under our credit agreement of $123.2 million, we remain confident of funding our growth plans for 2016.”

Mr. Myers concluded, “We recognize and thank our team for their hard and selfless work to provide high quality care to our patients. Their commitment and the results they produce fundamentally support our continued belief that LHG Group is well positioned to leverage attractive market dynamics through our proven organic growth and acquisition strategies.  We are confident that strong execution of these strategies will drive further long-term profitable growth and increased shareholder value.”

FY 2016 Guidance
LHC Group today affirmed its fiscal year 2016 guidance for net service revenue to be in an expected range of $870 million to $890 million, and fully diluted earnings per share to be in an expected range of $1.90 to $2.00. This guidance includes:

(1)  the negative impact from the Medicare Home Health Prospective Payment System for 2016, which is expected to have an approximate 2% impact, or $9.5 million reduction to Medicare Home Health revenue and $0.32 reduction in fully diluted earnings per share for 2016; and 
(2) the negative impact from the Medicare Long-Term Care Hospital (LTCH) Prospective Payment System (PPS), which establishes two different types of LTCH PPS payment rates depending on whether the patient meets certain clinical criteria: the LTCH PPS standard Federal payment rate and a new LTCH PPS site neutral payment rate comparable to the IPPS payment rates. The effect from the LTCH PPS is a 4.9% impact, or an expected $3.6 million reduction to Medicare LTCH revenue or $0.06 net reduction in fully diluted earnings per share for 2016 after implementation strategies.

The Company’s financial guidance does not take into account the impact of other future reimbursement changes, if any, future acquisitions, if made, de novo locations, if opened, or future legal expenses, if necessary.

Conference Call
LHC Group will host a conference call on Thursday, May 5, 2016, at 11:00 a.m. Eastern time to discuss its first quarter 2016 results. The toll-free number to call for this interactive teleconference is (866) 393‑1608 (international callers should call (973) 890-8327). A telephonic replay of the conference call will be available through midnight on Thursday, May 12, 2016, by dialing (855) 859‑2056 (international callers should call (404) 537-3406) and entering confirmation number 83060861. A live broadcast of LHC Group’s conference call will be available under the Investor Relations section of the Company’s website, www.LHCgroup.com. A one-year online replay will be available approximately an hour following the conclusion of the live broadcast.

About LHC Group, Inc.
LHC Group, Inc. is a national provider of non-acute healthcare services, providing quality, cost-effective healthcare to patients primarily within the comfort and privacy of their home or place of residence. LHC Group provides a comprehensive array of healthcare services through home health, hospice, community‑based services agencies and long-term acute care hospitals (LTACHs).  At March 31, 2016, LHC Group operated 284 home health services locations, 61 hospice locations, 11 community-based service locations and six LTACHs with eight locations.

Certain matters discussed in this press release constitute forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, such as statements about the Company’s future financial performance and the strength of the Company’s operations. Such forward-looking statements may be identified by words such as “continue,” “expect,” and similar expressions. Forward-looking statements involve a number of risks and uncertainties that may cause actual results to differ materially from those expressed or implied by such forward-looking statements, including changes in reimbursement, changes in government regulations, changes in LHC Group’s relationships with referral sources, increased competition for LHC Group’s services, increased competition for joint venture and acquisition candidates, changes in the interpretation of government regulations and other risks set forth in Item 1A. Risk Factors in LHC Group’s Annual Report on Form 10-K for the year ended December 31, 2015, filed with the Securities and Exchange Commission. LHC Group undertakes no obligation to update or revise any forward-looking statements, whether as a result of new information, future events or otherwise.

LHC GROUP, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS
(Amounts in thousands, except share data)
(Unaudited)
 
  March 31,
2016
Dec. 31,
2015
ASSETS
Current assets:    
Cash $   5,593   $   6,139  
Receivables:    
Patient accounts receivable, less allowance for uncollectible accounts of $28,617 and $26,712, respectively   117,761     110,350  
Other receivables   2,507     2,093  
Amounts due from governmental entities   964     1,081  
Total receivables, net   121,232     113,524  
Prepaid income taxes   1,575     1,949  
Prepaid expenses   10,519     10,833  
Other current assets   6,265     5,835  
Receivable due from insurance carrier       550  
Total current assets   145,184     138,830  
Property, building and equipment, net of accumulated depreciation of $41,017 and $38,907, respectively   38,191     38,096  
Goodwill   296,240     290,694  
Intangible assets, net of accumulated amortization of $9,097 and $8,496, respectively   100,863     96,405  
Other assets   2,375     2,029  
Total assets $   582,853   $   566,054  
             
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:    
Accounts payable and other accrued liabilities $   24,912   $   24,586  
Salaries, wages and benefits payable   39,506     28,098  
Self-insurance reserve   11,109     9,636  
Current portion of long-term debt   243     241  
Amounts due to governmental entities   4,729     7,055  
Legal settlement payable       550  
Total current liabilities   80,499     70,166  
Deferred income taxes   23,605     23,729  
Income tax payable   3,415     3,415  
Revolving credit facility   96,000     98,000  
Long-term debt, less current portion   485     543  
Total liabilities   204,004     195,853  
Noncontrolling interest – redeemable   12,463     12,408  
Stockholders’ equity:    
Common stock – $0.01 par value: 40,000,000 shares authorized; 22,370,384 and 22,224,423 shares issued in 2016 and 2015, respectively   224     222  
Treasury stock – 4,814,522 and 4,776,560 shares at cost, respectively   (38,560 )   (37,139 )
Additional paid-in capital   115,654     113,793  
Retained earnings   285,392     277,706  
Total LHC Group, Inc. stockholders’ equity   362,710     354,582  
Noncontrolling interest – non-redeemable   3,676     3,211  
Total stockholders’ equity   366,386     357,793  
Total liabilities and stockholders’ equity $   582,853   $   566,054  


LHC GROUP, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF INCOME
(Amounts in thousands, except share and per share data)
(Unaudited)
 
  Three Months Ended
March 31,
    2016     2015  
Net service revenue $   222,552   $   193,079  
Cost of service revenue   135,601     114,426  
Gross margin   86,951     78,653  
Provision for bad debts   4,601     5,259  
General and administrative expenses   66,240     59,298  
Operating income   16,110     14,096  
Interest expense    (885 )   (545 )
Income before income taxes and noncontrolling interest   15,225     13,551  
Income tax expense   5,342     4,729  
Net income   9,883     8,822  
Less net income attributable to noncontrolling interests   2,197     2,017  
Net income attributable to LHC Group, Inc.’s common stockholders $   7,686   $   6,805  
             
Earnings per share – basic and diluted:    
Net income attributable to LHC Group, Inc.’s common stockholders $   0.44   $   0.39  
             
Weighted average shares outstanding:    
Basic   17,485,766     17,322,791  
Diluted   17,633,549     17,489,483  


LHC GROUP, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(Amounts in thousands)
(Unaudited)
 
  Three Months Ended
March 31,
  2016     2015  
Operating activities    
Net income $   9,883   $   8,822  
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization expense   2,948     2,716  
Provision for bad debts   4,601     5,259  
Stock-based compensation expense   982     991  
Deferred income taxes   (124 )   (183 )
Impairment of intangibles and other       79  
Loss on disposal of assets   204     284  
Changes in operating assets and liabilities, net of acquisitions:    
Receivables   (12,446 )   (7,026 )
Prepaid expenses and other assets   (162 )   (2,549 )
Prepaid income taxes   374     2,478  
Accounts payable and accrued expenses   13,110     10,624  
Net amounts due to/from governmental entities   (2,209 )   1,109  
Net cash provided by operating activities   17,161     22,604  
             
Investing activities    
Purchases of property, building and equipment   (2,622 )   (2,958 )
Cash paid for acquisitions, primarily goodwill and intangible assets   (10,577 )   (567 )
Other   273      
Net cash used in investing activities   (12,926 )   (3,525 )
             
Financing activities    
Proceeds from line of credit   4,000     -  
Payments on line of credit   (6,000 )   (13,000 )
Proceeds from employee stock purchase plan   230     210  
Payments on debt   (56 )   (57 )
Noncontrolling interest distributions   (2,185 )   (2,242 )
Excess tax benefits from vesting of stock awards   651     642  
Withholding taxes paid on stock-based compensation   (1,421 )   (1,122 )
Net cash used in financing activities   (4,781 )   (15,569 )
Change in cash   (546 )   3,510  
Cash at beginning of period   6,139     531  
Cash at end of period $   5,593   $   4,041  
             
Supplemental disclosures of cash flow information    
Interest paid $   749   $   447  
Income taxes paid $   4,466   $   1,787  


LHC GROUP, INC. AND SUBSIDIARIES
SEGMENT INFORMATION
(Amounts in thousands)
(Unaudited)
 
  Three Months Ended March 31, 2016
  Home
Health
Services
Hospice
Services
Community-
Based
Services
Facility-
Based
Services
Total
Net service revenue $   161,387   $   30,824   $   10,443   $   19,898   $   222,552  
Cost of service revenue   96,712     19,627     7,727     11,535     135,601  
Provision for bad debts   3,455     775     82     289     4,601  
General and administrative expenses   49,558     8,990     2,079     5,613     66,240  
Operating income   11,662     1,432     555     2,461     16,110  
Interest expense   (678 )   (91 )   (41 )   (75 )   (885 )
Income before income taxes and noncontrolling interest   10,984     1,341     514     2,386     15,225  
Income tax expense   3,850     420     228     844     5,342  
Net income   7,134     921     286     1,542     9,883  
Less net income attributable to noncontrolling interests   1,594     317     (43 )   329     2,197  
Net income attributable to LHC Group, Inc.’s common stockholders $   5,540   $   604   $   329   $   1,213   $   7,686  
Total assets $   400,924   $   111,308   $   33,133   $   37,488   $   582,853  


  Three Months Ended March 31, 2015
  Home
Health
Services
Hospice
Services
Community-
Based
Services
Facility-
Based
Services
Total
Net service revenue $   146,592   $   16,851   $   9,773   $   19,863   $   193,079  
Cost of service revenue   85,546     10,099     6,900     11,881     114,426  
Provision for bad debts   4,476     347     180     256     5,259  
General and administrative expenses   46,454     4,888     2,217     5,739     59,298  
Operating income   10,116     1,517     476     1,987     14,096  
Interest expense   (430 )   (60 )   (6 )   (49 )   (545 )
Income before income taxes and noncontrolling interest   9,686     1,457     470     1,938     13,551  
Income tax expense   3,657     620     45     407     4,729  
Net income   6,029     837     425     1,531     8,822  
Less net income attributable to noncontrolling interests   1,521     246     (20 )   270     2,017  
Net income attributable to LHC Group, Inc.’s common stockholders $   4,508   $   591   $   445   $   1,261   $   6,805  
Total assets $   385,653   $   34,019   $   32,971   $   38,321   $   490,964  


LHC GROUP, INC. AND SUBSIDIARIES
SELECT CONSOLIDATED KEY STATISTICAL AND FINANCIAL DATA
(Unaudited)
  Three Months Ended
March 31,
    2016     2015  
Key Data:    
Home-Health Services:    
Home Health    
Locations   284     272  
Acquired   2     1  
De novo   1     2  
Divested/Consolidated   2     3  
Total new admissions   39,124     35,965  
Medicare new admissions   26,136     24,875  
Average daily census   38,218     36,450  
Average Medicare daily census   28,246     27,235  
Medicare completed and billed episodes   48,486     46,684  
Average Medicare case mix for completed and billed Medicare episodes   1.03     0.97  
Average reimbursement per completed and billed Medicare episodes $   2,551   $   2,463  
Total visits   1,126,834     990,135  
Total Medicare visits   829,267     741,850  
Average visits per completed and billed Medicare episodes   17.1     15.9  
Organic growth:(1)    
Net revenue   8.1 %   4.5 %
Net Medicare revenue   5.3 %   2.9 %
Total new admissions   7.2 %   6.2 %
Medicare new admissions    3.3 %   6.5 %
Average daily census   2.8 %   0.8 %
Average Medicare daily census   1.4 %   (0.5 )%
Medicare completed and billed episodes   1.9 %   0.3 %
     
Community-Based Services:    
Locations   11     14  
Acquired   0     1  
De novo   0     0  
Divested/Consolidated   2     0  
Average daily census   1,372     1,262  
Billable hours   304,487     294,016  
Revenue per billable hour $   34.30   $   33.24  
     
Hospice-Based Services:    
Locations   61     38  
Acquired   6     0  
De novo   0     0  
Divested/Consolidated   1     0  
Admissions   2,463     1,481  
Average daily census   2,425     1,357  
Patient days   220,694     122,179  
Average revenue per patient day $   140   $   138  
     
Facility-Based Services:    
Long-term Acute Care    
Locations   8     8  
Patient days   15,537     16,162  
Average revenue per patient day $   1,211   $   1,187  
             
(1) Organic growth is calculated as the sum of same store plus de novo for the period divided by total from the same period in the prior year.

 

 

Contact:
Eric Elliott
Senior Vice President of Finance
(337) 233-1307
eric.elliott@lhcgroup.com

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