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Amedisys Reports First Quarter 2018 Financial Results and Reaffirms 2018 Guidance

BATON ROUGE, La., May 07, 2018 (GLOBE NEWSWIRE) -- Amedisys, Inc. (NASDAQ:AMED) today reported its financial results for the three month period ended March 31, 2018.

Three Month Periods Ended March 31, 2018 and 2017

  • Net service revenue increased $34.6 million to $399.3 million compared to $364.7 million in 2017(1).

  • Net income attributable to Amedisys, Inc. of $27.2 million compared to $15.1 million in 2017.

  • Net income attributable to Amedisys, Inc. per diluted share of $0.79 compared to $0.44 in 2017.

Adjusted Quarterly Results*

  • Adjusted EBITDA of $41.7 million compared to $32.0 million in 2017.

  • Adjusted net income attributable to Amedisys, Inc. of $27.3 million compared to $16.0 million in 2017.

  • Adjusted net income attributable to Amedisys, Inc. per diluted share of $0.79 compared to $0.47 in 2017.

*   See pages 8 and 9 for the definition and reconciliations of non-GAAP financial measures to GAAP measures.

(1) Subsequent to our adoption of Accounting Standards Updates 2014-09 and 2015-14 on January 1, 2018, using the full retrospective method, all amounts previously classified as provision for doubtful accounts are now classified as implicit price concessions in determining the transaction price of our net service revenue.

Paul B. Kusserow, President and Chief Executive Officer stated, “I am proud of our first quarter results as once again we have made great progress in all four key areas of our strategy. Total home health admissions and volumes are moving in the right direction as our business development staffing strategy takes hold. Continued strong performance from our hospice segment, personal care growth and disciplined cost controls have helped to deliver significant increases in revenue, EBITDA and earnings per share as compared to the first quarter of 2017. We have once again improved our position as an industry leader in quality, having increased our STARs score for the twelfth straight quarter. Our continued focus on our employees can be seen in our stabilized turnover rates and the investment we have made in operational efficiency has resulted in increased productivity from our clinical staff. We will continue to focus on organic growth in all three of lines of business throughout the remainder of 2018 and have a balance sheet that provides flexibility to execute upon a range of capital allocation priorities. A special thanks to all of our nearly 18,000 employees that helped to deliver such an impressive quarter.”

2018 Guidance

  • Net service revenue is anticipated to be in the range of $1.60 billion to $1.64 billion.

  • Adjusted EBITDA is anticipated to be in the range of $158 million to $163 million.

  • Adjusted diluted earnings per share is anticipated to be in the range of $2.97 to $3.08 based on an estimated 34.85 million shares outstanding.

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

We urge caution in considering the current trends and 2018 guidance disclosed in this press release. The home health and hospice industry is highly competitive and subject to intensive regulations, and trends and guidance are subject to numerous factors, risks, and uncertainties, some of which are referenced in the cautionary language below and others that are described more fully in our reports filed with the Securities and Exchange Commission (“SEC”) including our Annual Report on Form 10-K for the fiscal year ended December 31, 2017, 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 Tuesday, May 8, 2018, at 11:00 a.m. ET to discuss its first quarter results. To participate on the conference call, please call before 11:00 a.m. ET to either (877) 524-8416 (Toll-Free) or (412) 902-1028 (Toll). A replay of the conference call will be available through June 8, 2018 by dialing (877) 660-6853 (Toll-Free) or (201) 612-7415 (Toll) and entering conference ID #13679111.

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 provision for income taxes, net interest expense and depreciation and amortization, excluding certain items; (2) adjusted net income attributable to Amedisys, Inc., defined as net income attributable to Amedisys, Inc. excluding certain items; and (3) adjusted net income attributable to Amedisys, Inc. per diluted share, defined as net income attributable to Amedisys, Inc. common stockholders per diluted share excluding certain items. Management believes that these non-GAAP financial measures, when reviewed in conjunction with GAAP financial measures, are useful gauges of our current performance and are also included in internal management reporting. These non-GAAP financial measures should be considered in addition to, and not more meaningful than or as an alternative to the GAAP financial measures presented in this earnings release and the company’s financial statements. Non-GAAP measures as presented herein may not be comparable to similarly titled measures reported by other companies since not all companies calculate these non-GAAP measures consistently.

Additional information

Amedisys, Inc. (the “Company”) is a leading healthcare at home Company delivering personalized home health, hospice and personal care. Amedisys is focused on delivering the care that is best for our patients, whether that is home-based personal care; recovery and rehabilitation after an operation or injury; care focused on empowering them to manage a chronic disease; or hospice care at the end of life. We partner with 3,000 hospitals and 59,000 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 17,900 employees, in 420 care centers in 34 states and the District of Columbia, Amedisys is dedicated to delivering the highest quality of care to the doorsteps of more than 369,000 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,” “plans,” “anticipates,” “intends,” “projects,” “estimates,” “may,” “might,” “would,” “should” and similar expressions are intended to identify forward-looking statements as defined by the Private Securities Litigation Reform Act of 1995. These forward-looking statements involve a variety of risks and uncertainties that could cause actual results to differ materially from those described therein. These risks and uncertainties include, but are not limited to the following: changes in Medicare and other medical payment levels, our ability to open care centers, acquire additional care centers and integrate and operate these care centers effectively, changes in or our failure to comply with existing federal and state laws or regulations or the inability to comply with new government regulations on a timely basis, competition in the healthcare industry, our ability to integrate our personal care segment into our business efficiently, changes in the case mix of patients and payment methodologies, changes in estimates and judgments associated with critical accounting policies, our ability to maintain or establish new patient referral sources, our ability to attract and retain qualified personnel, changes in payments and covered services by federal and state governments, future cost containment initiatives undertaken by third-party payors, our access to financing, our ability to meet debt service requirements and comply with covenants in debt agreements, business disruptions due to natural disasters or acts of terrorism, our ability to integrate, manage and keep our information systems secure, our ability to comply with requirements stipulated in our corporate integrity agreement and changes in law or developments with respect to any litigation relating to the Company, including various other matters, many of which are beyond our control.

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

       
       
Contact:  Investor Contact: Media Contact:  
  Amedisys, Inc. Amedisys, Inc.  
  David Castille Kendra Kimmons  
  Managing Director, Treasury/Finance Vice President, Marketing & Communications  
  (855) 259-2046 (225) 299-3720  
  IR@amedisys.com kendra.kimmons@amedisys.com  


 
AMEDISYS, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENT OF OPERATIONS
(Amounts in thousands, except per share data)
(Unaudited)
     
  For the Three Month Period Ended March 31,  
  2018   2017  
Net service revenue $   399,262     $   364,661  
Cost of service, excluding depreciation and amortization     238,309         216,329  
General and administrative expenses:    
Salaries and benefits     75,631         74,459  
Non-cash compensation     4,044         3,874  
Other     41,680         40,417  
Depreciation and amortization     3,593         4,417  
Operating expenses     363,257         339,496  
Operating income     36,005         25,165  
Other income (expense):    
Interest income     120         19  
Interest expense     (1,703 )       (1,068 )
Equity in earnings (loss) from equity method investments     1,860         (106 )
Miscellaneous, net     601         1,112  
Total other income (expense), net     878         (43 )
Income before income taxes     36,883         25,122  
Income tax expense     (9,563 )       (9,923 )
Net income     27,320         15,199  
Net income attributable to noncontrolling interests     (161 )       (69 )
Net income attributable to Amedisys, Inc. $   27,159     $   15,130  
Basic earnings per common share:          
Net income attributable to Amedisys, Inc. common stockholders $   0.80     $   0.45  
Weighted average shares outstanding     33,971         33,443  
Diluted earnings per common share:    
Net income attributable to Amedisys, Inc. common stockholders $   0.79     $   0.44  
Weighted average shares outstanding     34,592         34,073  
               


 
AMEDISYS, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEET
(Amounts in thousands, except share data)
     
  March 31, 2018 
  December 31, 2017
  (Unaudited)
   
ASSETS    
Current assets:    
Cash and cash equivalents $ 120,005     $   86,363  
Patient accounts receivable, net   192,936          201,196  
Prepaid expenses   12,430          7,329  
Other current assets   18,148       16,268  
Total current assets   343,519                      311,156  
Property and equipment, net of accumulated depreciation of $130,877 and $146,814    28,213       31,122  
Goodwill   322,199          319,949  
Intangible assets, net of accumulated amortization of $31,288 and $30,610   45,382       46,061  
Deferred income taxes   53,119             56,064  
Other assets, net    49,856       49,130  
Total assets $ 842,288     $   813,482  
LIABILITIES AND EQUITY          
Current liabilities:    
Accounts payable $         22,966     $   25,384  
Payroll and employee benefits           88,585       89,936  
Accrued expenses   88,842                   89,104  
Current portion of long-term obligations   10,417            10,638  
Total current liabilities   210,810          215,062  
Long-term obligations, less current portion    75,782                     78,203  
Other long-term obligations      6,138                 3,791  
Total liabilities   292,730       297,056  
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; 35,861,469 and 35,747,134 shares issued; and 34,056,627 and 33,964,767 shares outstanding    35               35  
Additional paid-in capital   575,926       568,780  
Treasury stock at cost, 1,804,842 and 1,782,367 shares of common stock   (55,019 )         (53,713 )
Accumulated other comprehensive income        15            15  
Retained earnings   27,363                   204  
Total Amedisys, Inc. stockholders’ equity   548,320       515,321  
Noncontrolling interests   1,238                         1,105  
Total equity   549,558       516,426  
Total liabilities and equity $ 842,288     $   813,482  
           


 
AMEDISYS, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS AND DAYS REVENUE OUTSTANDING, NET
(Amounts in thousands, except statistical information)
(Unaudited)
     
  For the Three Month Period Ended March 31, 
   2018      2017  
Cash Flows from Operating Activities:              
Net income $   27,320     $   15,199  
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization     3,593         4,417  
Non-cash compensation     4,044         3,874  
401(k) employer match     2,567         2,227  
Loss (gain) on disposal of property and equipment     563         (16 )
Deferred income taxes     2,945         9,445  
Equity in (earnings) loss from equity method investments     (1,860 )       106  
Amortization of deferred debt issuance costs     178         185  
Return on equity investment     625         150  
Changes in operating assets and liabilities, net of impact of acquisitions:    
Patient accounts receivable     8,260         (6,152 )
Other current assets     (6,982 )       (3,403 )
Other assets     46         (990 )
Accounts payable     (1,523 )       93  
Accrued expenses     (1,807 )       1,386  
Other long-term obligations     2,348         576  
Net cash provided by operating activities     40,317         27,097  
Cash Flows from Investing Activities:    
Proceeds from sale of deferred compensation plan assets     462         565  
Proceeds from the sale of property and equipment     5         —   
Purchase of investment     —          (256 )
Purchases of property and equipment     (1,462 )       (4,385 )
Acquisitions of businesses, net of cash acquired     (2,250 )       (4,099 )
Net cash used in investing activities     (3,245 )       (8,175 )
Cash Flows from Financing Activities:    
Proceeds from issuance of stock upon exercise of stock options and warrants     125         653  
Proceeds from issuance of stock to employee stock purchase plan     597         612  
Shares withheld upon stock vesting     (1,305 )       (758 )
Non-controlling interest distribution     (28 )       (42 )
Principal payments of long-term obligations     (2,819 )       (1,250 )
Net cash used in financing activities     (3,430 )       (785 )
Net increase in cash and cash equivalents     33,642         18,137  
Cash and cash equivalents at beginning of period     86,363         30,197  
Cash and cash equivalents at end of period $   120,005     $   48,334  
Supplemental Disclosures of Cash Flow Information:              
Cash paid for interest $   1,065     $   706  
Cash paid for income taxes, net of refunds received $   2,813     $   284  
Days revenue outstanding, net (1)     41.4         40.5  

(1)      Our calculation of days revenue outstanding, net at March 31, 2018 and 2017 is derived by dividing our ending net patient accounts receivable by our average daily net patient revenue for the three month period ended March 31, 2018 and 2017, respectively.

 
AMEDISYS, INC. AND SUBSIDIARIES
SEGMENT INFORMATION
(Amounts in millions, except statistical information)
(Unaudited)
 
Segment Information - Home Health
     
  For the Three Month Period Ended March 31, 
   2018      2017  
Financial Information (in millions):              
Medicare $   205.0     $   198.7  
Non-Medicare     79.1         68.9  
Net service revenue     284.1         267.6  
Cost of service     174.4         163.0  
Gross margin     109.7         104.6  
Other operating expenses     68.8         68.9  
Operating income $   40.9     $   35.7  
Same Store Growth (1):          
Medicare revenue     5 %       (3 %)
Non-Medicare revenue     14 %       11 %
Total admissions     4 %       2 %
Total volume (2)     7 %       1 %
Total Episodic admissions (3)     3 %       3 %
Total Episodic volume (4)     6 %       2 %
Key Statistical Data - Total (5):    
Medicare:    
Admissions     49,455         49,628  
Recertifications     27,236         25,043  
Total volume     76,691         74,671  
Completed episodes     72,836         71,864  
Visits     1,314,126         1,263,098  
Average revenue per completed episode (6) $   2,792     $   2,782  
Visits per completed episode (7)     17.2         16.9  
Non-Medicare:    
Admissions     29,889         27,333  
Recertifications     12,432         10,224  
Total volume     42,321         37,557  
Visits     660,933         555,548  
Total (5):    
Visiting Clinician Cost per Visit $   80.34     $   81.08  
Clinical Manager Cost per Visit $   7.99     $   8.53  
Total Cost per Visit $   88.33     $   89.61  
Visits     1,975,059         1,818,646  

(1)      Same store information represents the percent increase (decrease) in our Medicare, Non-Medicare, Total and Episodic revenue, admissions or volume for the period as a percent of the Medicare, Non-Medicare, Total and Episodic, admissions or volume of the prior period.
(2)      Total volume includes all admissions and recertifications.
(3)      Total Episodic admissions include admissions for Medicare and Non-Medicare payors that bill on a 60-day episode of care basis.
(4)      Total Episodic volume includes admissions and recertifications for Medicare and Non-Medicare payors that bill on a 60-day episode of care basis.
(5)      Total includes acquisitions.
(6)      Average Medicare revenue per completed episode is the average Medicare revenue earned for each Medicare completed episode of care.
(7)      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.

 
Segment Information - Hospice
     
  For the Three Month Period Ended March 31, 
   2018      2017  
Financial Information (in millions):          
Medicare $   91.8     $   80.7  
Non-Medicare     5.5         2.9  
Net service revenue     97.3         83.6  
Cost of service     50.1         42.9  
Gross margin     47.2         40.7  
Other operating expenses     20.2         18.3  
Operating income $   27.0     $   22.4  
Same Store Growth (1):          
Medicare revenue     12 %       17 %
Non-Medicare revenue   84 %       (23 %)
Hospice admissions     5 %       20 %
Average daily census     12 %       16 %
Key Statistical Data - Total (2):    
Hospice admissions     6,933         6,505  
Average daily census     7,214         6,365  
Revenue per day, net $   149.80     $   145.99  
Cost of service per day $   77.17     $   75.03  
Average discharge length of stay     97         92  

(1)      Same store information represents the percent increase (decrease) in our Medicare and Non-Medicare revenue, Hospice admissions or average daily census for the period as a percent of the Medicare and Non-Medicare revenue, Hospice admissions or average daily census of the prior period.
(2)      Total includes acquisitions.

 
Segment Information - Personal Care
     
  For the Three Month Period Ended March 31,  
   2018      2017  
Financial Information (in millions):        
Medicare $   —    $   —   
Non-Medicare     17.9       13.5  
Net service revenue     17.9       13.5  
Cost of service     13.8       10.4  
Gross margin     4.1       3.1  
Other operating expenses     3.3       3.3  
Operating income (loss) $   0.8   $   (0.2 )
Key Statistical Data:        
Billable hours     749,953       588,216  
Clients served     12,536       8,543  
Shifts     348,166       265,117  
Revenue per hour     23.85       22.97  
Revenue per shift     51.36       50.95  
Hours per shift     2.2       2.2  


 
Segment Information - Corporate
     
  For the Three Month Period Ended March 31,  
   2018      2017  
Financial Information (in millions):          
Other operating expenses $ 30.2   $   29.5
Depreciation and amortization     2.5       3.2
Total operating expenses $  32.7   $   32.7
         


 
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”):
     
  For the Three Month Period Ended March 31,  
   2018      2017  
Net income attributable to Amedisys, Inc $   27,159     $   15,130
Add:    
Income tax expense     9,563         9,923
Interest expense, net     1,583         1,049
Depreciation and amortization     3,593         4,417
Certain items (1)     188         1,466
Interest component of certain items (1)     (383 )       — 
Adjusted EBITDA (2) (5) $   41,703     $   31,985
           


Adjusted Net Income Attributable to Amedisys, Inc. Reconciliation:
     
  For the Three Month Period Ended March 31,  
   2018      2017  
Net income attributable to Amedisys, Inc. $   27,159   $   15,130
Add:        
Certain items (1)     139       887
Adjusted net income attributable to Amedisys, Inc. (3) (5) $   27,298   $   16,017
         


Adjusted Net Income Attributable to Amedisys, Inc. per Diluted Share:
     
  For the Three Month Period Ended March 31, 
   2018      2017  
Net income attributable to Amedisys, Inc. common stockholders per diluted share $   0.79   $   0.44
Add:    
Certain items (1)     —        0.03
Adjusted net income attributable to Amedisys, Inc. common stockholders per diluted share (4) (5) $   0.79   $   0.47
         

(1)      The following details the certain items for the three month periods ended March 31, 2018 and 2017:

Certain Items:
     
  For the Three Month Period
Ended March 31, 2018

  For the Three Month Period
Ended March 31, 2017
 
  (Income) Expense
  (Income) Expense  
Certain Items Impacting Operating Expenses:          
Acquisition costs $   435     $   682  
Legal fees - non-routine     562         123  
Data center relocation     —          714  
Certain Items Impacting Total Other Income (Expense):    
Legal settlements     —          (674 )
Miscellaneous, other (income) expense, net     (809 )       621  
Total $   188     $   1,466  
Net of tax $   139     $   887  
Diluted EPS $   —      $   0.03  
           

(2)      Adjusted EBITDA is defined as net income attributable to Amedisys, Inc. before provision for income taxes, net interest expense and depreciation and amortization, excluding certain items as described in footnote 1.
(3)      Adjusted net 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.
(4)      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.
(5)      Adjusted EBITDA, 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 measure 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.

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