Records U.S. Department of Justice Settlement Charge
To Host Conference Call Today at 10:00 A.M. ET
BATON ROUGE, La.--(BUSINESS WIRE)--
Amedisys, Inc. (NASDAQ:AMED), a leading home health and hospice company,
today reported its financial results for the third quarter ended
September 30, 2013.
U.S. Department of Justice Settlement Charge
During the third quarter of 2013, we recorded an accrual of $150 million
related to the tentative settlement of both the U.S. Department of
Justice investigation and the Stark Law Self-Referral matter (the “U.S.
Department of Justice settlement”). We have agreed to this tentative
settlement without any admission of wrongdoing in order to resolve these
matters and to avoid the uncertainty and expense of protracted
litigation. In connection with the tentative settlement, we expect to
enter into a corporate integrity agreement with the Office of the
Inspector General – HHS.
On November 11, 2013, we entered into a second amendment to our Credit
Agreement dated as of October 26, 2012, amending certain covenants,
representations and other provisions to, among other things, allow for
the U.S. Department of Justice settlement. In connection with entering
into the second amendment, we repaid the $20 million outstanding
principal amount of our Series B Senior Notes due March 25, 2014.
Three-Month Periods Ended September 30, 2013 and
2012
-
After adding back for the 2013 period $145.0 million ($90.2 million,
net of tax) or $2.86 per diluted share for the U.S. Department of
Justice settlement, proceeds from our D&O insurance and certain other
items* and deducting for the 2012 period $1.4 million ($1.8 million,
net of income tax) or $0.06 per diluted share for certain other
items*, our adjusted results were as follows:
-
Net service revenue of $301.6 million compared to $364.3 million
in 2012.
-
Net (loss) income from continuing operations attributable to
Amedisys, Inc., of $(0.2) million compared to $8.5 million in
2012. (Net (loss) income from continuing operations of $(90.4)
million compared to $10.4 million in 2012 on a GAAP basis.)
-
Net (loss) income from continuing operations attributable to
Amedisys, Inc. per diluted share of $(0.01) compared to $0.28 per
diluted share in 2012. (Net (loss) income from continuing
operations attributable to Amedisys, Inc. per diluted share of
$(2.87) compared to $0.34 per diluted share in 2012 on a GAAP
basis.)
-
Earnings before interest, taxes, depreciation and amortization
attributable to continuing operations (“EBITDA”) of $8.7 million
compared to $26.4 million in 2012.
Nine-Month Periods Ended September 30, 2013 and
2012
-
After adding back for the 2013 period $152.1 million ($94.6 million,
net of tax) or $3.04 per diluted share for the U.S. Department of
Justice settlement, proceeds from our D&O insurance and certain other
items* and after adding back for the 2012 period $3.7 million ($1.2
million, net of income tax) or $0.04 per diluted share for certain
other items*, our adjusted results were as follows:
-
Net service revenue of $947.1 million compared to $1.1 billion in
2012.
-
Net income from continuing operations attributable to Amedisys,
Inc., of $10.1 million compared to $26.8 million in 2012. (Net
(loss) income from continuing operations of $(84.5) million
compared to $25.7 million in 2012 on a GAAP basis.)
-
Net income from continuing operations attributable to Amedisys,
Inc. per diluted share of $0.32 compared to $0.89 per diluted
share in 2012. (Net (loss) income from continuing operations
attributable to Amedisys, Inc. per diluted share of $(2.72)
compared to $0.85 per diluted share in 2012 on a GAAP basis.)
-
EBITDA of $46.5 million compared to $81.5 million
* See page 10 & 11 for explanation of these certain items and the
reconciliations of non-GAAP financial measures
William F. Borne, Chief Executive Officer, stated, “Adjusting for the
accrual related to our U.S. Department of Justice settlement, and for
other certain items disclosed in more detail elsewhere in this earnings
release, we reported results for the quarter that were below
expectations. We ended the quarter with an adjusted loss from continuing
operations of 1 cent per diluted share which caused us to lower our
guidance for the year. Consistent with previous communications, these
adjusted numbers do not include legal costs associated with the U.S.
Department of Justice and other matters. Results were impacted by soft
volume in both our home health and hospice business units and higher
costs, primarily in our home health cost of revenue line.
Updated 2013 Guidance
-
Net service revenue is anticipated to be in the range of $1.240
billion to $1.250 billion.
-
Diluted earnings per share is expected to be in the range of $0.20 to
$0.25 based on an estimated 31.7 million shares outstanding.
This guidance excludes the accrual related to our U.S. Department of
Justice settlement, and other certain items disclosed in more detail
elsewhere in this earnings release. However, our guidance includes an
estimate of legal costs associated with our on-going legal matters.
We urge caution in considering the current trends and 2013 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, 2012, 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.
We disclaim any obligations to update disclosed information on trends.
Earnings Call and Webcast Information
To participate in the conference call, please call a few minutes before
10:00 a.m. ET on Tuesday, November 12, 2013, to either (877) 512-9171
(Toll free) or (815) 573-0979 (Toll), use conference ID #93623188. A
replay of the conference call will be available through November 19,
2013. The replay dial in number is (855) 859-2056 (Toll free) or
(404) 537-3406 (Toll), use conference ID #93623188.
The call will also be available through our website and for seven days
thereafter at the following web address: http://investors.amedisys.com.
We are headquartered in Baton Rouge, Louisiana. Our common stock trades
on the NASDAQ Global Select Market under the symbol “AMED.”
Additional information
Our company website address is www.amedisys.com.
We use our website as a channel of distribution for important company
information. Important information, including press releases, analyst
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. We also use our website to
expedite public access to time-critical information regarding our
company in advance of or in lieu of distributing a press release or a
filing with the SEC disclosing the same information. Therefore,
investors should look to the Investor Relations subpage of our website
for important and time-critical information. 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, our ability to divest care
centers currently held for sale, 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 home health 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 attract and retain
qualified personnel, changes in payments and covered services due to the
economic downturn and deficit spending by Federal and State governments,
future cost containment initiatives undertaken by third-party payors,
our access to financing due to the volatility and disruption of the
capital and credit markets, 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 and manage our information systems, our ability to agree on
the terms of a settlement to resolve both the U.S. Department of Justice
investigation and the Stark Law Self-Referral matter or fund required
settlement payments in the manner currently contemplated and changes in
law or developments with respect to any litigation or investigations
relating to the Company, including the SEC investigation, the OIG
Self-Disclosure issues and 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.
Non-GAAP Financial Measures
This press release includes the following non-GAAP financial measures as
defined under SEC rules: EBITDA, defined as net (loss) income from
continuing operations attributable to Amedisys, Inc. before provision
for income taxes, net interest expense and depreciation and
amortization, adjusted EBITDA, defined as EBITDA excluding the accrual
for the U.S. Department of Justice settlement, proceeds from our D&O
insurance and certain other items*, adjusted net income from continuing
operations attributable to Amedisys, Inc., defined as net (loss) income
from continuing operations attributable to Amedisys, Inc. excluding the
accrual for the U.S. Department of Justice settlement, proceeds from our
D&O insurance and certain other items*, and adjusted net income from
continuing operations attributable to Amedisys, Inc. per diluted share,
defined as net (loss) income from continuing operations attributable to
Amedisys, Inc. common stockholders per diluted share excluding the
accrual for the U.S. Department of Justice settlement, proceeds from our
D&O insurance and certain other items*. In accordance with SEC rules, we
have provided herein a reconciliation of these non-GAAP financial
measures to the most directly comparable measures under GAAP. Management
believes that these are useful gauges of our performance and are common
measures used in our industry to assess relative financial performance
among companies.
|
| | | |
| | | |
| | | | | | | |
|
| AMEDISYS, INC. AND SUBSIDIARIES |
| SELECT CONSOLIDATED FINANCIAL STATEMENT DATA AND SUPPLEMENTAL
INFORMATION |
| (Amounts in thousands, except share, per share data and
statistical information) |
| (Unaudited) |
| | | | | | | |
|
| Balance Sheet Information |
| | | | | | | |
|
| | September 30, 2013 | | December 31, 2012 |
| ASSETS | | | | | | | | |
|
Current assets:
| | | | | | | | |
|
Cash and cash equivalents
| |
$
|
43,626
| | |
$
|
14,545
| |
|
Patient accounts receivable, net of allowance for doubtful accounts
of $15,601 and $20,994 | | |
111,149
| | | |
169,172
| |
|
Prepaid expenses
| | |
11,460
| | | |
10,631
| |
|
Deferred income taxes
| | |
57,008
| | | |
—
| |
|
Other current assets
| | |
9,819
| | | |
11,440
| |
|
Assets held for sale
| |
|
1,348
|
| |
|
—
|
|
| | | | | | | |
|
|
Total current assets
| | |
234,410
| | | |
205,788
| |
|
Property and equipment, net of accumulated depreciation of $125,392,
and $113,154 | | |
160,077
| | | |
156,709
| |
|
Goodwill
| | |
208,126
| | | |
209,594
| |
|
Intangible assets, net of accumulated amortization of $24,926 and
$23,457 | | |
42,332
| | | |
47,050
| |
|
Deferred tax asset
| | |
83,123
| | | |
92,804
| |
|
Other assets, net
| |
|
26,501
|
| |
|
18,650
|
|
| | | | | | | |
|
|
Total assets
| |
$
|
754,569
|
| |
$
|
730,595
|
|
| | | | | | | |
|
| LIABILITIES AND EQUITY | | | | | | | | |
|
Current Liabilities:
| | | | | | | | |
|
Accounts payable
| |
$
|
24,362
| | |
$
|
29,175
| |
|
Accrued charge related to U.S. Department of Justice settlement
| | |
150,000
| | | |
—
| |
|
Payroll and employee benefits
| | |
68,923
| | | |
79,341
| |
|
Accrued expenses
| | |
54,340
| | | |
54,855
| |
|
Current portion of long-term obligations
| | |
34,855
| | | |
35,807
| |
|
Current portion of deferred income taxes
| |
|
—
|
| |
|
5,609
|
|
| | | | | | | |
|
|
Total current liabilities
| | |
332,480
| | | |
204,787
| |
|
Long-term obligations, less current portion
| | |
36,000
| | | |
66,904
| |
|
Other long-term obligations
| |
|
8,297
|
| |
|
4,671
|
|
| | | | | | | |
|
|
Total liabilities
| |
|
376,777
|
| |
|
276,362
|
|
| | | | | | | |
|
|
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;
33,278,397 and 31,876,508 share issued; and 32,409,474 and
31,086,619 share outstanding
| | |
33
| | | |
32
| |
|
Additional paid-in capital
| | |
462,962
| | | |
450,792
| |
|
Treasury stock at cost, 868,923 and 789,889 shares of common stock
| | |
(18,080
|
)
| | |
(17,116
|
)
|
|
Accumulated other comprehensive income
| | |
15
| | | |
15
| |
|
Retained earnings
| |
|
(67,932
|
)
| |
|
18,617
|
|
| | | | | | | |
|
|
Total Amedisys, Inc. stockholders’ equity
| | |
376,998
| | | |
452,340
| |
|
Noncontrolling interests
| |
|
794
|
| |
|
1,893
|
|
| | | | | | | |
|
|
Total equity
| |
|
377,792
|
| |
|
454,233
|
|
| | | | | | | |
|
|
Total liabilities and equity
| |
$
|
754,569
|
| |
$
|
730,595
|
|
| | | | | | | |
|
|
| | | |
| | | |
| | | |
| | | |
| | | | | | | | | | | | | | | |
|
Statement of Operations Information | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | |
|
| | For the Three-Month Periods Ended September 30, | | For the Nine-Month Periods Ended September 30, |
| | 2013 | | 2012 | | 2013 | | 2012 |
|
Net service revenue
| |
$
|
301,639
| | |
$
|
364,343
| | |
$
|
947,165
| | |
$
|
1,090,673
| |
|
Cost of service, excluding depreciation and amortization
| | |
175,483
| | | |
206,970
| | | |
539,582
| | | |
612,929
| |
|
General and administrative expenses:
| | | | | | | | | | | | | | | | |
|
Salaries and benefits
| | |
73,993
| | | |
78,711
| | | |
229,123
| | | |
246,155
| |
|
Non-cash compensation
| | |
1,653
| | | |
1,284
| | | |
4,933
| | | |
6,065
| |
|
Other
| | |
40,360
| | | |
46,760
| | | |
123,734
| | | |
135,564
| |
|
Provision for doubtful accounts
| | |
3,971
| | | |
5,487
| | | |
12,531
| | | |
15,788
| |
|
Depreciation and amortization
| | |
10,471
| | | |
9,771
| | | |
32,152
| | | |
29,375
| |
| U.S. Department of Justice settlement
| |
|
150,000
|
| |
|
—
|
| |
|
150,000
|
| |
|
—
|
|
| | | | | | | | | | | | | | | |
|
|
Operating expenses
| |
|
455,931
|
| |
|
348,983
|
| |
|
1,092,055
|
| |
|
1,045,876
|
|
| | | | | | | | | | | | | | | |
|
|
Operating (loss) income
| | |
(154,292
|
)
| | |
15,360
| | | |
(144,890
|
)
| | |
44,797
| |
|
Other income (expense):
| | | | | | | | | | | | | | | | |
|
Interest income
| | |
18
| | | |
10
| | | |
40
| | | |
52
| |
|
Interest expense
| | |
(687
|
)
| | |
(1,982
|
)
| | |
(2,523
|
)
| | |
(6,058
|
)
|
|
Equity in earnings from equity investments
| | |
354
| | | |
390
| | | |
1,054
| | | |
1,091
| |
|
Gain on sale of care centers
| | |
1,451
| | | |
—
| | | |
1,808
| | | |
—
| |
|
Miscellaneous, net
| |
|
5,102
|
| |
|
(9
|
)
| |
|
5,296
|
| |
|
298
|
|
| | | | | | | | | | | | | | | |
|
|
Total other income (expense), net
| |
|
6,238
|
| |
|
(1,591
|
)
| |
|
5,675
|
| |
|
(4,617
|
)
|
| | | | | | | | | | | | | | | |
|
|
(Loss) income before income taxes
| | |
(148,054
|
)
| | |
13,769
| | | |
(139,215
|
)
| | |
40,180
| |
|
Income tax benefit (expense)
| |
|
56,962
|
| |
|
(3,332
|
)
| |
|
53,454
|
| |
|
(14,296
|
)
|
| | | | | | | | | | | | | | | |
|
|
(Loss) income from continuing operations
| | |
(91,092
|
)
| | |
10,437
| | | |
(85,761
|
)
| | |
25,884
| |
|
Discontinued operations, net of tax
| |
|
(686
|
)
| |
|
(442
|
)
| |
|
(2,036
|
)
| |
|
(2,460
|
)
|
| | | | | | | | | | | | | | | |
|
|
Net (loss) income
| | |
(91,778
|
)
| | |
9,995
| | | |
(87,797
|
)
| | |
23,424
| |
|
Net loss (income) attributable to noncontrolling interests
| |
|
709
|
| |
|
(73
|
)
| |
|
1,248
|
| |
|
(200
|
)
|
| | | | | | | | | | | | | | | |
|
|
Net (loss) income attributable to Amedisys, Inc. | |
$
|
(91,069
|
)
| |
$
|
9,922
|
| |
$
|
(86,549
|
)
| |
$
|
23,224
|
|
| | | | | | | | | | | | | | | |
|
|
Basic earnings per common share:
| | | | | | | | | | | | | | | | |
|
(Loss) income from continuing operations attributable to Amedisys,
Inc. common stockholders
| |
$
|
(2.87
|
)
| |
$
|
0.34
| | |
$
|
(2.72
|
)
| |
$
|
0.86
| |
|
Discontinued operations, net of tax
| |
|
(0.02
|
)
| |
|
(0.01
|
)
| |
|
(0.06
|
)
| |
|
(0.08
|
)
|
| | | | | | | | | | | | | | | |
|
|
Net (loss) income attributable to Amedisys, Inc. common stockholders
| |
$
|
(2.89
|
)
| |
$
|
0.33
|
| |
$
|
(2.78
|
)
| |
$
|
0.78
|
|
| | | | | | | | | | | | | | | |
|
|
Weighted average shares outstanding
| |
|
31,505
|
| |
|
30,055
|
| |
|
31,102
|
| |
|
29,741
|
|
| | | | | | | | | | | | | | | |
|
|
Diluted earnings per common share:
| | | | | | | | | | | | | | | | |
|
(Loss) income from continuing operations attributable to Amedisys,
Inc. common stockholders
| |
$
|
(2.87
|
)
| |
$
|
0.34
| | |
$
|
(2.72
|
)
| |
$
|
0.85
| |
|
Discontinued operations, net of tax
| |
|
(0.02
|
)
| |
|
(0.01
|
)
| |
|
(0.06
|
)
| |
|
(0.08
|
)
|
| | | | | | | | | | | | | | | |
|
|
Net (loss) income attributable to Amedisys, Inc. common stockholders
| |
$
|
(2.89
|
)
| |
$
|
0.33
|
| |
$
|
(2.78
|
)
| |
$
|
0.77
|
|
| | | | | | | | | | | | | | | |
|
|
Weighted average shares outstanding
| |
|
31,505
|
| |
|
30,423
|
| |
|
31,102
|
| |
|
30,068
|
|
| | | | | | | | | | | | | | | |
|
|
Amounts attributable to Amedisys, Inc. common stockholders:
| | | | | | | | | | | | | | | | |
|
(Loss) income from continuing operations
| |
$
|
(90,383
|
)
| |
$
|
10,364
| | |
$
|
(84,513
|
)
| |
$
|
25,684
| |
|
Discontinued operations, net of tax
| |
|
(686
|
)
| |
|
(442
|
)
| |
|
(2,036
|
)
| |
|
(2,460
|
)
|
| | | | | | | | | | | | | | | |
|
|
Net (loss) income
| |
$
|
(91,069
|
)
| |
$
|
9,922
|
| |
$
|
(86,549
|
)
| |
$
|
23,224
|
|
| | | | | | | | | | | | | | | |
|
|
| | | |
| | | |
| | | |
| | | |
| | | | | | | | | | | | | | | |
|
Cash Flow and Days Revenue Outstanding, Net Information |
| | | | | | | | | | | | | | | |
|
| | For the Three- Month Periods ended September
30, | | For the Nine- Month Periods ended September
30, |
| | 2013 | | 2012 | | 2013 | | 2012 |
|
Net cash provided by operating activities
| |
$
|
27,885
| | |
$
|
21,761
| | |
$
|
93,862
| | |
$
|
53,866
| |
|
Net cash used in investing activities
| | |
(11,241
|
)
| | |
(12,318
|
)
| | |
(35,456
|
)
| | |
(40,249
|
)
|
|
Net cash used in financing activities
| |
|
(3,136
|
)
| |
|
(7,495
|
)
| |
|
(29,325
|
)
| |
|
(22,515
|
)
|
| | | | | | | | | | | | | | | |
|
|
Net increase (decrease) in cash and cash equivalents
| | |
13,508
| | | |
1,948
| | | |
29,081
| | | |
(8,898
|
)
|
|
Cash and cash equivalents at beginning of period
| |
|
30,118
|
| |
|
37,158
|
| |
|
14,545
|
| |
|
48,004
|
|
| | | | | | | | | | | | | | | |
|
|
Cash and cash equivalents at end of period
| |
$
|
43,626
|
| |
$
|
39,106
|
| |
$
|
43,626
|
| |
$
|
39,106
|
|
| | | | | | | | | | | | | | | |
|
|
Days revenue outstanding, net(1)
| | |
32.0
| | | |
38.7
| | | |
32.0
| | | |
38.7
| |
| | | | | | | | | | | | | | | |
|
(1) Our calculation of days revenue outstanding, net at
September 30, 2013 and 2012 is derived by dividing our ending
patient accounts receivable (i.e., net of estimated revenue
adjustments and allowance for doubtful accounts) by our average
daily net patient revenue for the three month-period ended
September 30, 2013 and 2012, respectively.
|
| | | | | | | | | | | | | | | |
|
|
| | | |
| | | |
| | | |
| | | |
| | | | | | | | | | | | | | | |
|
Supplemental Information - Home Health |
| | | | | | | | | | | | | | | |
|
| | For the Three-Month Periods Ended | | For the Nine-Month Period Ended |
| | March 31, 2013 | | June 30, 2013 | | September 30, 2013 | | September 30, 2013 |
| Financial Information (in millions): | | | | | | | | | | | | | | | | |
| Medicare | |
$
|
213.0
| | |
$
|
204.9
| | |
$
|
193.7
| | |
$
|
611.6
| |
|
Non-Medicare | |
|
49.6
|
| |
|
46.0
|
| |
|
43.4
|
| |
|
139.0
|
|
| | | | | | | | | | | | | | | |
|
|
Net service revenue
| | |
262.6
| | | |
250.9
| | | |
237.1
| | | |
750.6
| |
|
Cost of service
| |
|
150.8
|
| |
|
143.6
|
| |
|
140.9
|
| |
|
435.3
|
|
| | | | | | | | | | | | | | | |
|
|
Gross margin
| | |
111.8
| | | |
107.3
| | | |
96.2
| | | |
315.3
| |
|
Other operating expenses
| |
|
85.0
|
| |
|
81.8
|
| |
|
79.7
|
| |
|
246.5
|
|
| | | | | | | | | | | | | | | |
|
|
Operating income
| |
$
|
26.8
|
| |
$
|
25.5
|
| |
$
|
16.5
|
| |
$
|
68.8
|
|
| | | | | | | | | | | | | | | |
|
| Key Statistical Data: | | | | | | | | | | | | | | | | |
| Medicare: | | | | | | | | | | | | | | | | |
| Same Store Volume (1) | | | | | | | | | | | | | | | | |
|
Revenue
| | |
(8
|
%)
| | |
(10
|
%)
| | |
(12
|
%)
| | |
(10
|
%)
|
|
Admissions
| | |
3
|
%
| | |
0
|
%
| | |
(2
|
%)
| | |
0
|
%
|
|
Recertifications
| | |
(17
|
%)
| | |
(18
|
%)
| | |
(21
|
%)
| | |
(19
|
%)
|
| Total (2): | | | | | | | | | | | | | | | | |
|
Admissions
| | |
50,117
| | | |
47,825
| | | |
45,481
| | | |
143,423
| |
|
Recertifications
| | |
28,723
| | | |
27,534
| | | |
26,150
| | | |
82,407
| |
|
Completed Episodes
| | |
76,019
| | | |
75,594
| | | |
70,498
| | | |
222,111
| |
|
Visits
| | |
1,373,446
| | | |
1,325,248
| | | |
1,254,903
| | | |
3,953,597
| |
Average revenue per completed episode (3)
| |
$
|
2,778
| | |
$
|
2,831
| | |
$
|
2,822
| | |
$
|
2,810
| |
|
Visits per completed episode (4)
| | |
17.5
| | | |
17.7
| | | |
17.3
| | | |
17.5
| |
| Non-Medicare(2): | | | | | | | | | | | | | | | | |
|
Admissions
| | |
21,675
| | | |
18,283
| | | |
17,884
| | | |
57,842
| |
|
Recertifications
| | |
8,223
| | | |
7,555
| | | |
7,279
| | | |
23,057
| |
|
Visits
| | |
423,903
| | | |
381,770
| | | |
359,822
| | | |
1,165,495
| |
| Total(2): | | | | | | | | | | | | | | | | |
|
Cost per Visit
| |
$
|
83.89
| | |
$
|
84.11
| | |
$
|
87.33
| | |
$
|
85.05
| |
|
Visits
| | |
1,797,349
| | | |
1,707,018
| | | |
1,614,725
| | | |
5,119,092
| |
| | | | | | | | | | | | | | | |
|
|
| |
| |
| | | |
|
| | For the Three-Month Periods Ended | | For the Year Ended |
| | March 31, 2012 |
| June 30, 2012 |
| September 30, 2012 |
| December 30, 2012 | | December 31, 2012 |
| Financial Information (in millions): | | | | | | | | | | | | | | | | | | | | |
| Medicare | |
$
|
233.4
| | |
$
|
231.7
| | |
$
|
227.2
| | |
$
|
224.3
| | |
$
|
916.6
| |
|
Non-Medicare | |
|
57.0
|
| |
|
61.6
|
| |
|
63.0
|
| |
|
55.8
|
| |
|
237.4
|
|
| | | | | | | | | | | | | | | | | | | |
|
|
Net service revenue
| | |
290.4
| | | |
293.3
| | | |
290.2
| | | |
280.1
| | | |
1,154.0
| |
|
Cost of service
| |
|
164.8
|
| |
|
167.0
|
| |
|
168.9
|
| |
|
162.1
|
| |
|
662.8
|
|
| | | | | | | | | | | | | | | | | | | |
|
|
Gross margin
| | |
125.6
| | | |
126.3
| | | |
121.3
| | | |
118.0
| | | |
491.2
| |
|
Other operating expenses
| |
|
92.9
|
| |
|
89.6
|
| |
|
90.2
|
| |
|
90.0
|
| |
|
362.7
|
|
| | | | | | | | | | | | | | | | | | | |
|
|
Operating income before impairment (5)
| |
$
|
32.7
|
| |
$
|
36.7
|
| |
$
|
31.1
|
| |
$
|
28.0
|
| |
$
|
128.5
|
|
| | | | | | | | | | | | | | | | | | | |
|
| Key Statistical Data: | | | | | | | | | | | | | | | | | | | | |
| Medicare: | | | | | | | | | | | | | | | | | | | | |
| Same Store Volume (1) | | | | | | | | | | | | | | | | | | | | |
|
Revenue
| | |
(8
|
%)
| | |
(8
|
%)
| | |
(5
|
%)
| | |
(7
|
%)
| | |
(7
|
%)
|
|
Admissions
| | |
(2
|
%)
| | |
2
|
%
| | |
1
|
%
| | |
1
|
%
| | |
0
|
%
|
|
Recertifications
| | |
(5
|
%)
| | |
(7
|
%)
| | |
(6
|
%)
| | |
(12
|
%)
| | |
(8
|
%)
|
| Total (2): | | | | | | | | | | | | | | | | | | | | |
|
Admissions
| | |
49,150
| | | |
48,433
| | | |
47,429
| | | |
47,730
| | | |
192,742
| |
|
Recertifications
| | |
34,634
| | | |
34,240
| | | |
34,071
| | | |
31,679
| | | |
134,624
| |
|
Completed Episodes
| | |
79,233
| | | |
80,438
| | | |
78,794
| | | |
79,329
| | | |
317,794
| |
|
Visits
| | |
1,569,067
| | | |
1,563,444
| | | |
1,515,731
| | | |
1,438,125
| | | |
6,086,367
| |
|
Average revenue per completed episode (3)
| |
$
|
2,876
| | |
$
|
2,884
| | |
$
|
2,864
| | |
$
|
2,846
| | |
$
|
2,867
| |
|
Visits per completed episode (4)
| | |
18.7
| | | |
19.1
| | | |
18.9
| | | |
18.4
| | | |
18.8
| |
| Non-Medicare (2): | | | | | | | | | | | | | | | | | | | | |
|
Admissions
| | |
22,406
| | | |
23,160
| | | |
23,469
| | | |
21,209
| | | |
90,244
| |
|
Recertifications
| | |
9,528
| | | |
10,518
| | | |
11,273
| | | |
10,040
| | | |
41,359
| |
|
Visits
| | |
489,276
| | | |
526,712
| | | |
535,280
| | | |
465,248
| | | |
2,016,516
| |
| Total (2): | | | | | | | | | | | | | | | | | | | | |
|
Cost per Visit
| | $ |
80.08
| | |
$
|
79.91
| | |
$
|
82.33
| | |
$
|
85.19
| | |
$
|
81.81
| |
|
Visits
| | |
2,058,343
| | | |
2,090,156
| | | |
2,051,011
| | | |
1,903,373
| | | |
8,102,883
| |
| | | | | | | | | | | | | | | | | | | |
|
(1) Medicare revenue, admissions or recertifications volume is the
percent increase (decrease) in our Medicare revenue, admissions or
recertifications for the period as a percent of the Medicare
revenue, admissions or recertifications of the prior year.
|
|
(2) Based on continuing operations for all periods presented.
|
|
(3) Average Medicare revenue per completed episode is the average
Medicare revenue earned for each Medicare completed episode of care
which excludes the impact of sequestration.
|
|
(4) 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.
|
|
(5) Operating loss of $133.6 million and $33.1 million on a GAAP
basis for the three-month period and year ended December 31, 2012,
respectively.
|
| | | | | | | | | | | | | | | | | | | |
|
|
| | | |
| | | |
| | | |
| | | |
| | | | | | | | | | | | | | | |
|
Supplemental Information - Hospice |
| | | | | | | | | | | | | | | |
|
| | For the Three-Month Periods Ended | | For the Nine-Month Period Ended |
| | March 31, 2013 | | June 30, 2013 | | September 30, 2013 | | September 30, 2013 |
| Financial Information (in millions): | | | | | | | | | | | | | | | | |
| Medicare | |
$
|
62.8
| | |
$
|
61.6
| | |
$
|
60.6
| | |
$
|
185.0
| |
|
Non-Medicare | |
|
3.8
|
| |
|
3.8
|
| |
|
3.9
|
| |
|
11.5
|
|
| | | | | | | | | | | | | | | |
|
|
Net service revenue
| | |
66.6
| | | |
65.4
| | | |
64.5
| | | |
196.5
| |
|
Cost of service
| |
|
35.2
|
| |
|
34.5
|
| |
|
34.5
|
| |
|
104.2
|
|
| | | | | | | | | | | | | | | |
|
|
Gross margin
| | |
31.4
| | | |
30.9
| | | |
30.0
| | | |
92.3
| |
|
Other operating expenses
| |
|
19.7
|
| |
|
18.1
|
| |
|
17.8
|
| |
|
55.6
|
|
| | | | | | | | | | | | | | | |
|
|
Operating income
| |
$
|
11.7
|
| |
$
|
12.8
|
| |
$
|
12.2
|
| |
$
|
36.7
|
|
| | | | | | | | | | | | | | | |
|
| Key Statistical Data: | | | | | | | | | | | | | | | | |
|
Same store Medicare revenue growth (1)
| | |
(5
|
%)
| | |
(11
|
%)
| | |
(13
|
%)
| | |
(10
|
%)
|
|
Hospice Admits
| | |
4,957
| | | |
4,655
| | | |
4,352
| | | |
13,964
| |
|
Average daily census
| | |
5,071
| | | |
5,006
| | | |
4,917
| | | |
4,998
| |
|
Revenue per day
| |
$
|
145.98
| | |
$
|
143.61
| | |
$
|
142.52
| | |
$
|
144.04
| |
|
Cost of service per day
| |
$
|
77.04
| | |
$
|
75.34
| | |
$
|
75.79
| | |
$
|
76.06
| |
|
Average length of stay
| | |
103
| | | |
99
| | | |
98
| | | |
100
| |
| | | | | | | | | | | | | | | |
|
|
| | | |
| | | |
| | | |
| | | |
| | | |
| | For the Three-Month Periods Ended | | For the Year Ended |
| | March 31, 2012 | | June 30, 2012 | | September 30, 2012 | | December 31, 2012 | | December 31, 2012 |
| Financial Information (in millions): | | | | | | | | | | | | | | | | | | | | |
| Medicare | |
$
|
65.1
| | |
$
|
69.5
| | |
$
|
70.3
| | |
$
|
67.8
| | |
$
|
272.7
| |
|
Non-Medicare | |
|
4.1
|
| |
|
4.0
|
| |
|
3.8
|
| |
|
4.1
|
| |
|
16.0
|
|
| | | | | | | | | | | | | | | | | | | |
|
|
Net service revenue
| | |
69.2
| | | |
73.5
| | | |
74.1
| | | |
71.9
| | | |
288.7
| |
|
Cost of service
| |
|
36.3
|
| |
|
37.8
|
| |
|
38.1
|
| |
|
37.1
|
| |
|
149.3
|
|
| | | | | | | | | | | | | | | | | | | |
|
|
Gross margin
| | |
32.9
| | | |
35.7
| | | |
36.0
| | | |
34.8
| | | |
139.4
| |
|
Other operating expenses
| |
|
17.6
|
| |
|
18.9
|
| |
|
20.2
|
| |
|
20.9
|
| |
|
77.6
|
|
| | | | | | | | | | | | | | | | | | | |
|
|
Operating income
| |
$
|
15.3
|
| |
$
|
16.8
|
| |
$
|
15.8
|
| |
$
|
13.9
|
| |
$
|
61.8
|
|
| | | | | | | | | | | | | | | | | | | |
|
| Key Statistical Data: | | | | | | | | | | | | | | | | | | | | |
|
Same store Medicare revenue growth (1)
| | |
17
|
%
| | |
22
|
%
| | |
13
|
%
| | |
3
|
%
| | |
13
|
%
|
|
Hospice Admits
| | |
4,854
| | | |
4,849
| | | |
4,667
| | | |
4,629
| | | |
18,999
| |
|
Average daily census
| | |
5,171
| | | |
5,478
| | | |
5,592
| | | |
5,381
| | | |
5,406
| |
|
Revenue per day
| |
$
|
147.05
| | |
$
|
147.31
| | |
$
|
144.10
| | |
$
|
145.24
| | |
$
|
145.89
| |
|
Cost of service per day
| |
$
|
77.00
| | |
$
|
75.68
| | |
$
|
73.97
| | |
$
|
74.85
| | |
$
|
75.34
| |
|
Average length of stay
| | |
92
| | | |
95
| | | |
102
| | | |
106
| | | |
99
| |
| | | | | | | | | | | | | | | | | | | |
|
(1) Same store Medicare revenue volume is the percent increase
(decrease) in our Medicare revenue for the period as a percent of
the Medicare revenue of the prior year.
|
| | | | | | | | | | | | | | | | | | | |
|
|
| | | |
| | | |
| | | |
| | | |
| | | | | | | | | | | | | | | |
|
Supplemental Information — Corporate |
| | | | | | | | | | | | | | | |
|
| | For the Three-Month Periods Ended | | For the Nine-Month Period Ended |
| | March 31, 2013 | | June 30, 2013 | | September 30, 2013 | | September 30, 2013 |
Financial Information (in millions): | | | | | | | | | | | | | | | | |
|
Depreciation and amortization
| |
$
|
6.7
| | |
$
|
8.5
| | |
$
|
7.5
| | |
$
|
22.7
| |
| U.S. Department of Justice settlement
| | |
—
| | | |
—
| | | |
150.0
| | | |
150.0
| |
|
Other operating expenses
| |
|
26.4
|
| |
|
25.8
|
| |
|
25.5
|
| |
|
77.7
|
|
| | | | | | | | | | | | | | | |
|
|
Operating (loss) income
| |
$
|
(33.1
|
)
| |
$
|
(34.3
|
)
| |
$
|
(183.0
|
)
| |
$
|
(250.4
|
)
|
| | | | | | | | | | | | | | | |
|
|
| | | |
| | | |
| | | |
| | | |
| | | |
| | For the Three-Month Periods Ended | | For the Year Ended |
| | March 31, 2012 | | June 30, 2012 | | September 30, 2012 | | December 31, 2012 | | December 31, 2012 |
| Financial Information (in millions): | | | | | | | | | | | | | | | | | | | | |
|
Depreciation and amortization
| |
$
|
6.2
| | |
$
|
6.0
| | |
$
|
5.8
| | |
$
|
6.5
| | |
$
|
24.5
| |
|
Other operating expenses
| |
|
28.1
|
| |
|
31.6
|
| |
|
25.8
|
| |
|
27.8
|
| |
|
113.3
|
|
| | | | | | | | | | | | | | | | | | | |
|
|
Operating (loss) income
| |
$
|
(34.3
|
)
| |
$
|
(37.6
|
)
| |
$
|
(31.6
|
)
| |
$
|
(34.3
|
)
| |
$
|
(137.8
|
)
|
| | | | | | | | | | | | | | | | | | | |
|
|
| | | |
| | | |
| | | |
| | | |
| | | | | | | | | | | | | | | |
|
| AMEDISYS, INC. AND SUBSIDIARIES |
| RECONCILIATION OF NON-GAAP FINANCIAL MEASURE TO GAAP FINANCIAL
STATEMENTS |
| (Amounts in thousands) |
| (Unaudited) |
|
|
| Earnings From Continuing Operations Before Interest, Taxes,
Depreciation and Amortization (“EBITDA”) and Adjusted EBITDA |
| | | | | | | | | | | | | | | |
|
| | For the Three-Month Periods Ended September
30, | | For the Nine-Month Periods Ended September
30, |
| | 2013 | | 2012 | | 2013 | | 2012 |
|
Net (loss) income from continuing operations attributable to
Amedisys, Inc. | |
$
|
(90,383
|
)
| |
$
|
10,364
| | |
$
|
(84,513
|
)
| |
$
|
25,684
| |
|
Add:
| | | | | | | | | | | | | | | | |
|
Provision for income taxes
| | |
(56,962
|
)
| | |
3,332
| | | |
(53,454
|
)
| | |
14,296
| |
|
Interest expense, net
| | |
669
| | | |
1,972
| | | |
2,483
| | | |
6,006
| |
|
Depreciation and amortization
| |
|
10,471
|
| |
|
9,771
|
| |
|
32,152
|
| |
|
29,375
|
|
| | | | | | | | | | | | | | | |
|
|
EBITDA (1)
| |
$
|
(136,205
|
)
| |
$
|
25,439
|
| |
$
|
(103,332
|
)
| |
$
|
75,361
|
|
| | | | | | | | | | | | | | | |
|
|
Add:
| | | | | | | | | | | | | | | | |
|
Certain items (2)
| | |
144,955
| | | |
(1,427
|
)
| | |
152,090
| | | |
3,686
| |
|
Intangible write-off
| | |
(1,542
|
)
| | |
—
| | | |
(3,828
|
)
| | |
—
| |
|
Tax adjustments
| |
|
1,534
|
| |
|
2,404
|
| |
|
1,534
|
| |
|
2,404
|
|
| | | | | | | | | | | | | | | |
|
|
Adjusted EBITDA (3)
| |
$
|
8,742
|
| |
$
|
26,416
|
| |
$
|
46,464
|
| |
$
|
81,451
|
|
| | | | | | | | | | | | | | | |
|
|
| | | |
| | | |
| | | |
| | | |
| | | | | | | | | | | | | | | |
|
Adjusted Net (Loss) Income From Continuing Operations
Attributable to Amedisys, Inc.: |
| | | | | | | | | | | | | | | |
|
| | For the Three-Month Periods Ended September
30, | | For the Nine-Month Periods Ended September
30, |
| | 2013 | | 2012 | | 2013 | | 2012 |
|
Net (loss) income from continuing operations attributable to
Amedisys, Inc. | |
$
|
(90,383
|
)
| |
$
|
10,364
| | |
$
|
(84,513
|
)
| |
$
|
25,684
| |
|
Add:
| | | | | | | | | | | | | | | | |
|
Certain items (2)
| |
|
90,181
|
| |
|
(1,833
|
)
| |
|
94,576
|
| |
|
1,153
|
|
| | | | | | | | | | | | | | | |
|
|
Adjusted net (loss) income from continuing operations attributable
to Amedisys, Inc. (4)
| |
$
|
(202
|
)
| |
$
|
8,531
|
| |
$
|
10,063
|
| |
$
|
26,837
|
|
| | | | | | | | | | | | | | | |
|
|
| | | |
| | | |
| | | |
| | | |
| | | | | | | | | | | | | | | |
|
Adjusted Net (Loss) Income From Continuing Operations
Attributable to Amedisys, Inc. per Diluted Share: |
| | | | | | | | | | | | | | | |
|
| | For the Three-Month Periods Ended September
30, | | For the Nine-Month Periods Ended September
30, |
| | 2013 | | 2012 | | 2013 | | 2012 |
|
Net (loss) income from continuing operations attributable to
Amedisys, Inc. common stockholders per diluted share
| |
$
|
(2.87
|
)
| |
$
|
0.34
| | |
$
|
(2.72
|
)
| |
$
|
0.85
| |
|
Add:
| | | | | | | | | | | | | | | | |
|
Certain items (2)
| |
|
2.86
|
| |
|
(0.06
|
)
| |
|
3.04
|
| |
|
0.04
|
|
| | | | | | | | | | | | | | | |
|
|
Adjusted net (loss) income from continuing operations attributable
to Amedisys, Inc. common stockholders per diluted share (5)
| |
$
|
(0.01
|
)
| |
$
|
0.28
|
| |
$
|
0.32
|
| |
$
|
0.89
|
|
| | | | | | | | | | | | | | | |
|
(1) EBITDA is defined as net (loss) income from continuing operations
attributable to Amedisys, Inc. before provision for income taxes, net
interest expense, and depreciation and amortization. EBITDA should not
be considered as an alternative to, or more meaningful than, income
before income taxes, cash flow from operating activities, or other
traditional indicators of operating performance. This calculation of
EBITDA may not be comparable to a similarly titled measure reported by
other companies, since not all companies calculate this non-GAAP
financial measure in the same manner.
(2) The following details the U.S. Department of Justice settlement,
proceeds from our D&O insurance and certain other items for the three
and nine month periods ended September 30, 2013 and 2012:
|
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | | | | | | | | | | | | | | | | | | | | | |
|
| | For the Three- Month Period Ended September
30, 2013 | | For the Nine- Month Period Ended September
30, 2013 |
| | (Income) Expense | | Net | | Diluted EPS | | (Income) Expense | | Net | | Diluted EPS |
| U.S. Department of Justice settlement
| |
$
|
150,000
| | |
$
|
93,878
| | |
$
|
2.98
| | |
$
|
150,000
| | |
$
|
93,878
| | |
$
|
3.02
| |
|
D&O proceeds
| | |
(5,530
|
)
| | |
(3,406
|
)
| | |
(0.11
|
)
| | |
(5,530
|
)
| | |
(3,406
|
)
| | |
(0.11
|
)
|
|
Exit activity costs
| | |
—
| | | |
—
| | | |
—
| | | |
1,569
| | | |
966
| | | |
0.03
| |
|
Impairment of intangibles
| | |
1,542
| | | |
950
| | | |
0.03
| | | |
3,828
| | | |
2,358
| | | |
0.08
| |
|
Gain on sale of care centers
| | |
(1,451
|
)
| | |
(894
|
)
| | |
(0.03
|
)
| | |
(1,808
|
)
| | |
(1,114
|
)
| | |
(0.04
|
)
|
|
Legal fees (investigations)
| | |
931
| | | |
573
| | | |
0.02
| | | |
4,568
| | | |
2,814
| | | |
0.09
| |
|
Tax adjustment
| | |
(1,534
|
)
| | |
(1,534
|
)
| | |
(0.05
|
)
| | |
(1,534
|
)
| | |
(1,534
|
)
| | |
(0.05
|
)
|
| OIG self-disclosure
| |
|
997
|
| |
|
614
|
| |
|
0.02
|
| |
|
997
|
| |
|
614
|
| |
|
0.02
|
|
| | | | | | | | | | | | | | | | | | | | | | | |
|
|
Total
| |
$
|
144,955
|
| |
$
|
90,181
|
| |
$
|
2.86
|
| |
$
|
152,090
|
| |
$
|
94,576
|
| |
$
|
3.04
|
|
| | | | | | | | | | | | | | | | | | | | | | | |
|
|
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | For the Three- Month Period Ended September
30, 2012 | | For the Nine- Month Period Ended September
30, 2012 |
| | (Income) Expense | | Net | | Diluted EPS | | (Income) Expense | | Net | | Diluted EPS |
|
Legal fees (investigations)
| |
$
|
977
| | |
$
|
571
| | |
$
|
0.02
| | |
$
|
6,090
| | | |
3,557
| | | |
0.12
| |
|
Tax adjustment
| |
|
(2,404
|
)
| |
|
(2,404
|
)
| |
|
(0.08
|
)
| |
|
(2,404
|
)
| |
|
(2,404
|
)
| |
|
(0.08
|
)
|
| | | | | | | | | | | | | | | | | | | | | | | |
|
|
Total
| |
$
|
(1,427
|
)
| |
$
|
(1,833
|
)
| |
$
|
(0.06
|
)
| |
$
|
3,686
|
| |
$
|
1,153
|
| |
$
|
0.04
|
|
| | | | | | | | | | | | | | | | | | | | | | | |
|
(3) Adjusted EBITDA is defined as net (loss) income from continuing
operations attributable to Amedisys, Inc. before provision for income
taxes, net interest expense, depreciation and amortization excluding the
accrual for the U.S. Department of Justice settlement, proceeds from our
D&O insurance and certain other items*. Adjusted EBITDA should not be
considered as an alternative to, or more meaningful than, income before
income taxes, cash flow from operating activities, or other traditional
indicators of operating performance. This calculation of adjusted EBITDA
may not be comparable to a similarly titled measure reported by other
companies, since not all companies calculate this non-GAAP financial
measure in the same manner.
(4) Adjusted net income from continuing operations attributable to
Amedisys, Inc. is defined as net (loss) income from continuing
operations attributable to Amedisys, Inc. excluding the accrual for the
U.S. Department of Justice settlement, proceeds from our D&O insurance
and certain other items*. Adjusted net income from continuing operations
attributable to Amedisys, Inc. should not be considered as an
alternative to, or more meaningful than, income before income taxes,
cash flow from operating activities, or other traditional indicators of
operating performance. This calculation of adjusted net income from
continuing operations attributable to Amedisys, Inc. may not be
comparable to a similarly titled measure reported by other companies,
since not all companies calculate this non-GAAP measure in the same
manner.
(5) Adjusted net income from continuing operations attributable to
Amedisys, Inc. common stockholders per diluted share is defined as
diluted (loss) earnings from continuing operations per share excluding
the earnings per share effect of the accrual for the U.S. Department of
Justice settlement, proceeds from our D&O insurance and other certain
other items*. Adjusted net income from continuing operations
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, cash flow from operating activities, or
other traditional indicators or operating performance. This calculation
of adjusted net income from continuing operations attributable to
Amedisys, Inc. common stockholders per diluted share may not be
comparable to a similarly titled measure reported by other companies,
since not all companies calculate this non-GAAP financial measure in the
same manner.

Amedisys, Inc.
Investor Relations:
Tom Dolan, 225-292-3391
Senior
Vice President, Finance and Treasurer
[email protected]
or
Media
Relations:
Jacqueline Chen Valencia, 225-299-3688
Senior Vice
President – Marketing & Communications
[email protected]
Source: Amedisys, Inc.