Press Release

Amedisys Reports Fourth Quarter and Year End 2021 Financial Results; Issues 2022 Guidance

02/23/2022

BATON ROUGE, La., Feb. 23, 2022 (GLOBE NEWSWIRE) -- 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.
  • 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 costs 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 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.

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
     

 

 
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  
                               

 

 
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  
               

 

 
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.


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  

 

  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.

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  

 

  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.

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  
               

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 %      
               

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  
               


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  
                               

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 )
       

 

  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.


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Source: Amedisys, Inc.

Contact Information

Amedisys Corporate Headquarters
3854 American Way
Baton Rouge, LA 70816
(225) 292-2031
Amedisys Executive Office
1005 17th Avenue South
Suite 810
Nashville TN, 37212