Press Release

Amedisys Reports Second Quarter 2022 Financial Results and Updates 2022 Revenue Guidance

07/27/2022

BATON ROUGE, La., July 27, 2022 (GLOBE NEWSWIRE) -- Amedisys, Inc. (NASDAQ: AMED) today reported its financial results for the three and six-month periods ended June 30, 2022.

Three-Month Periods Ended June 30, 2022 and 2021

  • Net service revenue decreased $6.3 million to $557.9 million compared to $564.2 million in 2021.
  • Net income attributable to Amedisys, Inc. of $29.6 million compared to $80.1 million in 2021.
  • Net income attributable to Amedisys, Inc. per diluted share of $0.91 compared to $2.43 in 2021.

Adjusted Quarterly Results*

  • Adjusted EBITDA of $74.4 million compared to $83.8 million in 2021.
  • Adjusted net service revenue of $566.3 million compared to $557.6 million in 2021.
  • Adjusted net income attributable to Amedisys, Inc. of $48.0 million compared to $55.7 million in 2021.
  • Adjusted net income attributable to Amedisys, Inc. per diluted share of $1.47 compared to $1.69 in 2021.

Six-Month Periods Ended June 30, 2022 and 2021

  • Net service revenue increased $1.8 million to $1,103.1 million compared to $1,101.3 million in 2021.
  • Net income attributable to Amedisys, Inc. of $61.3 million compared to $130.0 million in 2021.
  • Net income attributable to Amedisys, Inc. per diluted share of $1.87 compared to $3.93 in 2021.

Adjusted Year to Date Results*

  • Adjusted EBITDA of $140.7 million compared to $162.4 million in 2021.
  • Adjusted net service revenue of $1,111.5 million compared to $1,094.8 million in 2021.
  • Adjusted net income attributable to Amedisys, Inc. of $88.1 million compared to $106.9 million in 2021.
  • Adjusted net income attributable to Amedisys, Inc. per diluted share of $2.69 compared to $3.23 in 2021.

* See pages 2 and 14 - 17 for the definition and reconciliations of non-GAAP financial measures to GAAP measures.

Chris Gerard, President and Chief Executive Officer stated, “Our second quarter 2022 results reflect the continued COVID impacts in all of our lines of business but also show how we as an organization continue to successfully navigate an environment unlike anything we have operated in before. We have once again increased our Home Health Quality of Patient Care Stars score and now have 100% of our care centers at 4 stars or above. In Hospice, we posted the first quarter of ADC growth since Q3 2020 and remain very pleased with the trends in our Hospice business. We closed two acquisition in Home Health and signed two new marquee system partnerships in our High Acuity Care business with Baylor, Scott & White and Memorial Hermann Health System. On the regulatory front, the 2023 proposed Home Health rule is extremely disappointing, and we are baffled by the initial stance CMS has taken. In the coming weeks and months, we will continue working with our bipartisan Congressional supporters to align reimbursement with the congressional intent of the Bipartisan Budget Act of 2018 and the actual impacts to the industry over the past two years. We, and the industry, are urging CMS to provide data and clarity on how they calculated and formulated the proposed rule which will allow us to better understand the proposed rule and respond with formal comments. Finally, a heartfelt thank you to all of the Amedisys family for your continued hard work, perseverance and compassion for our patients.”

Updated 2022 Guidance

We are updating our previously issued revenue guidance:

  • Adjusted net service revenue is anticipated to be in the range of $2.290 billion to $2.310 billion.

We are reaffirming our previously issued EBITDA and earnings per share guidance:

  • 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 32.8 million shares outstanding.

This guidance excludes the effects of any future acquisitions and potential share repurchases, if any are made. COVID-19 has continued to impact the operating metrics typically used to forecast both growth and cost assumptions for both core Amedisys and Contessa. We are basing our guidance on our current operating environment. COVID-19 continues to evolve in both the disease itself as well as disruptions to the healthcare systems and the economy. Any future regulations or government interventions, spike in clinicians and business development staff on quarantine, staffing shortages due to current and proposed federal, state and local vaccine mandates, reduction in elective procedures, change in patient behavior and further decline in senior living occupancy could impact our ability to achieve this guidance.

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, 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, July 28, 2022, at 11:00 a.m. Eastern Time to discuss its second quarter results. To participate on the conference call, please call before 11:00 a.m. Eastern Time to either (877) 524-8416 (Toll-Free) or (412) 902-1028 (Toll). A replay of the conference call will be available through August 28, 2022 by dialing (877) 660-6853 (Toll-Free) or (201) 612-7415 (Toll) and entering conference ID #13731294.

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, inpatient hospital, palliative and skilled nursing facility ("SNF") care in their homes, 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. More than 3,000 hospitals and 90,000 physicians nationwide have chosen Amedisys as a partner in post-acute care. With approximately 21,000 employees in 550 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 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,” “will,” “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 staff 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 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.
  Nick Muscato Kendra Kimmons
  Chief Strategy Officer Vice President, Marketing & Communications
  (615) 928- 5452 (225) 299-3720
  IR@amedisys.com kendra.kimmons@amedisys.com



AMEDISYS, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(Amounts in thousands, except per share data)
(Unaudited)

  For the Three-Month
Periods Ended June 30,
  For the Six-Month
Periods Ended June 30,
    2022       2021       2022       2021  
Net service revenue $ 557,890     $ 564,166     $ 1,103,147     $ 1,101,310  
Other operating income         4,603             13,304  
Cost of service, excluding depreciation and amortization   316,211       308,691       621,031       605,894  
General and administrative expenses:              
Salaries and benefits   127,758       114,335       251,238       230,160  
Non-cash compensation   5,148       6,156       12,495       13,463  
Other   54,912       54,731       108,552       103,837  
Depreciation and amortization   6,220       6,721       14,228       14,276  
Operating expenses   510,249       490,634       1,007,544       967,630  
Operating income   47,641       78,135       95,603       146,984  
Other income (expense):              
Interest income   36       25       49       49  
Interest expense   (8,311 )     (1,932 )     (11,484 )     (4,004 )
Equity in earnings (loss) from equity method investments   659       1,370       (744 )     2,488  
Gain on equity method investments         31,092             31,092  
Miscellaneous, net   331       475       664       763  
Total other (expense) income, net   (7,285 )     31,030       (11,515 )     30,388  
Income before income taxes   40,356       109,165       84,088       177,372  
Income tax expense   (11,319 )     (28,546 )     (23,338 )     (46,461 )
Net income   29,037       80,619       60,750       130,911  
Net loss (income) attributable to noncontrolling interests   542       (470 )     500       (892 )
Net income attributable to Amedisys, Inc. $ 29,579     $ 80,149     $ 61,250     $ 130,019  
Basic earnings per common share:              
Net income attributable to Amedisys, Inc. common stockholders $ 0.91     $ 2.46     $ 1.88     $ 3.98  
Weighted average shares outstanding   32,522       32,588       32,538       32,684  
Diluted earnings per common share:              
Net income attributable to Amedisys, Inc. common stockholders $ 0.91     $ 2.43     $ 1.87     $ 3.93  
Weighted average shares outstanding   32,681       32,981       32,722       33,085  



AMEDISYS, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS
(Amounts in thousands, except share data)

  June 30, 2022
(Unaudited)
  December 31,
2021
ASSETS      
Current assets:      
Cash and cash equivalents $ 26,566     $ 42,694  
Restricted cash   22,198       3,075  
Patient accounts receivable   305,413       274,961  
Prepaid expenses   15,199       10,356  
Other current assets   25,493       25,598  
Total current assets   394,869       356,684  
Property and equipment, net of accumulated depreciation of $100,265 and $96,937   17,847       18,435  
Operating lease right of use assets   107,723       101,257  
Goodwill   1,289,672       1,196,090  
Intangible assets, net of accumulated amortization of $9,109 and $19,900   106,189       111,190  
Deferred income tax assets         289  
Other assets   84,686       73,023  
Total assets $ 2,000,986     $ 1,856,968  
LIABILITIES AND EQUITY      
Current liabilities:      
Accounts payable $ 43,509     $ 38,217  
Payroll and employee benefits   161,068       141,001  
Accrued expenses   176,239       150,836  
Current portion of long-term obligations   12,521       12,995  
Current portion of operating lease liabilities   34,035       31,233  
Total current liabilities   427,372       374,282  
Long-term obligations, less current portion   442,413       432,075  
Operating lease liabilities, less current portion   72,619       69,309  
Deferred income tax liabilities   6,179        
Other long-term obligations   13,408       4,979  
Total liabilities   961,991       880,645  
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; 37,780,242 and 37,674,868 shares issued; and 32,432,527 and 32,509,969 shares outstanding   38       38  
Additional paid-in capital   743,276       728,118  
Treasury stock, at cost 5,347,715 and 5,164,899 shares of common stock   (457,981 )     (435,868 )
Retained earnings   700,313       639,063  
Total Amedisys, Inc. stockholders’ equity   985,646       931,351  
Noncontrolling interests   53,349       44,972  
Total equity   1,038,995       976,323  
Total liabilities and equity $ 2,000,986     $ 1,856,968  



AMEDISYS, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS AND DAYS REVENUE OUTSTANDING
(Amounts in thousands, except statistical information)
(Unaudited)

  For the Three-Month
Periods Ended June 30,
  For the Six-Month
Periods Ended June 30,
    2022       2021       2022       2021  
Cash Flows from Operating Activities:              
Net income $ 29,037     $ 80,619     $ 60,750     $ 130,911  
Adjustments to reconcile net income to net cash provided by operating activities:              
Depreciation and amortization   6,220       6,721       14,228       14,276  
Non-cash compensation   5,148       6,156       12,495       13,463  
Amortization and impairment of operating lease right of use assets   12,367       9,852       22,463       19,702  
Loss (gain) on disposal of property and equipment   526       (6 )     531       8  
Gain on equity method investments         (31,092 )           (31,092 )
Deferred income taxes   2,798       15,305       6,003       22,716  
Equity in (earnings) loss from equity method investments   (659 )     (1,370 )     744       (2,488 )
Amortization of deferred debt issuance costs/debt discount   247       216       495       432  
Return on equity method investments   718       1,183       2,428       2,683  
Changes in operating assets and liabilities, net of impact of acquisitions:              
Patient accounts receivable   (2,726 )     (2,339 )     (21,344 )     (22,787 )
Other current assets   (12,350 )     6,434       (4,468 )     3,560  
Other assets   (27 )     63       220       (52 )
Accounts payable   6,613       (3,156 )     4,498       (6,530 )
Accrued expenses   22,046       (9,997 )     29,529       (1,627 )
Other long-term obligations   (166 )     (928 )     (223 )     (1,736 )
Operating lease liabilities   (11,470 )     (8,941 )     (20,657 )     (17,955 )
Operating lease right of use assets   (913 )     (762 )     (1,662 )     (1,524 )
Net cash provided by operating activities   57,409       67,958       106,030       121,960  
Cash Flows from Investing Activities:              
Proceeds from the sale of deferred compensation plan assets   6       6       28       25  
Proceeds from the sale of property and equipment               37       42  
Purchases of property and equipment   (1,880 )     (1,325 )     (2,782 )     (2,943 )
Investments in technology assets   (323 )           (559 )      
Other investments               (15,000 )      
Acquisitions of businesses, net of cash acquired   (73,311 )     (2,503 )     (73,311 )     (2,503 )
Net cash used in investing activities   (75,508 )     (3,822 )     (91,587 )     (5,379 )
Cash Flows from Financing Activities:              
Proceeds from issuance of stock upon exercise of stock options   686       259       772       623  
Proceeds from issuance of stock to employee stock purchase plan   906       913       1,891       1,961  
Shares withheld to pay taxes on non-cash compensation   (80 )     (170 )     (4,762 )     (6,944 )
Noncontrolling interest contributions   300             952        
Noncontrolling interest distributions   (303 )     (276 )     (975 )     (794 )
Proceeds from borrowings under revolving line of credit   298,500       174,000       298,500       389,200  
Repayments of borrowings under revolving line of credit   (283,500 )     (224,000 )     (283,500 )     (410,200 )
Principal payments of long-term obligations   (3,204 )     (2,700 )     (6,975 )     (5,392 )
Purchase of company stock   (17,351 )     (1,188 )     (17,351 )     (74,074 )
Provider relief fund advance         3,328             (1,672 )
Net cash used in financing activities   (4,046 )     (49,834 )     (11,448 )     (107,292 )
Net (decrease) increase in cash, cash equivalents and restricted cash   (22,145 )     14,302       2,995       9,289  
Cash, cash equivalents and restricted cash at beginning of period   70,909       78,344       45,769       83,357  
Cash, cash equivalents and restricted cash at end of period $ 48,764     $ 92,646     $ 48,764     $ 92,646  
               
               
               
               
Supplemental Disclosures of Cash Flow Information:              
Cash paid for interest $ 2,625     $ 903     $ 4,489     $ 1,914  
Cash paid for income taxes, net of refunds received $ 22,426     $ 7,696     $ 22,977     $ 8,667  
Cash paid for operating lease liabilities $ 12,383     $ 9,703     $ 22,319     $ 19,479  
Cash paid for finance lease liabilities $ 378     $ 514     $ 735     $ 1,017  
Supplemental Disclosures of Non-Cash Activity:              
Right of use assets obtained in exchange for operating lease liabilities $ 15,387     $ 10,141     $ 26,590     $ 20,689  
Right of use assets obtained in exchange for finance lease liabilities $ 1,100     $ 350     $ 1,316     $ 527  
Reductions to right of use assets resulting from reductions to operating lease liabilities $ 2,464     $ 625     $ 2,763     $ 904  
Accrued contingent consideration $ 19,195     $     $ 19,195     $  
Noncontrolling interest contribution $     $     $ 8,900     $  
Days revenue outstanding (1)   46.8       42.7       46.8       42.7  

(1) Our calculation of days revenue outstanding at June 30, 2022 and 2021 is derived by dividing our ending patient accounts receivable by our average daily patient revenue for the three-month periods ended June 30, 2022 and 2021, respectively.



AMEDISYS, INC. AND SUBSIDIARIES
SEGMENT INFORMATION
(Amounts in millions, except statistical information)
(Unaudited)

Segment Information - Home Health

  For the Three-Month Periods
Ended June 30,
    2022       2021  
Financial Information  (in millions) :      
Medicare $ 222.0     $ 234.8  
Non-Medicare   118.2       114.5  
Net service revenue   340.2       349.3  
Other operating income         2.3  
Cost of service   193.0       190.4  
Gross margin   147.2       161.2  
Other operating expenses   87.9       81.3  
Depreciation and amortization   1.5       1.2  
Operating income $ 57.8     $ 78.7  
Same Store Growth (1):      
Medicare revenue   (9 %)     22 %
Non-Medicare revenue   (3 %)     18 %
Total admissions   %     20 %
Total volume (2)   (2 %)     12 %
Key Statistical Data - Total (3):      
Admissions   93,560       89,371  
Recertifications   45,720       46,014  
Total volume   139,280       135,385  
       
Medicare completed episodes   77,880       79,188  
Average Medicare revenue per completed episode (4) $ 3,048     $ 2,986  
Medicare visits per completed episode (5)   13.2       14.2  
       
Visiting clinician cost per visit $ 97.41     $ 91.24  
Clinical manager cost per visit   10.67       9.31  
Total cost per visit $ 108.08     $ 100.55  
Visits   1,785,763       1,894,006  



  For the Six-Month Periods
Ended June 30,
    2022       2021  
Financial Information  (in millions) :      
Medicare $ 446.1     $ 456.2  
Non-Medicare   229.5       221.7  
Net service revenue   675.6       677.9  
Other operating income         7.3  
Cost of service   378.0       373.4  
Gross margin   297.6       311.8  
Other operating expenses   171.1       161.4  
Depreciation and amortization   2.4       2.2  
Operating income $ 124.1     $ 148.2  
Same Store Growth (1):      
Medicare revenue   (4 %)     15 %
Non-Medicare revenue   %     13 %
Total admissions   1 %     12 %
Total volume (2)   (1 %)     9 %
Key Statistical Data - Total (3):      
Admissions   185,274       179,201  
Recertifications   88,570       89,825  
Total volume   273,844       269,026  
       
Medicare completed episodes   152,286       154,520  
Average Medicare revenue per completed episode (4) $ 3,031     $ 2,959  
Medicare visits per completed episode (5)   13.1       14.1  
       
Visiting clinician cost per visit $ 97.31     $ 90.79  
Clinical manager cost per visit   10.67       9.40  
Total cost per visit $ 107.98     $ 100.19  
Visits   3,500,907       3,726,918  

(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 reflects the suspension of sequestration for the period January 1, 2021 through March 31, 2022 and the reinstatement of sequestration at 1% for the period April 1, 2022 through June 30, 2022.
(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.


Segment Information – Hospice

  For the Three-Month Periods
Ended June 30,
    2022       2021  
Financial Information  (in millions):      
Medicare $ 187.5     $ 186.9  
Non-Medicare   10.9       11.0  
Net service revenue   198.4       197.9  
Other operating income         2.3  
Cost of service   107.4       105.2  
Gross margin   91.0       95.0  
Other operating expenses   51.6       48.4  
Depreciation and amortization   0.6       0.7  
Operating income $ 38.8     $ 45.9  
Same Store Growth (1):      
Medicare revenue   %     2 %
Hospice admissions   6 %     2 %
Average daily census   %     (3 %)
Key Statistical Data - Total (2):      
Hospice admissions   13,359       12,675  
Average daily census   13,249       13,254  
Revenue per day, net $ 164.55     $ 164.10  
Cost of service per day $ 89.05     $ 87.17  
Average discharge length of stay   87       97  


  For the Six-Month Periods
Ended June 30,
    2022       2021  
Financial Information  (in millions):      
Medicare $ 370.0     $ 368.4  
Non-Medicare   21.4       21.0  
Net service revenue   391.4       389.4  
Other operating income         6.0  
Cost of service   213.8       206.8  
Gross margin   177.6       188.6  
Other operating expenses   102.9       94.9  
Depreciation and amortization   1.3       1.3  
Operating income $ 73.4     $ 92.4  
Same Store Growth (1):      
Medicare revenue   %     %
Hospice admissions   4 %     3 %
Average daily census   (1 %)     (3 %)
Key Statistical Data - Total (2):      
Hospice admissions   27,245       26,358  
Average daily census   13,086       13,287  
Revenue per day, net $ 165.28     $ 161.93  
Cost of service per day $ 90.24     $ 85.99  
Average discharge length of stay   88       95  

(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 June 30,
    2022       2021  
Financial Information  (in millions):      
Medicare $     $  
Non-Medicare   14.9       17.0  
Net service revenue   14.9       17.0  
Other operating income          
Cost of service   11.4       13.1  
Gross margin   3.5       3.9  
Other operating expenses   2.3       3.2  
Depreciation and amortization          
Operating income $ 1.2     $ 0.7  
Key Statistical Data - Total:      
Billable hours   472,523       609,301  
Clients served   7,759       9,371  
Shifts   201,996       260,897  
Revenue per hour $ 31.59     $ 27.95  
Revenue per shift $ 73.89     $ 65.29  
Hours per shift   2.3       2.3  


  For the Six-Month Periods
Ended June 30,
    2022       2021  
Financial Information  (in millions):      
Medicare $     $  
Non-Medicare   28.9       34.0  
Net service revenue   28.9       34.0  
Other operating income          
Cost of service   22.2       25.7  
Gross margin   6.7       8.3  
Other operating expenses   4.5       6.2  
Depreciation and amortization   0.1       0.1  
Operating income $ 2.1     $ 2.0  
Key Statistical Data - Total:      
Billable hours   923,555       1,216,738  
Clients served   8,591       10,908  
Shifts   395,738       518,506  
Revenue per hour $ 31.27     $ 27.96  
Revenue per shift $ 72.99     $ 65.60  
Hours per shift   2.3       2.3  



Segment Information - High Acuity Care

  For the Three-Month Periods
Ended June 30,
    2022       2021  
Financial Information  (in millions):      
Medicare $ 1.7     $  
Non-Medicare   2.7        
Net service revenue   4.4        
Other operating income          
Cost of service   4.4        
Gross margin          
Other operating expenses   8.9        
Depreciation and amortization   0.8        
Operating loss $ (9.7 )   $  
Key Statistical Data - Total:      
Full risk admissions   104        
Limited risk admissions   241        
Total admissions   345        
       
Full risk revenue per episode $ 11,278     $  
Limited risk revenue per episode $ 5,316     $  
       
Number of admitting joint ventures   9        


  For the Six-Month Periods
Ended June 30,
    2022       2021  
Financial Information  (in millions):      
Medicare $ 1.7     $  
Non-Medicare   5.5        
Net service revenue   7.2        
Other operating income          
Cost of service   7.0        
Gross margin   0.2        
Other operating expenses   15.9        
Depreciation and amortization   1.6        
Operating loss $ (17.3 )   $  
Key Statistical Data - Total:      
Full risk admissions   210        
Limited risk admissions   468        
Total admissions   678        
       
Full risk revenue per episode $ 10,672     $  
Limited risk revenue per episode $ 5,541     $  
       
Number of admitting joint ventures   9        




Segment Information - Corporate

  For the Three-Month Periods
Ended June 30,
    2022       2021  
Financial Information  (in millions):      
Other operating expenses $ 37.2     $ 42.4  
Depreciation and amortization   3.3       4.8  
Total operating expenses $ 40.5     $ 47.2  


  For the Six-Month Periods
Ended June 30,
    2022       2021  
Financial Information  (in millions):      
Other operating expenses $ 77.9     $ 84.9  
Depreciation and amortization   8.8       10.7  
Total operating expenses $ 86.7     $ 95.6  



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 June 30,
  For the Six-Month Periods
Ended June 30,
    2022       2021       2022       2021  
Net income attributable to Amedisys, Inc. $ 29,579     $ 80,149     $ 61,250     $ 130,019  
Add:              
Income tax expense   11,319       28,546       23,338       46,461  
Interest expense, net   8,275       1,907       11,435       3,955  
Depreciation and amortization   6,220       6,721       14,228       14,276  
Certain items (1)   23,609       (33,010 )     35,059       (31,298 )
Interest component of certain items (1)   (4,652 )     (469 )     (4,652 )     (986 )
Adjusted EBITDA (2) (6) $ 74,350     $ 83,844     $ 140,658     $ 162,427  



Adjusted Net Service Revenue Reconciliation:

  For the Three-Month Periods
Ended June 30,
  For the Six-Month Periods
Ended June 30,
    2022       2021       2022       2021  
Net service revenue $ 557,890     $ 564,166     $ 1,103,147     $ 1,101,310  
Add:              
Certain items (1)   8,374       (6,541 )     8,374       (6,541 )
Adjusted net service revenue (3) (7) $ 566,264     $ 557,625     $ 1,111,521     $ 1,094,769  



Adjusted Other Operating Income Reconciliation:

  For the Three-Month Periods
Ended June 30,
  For the Six-Month Periods
Ended June 30,
    2022       2021       2022       2021  
Other operating income $     $ 4,603     $     $ 13,304  
Add:              
Certain items (1)         (4,603 )           (13,304 )
Adjusted other operating income (4) (7) $     $     $     $  



Adjusted Net Income Attributable to Amedisys, Inc Reconciliation:

  For the Three-Month Periods
Ended June 30,
  For the Six-Month Periods
Ended June 30,
    2022       2021       2022       2021  
Net income attributable to Amedisys, Inc. $ 29,579     $ 80,149     $ 61,250     $ 130,019  
Add:              
Certain items (1)   18,373       (24,428 )     26,847       (23,161 )
Adjusted net income attributable to Amedisys, Inc. (5) (7) $ 47,952     $ 55,721     $ 88,097     $ 106,858  



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

  For the Three-Month Periods
Ended June 30,
  For the Six-Month Periods
Ended June 30,
    2022       2021       2022       2021  
Net income attributable to Amedisys, Inc. common stockholders per diluted share $ 0.91     $ 2.43     $ 1.87     $ 3.93  
Add:              
Certain items (1)   0.56       (0.74 )     0.82       (0.70 )
Adjusted net income attributable to Amedisys, Inc. common stockholders per diluted share (6) (7) $ 1.47     $ 1.69     $ 2.69     $ 3.23  

(1) The following details the certain items for the three and six-month periods ended June 30, 2022 and 2021:



Certain Items:

  For the Three-Month Periods
Ended June 30, 2022
  For the Six-Month Periods
Ended June 30, 2022
  (Income) Expense   (Income) Expense
Certain Items Impacting Net Service Revenue:      
Contingency accrual $ 8,374     $ 8,374  
Certain Items Impacting Cost of Service:      
COVID-19 costs   1,803       5,536  
Severance - reduction in staffing levels   195       195  
Fuel supplement   1,016       1,353  
Integration costs   1,401       1,401  
Certain Items Impacting Operating Expenses:      
Acquisition and integration costs   5,323       6,701  
COVID-19 costs   84       237  
Executive Board of Directors transition award         3,500  
Legal fees - non-routine   190       241  
Severance - reduction in staffing levels   810       810  
Planned closures - lease terminations   59       59  
Legal settlement   (1,058 )     (1,058 )
Certain Items Impacting Total Other Income (Expense):      
Interest component of certain items   4,652       4,652  
Other (income) expense, net   760       3,058  
Total $ 23,609     $ 35,059  
Net of tax $ 18,373     $ 26,847  
Diluted EPS $ 0.56     $ 0.82  


  For the Three-Month Periods
Ended June 30, 2021
  For the Six-Month Periods
Ended June 30, 2021
  (Income) Expense   (Income) Expense
Certain Items Impacting Net Service Revenue:      
Contingency accrual $ (6,541 )   $ (6,541 )
Certain Items Impacting Other Operating Income:      
CARES Act funds   (4,603 )     (13,304 )
Certain Items Impacting Cost of Service:      
COVID-19 costs   4,464       12,944  
Certain Items Impacting Operating Expenses:      
Acquisition and integration costs   2,293       3,492  
COVID-19 costs   160       377  
Pre-acquisition legal settlement   1,825       1,825  
Certain Items Impacting Total Other Income (Expense):      
Interest component of certain items   469       986  
Other (income) expense, net   (31,077 )     (31,077 )
Total $ (33,010 )   $ (31,298 )
Net of tax $ (24,428 )   $ (23,161 )
Diluted EPS $ (0.74 )   $ (0.70 )

(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