Press Release

Amedisys Reports Third Quarter 2022 Financial Results and Updates 2022 Guidance

10/26/2022

BATON ROUGE, La., Oct. 26, 2022 (GLOBE NEWSWIRE) -- Amedisys, Inc. (NASDAQ: AMED) today reported its financial results for the three and nine-month periods ended September 30, 2022.

Three-Month Periods Ended September 30, 2022 and 2021

  • Net service revenue increased $4.5 million to $558.0 million compared to $553.5 million in 2021.
  • Net income attributable to Amedisys, Inc. of $25.6 million compared to $45.0 million in 2021.
  • Net income attributable to Amedisys, Inc. per diluted share of $0.79 compared to $1.37 in 2021.

Adjusted Quarterly Results*

  • Adjusted EBITDA of $61.5 million compared to $72.4 million in 2021.
  • Adjusted net service revenue of $558.9 million compared to $553.5 million in 2021.
  • Adjusted net income attributable to Amedisys, Inc. of $37.4 million compared to $50.5 million in 2021.
  • Adjusted net income attributable to Amedisys, Inc. per diluted share of $1.15 compared to $1.53 in 2021.

Nine-Month Periods Ended September 30, 2022 and 2021

  • Net service revenue increased $6.3 million to $1,661.1 million compared to $1,654.8 million in 2021.
  • Net income attributable to Amedisys, Inc. of $86.9 million compared to $175.0 million in 2021.
  • Net income attributable to Amedisys, Inc. per diluted share of $2.66 compared to $5.30 in 2021.

Adjusted Year to Date Results*

  • Adjusted EBITDA of $202.2 million compared to $234.8 million in 2021.
  • Adjusted net service revenue of $1,670.4 million compared to $1,648.3 million in 2021.
  • Adjusted net income attributable to Amedisys, Inc. of $125.5 million compared to $157.5 million in 2021.
  • Adjusted net income attributable to Amedisys, Inc. per diluted share of $3.84 compared to $4.77 in 2021.

* See pages 3 and 15 - 18 for the definition and reconciliations of non-GAAP financial measures to GAAP measures.

Chris Gerard, President and Chief Executive Officer stated, “Although we continue to be impacted by a few headwinds, most of which we believe to be short-term in nature, our enthusiasm for the future outlook of Amedisys has never been stronger. As we await the final rule in Home Health, we have been making progress on a number of key initiatives and partnerships that will help to drive future growth at Amedisys. During the quarter, we signed an innovative case rate arrangement with one of the largest Medicare Advantage health plans in the US – CVS/Aetna. I am extremely excited by this partnership as it shows how more forward thinking payors view home health and the quality of care we provide to their members. We look forward to expanding these types of contracting relationships across more of our business in the coming quarters. We also signed a comprehensive care at home partnership with The University of Arkansas for Medical Science that will offer patients the full spectrum of Amedisys and Contessa services including Hospital at Home, SNF at Home, Primary Care at Home and Home Health. This partnership provides a new standard of care delivery, spanning across the full continuum of at-home care, and represents the first partnership in which both Contessa and Amedisys services have been in scope at the outset. We will continue to seek out and invest in opportunities with similar health systems looking for an operating partner to build out a differentiated and integrated home care offering utilizing this full suite of services. In order to unlock our full growth potential, we know that clinical labor will be key. The clinical labor market has been more challenging than ever before, but Amedisys is superbly positioned to increase our clinical capacity as we decrease our turnover by focusing on what matters most to our clinicians. We are enhancing our benefit packages in 2023, working on flexible scheduling and focusing on centralization and automation to remove the administrative load for both our care givers and our care center leadership. I am confident that as we move past the chop of 2022 and into 2023, Amedisys will return to consistency in performance and industry leading results. 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 guidance:

  • Adjusted net service revenue is anticipated to be in the range of $2.224 billion to $2.230 billion.
  • Adjusted EBITDA is anticipated to be in the range of $253 million to $258 million.
  • Adjusted diluted earnings per share is anticipated to be in the range of $4.82 to $4.93 based on an estimated 32.7 million shares outstanding.

This guidance excludes the effects of any future acquisitions and potential share repurchases, if any are made. COVID-19 has impacted 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 its disruptions to the healthcare systems and the economy. Any future regulations or government interventions, extension of the public health emergency, spike in clinicians and business development staff on quarantine, staffing shortages, 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, October 27, 2022, at 11:00 a.m. Eastern Time to discuss its third 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 November 27, 2022 by dialing (877) 660-6853 (Toll-Free) or (201) 612-7415 (Toll) and entering conference ID #13733130.

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 547 care centers within 36 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; staffing shortages driven by the competitive labor market; 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 our patients, the episodic versus non-episodic mix of our payors or 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, climate change or acts of terrorism, widespread protests or civil unrest; our ability to integrate, manage and keep our information systems secure; the impact of inflation; 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 September 30,
  For the Nine-Month 
Periods Ended September 30,
    2022       2021       2022       2021  
Net service revenue $ 557,988     $ 553,485     $ 1,661,135     $ 1,654,795  
Other operating income         (4 )           13,300  
Cost of service, excluding depreciation and amortization   322,227       310,294       943,258       916,188  
General and administrative expenses:              
Salaries and benefits   125,550       119,373       376,788       349,533  
Non-cash compensation   3,495       4,397       15,990       17,860  
Other   59,299       55,158       167,851       158,995  
Depreciation and amortization   5,477       7,487       19,705       21,763  
Investment impairment   3,009             3,009        
Operating expenses   519,057       496,709       1,526,601       1,464,339  
Operating income   38,931       56,772       134,534       203,756  
Other income (expense):              
Interest income   59             108       49  
Interest expense   (4,963 )     (2,730 )     (16,447 )     (6,734 )
Equity in earnings (loss) from equity method investments   302       1,444       (442 )     3,932  
Gain on equity method investments                     31,092  
Miscellaneous, net   491       490       1,155       1,253  
     Total other (expense) income, net   (4,111 )     (796 )     (15,626 )     29,592  
Income before income taxes   34,820       55,976       118,908       233,348  
Income tax expense   (9,417 )     (10,731 )     (32,755 )     (57,192 )
Net income   25,403       45,245       86,153       176,156  
Net loss (income) attributable to noncontrolling interests   239       (239 )     739       (1,131 )
Net income attributable to Amedisys, Inc. $ 25,642     $ 45,006     $ 86,892     $ 175,025  
Basic earnings per common share:              
Net income attributable to Amedisys, Inc. common stockholders $ 0.79     $ 1.38     $ 2.67     $ 5.36  
Weighted average shares outstanding   32,482       32,607       32,519       32,658  
Diluted earnings per common share:              
Net income attributable to Amedisys, Inc. common stockholders $ 0.79     $ 1.37     $ 2.66     $ 5.30  
Weighted average shares outstanding   32,616       32,899       32,680       33,021  



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

  September 30, 2022
(Unaudited)
  December 31,
2021
ASSETS      
Current assets:      
Cash and cash equivalents $ 17,956     $ 42,694  
Restricted cash   13,504       3,075  
Patient accounts receivable   302,470       274,961  
Prepaid expenses   17,011       10,356  
Other current assets   37,839       25,598  
     Total current assets   388,780       356,684  
Property and equipment, net of accumulated depreciation of $102,407 and $96,937   17,248       18,435  
Operating lease right of use assets   105,843       101,257  
Goodwill   1,285,455       1,196,090  
Intangible assets, net of accumulated amortization of $11,891 and $19,900   103,678       111,190  
Deferred income tax assets         289  
Other assets   81,123       73,023  
     Total assets $ 1,982,127     $ 1,856,968  
LIABILITIES AND EQUITY      
Current liabilities:      
Accounts payable $ 45,527     $ 38,217  
Payroll and employee benefits   145,073       141,001  
Accrued expenses   130,100       150,836  
Current portion of long-term obligations   12,628       12,995  
Current portion of operating lease liabilities   33,872       31,233  
     Total current liabilities   367,200       374,282  
Long-term obligations, less current portion   443,431       432,075  
Operating lease liabilities, less current portion   72,030       69,309  
Deferred income tax liabilities   15,983        
Other long-term obligations   13,873       4,979  
     Total liabilities   912,517       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; 37,852,059 and 37,674,868 shares issued; and 32,479,475 and 32,509,969 shares outstanding   38       38  
Additional paid-in capital   750,914       728,118  
Treasury stock, at cost 5,372,584 and 5,164,899 shares of common stock   (461,168 )     (435,868 )
Retained earnings   725,955       639,063  
     Total Amedisys, Inc. stockholders’ equity   1,015,739       931,351  
Noncontrolling interests   53,871       44,972  
     Total equity   1,069,610       976,323  
     Total liabilities and equity $ 1,982,127     $ 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 September 30,
  For the Nine-Month
Periods Ended September 30,
    2022       2021       2022       2021  
Cash Flows from Operating Activities:              
Net income $ 25,403     $ 45,245     $ 86,153     $ 176,156  
Adjustments to reconcile net income to net cash (used in) provided by operating activities:              
Depreciation and amortization   5,477       7,487       19,705       21,763  
Non-cash compensation   3,495       4,397       15,990       17,860  
Amortization and impairment of operating lease right of use assets   12,319       10,479       34,782       30,181  
(Gain) loss on disposal of property and equipment   (24 )     (72 )     507       (64 )
Gain on equity method investments                     (31,092 )
Deferred income taxes   13,028       12,013       19,031       34,729  
Equity in (earnings) loss from equity method investments   (302 )     (1,444 )     442       (3,932 )
Amortization of deferred debt issuance costs/debt discount   248       237       743       669  
Return on equity method investments   1,370       1,585       3,798       4,268  
Investment impairment   3,009             3,009        
Changes in operating assets and liabilities, net of impact of acquisitions:              
Patient accounts receivable   3,078       5,149       (18,266 )     (17,638 )
Other current assets   (15,461 )     (9,779 )     (19,929 )     (6,219 )
Other assets   63       (886 )     283       (938 )
Accounts payable   1,388       5,338       5,886       (1,192 )
Accrued expenses   (56,319 )     (7,736 )     (26,790 )     (9,363 )
Other long-term obligations   466       (49 )     243       (1,785 )
Operating lease liabilities   (10,207 )     (9,417 )     (30,864 )     (27,372 )
Operating lease right of use assets   (661 )     (780 )     (2,323 )     (2,304 )
Net cash (used in) provided by operating activities   (13,630 )     61,767       92,400       183,727  
Cash Flows from Investing Activities:              
Proceeds from the sale of deferred compensation plan assets   61       101       89       126  
Proceeds from the sale of property and equipment   29       98       66       140  
Purchases of property and equipment   (1,556 )     (2,244 )     (4,338 )     (5,187 )
Investments in technology assets   (289 )     (147 )     (848 )     (147 )
Investment in equity method investee   (637 )           (637 )      
Purchase of cost method investment               (15,000 )      
Acquisitions of businesses, net of cash acquired   1,359       (262,369 )     (71,952 )     (264,872 )
Net cash used in investing activities   (1,033 )     (264,561 )     (92,620 )     (269,940 )
Cash Flows from Financing Activities:              
Proceeds from issuance of stock upon exercise of stock options   306       1,083       1,078       1,706  
Proceeds from issuance of stock to employee stock purchase plan   966       1,061       2,857       3,022  
Shares withheld to pay taxes on non-cash compensation   (3,187 )     (9,750 )     (7,949 )     (16,694 )
Noncontrolling interest contributions   1,148             2,100        
Noncontrolling interest distributions   (450 )     (459 )     (1,425 )     (1,253 )
Proceeds from sale of noncontrolling interest   3,941             3,941        
Proceeds from borrowings under term loan         290,312             290,312  
Proceeds from borrowings under revolving line of credit   185,500       111,500       484,000       500,700  
Repayments of borrowings under revolving line of credit   (182,000 )     (141,500 )     (465,500 )     (551,700 )
Principal payments of long-term obligations   (3,151 )     (501 )     (10,126 )     (5,893 )
Debt issuance costs         (2,792 )           (2,792 )
Purchase of company stock         (10,805 )     (17,351 )     (84,879 )
Payment of accrued contingent consideration   (5,714 )           (5,714 )      
Provider relief fund advance         207             (1,465 )
Net cash (used in) provided by financing activities   (2,641 )     238,356       (14,089 )     131,064  
Net (decrease) increase in cash, cash equivalents and restricted cash   (17,304 )     35,562       (14,309 )     44,851  
Cash, cash equivalents and restricted cash at beginning of period   48,764       92,646       45,769       83,357  
Cash, cash equivalents and restricted cash at end of period $ 31,460     $ 128,208     $ 31,460     $ 128,208  
               
  For the Three-Month
Periods Ended September 30,
  For the Nine-Month
Periods Ended September 30,
    2022       2021       2022       2021  
Supplemental Disclosures of Cash Flow Information:              
Cash paid for interest $ 4,664     $ 1,565     $ 9,153     $ 3,479  
Cash paid for Infinity ZPIC interest $ 11,544     $     $ 11,544     $  
Cash paid for income taxes, net of refunds received $ 605     $ 16,815     $ 23,582     $ 25,482  
Cash paid for operating lease liabilities $ 10,868     $ 10,197     $ 33,187     $ 29,676  
Cash paid for finance lease liabilities $ 339     $ 492     $ 1,074     $ 1,509  
Supplemental Disclosures of Non-Cash Activity:              
Right of use assets obtained in exchange for operating lease liabilities $ 10,390     $ 14,192     $ 36,980     $ 34,881  
Right of use assets obtained in exchange for finance lease liabilities $ 530     $ 287     $ 1,846     $ 814  
Reductions to right of use assets resulting from reductions to operating lease liabilities $ 624     $ 279     $ 3,387     $ 1,183  
Reductions to right of use assets resulting from reductions to finance lease liabilities $ 564     $     $ 564     $  
Accrued contingent consideration $     $     $ 19,195     $  
Noncontrolling interest contribution $     $     $ 8,900     $  
Days revenue outstanding (1)   47.3       43.5       47.3       43.5  


(1) Our calculation of days revenue outstanding at September 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 September 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 September 30,
    2022       2021  
Financial Information (in millions) :      
Medicare $ 222.4     $ 228.2  
Non-Medicare   114.8       110.4  
Net service revenue   337.2       338.6  
Cost of service   195.3       190.1  
Gross margin   141.9       148.5  
Other operating expenses   88.3       82.4  
Depreciation and amortization   0.9       1.1  
Operating income $ 52.7     $ 65.0  
Same Store Growth (1):      
Medicare revenue   (6 %)     2 %
Non-Medicare revenue   (1 %)     6 %
Total admissions   5 %     1 %
Total volume (2)   1 %     1 %
Key Statistical Data - Total (3):      
Admissions   94,992       86,732  
Recertifications   44,985       46,919  
Total volume   139,977       133,651  
       
Medicare completed episodes   75,891       78,318  
Average Medicare revenue per completed episode (4) $ 2,989     $ 2,969  
Medicare visits per completed episode (5)   12.7       13.8  
       
Visiting clinician cost per visit $ 101.22     $ 94.24  
Clinical manager cost per visit   11.33       9.85  
Total cost per visit $ 112.55     $ 104.09  
Visits   1,735,015       1,826,505  



  For the Nine-Month Periods
Ended September 30,
    2022       2021  
Financial Information (in millions) :      
Medicare $ 668.4     $ 684.4  
Non-Medicare   344.4       332.1  
Net service revenue   1,012.8       1,016.5  
Other operating income         7.3  
Cost of service   573.3       563.5  
Gross margin   439.5       460.3  
Other operating expenses   259.3       243.8  
Depreciation and amortization   3.3       3.3  
Operating income $ 176.9     $ 213.2  
Same Store Growth (1):      
Medicare revenue   (5 %)     10 %
Non-Medicare revenue   %     10 %
Total admissions   2 %     8 %
Total volume (2)   %     6 %
Key Statistical Data - Total (3):      
Admissions   280,266       265,933  
Recertifications   133,555       136,744  
Total volume   413,821       402,677  
       
Medicare completed episodes   228,177       232,838  
Average Medicare revenue per completed episode (4) $ 3,017     $ 2,962  
Medicare visits per completed episode (5)   13.0       14.0  
       
Visiting clinician cost per visit $ 98.63     $ 91.94  
Clinical manager cost per visit   10.87       9.54  
Total cost per visit $ 109.50     $ 101.48  
Visits   5,235,922       5,553,423  


(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% effective April 1, 2022 and at 2% effective July 1, 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 September 30,
    2022       2021  
Financial Information (in millions):      
Medicare $ 187.8     $ 187.8  
Non-Medicare   10.9       9.7  
Net service revenue   198.7       197.5  
Cost of service   109.4       107.6  
Gross margin   89.3       89.9  
Other operating expenses   49.1       49.5  
Depreciation and amortization   0.5       0.7  
Operating income $ 39.7     $ 39.7  
Same Store Growth (1):      
Medicare revenue   %     (1 %)
Hospice admissions   (3 %)     1 %
Average daily census   1 %     (5 %)
Key Statistical Data - Total (2):      
Hospice admissions   12,782       13,292  
Average daily census   13,314       13,272  
Revenue per day, net $ 162.24     $ 161.74  
Cost of service per day $ 89.36     $ 88.06  
Average discharge length of stay   92       94  



  For the Nine-Month Periods
Ended September 30,
    2022       2021  
Financial Information (in millions):      
Medicare $ 557.8     $ 556.2  
Non-Medicare   32.4       30.7  
Net service revenue   590.2       586.9  
Other operating income         6.0  
Cost of service   323.2       314.4  
Gross margin   267.0       278.5  
Other operating expenses   152.1       144.4  
Depreciation and amortization   1.7       2.0  
Operating income $ 113.2     $ 132.1  
Same Store Growth (1):      
Medicare revenue   %     %
Hospice admissions   1 %     3 %
Average daily census   (1 %)     (4 %)
Key Statistical Data - Total (2):      
Hospice admissions   40,027       39,650  
Average daily census   13,163       13,282  
Revenue per day, net $ 164.24     $ 161.87  
Cost of service per day $ 89.94     $ 86.68  
Average discharge length of stay   90       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 September 30,
    2022     2021
Financial Information (in millions):      
Medicare $   $
Non-Medicare   16.6     15.9
Net service revenue   16.6     15.9
Cost of service   12.2     11.7
Gross margin   4.4     4.2
Other operating expenses   2.4     2.6
Depreciation and amortization       0.1
Operating income $ 2.0   $ 1.5
Key Statistical Data - Total:      
Billable hours   474,365     558,227
Clients served   7,771     8,697
Shifts   202,638     240,736
Revenue per hour $ 34.98   $ 28.44
Revenue per shift $ 81.89   $ 65.95
Hours per shift   2.3     2.3



  For the Nine-Month Periods
Ended September 30,
    2022     2021
Financial Information (in millions):      
Medicare $   $
Non-Medicare   45.5     49.9
Net service revenue   45.5     49.9
Other operating income      
Cost of service   34.5     37.4
Gross margin   11.0     12.5
Other operating expenses   6.8     8.8
Depreciation and amortization   0.1     0.2
Operating income $ 4.1   $ 3.5
Key Statistical Data - Total:      
Billable hours   1,397,919     1,774,965
Clients served   9,530     11,597
Shifts   598,376     759,242
Revenue per hour $ 32.53   $ 28.11
Revenue per shift $ 76.00   $ 65.71
Hours per shift   2.3     2.3


Segment Information - High Acuity Care

  For the Three-Month Periods
Ended September 30,
    2022       2021  
Financial Information (in millions):      
Medicare $ 1.6     $  
Non-Medicare   3.9       1.5  
Net service revenue   5.5       1.5  
Cost of service   5.3       0.9  
Gross margin   0.2       0.6  
Other operating expenses   8.8       3.9  
Depreciation and amortization   0.8       0.5  
Investment impairment   3.0        
Operating loss $ (12.4 )   $ (3.8 )
Key Statistical Data - Total:      
Full risk admissions   130       46  
Limited risk admissions   300       188  
Total admissions   430       234  
       
Full risk revenue per episode $ 11,615     $ 9,191  
Limited risk revenue per episode $ 5,580     $ 5,524  
       
Number of admitting joint ventures   8       8  



  For the Nine-Month Periods
Ended September 30,
    2022       2021  
Financial Information (in millions):      
Medicare $ 3.3     $  
Non-Medicare   9.3       1.5  
Net service revenue   12.6       1.5  
Other operating income          
Cost of service   12.3       0.9  
Gross margin   0.3       0.6  
Other operating expenses   24.7       3.9  
Depreciation and amortization   2.4       0.5  
Investment impairment   3.0        
Operating loss $ (29.8 )   $ (3.8 )
Key Statistical Data - Total:      
Full risk admissions   339       46  
Limited risk admissions   768       188  
Total admissions   1,107       234  
       
Full risk revenue per episode $ 11,018     $ 9,191  
Limited risk revenue per episode $ 5,556     $ 5,524  
       
Number of admitting joint ventures   8       8  


Segment Information - Corporate

  For the Three-Month Periods
Ended September 30,
    2022     2021
Financial Information (in millions):      
Other operating expenses $ 39.8   $ 40.5
Depreciation and amortization   3.3     5.1
Total operating expenses $ 43.1   $ 45.6



  For the Nine-Month Periods
Ended September 30,
    2022     2021
Financial Information (in millions):      
Other operating expenses $ 117.7   $ 125.5
Depreciation and amortization   12.2     15.8
Total operating expenses $ 129.9   $ 141.3



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 September 30,
  For the Nine-Month Periods
Ended September 30,
    2022     2021       2022       2021  
Net income attributable to Amedisys, Inc. $ 25,642   $ 45,006     $ 86,892     $ 175,025  
Add:              
Income tax expense   9,417     10,731       32,755       57,192  
Interest expense, net   4,904     2,730       16,339       6,685  
Depreciation and amortization   5,477     7,487       19,705       21,763  
Certain items (1)   15,861     6,858       50,920       (24,440 )
Interest component of certain items (1)   207     (451 )     (4,445 )     (1,437 )
Adjusted EBITDA (2) (7) $ 61,508   $ 72,361     $ 202,166     $ 234,788  


Adjusted Net Service Revenue Reconciliation:

  For the Three-Month Periods
Ended September 30,
  For the Nine-Month Periods
Ended September 30,
    2022     2021     2022     2021  
Net service revenue $ 557,988   $ 553,485   $ 1,661,135   $ 1,654,795  
Add:              
Certain items (1)   931         9,305     (6,541 )
Adjusted net service revenue (3) (7) $ 558,919   $ 553,485   $ 1,670,440   $ 1,648,254  


Adjusted Other Operating Income Reconciliation:

  For the Three-Month Periods
Ended September 30,
  For the Nine-Month Periods
Ended September 30,
    2022     2021       2022     2021  
Other operating income $   $ (4 )   $   $ 13,300  
Add:              
Certain items (1)       4           (13,300 )
Adjusted other operating income (4) (7) $   $     $   $  


Adjusted Net Income Attributable to Amedisys, Inc Reconciliation:

  For the Three-Month Periods
Ended September 30,
  For the Nine-Month Periods
Ended September 30,
    2022     2021     2022     2021  
Net income attributable to Amedisys, Inc. $ 25,642   $ 45,006   $ 86,892   $ 175,025  
Add:              
Certain items (1)   11,740     5,474     38,587     (17,495 )
Adjusted net income attributable to Amedisys, Inc. (5) (7) $ 37,382   $ 50,480   $ 125,479   $ 157,530  


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

  For the Three-Month Periods
Ended September 30,
  For the Nine-Month Periods
Ended September 30,
    2022     2021     2022     2021  
Net income attributable to Amedisys, Inc. common stockholders per diluted share $ 0.79   $ 1.37   $ 2.66   $ 5.30  
Add:              
Certain items (1)   0.36     0.17     1.18     (0.53 )
Adjusted net income attributable to Amedisys, Inc. common stockholders per diluted share (6) (7) $ 1.15   $ 1.53   $ 3.84   $ 4.77  


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


Certain Items:

  For the Three-Month Periods
Ended September 30, 2022
  For the Nine-Month Periods
Ended September 30, 2022
  (Income) Expense   (Income) Expense
Certain Items Impacting Net Service Revenue:      
Contingency accrual $ 931     $ 9,305  
Certain Items Impacting Cost of Service:      
COVID-19 costs   1,701       7,237  
Centralization and reorganization costs   1,154       1,349  
Fuel supplement   1,962       3,315  
Integration costs   311       1,712  
Certain Items Impacting Operating Expenses:      
Acquisition and integration costs   3,154       9,855  
COVID-19 costs   159       396  
Executive Board of Directors transition award         3,500  
Legal fees - non-routine         241  
Centralization and reorganization costs   2,676       3,545  
Legal settlement         (1,058 )
Fuel supplement   218       218  
Investment impairment   3,009       3,009  
Certain Items Impacting Total Other Income (Expense):      
Interest component of certain items   (207 )     4,445  
Other expense, net   793       3,851  
Total $ 15,861     $ 50,920  
Net of tax $ 11,740     $ 38,587  
Diluted EPS $ 0.36     $ 1.18  



  For the Three-Month Periods
Ended September 30, 2021
  For the Nine-Month Periods
Ended September 30, 2021
  (Income) Expense   (Income) Expense
Certain Items Impacting Net Service Revenue:      
Contingency accrual $     $ (6,541 )
Certain Items Impacting Other Operating Income:      
CARES Act funds   4       (13,300 )
Certain Items Impacting Cost of Service:      
COVID-19 costs   3,513       16,457  
Certain Items Impacting Operating Expenses:      
Acquisition and integration costs   2,757       6,249  
COVID-19 costs   199       576  
Pre-acquisition legal settlement         1,825  
Certain Items Impacting Total Other Income (Expense):      
Interest component of certain items   451       1,437  
Other income, net   (66 )     (31,143 )
Total $ 6,858     $ (24,440 )
Net of tax $ 5,474     $ (17,495 )
Diluted EPS $ 0.17     $ (0.53 )


(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.

 


Primary Logo

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