UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

FORM 10-Q

 

 

 

xQUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES

EXCHANGE ACT OF 1934

For the quarterly period ended September 30, 2012March 31, 2013

OR

 

¨TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES

EXCHANGE ACT OF 1934

For the transition period from                            to

Commission file number 001-34504

 

 

ADDUS HOMECARE CORPORATION

(Exact name of registrant as specified in its charter)

 

 

 

Delaware 20-5340172

(State or other jurisdiction of

incorporation or organization)

 

(I.R.S. Employer

Identification No.)

2401 South Plum Grove Road

Palatine, Illinois

 60067
(Address of principal executive offices) (Zip code)

(847) 303-5300

(Registrant’s telephone number, including area code)

Not Applicable

(Former name, former address and former fiscal year, if changed since last report)

 

 

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    Yes  x    No   ¨.

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).    Yes   x    No   ¨.

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See definition of “large accelerated filer, “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act (check one):

 

Large accelerated filer ¨  Accelerated filer ¨
Non-accelerated filer ¨  (Do not check if a smaller reporting company)  Smaller reporting company x

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    Yes  ¨    No  x.

Indicate the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practicable date.

Common Stock $0.001 par value

Shares outstanding at October 31, 2012: 10,818,383May 2, 2013: 10,891,438

 

 

 


ADDUS HOMECARE CORPORATION

FORM 10-Q

INDEX

 

PART I.FINANCIAL INFORMATION

  

Item 1. Financial Statements

  

Condensed Consolidated Balance Sheets as of September 30, 2012March 31, 2013 (Unaudited) and December 31, 20112012

   3  

Condensed Consolidated Statements of Income (Unaudited) For the Three and Nine Months Ended September 30,March  31, 2013
and 2012 and 2011

   4  

Condensed Consolidated Statement of Stockholders’ Equity (Unaudited) For the NineThree Months Ended September 30, 2012March 31,
2013

   5  

Condensed Consolidated Statements of Cash Flows (Unaudited) For the NineThree Months Ended September 30,March  31, 2013
and 2012 and 2011

   6  

Notes to Condensed Consolidated Financial Statements (Unaudited)

   7  

Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

   1917  

Item 4. Controls and Procedures

   3831  

PART II.OTHER INFORMATION

   3932  

Item 1. Legal Proceedings

   3932  

Item 1A. Risk Factors

   3932  

Item 6. Exhibits

   4034  

PART I – FINANCIAL INFORMATION

 

Item 1.Financial Statements

ADDUS HOMECARE CORPORATION

AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS

As of September 30, 2012March 31, 2013 and December 31, 20112012

(amounts and shares in thousands, except per share data)

(Unaudited)

 

                              
  September 30,
2012
   December 31,
2011
   March 31,
2013
   December 31,
2012
 

Assets

        

Current assets

        

Cash

  $1,713    $2,020    $17,784    $1,737  

Accounts receivable, net of allowances of $5,535 and $7,189 as of September 30, 2012 and December 31, 2011, respectively

   71,400     72,368  

Accounts receivable, net of allowances of $4,361 and $4,466 at March 31, 2013 and December 31, 2012, respectively

   60,640     71,303  

Prepaid expenses and other current assets

   8,602     8,137     5,515     7,293  

Assets held for sale, net

   —       245  

Deferred tax assets

   6,336     6,336     7,258     7,258  
  

 

   

 

   

 

   

 

 

Total current assets

   88,051     88,861     91,197     87,836  
  

 

   

 

   

 

   

 

 

Property and equipment, net of accumulated depreciation and amortization

   2,852     2,490     2,476     2,489  
  

 

   

 

   

 

   

 

 

Other assets

        

Goodwill

   50,576     50,695     50,496     50,536  

Intangibles, net of accumulated amortization

   6,787     8,044     6,030     6,370  

Deferred tax assets

   4,089     4,089     —       2,328  

Investment in joint ventures

   900     —    

Other assets

   347     513     251     298  
  

 

   

 

   

 

   

 

 

Total other assets

   61,799     63,341     57,677     59,532  
  

 

   

 

   

 

   

 

 

Total assets

  $152,702    $154,692    $151,350    $149,857  
  

 

   

 

   

 

   

 

 

Liabilities and stockholders’ equity

        

Current liabilities

        

Accounts payable

  $4,589    $5,266    $4,818    $4,117  

Accrued expenses

   33,081     29,313     35,635     32,717  

Current maturities of long-term debt

   1,902     6,569     —       208  

Deferred revenue

   2,020     2,145     17     2,148  
  

 

   

 

   

 

   

 

 

Total current liabilities

   41,592     43,293     40,470     39,190  
  

 

   

 

   

 

   

 

 

Deferred tax liabilities

   3,097     —    

Long-term debt, less current maturities

   20,500     24,958     —       16,250  

Deferred tax liabilities

   —       —    

Other long-term liabilities

   —       —    
  

 

   

 

   

 

   

 

 

Total liabilities

   62,092     68,251     43,567     55,440  
  

 

   

 

   

 

   

 

 

Commitments, contingencies and other matters

        

Stockholders’ equity

        

Preferred stock—$.001 par value; 10,000 authorized and 0 shares issued and outstanding

   —       —    

Common stock—$.001 par value; 40,000 authorized; 10,818 and 10,775 shares issued and outstanding as of September 30, 2012 and December 31, 2011, respectively

   12     11  

Common stock—$.001 par value; 40,000 authorized and 10,882 and 10,823 shares issued and outstanding as of March 31, 2013 and December 31, 2012, respectively

   11     11  

Additional paid-in capital

   82,715     82,437     82,883     82,778  

Retained earnings

   7,883     3,993     24,889     11,628  
  

 

   

 

   

 

   

 

 

Total stockholders’ equity

   90,610     86,441     107,783     94,417  
  

 

   

 

   

 

   

 

 

Total liabilities and stockholders’ equity

  $152,702    $154,692    $151,350    $149,857  
  

 

   

 

   

 

   

 

 

See accompanying Notes to Unaudited Condensed Consolidated Financial Statements.

ADDUS HOMECARE CORPORATION

AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTSOF INCOME

For the Three and Nine Months Ended September 30,March 31, 2013 and 2012 and 2011

(amounts and shares in thousands, except per share data)

(Unaudited)

 

 For the Three Months Ended September 30, For the Nine Months Ended September 30,   For the Three Months Ended
March 31,
 
 2012 2011 2012 2011   2013 2012 

Net service revenues

 $71,006   $69,384   $209,211   $204,478    $62,998   $58,889  

Cost of service revenues

  50,687    48,373    149,832    144,303     47,200    43,865  
 

 

  

 

  

 

  

 

   

 

  

 

 

Gross profit

  20,319    21,011    59,379    60,175     15,798    15,024  

General and administrative expenses

  16,486    16,955    50,697    49,567     11,510    11,570  

Goodwill and intangible asset impairment charge

  —      15,989    —      15,989  

Gain on sale of agency

  —      —      (495  —       —      (495)

Depreciation and amortization

  639    927    1,908    2,783     546    631  
 

 

  

 

  

 

  

 

   

 

  

 

 

Total operating expenses

  17,125    33,871    52,110    68,339     12,056    11,706  
 

 

  

 

  

 

  

 

   

 

  

 

 

Operating income (loss)

  3,194    (12,860  7,269    (8,164

Interest income

  —      —      (128  —    

Interest expense

  407    548    1,365    1,929  

Operating income from continuing operations

   3,742    3,318  

Total interest expense

   208    404  
 

 

  

 

  

 

  

 

   

 

  

 

 

Total interest expense, net

  407    548    1,237    1,929  

Income from continuing operations before income taxes

   3,534    2,914  

Income tax expense

   847    1,168  
  

 

  

 

 

Income (loss) before income taxes

  2,787    (13,408  6,032    (10,093

Income tax expense (benefit)

  990    (6,745)  2,142    (5,616

Net income from continuing operations

   2,687    1,746  
 

 

  

 

  

 

  

 

   

 

  

 

 

Net income (loss)

 $1,797   $(6,663 $3,890   $(4,477

Discontinued operations:

   

Loss from home health business, net of tax

   (537  (1,117

Gain on sale of home health business, net of tax

   11,111    —    
 

 

  

 

  

 

  

 

   

 

  

 

 

Income (loss) per common share:

    

Basic

 $0.17   $(0.62) $0.36   $(0.42

Earnings (losses) from discontinued operations

   10,574    (1,117
 

 

  

 

  

 

  

 

   

 

  

 

 

Diluted

 $0.17   $(0.62) $0.36   $(0.42

Net income

  $13,261   $629  
  

 

  

 

 

Net income (loss) per common share

   

Basic and diluted

   

Continuing operations

  $0.25   $0.16  

Discontinued operations

   0.98    (0.10
  

 

  

 

 

Basic and diluted income (loss) per share

  $1.23   $0.06  
 

 

  

 

  

 

  

 

   

 

  

 

 

Weighted average number of common shares and potential common shares outstanding:

       

Basic

  10,761    10,746    10,761    10,746     10,778    10,756  
 

 

  

 

  

 

  

 

 

Diluted

  10,773    10,746    10,764    10,746     10,845    10,760  
 

 

  

 

  

 

  

 

 

See accompanying Notes to Unaudited Condensed Consolidated Financial Statements.

ADDUS HOMECARE CORPORATION

AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTSOF STOCKHOLDERS’ EQUITY

For the NineThree Months Ended September 30, 2012March 31, 2013

(amounts and shares in thousands)

(Unaudited)

 

  Common Stock   

Additional

Paid-In

 Retained   

Total

Stockholders’

   Common Stock   

Additional

Paid-In

   Retained   

Total

Stockholders’

 
  Shares   Amount   Capital Earnings   Equity   Shares   Amount   Capital   Earnings   Equity 

Balance at December 31, 2011

   10,775    $11    $82,437   $3,993    $86,441  

Balance at December 31, 2012

   10,823    $11    $82,778    $11,628    $94,417  

Issuance of shares of common stock under restricted stock award agreements

   43     1    (1)  —       —       59     —      —      —      —   

Stock-based compensation

   —       —       279    —       279     —      —      105     —      105  

Net income

   —       —       —      3,890     3,890     —      —      —      13,261     13,261  
  

 

   

 

   

 

  

 

   

 

   

 

   

 

   

 

   

 

   

 

 

Balance at September 30, 2012

   10,818    $12    $82,715   $7,883    $90,610  

Balance at March 31, 2013

   10,882    $11    $82,883    $24,889    $107,783  
  

 

   

 

   

 

  

 

   

 

   

 

   

 

   

 

   

 

   

 

 

See accompanying Notes to Unaudited Condensed Consolidated Financial Statements

ADDUS HOMECARE CORPORATION

AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTSOF CASH FLOWS

For the NineThree Months Ended September 30,March 31, 2013 and 2012 and 2011

(amounts in thousands)

(Unaudited)

 

 For the Nine Months Ended September 30,   For the Three Months Ended March 31, 
 2012 2011   2013 2012 

Cash flows from operating activities

     

Net income (loss)

 $3,890   $(4,477)

Adjustments to reconcile net income (loss) to net cash provided by operating activities

  

Net income

  $13,261   $629  

Adjustments to reconcile net income to net cash provided by operating activities

   

Depreciation and amortization

  1,908    2,783     546    634  

Deferred income taxes

  —      (8,628)   5,425    —    

Stock-based compensation

  279    241     105    67  

Amortization of debt issuance costs

  166    167     47    57  

Provision for doubtful accounts

  2,191    3,154     813    850  

Gain on sale of home health business

   (18,838  —   

Gain on sale of agency

  (495  —       —     (495

Goodwill and intangible assets impairment charge

  —      15,989  

Changes in operating assets and liabilities:

     

Accounts receivable

  (1,223)  (2,118)   9,850    (2,318

Prepaid expenses and other current assets

  (465)  (1,183)   1,649    631  

Accounts payable

  (677)  1,357     701    (1,546

Accrued expenses

  3,887    4,353     (391  137  

Deferred revenue

  (125)  177     (143  71  
 

 

  

 

   

 

  

 

 

Net cash provided by operating activities

  9,336    11,815  

Net cash provided by (used in) operating activities

   13,025    (1,283
 

 

  

 

   

 

  

 

 

Cash flows from investing activities

     

Acquisitions of businesses, net of cash received

  —      (500)

Net proceeds from sale of home health business

   19,659    —    

Net proceeds from sale of agency

  495    —       —      495  

Purchases of property and equipment

  (1,013)  (277)   (179  (288
 

 

  

 

   

 

  

 

 

Net cash used in investing activities

  (518)  (777)

Net cash provided by investing activities

   19,480    207  
 

 

  

 

   

 

  

 

 

Cash flows from financing activities

     

Net payments on term loan

  (1,875)  (1,667)   (208  (625

Net payments on credit facility

  (4,250)  (6,750)   (16,250  2000  

Payments on subordinated dividend notes

  (3,000)  (1,750)   —     (1,000

Net payments on other notes

  —      (366)

Debt issuance costs

  —      (24)
 

 

  

 

   

 

  

 

 

Net cash used in financing activities

  (9,125)  (10,557)

Net cash (used in) provided by financing activities

   (16,458  375  
 

 

  

 

   

 

  

 

 

Net change in cash

  (307  481     16,047    (701

Cash, at beginning of period

  2,020    816     1,737    2,020  
 

 

  

 

   

 

  

 

 

Cash, at end of period

 $1,713   $1,297    $17,784   $1,319  
 

 

  

 

   

 

  

 

 

Supplemental disclosures of cash flow information

     

Cash paid for interest

 $1,233   $1,811    $213   $371  

Cash paid for income taxes

  1,443    1,347     880    963  

Supplemental disclosures of non-cash investing and financing activities

     

Tax benefit related to the amortization of tax goodwill in excess of book basis

  119    119     40    40  

See accompanying Notes to Unaudited Condensed Consolidated Financial Statements

ADDUS HOMECARE CORPORATION

AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(amounts and shares in thousands)

(Unaudited)

1. Summary of Significant Accounting Policies

Basis of Presentation and Description of Business

The consolidated financial statements include the accounts of Addus HomeCare Corporation (“Holdings”) and its subsidiaries (together with Holdings, the “Company” or “we”). The Company provides home &and community and home healthbased services through a network of locations throughout the United States. These services are primarily performed in the homes of individuals.the consumers. The Company’s home &and community based services include assistance to the elderly, chronically ill and disabled with bathing, grooming, dressing, personal hygiene and medication reminders, and other activities of daily living. Home &and community based services are primarily performed under agreements with state and local governmental agencies.

Discontinued Operations

On February 7, 2013, subsidiaries of Holdings entered into an Asset Purchase Agreement with LHC Group, Inc. and certain of its subsidiaries (the “Home Health Purchase Agreement”). Pursuant to the Home Health Purchase Agreement, effective March 1, 2013, the purchasers agreed to acquire substantially all the assets of the Company’s home health business in Arkansas, Nevada and South Carolina and 90% of its home health business in California and Illinois, with the Company retaining 10% ownership in such locations, for cash consideration of $20,000.

The Company’s home health services arewere operated through licensed and Medicare certified offices that provideprovided physical, occupational and speech therapy, as well as skilled nursing services to pediatric, adult infirm and elderly patients. Home health services arewere reimbursed from Medicare, Medicaid and Medicaid-waiver programs, commercial insurance and private payors.payors (see note 2).

Principles of Consolidation

All intercompany balances and transactions have been eliminated in consolidation. Our investment in entities with less than 20% ownership or in which the Company does not have the ability to influence the operations of the investee are being accounted for using the cost method and are included in investment in joint ventures.

Revenue Recognition

The Company generates net service revenues by providing home & community services and home health services directly to individuals.consumers. The Company receives payments for providing such services from federal, state and local governmental agencies, commercial insurers and private individuals.

Home & Community

The Our continuing operations, which includes the results of operations previously included in our home &and community segment net service revenuesand three agencies previously included in our home health segment, are principally provided based on authorized hours, determined by the relevant agency, at an hourly rate specified in agreements or fixed by legislation and recognized as revenues at the time services are rendered. Home &and community netbased service revenues are reimbursed by state, local and other governmental programs which are partially funded by Medicaid or Medicaid waiver programs, with the remainder reimbursed through private duty and insurance programs.

ADDUS HOMECARE CORPORATION

AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements—(Continued)

(amounts and shares in thousands)

(Unaudited)

Home Health

The home health segment net service revenues are primarily generated on a per episode or per visit basis. More than half of the home health segment net service revenues consist of Medicare services with the balance being derived from Medicaid, commercial insurers and private duty. Home health net service revenues reimbursed by Medicare are based on episodes of care. Under the Medicare Prospective Payment System (“PPS”), an episode of care is defined as a length of care up to 60 days with multiple continuous episodes allowed per patient. Medicare billings under PPS vary based on the severity of the patient’s condition and are subject to adjustment, both positive and negative, for changes in the patient’s medical condition and certain other reasons. At the inception of each episode of care, a request for anticipated payment (“RAP”) is submitted to Medicare for 50% to 60% of the estimated PPS reimbursement. The Company estimates the net PPS revenues to be earned during an episode of care based on the initial RAP billing, historical trends and other known factors. The net PPS revenues are initially recognized as deferred revenues and subsequently amortized as net service revenues ratably over the 60-day episodic period. At the end of each episode of care, a final billing is submitted to Medicare and any changes between the initial RAP and final billings are recorded as an adjustment to net service revenues. Other non-Medicare services are primarily provided on a per visit basis determinable and recognized as revenues at the time services are rendered.

Laws and regulations governing the MedicareMedicaid and MedicaidMedicare programs are complex and subject to interpretation. As a result, there is at least a reasonable possibility that recorded estimates may change in the near term. The Company believes that it is in compliance in all material respects with all applicable laws and regulations.

ADDUS HOMECARE CORPORATION

AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements—(Continued)

(amounts and shares in thousands)

(Unaudited)

Allowance for Doubtful Accounts

The Company establishes its allowance for doubtful accounts to the extent it is probable that a portion or all of a particular account will not be collected. The Company estimates its provision for doubtful accounts primarily by aging receivables utilizing eight aging categories, and applying its historical collection rates to each aging category, taking into consideration factors that might impact the use of historical collection rates or payor groups, with certain large payors analyzed separately from other payor groups. In the Company’s evaluation of these estimates, it also considers delays in payment trends in individual states due to budget or funding issues, billing conversions related to acquisitions or internal systems, resubmission of bills with required documentation and disputes with specific payors. An allowance for doubtful accounts is maintained at a level management believes is sufficient to cover potential losses. However, actual collections could differ from our estimates.

Goodwill

The Company’s carrying value of goodwill is the residual of the purchase price over the fair value of the net assets acquired from various acquisitions including the acquisition of Addus HealthCare, Inc. (“Addus HealthCare”). In accordance with Accounting Standards Codification (“ASC”) Topic 350, “Goodwill and Other Intangible Assets,” goodwill and intangible assets with indefinite useful lives are not amortized. The Company tests goodwill for impairment at the reporting unit level on an annual basis, as of October 1, or whenever potential impairment triggers occur, such as a significant change in business climate or regulatory changes that would indicate that an impairment may have occurred. Goodwill isand indefinite lived intangible assets are required to be tested for impairment at least annually usingannually. The Company may use a qualitative test, known as “Step 0” or a two-step method. The first step in the evaluation of goodwill impairment involves comparing the current fair value of each reporting unit to the recorded value, including goodwill. The Company uses the combination of a discounted cash flow model (“DCF model”) and the market multiple analysisquantitative method to determine whether impairment has occurred. In Step 0, the current fair value of each reporting unit. The DCF model was prepared using revenueCompany can elect to perform an optional qualitative analysis and expense projections based on the Company’s current operating plan. As such, a number of significant assumptions and estimates are involved inresults skip the application of the DCF model to forecast revenue growth, price changes, gross profits, operating expenses and operating cash flows. The cash flows were discounted using a weighted average cost of capital of 14.5%, which was management’s best estimate based on the capital structure oftwo step analysis. In 2012, the Company elected to implement Step 0 and external industry data. As part ofwas not required to conduct the secondremaining two step of this evaluation, if the carrying value of goodwill exceeds its fair value, an impairment loss would be recognized. No impairment charges were recorded in the three and nine months ended September 30, 2012. The Company recorded a $13,076 goodwill impairment charge during the third quarter of 2011 for its home health reporting unit (see Note 3).analysis.

Intangible Assets

The Company’s identifiable intangible assets consist of customer and referral relationships, trade names, trademarks, state licenses and non-compete agreements. Amortization is computed using straight-line and accelerated methods based upon the estimated useful lives of the respective assets, which range from two to 25 years.

ADDUS HOMECARE CORPORATION

AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements—(Continued)

(amounts and shares in thousands)

(Unaudited)

ASC Topic 350 requires that the fair value of intangible assets with indefinite lives be estimated and compared to the carrying value. The Company estimates the fair value of these intangible assets using the income approach. The Company recognizes an impairment loss when the estimated fair value of the intangible asset is less than the carrying value. Intangible assets with finite lives are amortized using the estimated economic benefit method over the useful life and assessed for impairment whenever events or changes in circumstances indicate that the carrying amount may not be recoverable.recoverable based on estimated undiscounted cash flows. The Company recognizes an impairment loss when the estimated fair value of the intangible asset is less than the carrying value. No impairment charge was recorded for the three months ended March 31, 2013 or 2012.

The income approach, which the Company uses to estimate the fair value of its reporting units and intangible assets, is dependent on a number of factors including estimates of future market growth and trends, forecasted revenue and costs, expected periods the assets will be utilized, appropriate discount rates and other variables. The Company bases its fair value estimates on assumptions the Company believes to be reasonable but which are unpredictable and inherently uncertain. Actual future results may differ from those estimates. In addition, the Company makes certain judgments about the selection of comparable companies used in the market approach in valuing its reporting units, as well as certain assumptions to allocate shared assets and liabilities to calculate the carrying values for each of the Company’s reporting units. No impairment charges were recorded for the three and nine months ended September 30, 2012. The Company recorded a $2,913 intangible asset impairment charge during the third quarter of 2011 for its home health reporting unit (see Note 3).determining valuation.

ADDUS HOMECARE CORPORATION

AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements—(Continued)

(amounts and shares in thousands)

(Unaudited)

Long-Lived Assets

The Company reviews its long-lived assets and finitedefinite lived intangibles (except goodwill and indefinitefinite lived intangible assets, as described above) for impairment whenever changes in circumstances indicate that the carrying amount of an asset may not be recoverable. To determine if impairment exists, the Company compares the estimated future undiscounted cash flows from the related long-lived assets to the net carrying amount of such assets. If the carrying amount of an asset exceeds its estimated future cash flows, an impairment charge is recognized for the amount by which the carrying amount of the asset exceeds the estimated fair value of the asset, generally determined by discounting the estimated future cash flows. No impairment charges werecharge was recorded infor the three and nine months ended September 30,March 31, 2013 or 2012.

Income Taxes

The Company accounts for income taxes under the provisions of ASC Topic 740, “Income Taxes.” The objective of accounting for income taxes is to recognize the amount of taxes payable or refundable for the current year and deferred tax liabilities and assets for the future tax consequences of events that have been recognized in its financial statements or tax returns. Deferred taxes, resulting from differences between the financial and tax basis of the Company’s assets and liabilities, are also adjusted for changes in tax rates and tax laws when changes are enacted. ASC Topic 740 also requires that deferred tax assets be reduced by a valuation allowance if it is more likely than not that some portion or all of the deferred tax asset will not be realized. ASC Topic 740, also prescribes a recognition threshold and measurement process for recording in the financial statements uncertain tax positions taken or expected to be taken in a tax return. In addition, ASC Topic 740 provides guidance on derecognition, classification, accounting in interim periods and disclosure requirements for uncertain tax positions.

The Company determined that its tax benefit of $(4,359) and $(3,230) as previously reported for the three and nine months ended September 30, 2011, respectively, should have been recorded as a tax benefit of $(6,745) and $(5,616) for the three and nine months ended September 30, 2011, respectively. The current year presentation for the three and nine months ended September 30, 2012 reflects this updated 2011 information. The Company’s diluted loss per common share of $(0.84) and $(0.64) as previously reported for the three and nine months ended September 30, 2011, respectively, has been updated and adjusted to $(0.62) and $(0.42) in the current year presentation, respectively.

Stock-based Compensation

The Company has two stock incentive plans, the 2006 Stock Incentive Plan (the “2006 Plan”) and the 2009 Stock Incentive Plan (the “2009 Plan”) that provide for stock-based employee compensation. The Company accounts for stock-based compensation in accordance with ASC Topic 718, “Stock Compensation.” Compensation expense is recognized on a graded method under the 2006 Plan and on a straight-line basis under the 2009 Plan over the vesting period of the awards based on the fair value of the options and restricted stock awards. Under the 2006 Plan, the Company historically used the Black-Scholes option pricing model to estimate the fair value of its stock based payment awards, but beginning October 28, 2009 under its 2009 Plan it began using an enhanced Hull-White Trinomial model. The determination of the fair value of stock-based payments utilizing the Black-Scholes model and the Enhanced Hull-White Trinomial model is affected by Holdings’ stock price and a number of assumptions, including expected volatility, risk-free interest rate, expected term, expected dividends yield, expected forfeiture rate, expected turn-over rate, and the expected exercise multiple.

ADDUS HOMECARE CORPORATION

AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements—(Continued)

(amounts and shares in thousands)

(Unaudited)

 

Net Income Per Common Share

Net income (loss) per common share, calculated on the treasury stock method, is based on the weighted average number of shares outstanding during the period. The Company’s outstanding securities that may potentially dilute the common stock are stock options and restricted stock awards.

Included in the Company’s calculation for the three and nine months ended September 30, 2012March 31, 2013 were 741715 stock options of which 530 and 666 stock options517 were out-of-the money forand therefore anti-dilutive and 95 restricted stock awards with 18 included in the weighted diluted shares outstanding.

For the three and nine months ended September 30,March 31, 2012 respectively, and therefore anti-dilutive. Included in the Company’s calculation for the three and nine months ended September 30, 2011 were 762Company had 775 stock options, all of which 571 and 597 stock options were out-of-the money for the three and nine months ended September 30, 2011, respectively, and therefore anti-dilutive.anti-dilutive and 19 restricted stock awards with 4 included in the weighted diluted shares outstanding.

Estimates

The financial statements are prepared by management in conformity with GAAP and include estimated amounts and certain disclosures based on assumptions about future events. Accordingly, actual results could differ from those estimates.

Recent Accounting Pronouncements

In September 2011, the FASB issued Accounting Standards Update, Intangibles—Goodwill and Other (Topic 350): Testing Goodwill for Impairment (the revised standard). The revised standard is intended to reduce the cost and complexity of the annual goodwill impairment test by providing entities an option to perform a “qualitative” assessment to determine whether further impairment testing is necessary. If an entity believes, as a result of its qualitative assessment, that it is more-likely-than-not that the fair value of a reporting unit is less than its carrying amount, the quantitative impairment test is required. Otherwise, no further testing is required. The revised standard is effective for annual and interim goodwill impairment tests performed for fiscal years beginning after December 15, 2011. The Company will implement the new standard in its 2012 annual goodwill impairment testing. This guidance isdoes not expected tobelieve any recently issued, but not yet effective, accounting standards will have a material effect on the Company’s consolidated financial condition orposition, results of operations.operations, or cash flows.

2. Discontinued Operations

During December 2012, in anticipation of the sale of substantially all of the assets used in its home health business (the “Home Health Business”), the Company reported the operating results of the Home Health Business as discontinued operations in accordance with ASC 360-10-45 “Impairment or Disposal of Long-Lived Assets.” On February 7, 2013, the Company entered into the Home Health Purchase Agreement, pursuant to which subsidiaries of LHC Group, Inc. agreed to acquire substantially all the assets of the Home Health Business in Arkansas, Nevada and South Carolina and 90% of the Home Health Business in California and Illinois, with the Company retaining 10% ownership in such locations, for cash consideration of $20,000. The transaction was consummated effective March 1, 2013. In addition, the results of discontinued operations include one home health agency being held for sale and one home health agency that closed in January of 2013.

The Company has included the financial results of the Home Health Business in discontinued operations for all periods presented. Assets sold to the purchasers are presented as assets held for sale, net, on the accompanying consolidated balance sheet as of December 31, 2012. In connection with the discontinued operations presentation, certain financial statement footnotes have also been updated to reflect the impact of discontinued operations.

The following table presents the net service revenues and earnings attributable to discontinued operations, which include the financial results for the three months ended March 31, 2013 and 2012:

   For the Three Months ended
March 31,
 
   2013  2012 

Net service revenues

  $6,476   $9,035  
  

 

 

  

 

 

 

Loss before income taxes

   (911  (1,847

Income tax benefit

   (374  (730
  

 

 

  

 

 

 

Net loss from discontinued operations

  $(537 $(1,117
  

 

 

  

 

 

 

ADDUS HOMECARE CORPORATION

AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements—(Continued)

(amounts and shares in thousands)

(Unaudited)

The following table presents the net gain on the sale of the Home Health Business, which was recorded March 1, 2013.

Gain before income taxes

  $18,838  

Income tax expenses

   7,727  
  

 

 

 

Net income (loss) from discontinued operations

  $11,111  
  

 

 

 

The only class of assets for discontinued operations reflected as assets held for sale, net, as of December 31, 2012 was as follows:

   December 31,
2012
 

Property and equipment, net of accumulated depreciation and amortization

  $245  

Pursuant to the Home Health Purchase Agreement, the Company retained $4,115 and $7,123 of accounts receivable, net as of March 31, 2013 and December 31, 2012. In addition, the Company retained the related accrued expenses and accounts payable associated with the Home Health Business as of December 31, 2012.

3. Sale of Agency

During February 2012, the Company completed its sale of a home health agency located in Portland, OR for approximately $525 with net proceeds of approximately $495 after the payment of closing related expenses. The Company recorded a $495 pre-tax gain on the sale of the agency.

ADDUS HOMECARE CORPORATION

AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements—(Continued)

(amounts and shares in thousands)

(Unaudited)

3.4. Goodwill and Intangible Assets

The Company’s carrying value of goodwill is the residual of the purchase price over the fair value of the net assets acquired from various acquisitions including the acquisition of Addus HealthCare, Inc. (“Addus HealthCare”).HealthCare. In accordance with Accounting Standards Codification (“ASC”) Topic 350, “Goodwill and Other Intangible Assets,” goodwill and intangible assets with indefinite useful lives are not amortized. The Company tests goodwill for impairment at the reporting unit level on an annual basis, as of October 1, or whenever potential impairment triggers occur, such as a significant change in business climate or regulatory changes that would indicate that an impairment may have occurred.

Goodwill is required to be tested for impairment at least annually using a two-step method. The first step in the evaluation of goodwill impairment involves comparing the current fair value of each reporting unit to the recorded value, including goodwill.annually. The Company usescan elect to perform Step-0 an optional qualitative analysis and based on the combinationresults skip the remaining two steps. In 2012, the Company elected to implement Step 0 and was not required to conduct the remaining two step analysis.

In performing its goodwill assessment for 2012, the Company evaluated the following factors that affect future business performance: macroeconomic conditions, industry and market considerations, cost factors, overall financial performance, entity-specific events and company stock price. As a result of a discounted cash flow model (“DCF model”) and the market multiple analysis method to determine the current fair value of each reporting unit.

The Company completed a preliminary assessment of these qualitative factors, the Company has concluded that it is more likely than not that the fair value of the Company as of December 31, 2012 exceeded its two reporting units, home & communitycarrying value. Accordingly, the first and home health andsecond steps of the potential for goodwill impairment test as of June 30, 2011. The Company’s total stockholders’ equity as of September 30, 2011 was significantly greater thandescribed in FASB ASC 350-20-35, which includes estimating the Company’s market capitalization which was approximately $43,638 based on 10,774 shares of common stock outstanding as of September 30, 2011. While the market capitalization of approximately $43,638 is below the Company’s stockholders’ equity, the market capitalization metric is only one indicator of fair value. In the Company’s opinion, the market capitalization approach, by itself, is not a reliable indicatorvalue of the valueCompany, are not considered necessary for the Company.

Based on the above

ADDUS HOMECARE CORPORATION

AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements—(Continued)

(amounts and updates to the Company’s business projections and forecasts, and other factors, theshares in thousands)

(Unaudited)

The Company determined that the estimated fair value of its home health reporting unit was less than the net book value indicating that its allocated goodwill was impaired. The preliminary assessmentdid not record any impairment charges for the home & community reportable unit indicated that its fair value was greater than its net book value with no initial indication of goodwill impairment.

As permitted by ASC Topic 350, when an impairment indicator arises toward the end of an interim reporting period, the Company may recognize its best estimate of that impairment loss. Based on the Company’s preliminary analysis prepared as of June 30, 2011, the Company determined that all of the $13,076 allocated to goodwill for the home health reportable unit as of September 30, 2011 was impaired and recorded a goodwill impairment loss in the third quarter of 2011. The analysis prepared as of June 30, 2011 was preliminary and subject to the completion of the Company’s annual impairment test as of October 1, 2011.three months ended March 31, 2013 or 2012. The Company completedwill perform its annual impairment test for fiscal 2013 during the fourth quarter of goodwill as of October 1, 2011 and determined that no additional impairment charges or adjustments were required. The goodwill for the Company’s two reporting units, home & community and home health was $50,735 and $0, respectively. Home & community had fair values in excess of carrying amounts of approximately $9,105, or 8.9% as of October 1, 2011.2013.

The following is a summary of the goodwill activity by segment for the ninethree months ended September 30, 2012:March 31, 2013:

 

   Home &
Community
  Home
Health
  Total 

Goodwill, at December 31, 2010

  $50,820   $13,110   $63,930  

Adjustments to previously recorded goodwill

   (125  (34  (159)

Impairment charge

   —      (13,076  (13,076)
  

 

 

  

 

 

  

 

 

 

Goodwill, at December 31, 2011

   50,695    —      50,695  

Adjustments to previously recorded goodwill

   (119  —      (119
  

 

 

  

 

 

  

 

 

 

Goodwill, at September 30, 2012

  $50,576   $—     $50,576  
  

 

 

  

 

 

  

 

 

 

Goodwill, at December 31, 2012

  $50,536  

Adjustments to previously recorded goodwill

   (40
  

 

 

 

Goodwill, at March 31, 2013

  $50,496  
  

 

 

 

The Company’s identifiable intangible assets consist of customer and referral relationships, trade names, trademarks, state licenses and non-compete agreements. Amortization is computed using straight-line and accelerated methods based upon the estimated useful lives of the respective assets, which range from two to 25 years.

In connection with the Company’s assessment of its fair value discussed above, it determined that all of its $2,273 allocated to identifiable intangible assets for the home health reportable unit as of September 30, 2011 was impaired and recorded an impairment loss for the three and nine months ended September 30, 2011.

The Company also has indefinite-lived assets that are not subject to amortization expense such as certificates of need and licenses to conduct specific operations within geographic markets. The Company has concluded that certificates of need and licenses have indefinite lives, as management has determined that there are no legal, regulatory, contractual, economic or other factors that would limit the useful life of these intangible assets and the Company intends to renew and operate the certificates of need and licenses indefinitely. The certificates of need and licenses are tested annually for impairment using the cost approach. Under this method assumptions are made about the cost to replace the certificates of need. In connection with the Company’s assessment of its fair value discussed above, it determined that all of the $640 allocated to home health certificates of need and licenses were impaired and recorded an impairment loss for the three and nine months ended September 30, 2011. No impairment charges were recorded in the three and nine months ended September 30,March 31, 2013 and 2012.

The Company will perform its annual impairment test for fiscal 20122013 during the fourth quarter of 2012.

ADDUS HOMECARE CORPORATION

AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements—(Continued)

(amounts and shares in thousands)

(Unaudited)

2013.

The following is a summary of the intangible assets and indefinite-lived asset activity as of September 30, 2012:March 31, 2013:

 

   Gross
Carrying

Amount
   Accumulated
Amortization
   Impairment
Charge
   Net Carrying
Amount
 

Customer and referral relationships

  $26,675    $19,701    $1,754    $5,220  

Trade names and trademarks

   4,587     2,716     506     1,365  

State Licenses

   790     —       640     150  

Non-competition agreements

   408     343     13     52  
  

 

 

   

 

 

   

 

 

   

 

 

 
  $32,460    $22,760    $2,913    $6,787  
  

 

 

   

 

 

   

 

 

   

 

 

 

4. Details of Certain Balance Sheet Accounts

Prepaid expenses and other current assets consisted of the following:

   September 30,
2012
   December 31,
2011
 

Prepaid health insurance

  $4,136    $3,672  

Prepaid workers’ compensation and liability insurance

   1,304     1,354  

Prepaid rent

   275     192  

Workers’ compensation insurance receivable

   1,815     1,866  

Other

   1,072     1,053  
  

 

 

   

 

 

 
  $8,602    $8,137  
  

 

 

   

 

 

 

Accrued expenses consisted of the following:

   September 30,
2012
   December 31,
2011
 

Accrued payroll

  $11,170    $11,547  

Accrued workers’ compensation insurance

   12,300     10,173  

Accrued payroll taxes

   3,149     1,811  

Accrued health insurance

   3,477     3,039  

Accrued interest

   58     100  

Current portion of contingent earn-out obligation

   683     683  

Other

   2,244     1,960  
  

 

 

   

 

 

 
  $33,081    $29,313  
  

 

 

   

 

 

 
                                             
   Gross
Carrying
Amount
   Accumulated
Amortization
   Net Carrying
Amount
 

Customer and referral relationships

  $24,908    $20,318    $4,590  

Trade names and trademarks

   4,081     2,833     1,248  

State licenses

   150     —      150  

Non-competition agreements

   408     366     42  
  

 

 

   

 

 

   

 

 

 
  $29,547    $23,517    $6,030  
  

 

 

   

 

 

   

 

 

 

ADDUS HOMECARE CORPORATION

AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements—(Continued)

(amounts and shares in thousands)

(Unaudited)

 

5. Details of Certain Balance Sheet Accounts

Prepaid expenses and other current assets consisted of the following:

                              
   March 31,
2013
   December 31,
2012
 

Prepaid health insurance

  $2,110    $4,062  

Prepaid workers’ compensation and liability insurance

   515     1,056  

Prepaid rent

   186     181  

Workers’ compensation insurance receivable

   1,531     953  

Other

   1,173     1,041  
  

 

 

   

 

 

 
  $5,515    $7,293  
  

 

 

   

 

 

 

Accrued expenses consisted of the following:

                              
   March 31,
2013
   December 31,
2012
 

Accrued payroll

  $9,591    $11,539  

Accrued workers’ compensation insurance

   13,527     12,452  

Accrued payroll taxes

   2,418     1,481  

Accrued health insurance

   2,167     3,469  

Accrued amounts to purchaser

   1,988     —    

Accrued taxes

   3,078     1,223  

Accrued interest

   —       51  

Current portion of contingent earn-out obligation (1)

   689     689  

Other

   2,177     1,813  
  

 

 

   

 

 

 
  $35,635    $32,717  
  

 

 

   

 

 

 

(1)The Company acquired certain assets of Advantage Health Systems, Inc. (“Advantage”) in July 2010. The purchase agreement for the acquisition of Advantage contained a provision for earn-out payments contingent upon the achievement of certain performance targets. The sellers of Advantage disagree with the Company’s calculation of the earn-out payment and the parties have agreed to have an arbitrator determine the amount of the second earn-out payment. The final earn-out payment is expected to be made during the second quarter of 2013.

ADDUS HOMECARE CORPORATION

AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements—(Continued)

(amounts and shares in thousands)

(Unaudited)

6. Long-Term Debt

Long-term debt consisted of the following:

 

                                    
  September 30,
2012
 December 31,
2011
   March 31,
2013
   December 31,
2012
 

Revolving credit loan

  $20,500   $24,750    $—      $16,250  

Term loan

   833    2,708     —       208  

Subordinated dividend notes bearing interest at 10.0%

   1,069    4,069  
  

 

  

 

   

 

   

 

 

Total

   22,402    31,527     —       16,458  

Less current maturities

   (1,902)  (6,569   —       (208
  

 

  

 

   

 

   

 

 

Long-term debt

  $20,500   $24,958    $—      $16,250  
  

 

  

 

   

 

   

 

 

Senior Secured Credit Facility

On March 18, 2010,The Company’s credit facility provides a $55.0 million revolving line of credit expiring November 2, 2014, includes a $15.0 million sublimit for the Company entered into an amendment (the “First Amendment”) to itsissuance of letters of credit and included a $5.0 million term loan that matured and was paid on January 5, 2013. Substantially all of the subsidiaries of Holdings are co-borrowers, and Holdings has guaranteed the borrowers’ obligations under the credit facility. The First Amendment (i) increasedcredit facility is secured by a first priority security interest in all of Holdings’ and the maximum aggregate amountborrowers’ current and future tangible and intangible assets, including the shares of revolving loans available to the Company by $5,000 to $55,000, (ii) modified the Company’s maximum senior leverage ratio from 2.75 to 1.0 to 3.00 to 1.0 for each twelve month period ending on the last of day of each fiscal quarter thereafter and (iii) increased the advance multiple used to determine the amountstock of the borrowing base from 2.75 to 1.0 to 3.0 to 1.0.borrowers.

On July 26, 2010, the Company entered into the Second Amendmentan amendment to its credit facility. The Second Amendmentfacility, which provided for a new term loan component of the credit facility in the aggregate principal amount of $5,000 with a maturity date of January 5, 2013. The requisite lenders also consented to the acquisition, effective July 25, 2010, of certain assets of Advantage Health Systems, Inc. (“Advantage”) by the Company, pursuant to an Asset Purchase Agreement entered into on July 26, 2010. The term loan will bewas repaid in 24 equal monthly installments which commenced February 2011. Interestwhen due on the term loan under the credit facility is payable either at a floating rate equal to the 30-day LIBOR, plus an applicable margin of 4.6% or the LIBOR rate for term periods of one, two, three or six months plus a margin of 4.6%. Interest will be paid monthly or at the end of the relevant interest period. The credit facility contains customary affirmative, negative and financial covenants with which the Company was in compliance at September 30, 2012.

On May 24, 2011, the Company entered into a Joinder, Consent and Amendment No. 3 to its credit facility to include Addus HealthCare (Delaware) Inc., a newly-formed, wholly-owned subsidiary of Addus HealthCare, as an additional borrower under the credit facility.January 5, 2013.

On July 26, 2011, the Company entered into a fourthanother amendment (the “Fourth Amendment”) to its credit facility. The Fourth Amendmentfacility, which modified the Company’s maximum senior leverage ratio from 3.00 to 1.00 to 3.25 to 1.00 for each twelve month period ending on the last of day of each fiscal quarter beginning with the twelve month period ended June 30, 2011 and increased the advance multiple used to determine the amount of the borrowing base from 3.0 to 1.0 to 3.25 to 1.0. The Fourth Amendment resulted in an increase in the Company’s available borrowings under the credit facility.

On March 2, 2012, the Company entered into a fifth amendment (the “Fifth Amendment”) to its credit facility. The Fifth Amendment includes technical changes that are intended to comply with rules promulgated by the Centers for Medicare and Medicaid Services (“CMS”) that restrict lenders from exercising any rights of set-off of funds on deposit in any lockboxes established for receiving payments from governmental authorities.

During the fourth quarter of 2011, the lenders under the Company’s credit facility permitted the Company to add back approximately $1,800 to adjusted EBITDA for the purpose of determining availability under the credit facility. The effect of the add back was to increase availability by approximately $5,800 until March 1, 2012. On March 1, 2012, the add back allowance was reduced by $200 and will continue to bewas reduced by $200 on the first day of each month thereafter until the add back iswas eliminated, which will resultresulted in a reduction in availability of $650 on the first day of each month thereafter until the add back iswas eliminated.

The add-back was eliminated on December 1, 2012. During the second quarter of 2012, the lenders under the Company’s credit facility agreed to a modified interpretation of the credit facility as it relates to the calculation of the fixed charge ratio, which provides the Company with increased flexibility in meeting this covenant. The credit facility contains customary affirmative, negative and financial covenants with which the Company was in compliance at March 31, 2013.

ADDUS HOMECARE CORPORATION

AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements—(Continued)

(amounts and shares in thousands)

(Unaudited)

The availability of funds under the revolving credit portion of the credit facility, as amended, is based on the lesser of (i) the product of adjusted EBITDA, as defined in the credit facility agreement, for the most recent 12-month period for which financial statements have been delivered under the credit facility agreement multiplied by the specified advance multiple, up to 3.25, less the outstanding senior indebtedness and letters of credit, and (ii) $55,000 less the outstanding revolving loans and letters of credit. Interest on the amounts outstanding under the revolving credit portion of the credit facility is payable either at a floating rate equal to the 30-day LIBOR, plus an applicable margin of 4.6% or the LIBOR rate for term periods of one, two, three or six months plus a margin of 4.6%. Interest will be paid monthly or at the end of the relevant interest period, as determined in accordance with the credit facility agreement. The borrowers will pay a fee equal to 0.5% per annum of the unused portion of the revolving portion of the credit facility. Issued stand-by letters of credit will be charged at a rate of 2.0% per annum payable monthly. On September 30, 2012March 31, 2013 the interest rate on the revolving credit loan facility was 4.8% (30 day LIBOR rate was 0.2%). The total availability under the revolving credit loan facility was $15,812$47,590 at September 30, 2012March 31, 2013 compared to $21,810$27,137 at December 31, 2011.2012.

7. Income Taxes

A reconciliation of the continuing operations statutory federal tax rate of 35% and 34% for the three months ended March 31, 2013 and 2012 is summarized as follows:

   Three Months Ended
March  31,
 
   2013  2012 

Federal income tax a statutory rate

   35.0  34.0

State and local taxes, net of federal benefit

   6.1    5.9  

Jobs tax credits, net (1)

   (18.9  —    

Nondeductible meals and entertainment, other

   1.8    0.2  
  

 

 

  

 

 

 

Long-term debt

   24.0  40.1
  

 

 

  

 

 

 

(1)Included in the jobs tax credit for the three months ended March 31, 2013 was a one time benefit of 14.7% reduction in our statutory tax rate for the jobs tax credits earned in 2012 but not recorded until 2013. The Federal employment opportunity tax credits were reinstated in 2013 and were not an allowable deduction in 2012.

ADDUS HOMECARE CORPORATION

AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements—(Continued)

(amounts and shares in thousands)

(Unaudited)

 

Subordinated Dividend Notes

The dividend notes are subordinated and junior to all obligations under the Company’s credit facility. Interest on the outstanding dividend notes accrues at a rate of 10% per annum, compounded annually. Interest on the unpaid principal balance of the dividend notes is due and payable quarterly in arrears together with each payment of principal.

On March 18, 2010, the Company amended its subordinated dividend notes. Pursuant to the amendments, the dividend notes were amended to (i) extend the maturity date of the dividend notes from September 30, 2011 to December 31, 2012, (ii) modify the amortization schedule of the dividend notes to reduce the annual principal payment amounts from $4,468 to $1,250 in 2010; from $3,351 to $2,500 in 2011; and amended total payments in 2012 to $4,069, and (iii) permit, based on the Company’s leverage ratio, the prepayment of all or a portion of the principal amount of the dividend notes, together with interest on the principal amount.

ADDUS HOMECARE CORPORATION

AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements—(Continued)

(amounts and shares in thousands)

(Unaudited)

6.8. Segment Data

The Company provideshas historically segregated its results into two distinct reporting segments: the home & community segment and the home health services primarily in the homesegment. As a result of the consumer. Thesale of the Home Health Business, the Company has reported the operating results for the Home Health Business in discontinued operations. Therefore, all of the Company’s locations and operations are organized principally along these lines of service. The home & community and home health services lines have been identifiedreported as reportable segments applying the criteria in ASC Topic 280, “Disclosure about Segments of an Enterprise and Related Information. The accounting policies of the segments are the same as those described in the Summary of Significant Accounting Policies. Intersegment net service revenues are not significant. All services are provided in the United States.

The Company evaluates the performance of its segments throughone operating income which excludes corporate depreciation and general corporate expenses. General corporate expenses consist principally of accounting and finance, information systems, billing and collections, human resources and national sales and marketing administration.

The following is a summary of segment information for the three and nine months ended September 30, 2012 and 2011:

   Three Months Ended
September 30,
  Nine Months Ended
September 30,
 
   2012  2011  2012  2011 

Net service revenue

     

Home & Community

  $59,581   $56,157   $175,160   $165,309  

Home Health

   11,425    13,227    34,051    39,169  
  

 

 

  

 

 

  

 

 

  

 

 

 
  $71,006   $69,384   $209,211   $204,478  
  

 

 

  

 

 

  

 

 

  

 

 

 

Operating income (loss)

     

Home & Community

  $7,524   $6,798   $21,022   $18,143  

Home Health

   (110)  (15,809)  (1,320)  (14,271

General corporate expenses & corporate depreciation

   (4,220)  (3,849)  (12,433)  (12,036)
  

 

 

  

 

 

  

 

 

  

 

 

 
  $3,194   $(12,860) $7,269   $(8,164
  

 

 

  

 

 

  

 

 

  

 

 

 

Depreciation and amortization

     

Home & Community

  $458   $609   $1,385   $1,828  

Home Health

   4    128    11    385  

Corporate

   177    190    512    570  
  

 

 

  

 

 

  

 

 

  

 

 

 
  $639   $927   $1,908   $2,783  
  

 

 

  

 

 

  

 

 

  

 

 

 

ADDUS HOMECARE CORPORATIONsegment.

AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements—(Continued)

(amounts and shares in thousands)

(Unaudited)

7.9. Commitments and Contingencies

Legal Proceedings

The Company is a party to legal and/or administrative proceedings arising in the ordinary course of its business. It is the opinion of management that the outcome of such proceedings will not have a material effect on the Company’s financial position and results of operations.

ADDUS HOMECARE CORPORATIONIndemnification Obligations

AND SUBSIDIARIES

NotesPursuant to Condensed Consolidated Financial Statements—(Continued)

(the Home Health Purchase Agreement, the Company is obligated to indemnify the purchasers for, among other things, (i) penalties, fines, judgments and settlement amounts arising from a violation of certain specified statutes, including the False Claims Act, the 19 Civil Monetary Penalties Law, the federal Anti-Kickback Statute, the Ethics in Patient Referral Act or any state law equivalent in connection with the operation of the Home Health Business prior to the closing, and shares(ii) any liability related to the failure of any reimbursement claim submitted to certain government programs for services rendered by the Home Health Business prior to the closing to meet the requirements of such government programs, or any violation prior to the closing of any health care laws. Such liabilities include amounts to be recouped by, or repaid to, such government programs as a result of improperly submitted claims for reimbursement or those discovered as a result of audits by investigative agencies. All services that the Company has provided that have been or may be reimbursed by Medicare are subject to retroactive adjustments and/or total denial of payments received from Medicare under various review and audit provisions included in thousands)

(Unaudited)

the program regulations. The review period is generally described as six years from the date the services are provided but could be expanded to ten years under certain circumstances if fraud is found to have existed at the time of original billing. In the event that there are adjustments relating to the period prior to the closing, the Company may be required to reimburse the purchasers or the government for the amount of such adjustments, which could adversely affect the Company’s business and financial condition. The Company has not established a liability reserve for these obligations and at this time cannot determine the probability of requiring the reserve nor the estimated value of such reserve.

Employment Agreements

The Company has entered into employment agreements with certain members of senior management. The terms of these agreements are up to four years and include non-compete and nondisclosure provisions, as well as provide for defined severance payments in the event of termination.

8.10. Significant Payors

A substantial portion of the Company’s net service revenues and accounts receivables are derived from services performed for federal, state and local governmental agencies. Medicare and oneOne state governmental agency accounted for 10.8%59.5% and 49.4%55.1% of the Company’s net service revenues for the three months ended September 30,March 31, 2013 and 2012, respectively, and 12.4% and 43.5% of the Company’s net service revenues for the three months ended September 30, 2011, respectively. Medicare and one state governmental agency accounted for 10.6% and 48.7% of the Company’s net service revenues for the nine months ended September 30, 2012, respectively, and 12.6% and 42.2% of the Company’s net service revenues for the nine months ended September 30, 2011, respectively.

The related receivables due from Medicare and the state agency represented 8%5% and 68%, respectively, of the Company’s accounts receivable at September 30, 2012,March 31, 2013, and 11%7% and 58%69%, respectively, of the Company’s accounts receivable at December 31, 2011.

9. Subsequent Events

Exploration of Strategic Alternatives

On November 1, 2012, the Company announced that it has decided to explore strategic alternatives relative to its home health services business and has retained a financial advisor to assist in the process. There can be no assurance that this review process will result in a transaction or strategic alternative of any kind or of the potential timing or terms of any such transaction or strategic alternative. The Company does not intend to disclose developments or provide updates on the progress or status of this process unless it deems further disclosure is appropriate or required.

Departure of Chief Operating Officer

On November 1, 2012, the Company announced that its Chief Operating Officer has accepted a senior position at another business not in competition with the Company and thus, has submitted his resignation effective November 16, 2012.

ITEM 2.MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

You should read the following discussion together with our unaudited condensed consolidated financial statements and the related notes. This discussion contains forward-looking statements about our business and operations. Our actual results may differ materially from those we currently anticipate.

Overview

We are a comprehensive provider of home-basedhome and community based services, which are primarily social in nature and medical servicesare provided in the home, focused on the elderly who are enrolled in both Medicare and Medicaid, also known as dual eligibles.eligible population. Our services include personal care and assistance with activities of daily living, skilled nursing and rehabilitative therapies, and adult day care. TheOur consumers are individuals with special needs who receive our services may beare at risk of hospitalization or institutionalization, such as the elderly, chronically ill and disabled. Our payor clients include federal, state and local governmental agencies, commercial insurers and private individuals. We provide ourhome and community based services through 117over 96 locations across 19 states to over 26,000 individuals.25,000 consumers.

Effective March 1, 2013, we sold substantially all of the assets used in our home health business (the “Home Health Business”) in Arkansas, Nevada and South Carolina, and 90% of the Home Health Business in California and Illinois, to subsidiaries of LHC Group, Inc. (the “Purchasers”) for a cash purchase price of approximately $20 million. We operateretained a 10% ownership interest in the Home Health Business in California and Illinois. The assets sold included 19 home health agencies and two hospice agencies in five states. Through these home health agencies, we previously provided physical, occupational and speech therapy, as well as skilled nursing services, to pediatric, adult infirm and elderly patients. We are also holding as an asset for sale an agency located in Pennsylvania and we closed an agency in Idaho in January 2013. The results of the Home Health Business sold or held for sale are reflected as discontinued operations for all periods presented herein. Continuing operations include the results of operations previously included in our business through two segments, home & community servicessegment and three agencies previously included in our home health services. Oursegment. Following the sale of the Home Health Business, we manage and internally report our business in one segment.

We believe the sale of the Home Health Business substantially positions us for future growth. The sale allows us to focus both management and financial resources to address changes in the home &and community based services industry and to address the needs of managed care organizations as they become responsible for state sponsored programs. We have improved our financial performance by lowering our administrative costs and concentrating our efforts on the business that is growing and providing all of our profitability and disposing of the business that was unprofitable. We have improved our overall financial position by eliminating our debt and adding substantial amounts in cash reserves to our balance sheet. A summary of our results for the three months ended March 31, 2013 and 2012 are provided in the table below:

   For the Three Months Ended
March 31,
    
   2013  2012  Percent Change 

Net service revenues – continuing operations

  $62,998   $58,889    7.0

Net service revenues – discontinued operations

   6,476    9,035    (28.3)% 

Net income from continuing operations

   2,687    1,746    53.9

Gain on sale of Home Health Business

   11,111    —      N/A  

Loss from discontinued operations

   (537  (1,117  (51.9
  

 

 

  

 

 

  

Net income

  $13,261   $629    N/A  
  

 

 

  

 

 

  

The home and community based services we provide are primarily social or non-medical, in nature and include assistance with bathing, grooming, dressing, personal hygiene and medication reminders, and other activities of daily living. We provide home & communitythese services on a long-term, continuous basis, with an average duration of approximately 17 months per consumer. Our adult day centers provide a comprehensive program of skilled and continuous basis. Our home healthsupport services are primarilyand designated medical services for adults in naturea community-based group setting. Services provided by our adult day centers include social activities, transportation services to and include physical, occupationalfrom the centers, the provision of meals and speech therapy,snacks, personal care and therapeutic activities such as well as skilled nursing. We generally provide home health services on a short-term, intermittent or episodic basis to individuals recovering from an acute medical condition.exercise and cognitive interaction.

We utilize a coordinated care model that is designed to enhance individualconsumer outcomes and satisfaction as well as reduce service duplication and lower the cost of and/or prevent acute care treatment.treatment and reduce service duplication. Through our coordinated care model, we utilize our social serviceshome care aides to observe and report changes in the condition of individualsour consumers for the purpose of early intervention in the disease process, thereby preventing or reducing the cost of medical services by avoiding emergency room visits, and/or institutionalization.

reducing the need of hospitalization. These changes in condition are evaluated by appropriately trained managers and referred to appropriate medical personnel including the primary care physicians and managed care plans for treatment and follow-up. We also utilize an integrated service delivery model, in markets where we operate both home & communitywill coordinate the services and homeprovided by our team with those of selected health services, which maximizescare agencies. We believe this approach to the long-term relationship we have with individuals in our home & community segment through on-going monitoring and possible provision of our home health servicescare to this same population as their needs warrant. Our care and service coordinators work with our caregivers, consumers and their medicalthe integration of our services into the broader healthcare industry is particularly attractive to managed care providers to review our consumers’ current and anticipated service needs and, based on this continuous review, identify coordination and/or integration opportunities including the possible provision of home & community services to our home health individuals and the referral sources in that segment. This provides us with an additional source of revenue, enables individuals to access both social and medical services from one homecare provider and appeals to referral sourcesothers who are seeking a single providerultimately responsible for the healthcare needs of our consumers and over time will increase our business with a breadth of services.them.

Our ability to grow our net service revenues is directly related toclosely correlated with the number of individualsconsumers to whom we provide our services. Our continued growth depends on our ability to maintain our existing payor client relationships, establish relationships with new payors, enter into new contracts and increase our referral sources. Our continued growth is also dependent upon the authorization by state agencies of new individualsconsumers to receive our services.

We believe there are several market opportunities for growth. The U.S. population of persons aged 65 and older is growing, and the U.S. Census Bureau estimates that this population will more than double by 2050. Additionally, we believe the overwhelming majority of individuals in need of care generally prefer to receive care in their homes or community-based settings. Finally, we believe the provision of home &and community based services is more effective and cost-efficientcost-effective than the provision of similar services in an institutional setting for long-term care.

We also believe payorshave historically grown our business primarily through organic growth, complemented with selective acquisitions. Our acquisitions have historically been focused on facilitating entry into new states.

On July 26, 2010, we entered into an Asset Purchase Agreement (the “Purchase Agreement”), pursuant to which we acquired the operations and governmental agencies are increasingly recognizingcertain assets of Advantage Health Systems, Inc., a South Carolina corporation (“Advantage”). Advantage is a provider of home and community based services in South Carolina and Georgia, which expanded our services across 19 states. The total consideration payable pursuant to the benefitsPurchase Agreement was $8.3 million, comprised of providing care$5.1 million in cash, common stock consideration with a sub-acute settingdeemed value of $1.2 million resulting in the home whereissuance of 248,000 common shares, a maximum of $2.0 million in future cash consideration subject to the achievement of certain performance targets set forth in an earn-out agreement and the assumption of certain specified liabilities. In April 2011, we also believepaid the overwhelming majorityfirst earn-out payment of individuals prefer$0.5 million to receive care especiallythe sellers of Advantage. During the fourth quarter of 2011 we completed a revaluation of the remaining contingent earn-out obligation and recorded a reduction of approximately $0.5 million with a remaining obligation of $0.7 million as an alternativeof December 31, 2012. The sellers of Advantage disagree with our calculation of the second earn-out payment. The dispute has been submitted to an institutional long-term care setting.arbitrator and the final payment is expected to be made during the second quarter of 2013.

On November 1, 2012, we announced that we have decided to explore strategic alternatives relative toBusiness

The results of the Home Health Business sold are reflected as discontinued operations for all periods presented herein. Continuing operations include the results of operations previously included in our home & community segment and three agencies previously included in our home health services business and have retained a financial advisor to assist us insegment. Following the process. There can be no assurance that this review process will result in a transaction or strategic alternative of any kind orsale of the potential timing or terms of any such transaction or strategic alternative. We do not intend to disclose developments or provide updates on the progress or status of this process unless it deems further disclosure is appropriate or required.

With the passage of theHome Health Reform Act, discussed below, the statesBusiness, we manage and the federal government are proposing to combine the administrative activities for benefits provided to dual eligibles. Several states in which we are doing business are currently in the process of requesting proposals from various managed care insurance providers for the administration of these programs. We are in active discussions with several of these managed care providers to be a core provider of services to more effectively manage this population.

In March 2010, the President signed into law the Patient Protection and Affordable Care Act and the Healthcare and Education Reconciliation Act of 2010 (collectively, both laws are referred to herein as the “Health Reform Act”). The Health Reform Act includes several provisions that may affect reimbursement for home health agencies. The Health Reform Act is broad, sweeping reform, and is subject to change, including through the adoption of related regulations, the way in which its provisions are interpreted and the manner in which it is enforced. We cannot assure you that the provisions of the Health Reform Act will not adversely impactinternally report our business resultsin one segment.

We provided our home and community based services through over 96 locations across 19 states as of operations or financial position. We may be unable to mitigate any adverse effects resulting from the Health Reform Act.

On July 14, 2010, the Office for Civil Rights of the U.S. Department of HealthMarch 31, 2013 and Human Services (“OCR”) published proposed regulations to implement the Health Information Technology for Economic and Clinical Health Act (the “HITECH Act”). The HITECH Act imposed additional privacy and security requirements on health care providers and on their business associates. Failure to comply with the Health Insurance Portability and Accountability Act, or HIPAA, could result in fines and penalties that could have a material adverse effect on our company. Recently, the OCR has imposed substantial financial and other penalties on covered entities that improperly disclosed individuals’ health information.

In November 2010, CMS released its Home Health Prospective Payment System Update for Calendar Year 2011. It included a 1.1% market basket increase for 2011 (after application of the mandated 1% reduction) and a mandated 3.79% rate reduction. The rate reduction resulted from the CMS determination that there had been a general increase in case mix that CMS believed was unwarranted. CMS believed that this “case-mix creep” was due to improved coding, coding practice changes, and other behavioral responses to the change in reimbursement that went in to effect in 2009, including greater use of high therapy treatment plans above what CMS believed was related to an increase in patient acuity. CMS warned that it would continue to monitor changes in case-mix. If new data identifies additional increases in case-mix, CMS would immediately impose further reductions. The final 2011 payment base rate reflected a 0.3% decrease from the proposed market basket rate in July 2010. CMS announced that it was postponing its proposed 3.79% reduction in home health rates for calendar year 2012 pending its further monitoring of case-mix changes. Home health agencies that did not submit required quality data would be subject to a 2% reduction in the market basket update.

On August 2, 2011 the President signed into law the Budget Control Act of 2011, which raised the debt ceiling and put into effect a series of actions for deficit reduction. The Budget Control Act created a Congressional Joint Select Committee on Deficit Reduction that was tasked with proposing additional deficit reduction of at least $1.5 trillion. The committee was unsuccessful which triggered automatic across the board reductions in spending of $1.2 trillion. Medicare is subject to these reductions but Medicare reductions are capped at 2%.

As mandated by the Health Reform Act, on October 20, 2011, CMS released final regulations for the Medicare Shared Savings Program. Although the Health Reform Act mandates that the program be established no later than January 1, 2012, CMS set start dates of April 1, 2011 and July 1, 2011. The Medicare Shared Savings Program is designed to give financial incentives to healthcare providers and suppliers that meet criteria established by the U.S. Department of Health and Human Services (“DHHS”) that work together to manage and coordinate care through Accountable Care Organizations (“ACOs”) for fee-for-service Medicare beneficiaries assigned to the ACO by CMS to increase quality of care and reduce costs. On December 19, 2011, CMS announced 32 pilot “pioneer ACOs”. In proposed regulations published April 7, 2011, CMS requested comments on a number of issues including the range of providers and suppliers that could participate in an ACO. Reaction to the proposed regulations issued on April 7, 2011 was generally negative especially with regard to start up costs, retroactive assignment of beneficiaries, antitrust issues, the proposed quality measures (both the number and complexity), and the lack of a model that only includes shared savings. The final regulations addressed several but not all of these concerns. The final regulations set a “savings-only model” where providers share any savings over a threshold amount but do not share any losses, as well as a two sided model where the ACO shares in the savings but is also at risk for losses. The number of quality measures is reduced by almost one half, and beneficiaries are assigned prospectively. The first performance period began on January 1,31, 2012. On April 10, 2012, CMS announced the selection of the first 27 ACOs to participate in the Medicare Shared Savings Program. On July 9, 2012, CMS announced 88 additional ACOs bringing the total to 147 ACOs.

In connection with the ACO rules, also on October 20, 2011, the Federal Trade Commission (“FTC”) and the Department of Justice (“DOJ”) released a joint antitrust policy statement, the Internal Revenue Service released a fact sheet, and the Office of Inspector General (“OIG”) released an interim final rule with five fraud waivers (waiving prosecution under the federal anti-kickback statute applicable to federal and state healthcare programs, the federal Ethics in Patient Referral Act or physician referral law and the Civil Monetary Penalty Law and laws regarding gain sharing arrangements). The FTC and the DOJ antitrust policy statement addressed some but not all antitrust concerns. The OIG waivers set forth who would be protected by the waivers and under what circumstances. A home health agency cannot qualify for a waiver for activities during ACO pre-participation, which would include activities in the start-up period until an application is accepted but which CMS states could also occur during the participation period. Post-acute care facilities, such as skilled nursing facilities (“SNFs”) and inpatient rehabilitation facilities (“IRFs”), can qualify for pre-participation waivers. Without a pre-participation waiver, it may be difficult for home health agencies, such as ours, to participate in the planning process for formation of an ACO and this may put us at a disadvantage in negotiating sharing of savings if we were to participate in an ACO. In addition, because other post-acute care providers, such as SNFs and IRFs, can participate in the planning process they may more readily participate in ACOs and may attract referrals that otherwise would have been made to us. Although provider and supplier participation in an ACO is voluntary, participation by our competitors in some markets may force us to participate as well, or if we do not participate, result in loss of business. Also, where we do not participate we will need to be mindful of quality measure criteria and if we are unable to meet those criteria we could be at risk for losing Medicare referrals. In addition, other savings programs similar to ACOs may be adopted by government and commercial payors to control costs and reduce hospital readmissions in which we could be financially at risk. We cannot predict what effect, if any, ACOs will have on our company.

On July 15, 2011, DHHS published two sets of proposed regulations relating to health insurance exchanges established under the Health Reform Act providing guidance and options to states on how to structure their exchanges. On September 30, 2011, DHHS extended the date for public comment from September 28 to October 31, 2011. CMS published final regulations on March 27, 2012. On December 16, 2011, CMS issued an “Essential Benefits Bulletin,” which provided a broad outline of benefit categories, including habilitative and rehabilitative services, but left the definition of essential benefits to the states, to be defined in a benchmark plan selected by each state. The benchmark plan is supposed to reflect the scope of services and limits in a plan offered by a typical employer in the state. At this point it is uncertain what services will be mandated for coverage by exchanges or at what level services will be paid or what impact the exchanges will have on other payors.

In the Final Home Health Prospective Payment System Update for Calendar Year 2012 CMS imposed a 5.1% reduction to the national standardized 60-day episode rates that is being phased in over 2 years. The reduction in calendar year 2012 is 3.8% and the remaining 1.3% will be applied for calendar year 2013. After offset of the reduction for calendar year 2012, the market basket update is 1.4%, which results in a 2012 rate that is less than the 2011 rate. Home health agencies that do not meet quality data reporting requirements have a market basket update of 0.6%. CMS also implemented several other changes. It removed two codes for hypertension from the home health PPS case-mix model’s hypertension group. In addition, CMS revised payment weights, lowering the relative weights, and thus payments, for home health episodes with a high number of therapy visits and increasing the weights, and payments, for episodes with little or no therapy.

CMS also reported that it plans to do further analysis of the costs for providing therapy visits and the use of therapy assistants for future rulemaking and plans to make further rate adjustments in accordance with its findings. In its March 2012 Report to Congress, the Medicare Payment Advisory Commission, or MedPAC, an independent congressional agency that advises Congress on issues involving the Medicare program, reiterated its belief that home health agency margins are too high and its recommendation that payments for 2013 should be rebased.

On July 13, 2012, CMS published the proposed Medicare 2013 Home Health update. CMS proposes a 1.5% payment update reduced by 1.32% to offset what it views as case mix “creep”. CMS also proposes additional methods to enforce compliance with home health conditions of participation and the imposition of alternative sanctions for home health agencies with deficiencies, including civil monetary penalties.

Reductions in Medicare home health agency payments, whether through rebasing or otherwise, would decrease our revenue, which would have a negative effect on our profits and liquidity.

Segments

We operate our business through two segments, home & community services and home health services. We have organized our internal management reports to align with these segment designations. As such, we have identified two reportable segments, home & community and home health, applying the criteria in ASC 280, “Disclosure about Segments of an Enterprise and Related Information”. The following table presents our locations by segment, setting forth acquisitions, start-ups and closures for the period January 1, 2012 to September 30, 2012:

   Home &
Community
  Home
Health
  Total 

Total at December 31, 2011

   89    29    118  

Merged/Sold

   (1)  (1  (2

Start-up

   1    —      1  
  

 

 

  

 

 

  

 

 

 

Total at September 30, 2012

   89    28    117  
  

 

 

  

 

 

  

 

 

 

Our payor clients are principally federal, state and local governmental agencies. The federal, state and local programs under which they operate are subject to legislative, budgetary and other risks that can influence reimbursement rates. Our commercial insurance carrier payor clients are typically for profit companies and are continuously seeking opportunities to control costs. We are seeking to grow our private duty business in both of our segments.business.

For the three and nine months ended September 30,March 31, 2013 and 2012 and 2011, our payor revenue mix by segment was as follows:for continuing operations was:

 

  Home & Community 
  For the Three
Months Ended
September 30,
 For the Nine
Months Ended
September 30,
   For the Three Months ended
March 31,
 
  2012 2011 2012 2011   2013 2012 

State, local and other governmental programs

   95.0%  94.4%  95.3%  94.4%   95.0  95.3

Commercial

   1.0    1.4    1.0    1.0     1.1    0.9  

Private duty

   4.0    4.2    3.7    4.6     3.9    3.8  
  

 

  

 

  

 

  

 

   

 

  

 

 
   100.0%  100.0%  100.0%  100.0%   100.0  100.0
  

 

  

 

  

 

  

 

   

 

  

 

 
  Home Health 
  For the Three
Months Ended
September 30,
 For the Nine
Months Ended
September 30,
 
  2012 2011 2012 2011 

Medicare

   68.0%  64.8%  64.8%  65.5%

State, local and other governmental programs

   16.4    18.6    18.1    18.5  

Commercial

   10.9    11.7    12.4    10.6  

Private duty

   4.7    4.9    4.7    5.4  
  

 

  

 

  

 

  

 

 
   100.0%  100.0%  100.0%  100.0%
  

 

  

 

  

 

  

 

 

We derive a significant amount of our net service revenues from our continuing operations in Illinois, which represented 65.5% and 61.9% of our total net service revenues from continuing operations for the three months ended March 31, 2013 and 2012, respectively.

A significant amount of our net service revenues from continuing operations are derived from one payor client, the Illinois Department on Aging, which accounted for 59.5% and 55.1% of our total net service revenues from continuing operations for the three months ended March 31, 2013 and 2012, respectively.

We also measure the performance of each segmentour business using a number of different metrics. For our home & community segment, weWe consider billable hours, billable hours per business day, revenues per billable hour and the number of consumers, or census. For our home health segment, we consider

On April 2, 2013, the Centers for Medicare admissions, non-Medicare admissions, and Medicare revenues per episode completed.

We derive a significant amountMedicaid Services published final regulations for implementation of our net service revenues from our operations in Illinois and California, which represented 61.5% and 9.2%; and 56.7% and 10.0%, of our total net service revenuesthe increased Federal Medical Assistance Percentage (“FMAP”) payments for the three months ended September 30,Medicaid program under the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2012 (collectively, both laws are referred to herein as the “Health Reform Act”). Under the Health Reform Act, the FMAP to states to cover individuals who are “newly eligible” is 100% for calendar years 2014-2016 and 2011, respectively. Net service revenues from our operationsgradually decreases by 2020 to 90%. States that already covered individuals who otherwise became eligible for Medicaid under the Health Reform Act (“Expansion States”) will receive a much lower 2.2% FMAP increase. Expansion States will receive the enhanced FMAP payment for those individuals who previously did not qualify for Medicaid. The final rule, among other things, establishes methodologies for states to determine who is newly eligible. Thus, we expect that not all states in Illinois and California represented 62.4% and 8.5%; and 55.5% and 10.4%, of our total net service revenues for the nine months ended September 30, 2012 and 2011, respectively.

A significant amount of our net service revenues are derived from two specific payor clients. The Illinois Department on Aging, in the home & community segment, and Medicare, in the home health segment, which accounted for 49.4% and 10.8%; and 43.5% and 12.4%; of our total net service revenues for the three months ended September 30, 2012 and 2011, respectively. The Illinois Department on Aging and Medicare accounted for 48.7% and 10.6%; and 42.2% and 12.6%; of our total net service revenues for the nine months ended September 30, 2012 and 2011, respectively.we do business will receive enhanced FMAP payments or substantial enhanced FMAP payments.

Components of our Statements of IncomeOperations

Net Service Revenues

We generate net service revenues from continuing operations by providing our home & community services and home health services directly to individuals. We receive payment for providing such services from our payor clients, including federal, state and local governmental agencies, commercial insurers and private individuals.

Home & community segmentNet service revenues from continuing operations are typically generated based on services rendered and reimbursed on an hourly basis. Our home & community segmentnet service revenues from continuing operations were generated principally through reimbursements by state, local and other governmental programs which are partially funded by Medicaid programs, and to a lesser extent from private duty and insurance programs. Net service revenues for our home & community segmentfrom continuing operations are principally provided based on authorized hours, determined by the relevant agency, at an hourly rate, which is either contractual or fixed by legislation, and recognized as net service revenues at the time services are rendered.

Home health segment revenues are primarily generated on a per episode or visit basis rather than on a flat fee or an hourly basis. Our home health segment revenues are generated principally through reimbursements by the Medicare program, and to a lesser extent from Medicaid programs, commercial insurers and private duty. Net service revenues from home health payors, other than Medicare, are readily determinable and recognized as net service revenues at the time the services are rendered. Medicare reimbursements are based on 60-day episodes of care. The anticipated net service revenues from an episode are initially recognized as accounts receivable and deferred revenues and subsequently amortized as net service revenues ratably over the 60-day episodic period. At the end of each episode of care, a final billing is submitted to Medicare and any changes between the initial anticipated net service revenues and final billings are recorded as an adjustment to net service revenues. For open episodes, we estimate net service revenues based on historical data and adjust for the difference between the initial anticipated net service revenues and the ultimate final claim amount.

Cost of Service Revenues

We incur direct care wages, payroll taxes and benefit-related costs from continuing operations in connection with our employees providing our home & community and home health services. We also provide workers’ compensation and general liability coverage for these employees.

Employees are also reimbursed for their travel time and related travel costs. For home health services, we provide medical supplies and occasionally hire contract labor services to supplement existing staffing in order to meet our consumers’ needs.

General and Administrative Expenses

Our general and administrative expenses from continuing operations consist of expenses incurred in connection with our segments’ activities and as part of our central administrative functions.

Our general and administrative expenses for home & community and home health servicesfrom continuing operations consist principally of supervisory personnel, care coordination and office administration costs. Our general and administrative expenses for home health also include additional staffing for clinical and admissions processing. These expenses consist principally ofinclude wages, payroll taxes and benefit-related costs; facility rent; operating costs such as utilities, postage, telephone and office expenses; and bad debt expense. Our company hasWe have initiated efforts to centralize administrative tasks currently conducted at the branch locations. The costs related to these initiatives are included in the general and administrative expenses for each division.

Our corporate general and administrativefrom continuing operations. Other centralized expenses cover the centralizedfrom continuing operations include administrative departments of accounting, information systems, human resources, billing and collections and contract administration, as well as national program coordination efforts for marketing and private duty. These expenses primarily consist of compensation, including stock-based compensation, payroll taxes, and related benefits; legal, accounting and other professional fees; rents and related facility costs; and other operating costs such as software application costs, software implementation costs, travel, general insurance and bank account maintenance fees.

Depreciation and Amortization Expenses

We amortize our intangible assets with finite lives, consisting of customer and referral relationships, trade names, trademarks and non-compete agreements, principally on accelerated methods based upon their estimated useful lives. Depreciable assets at the segment level consist

principally of furniture and equipment, and for the home & community segment, also include vehicles for our adult day centers.

A substantial portion of our capital expenditures is infrastructure-related or for our corporate office. Corporate asset purchases consist primarily of network administration and telephone equipment, and operating system software, furniture and equipment.software. Depreciable and leasehold assets are depreciated or amortized on a straight-line method over their useful lives or, if less and if applicable, their lease terms.

Interest Income

Legislation enacted in Illinois entitles designated service program providers to receive a prompt payment interest penalty based on qualifying services approved for payment that remain unpaid after a designated period of time. As the amount and timing of the receipt of these payments are not certain, the interest income is recognized when received and reported in the income statement caption, interest income. While we may be owed additional prompt payment interest, the amount and timing of receipt of such payments remains uncertain and we have determined that we will continue to recognize prompt payment interest income when received. The state amended its prompt payment interest terms, effective July 1, 2011, which changed the measurement period for outstanding invoices from a 60-day to a 90-day outstanding period. We believe this change in terms will reduce future amounts paid for prompt payment interest.

Interest Expense

Interest expense from continuing operations consists of interest costs on our credit facility and other debt instruments.

Income Tax Expense

All of our income from continuing operations is from domestic sources. We incur state and local taxes in states in which we operate. The differences from the federal statutory rate of 34%35% are principally due to state taxes and the use of federal employment tax credits.

Gain on Sale of the Home Health Business, Net of Tax

Gain on sale of the home health business, net of tax consists of the results of the gain, net of tax we recorded for selling our Home Health Business effective March 1, 2013.

Discontinued Operations

Discontinued operations consists of the results of operations, net of tax for our Home Health Business that was sold effective March 1, 2013 and the results of operations of assets held for sale.

Results of Operations

Three Months Ended September 30, 2012March 31, 2013 Compared to Three Months Ended September 30, 2011March 31, 2012

The following table sets forth, for the periods indicated, our unaudited consolidated results of operations.

 

   Three Months Ended
September 30, 2012
  Three Months Ended
September 30, 2011
  Change 
   Amount  % of
Net Service
Revenues
  Amount  % of
Net Service
Revenues
  Amount  % 
   (in thousands, except percentages) 

Net service revenues:

       

Home & Community

  $59,581    83.9 $56,157    80.9 $3,424    6.1%

Home Health

   11,425    16.1    13,227    19.1    (1,802)  (13.6)
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Total

   71,006    100.0    69,384    100.0    1,622    2.3  

Operating income (loss) before corporate expenses:

       

Home & Community

   7,524    12.6    6,798    12.1    726    10.7  

Home Health

   (110)  (1.0)  (15,809)  (119.5)  15,699    *  
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Total

   7,414    10.4    (9,011)  (13.0)  16,425    *  

Corporate general and administrative expenses

   4,043    5.7    3,659    5.3    384    10.5  

Corporate depreciation and amortization

   177    0.2    190    0.3    (13  6.8  
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Total operating income (loss)

   3,194    4.5    (12,860)  (18.5)  16,054    *  

Interest expense, net

   407    0.6    548    0.8    (141)  (25.7)
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Income (loss) from operations before taxes

   2,787    3.9    (13,408)  (19.3)  16,195    *  

Income tax expense (benefit)

   990    1.4    (6,745)  (9.7)  7,735    *  
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Net income (loss)

  $1,797    2.5 $(6,663)  (9.6)%  $8,460    *%
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 
   For the Three Months Ended March 31,    
   2013  2012  Change 
   Amount  % of
Net Service
Revenues
  Amount  % of
Net Service
Revenues
  Amount  % 
   (in thousands, except percentages) 

Net service revenues

  $62,998    100.0 $58,889    100.0 $4,109    7.0

Cost of service revenues

   47,200    74.9    43,865    74.5    3,335    7.6  
  

 

 

   

 

 

   

 

 

  

Gross profit

   15,798    25.1    15,024    25.5    774    5.2  

General and administrative expenses

   11,510    18.3    11,570    19.6    (60  (0.5

Gain on sale of agency

   —      —      (495  (0.8  495    (100.0

Depreciation and amortization

   546    0.9    631    1.1    (85  (13.5
  

 

 

   

 

 

   

 

 

  

Total operating expenses

   12,056    19.1    11,706    19.9    350    3.0  
  

 

 

   

 

 

   

 

 

  

Operating income from continuing operations

   3,742    5.9    3,318    5.6    424    12.8  

Total interest expense

   208    0.3    404    0.7    (196  (48.5
  

 

 

   

 

 

   

 

 

  

Income from continuing operations before income taxes

   3,534    5.6    2,914    4.9    620    21.3  

Income tax expense

   847    1.3    1,168    2.0    (321  (27.5
  

 

 

   

 

 

   

 

 

  

Net income from continuing operations

   2,687    4.3    1,746    3.0    941    53.9  
  

 

 

   

 

 

   

 

 

  

Discontinued operations:

       

Loss from home health business, net of tax

   (537  (0.9  (1,117  (1.9  580    (51.9

Gain on sale of the home health business, net of tax

   11,111    17.6    —      —      11,111    *  
  

 

 

   

 

 

   

 

 

  

Net income from discontinued operations

   10,574    16.8    (1,117  (1.9  11,691    *  
  

 

 

   

 

 

   

 

 

  

Net income

  $13,261    21.0 $629    1.1 $12,632    *
  

 

 

   

 

 

   

 

 

  

Business Metrics

       

Average billable census

   25,817     24,525     1,292    5.3

Billable hours (in thousands)

   3,714     3,470     244    7.0  

Average Billable hours per census per month

   48     47     1    2.1  

Billable hours per business day

   58,031     53,354     4,677    8.8  

Revenues per billable hour

  $16.96    $16.97    $(0.01  (0.1)% 

 

*Percentage information not meaningful

Our net service revenues increased by $1.6 million, or 2.3%, to $71.0 million for the three months ended September 30, 2012 compared to $69.4 million for the three months ended September 30, 2011. This net increase consists of an increase of 6.1% in home & community net service revenues partially offset by a 13.6% decrease in home health net service revenues. Home & community revenue growth was driven by an increase in average census and related increase in billable hours. Our home health revenue decline in the third quarter of 2012 was primarily due to a decrease in Medicare and non-Medicare admissions from on-going operations and a loss of revenues from agencies that were closed or sold.

Total operating income, expressed as a percentage of net service revenues, for the three months ended September 30, 2012 and 2011, was 4.5% and (18.5)%, respectively. Corporate general and administrative expenses increased by $0.4 million to 5.7% of net service revenues for the three months ended September 30, 2012, as compared to 5.3% for the same period in 2011.

During the third quarter of 2011, we completed a preliminary assessment of the fair value of our two reporting units, home & community and home health due to the potential for goodwill impairment. Our preliminary assessment for our home & community reportable segment indicated that its fair value was greater than its net book value with no initial indication of goodwill impairment. We determined that the estimated fair value of our home health reporting unit was less than the net book value indicating that its allocated goodwill and intangible assets were impaired.

Based on our preliminary analysis, we determined that all of the $16.0 million allocated to goodwill and intangible assets for our home health reportable unit as of September 30, 2011 was impaired and recorded an impairment loss for the three months ended September 30, 2011. Excluding the impairment charge discussed above, total operating income, expressed as a percentage of net service revenues, for the three months ended September 30, 2011 was 4.5%.

Home & Community Segment

The following table sets forth, for the periods indicated, a summary of our home & community segment’s unaudited results of operations through operating income, before corporate expenses:

   Three Months Ended
September 30, 2012
  Three Months Ended
September 30, 2011
  Change 
   Amount   % of Net
Service
Revenues
  Amount   % of Net
Service
Revenues
  Amount  % 
   (in thousands, except percentages) 

Net service revenues

  $59,581     100.0 $56,157     100.0 $3,424    6.1

Cost of service revenues

   44,520     74.7    41,368     73.7    3,152    7.6  
  

 

 

   

 

 

  

 

 

   

 

 

  

 

 

  

 

 

 

Gross profit

   15,061     25.3    14,789     26.3    272    1.8  

General and administrative expenses

   7,079     11.9    7,382     13.1    (303)  (4.1

Depreciation and amortization

   458     0.8    609     1.1    (151)  (24.8
  

 

 

   

 

 

  

 

 

   

 

 

  

 

 

  

 

 

 

Operating income

  $7,524     12.6 $6,798     12.1 $726    10.7
  

 

 

   

 

 

  

 

 

   

 

 

  

 

 

  

 

 

 

Segment Data:

         

Billable hours (in thousands)

   3,521      3,323      198    6.0%

Billable hours per business day

   54,169      51,127      3,042    5.9%

Revenues per billable hour

  $16.93     $16.90     $0.03    0.2%

Average census

   24,138      23,026      1,112    4.8%

Net service revenues from state, local and other governmental programs accounted for 95.0% and 94.4%95.3% of home & community net service revenues for the three months ended September 30,March 31, 2013 and 2012, and 2011, respectively. Private duty and, to a lesser extent, commercial payors accounted for the remainder of net service revenues.

Net service revenues increased $3.4$4.1 million, or 6.1%7.0%, to $59.6$63.0 million for the third quarter of 2012three months ended March 31, 2013 compared to $56.2$58.9 million for the same period in 2011.2012. The increase was primarily due to a 4.8%5.3% increase in average census increase and a related 6.0%7.0% increase in billable hours.

Gross profit, expressed as a percentage of net service revenues, decreased to 25.3%25.1% for the third quarter of 2012,three months ended March 31, 2013, from 26.3% for the same period25.5% in 2011.2012. This decrease as a percent of revenue of 1.0%0.4% is primarily due to an increase in workers’ compensation costs due toauto claim expenses, partially offset by an increase in the average claim costs during 2012.billed hours per census per month while leveraging the fixed wage cost for field staff.

General and administrative expenses, expressed as a percentage of net service revenues decreased to 11.9%19.1% for the three months ended September 30, 2012,March 31, 2013, from 13.1%19.9% for the three months ended September 30, 2011.March 31, 2012. General and administrative expenses decreased by $0.3to $11.5 million to $7.1 million in the third quarter of 2012 as compared to $7.4$11.6 million for the same periodthree months ended March 31, 2013 and 2012, respectively. The decrease in 2011. This decrease of $0.3 million is primarilygeneral and administrative expenses was due to a decrease in our bad debt expense duefor the three months ended 2013 as compared to our continued focus on collections and due to a significant decrease in legal related costs, partially offset by an increase in administrative wages and telecom related costs.2012.

Depreciation and amortization, expressed as a percentage of net service revenues, decreased to 0.8% for the third quarter of 2012,0.9% from 1.1% for the same period in 2011.three months ended March 31, 2013 and 2012, respectively. Amortization of intangibles, which are principally amortized using accelerated methods, totaled $0.4$0.3 million and $0.6$0.4 million for the three months ended September 30,March 31, 2013 and 2012, and 2011, respectively.

Home Health Segment

The following table sets forth, for the periods indicated, a summary of our home health segment’s unaudited results of operations through operating income, before corporate expenses:

   Three Months Ended
September 30, 2012
  Three Months Ended
September 30, 2011
  Change 
   Amount  % of Net
Service
Revenues
  Amount  % of Net
Service
Revenues
  Amount  % 
   (in thousands, except percentages) 

Net service revenues

  $11,425    100.0 $13,227    100.0 $(1,802)  (13.6)% 

Cost of service revenues

   6,167    54.0    7,005    53.0    (838)  (12.0)
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Gross profit

   5,258    46.0    6,222    47.0    (964)  (15.5)

General and administrative expenses

   5,364    46.9    5,914    44.7    (550)  (9.3

Goodwill and intangible asset impairment charge

   —      —      15,989    120.9    15,989    *  

Depreciation and amortization

   4    0.1    128    1.0    (124)  (96.9)
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Operating income (loss)

  $(110)  (1.0)%  $(15,809)  (119.5)%  $15,699    *
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Segment Data:

       

Medicare admissions

   2,008     2,233     (225  (10.1)%

Non-Medicare admissions

   1,213     1,558     (345)  (22.1)%

Medicare revenues per episode completed

  $2,571    $2,426    $145    6.0%

*Percentage information not meaningful

Net service revenues from Medicare accounted for 68.0% and 64.8% of home health net service revenues for the three months ended September 30, 2012 and 2011, respectively. Non-Medicare net service revenues, in order of significance, include Medicaid and other governmental programs, commercial insurers and private duty payors.

Net service revenues decreased $1.8 million, or 13.6%, to $11.4 million for the third quarter of 2012, compared to $13.2 million in the same period of 2011. Our home health revenue decline in the third quarter of 2012 was primarily due to a 15.0% decrease in admissions and a loss of revenues from agencies that were closed or sold.

Gross profit, expressed as a percentage of net service revenues, decreased to 46.0% for the three months ended September 30, 2012, from 47.0% in the same period of 2011. This decrease of 1.0% in gross margin percentage is primarily due to an increase in workers’ compensation costs due to an increase in average claim costs during 2012.

General and administrative expenses, expressed as a percentage of net service revenues, increased to 46.9% for the third quarter of 2012, from 44.7% for the same period in 2011. General and administrative expenses decreased by $0.5 million to $5.4 million in the third quarter of 2012 as compared to $5.9 million for the three months ended September 30, 2011. This decrease was primarily due to a reduction in management and administrative staffing costs, a decrease in bad debt expense, and a reduction in consulting services, partially offset by severance costs.

Total operating loss expressed as a percentage of net service revenues, for the three months ended September 30, 2012 and 2011, was (1.0)% and (119.5)%, respectively.

During the third quarter of 2011, we determined that all of the $16.0 million allocated to goodwill and intangible assets for our home health reportable unit as of September 30, 2011 was impaired and recorded an impairment loss for the three months ended September 30, 2011. Excluding the impairment charge, total operating income, expressed as a percentage of net service revenues, for the three months ended September 30, 2011 was 1.4%.

Depreciation and amortization, expressed as a percentage of net service revenues, decreased by 96.9% for the three months ended September 30, 2012. This decrease is due to the write-off of all intangible assets in the third quarter of 2011 as a result of an impairment analysis completed.

Corporate General and Administrative Expense

Corporate general and administrative expenses increased $0.4 million, or 10.5%, to $4.0 million for the three months ended September 30, 2012, from $3.7 million for the three months ended September 30, 2011. This increase was primarily due to an increase in wage related costs as a result of additions to our corporate infrastructure, an increase in telecom and data related expenses due to technology upgrades, and an increase in consulting expenses for business development initiatives, partially offset by a decrease in management bonus expense. These expenses, expressed as a percentage of net service revenues, were 5.7% and 5.3% for the three months ended September 30, 2012 and 2011, respectively.

Interest Income

Legislation enacted in Illinois entitles designated service program providers to receive a prompt payment interest penalty based on qualifying services approved for payment that remain unpaid after a designated period of time. As the amount and timing of the receipt of these payments are not certain, the interest income is recognized when received and reported in the income statement caption, interest income. We did not receive any prompt payment interest in the three months ended September 30, 2012 and 2011. While we may be owed additional prompt payment interest, the amount and timing of receipt of such payments remains uncertain and we have determined that we will continue to recognize prompt payment interest income when received. The state amended its prompt payment interest terms, effective July 1, 2011, which changed the measurement period for outstanding invoices from a 60-day to a 90-day outstanding period. We believe this change in terms will reduce future amounts paid for prompt payment interest. We did not receive any prompt payment interest income for the three months ended March 31, 2013 or 2012.

Interest Expense

Interest expense was $0.4$0.2 million and $0.5$0.4 million for the three months ended September 30,March 31, 2013 and 2012, and 2011, respectively. Interest expense decreased $0.1$0.2 million primarily due to a reduction in outstanding debt.

Income Tax Expense (Benefit)

Our effective tax rates from continuing operations for the three months ended September 30,March 31, 2013 and 2012 were 24.0% and 2011 were 35.5% and 50.3%40.1%, respectively. The principal difference between the Federal and stateState statutory rates and our effective tax rate is the use of Federal employment opportunity tax credits. The decrease of 14.8% in our effective tax rate during the third quarter of 2012 is a direct result of the impact that the $16.0 million goodwill and intangible asset impairment charge had on the effective tax rate for the third quarter of 2011. Our effective tax rate for 2012 does not include any earned 2012 Federal employment opportunity tax credits were reinstated in 2013 and willwere not be recognized until such time that the Federal employment opportunity tax credits are reinstated.

Nine Months Ended September 30, 2012 Compared to Nine Months Ended September 30, 2011

The following table sets forth, for the periods indicated, our unaudited consolidated results of operations.

   Nine Months Ended
September 30, 2012
  Nine Months Ended
September 30, 2011
  Change 
   Amount  % of
Net Service
Revenues
  Amount  % of
Net Service
Revenues
  Amount  % 
   (in thousands, except percentages) 

Net service revenues:

       

Home & Community

  $175,160    83.7 $165,309    80.8 $9,851    6.0

Home Health

   34,051    16.3    39,169    19.2    (5,118)  (13.1)
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Total

   209,211    100.0    204,478    100.0    4,733    2.3  
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Operating income (loss) before corporate expenses:

       

Home & Community

   21,022    12.0    18,143    11.0    2,879    15.9  

Home Health

   (1,320)  (3.9)  (14,271)  (36.4)  12,951    *  
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Total

   19,702    9.4    3,872    1.9    15,830    *  

Corporate general and administrative expenses

   12,416    5.9    11,466    5.6    950    8.3  

Gain on sale of agency

   (495  (0.2  —      —      (495  *  

Corporate depreciation and amortization

   512    0.2    570    0.3    58    (10.2)
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Total operating income (loss)

   7,269    3.5    (8,164)  (4.0  15,433    *  

Interest expense, net

   1,237    0.6    1,929    0.9    (692)  (35.9)
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Income (loss) from operations before taxes

   6,032    2.9    (10,093)  (4.9)  16,125    *  

Income tax expense (benefit)

   2,142    1.0    (5,616)  (2.7)  7,758    *  
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Net income (loss)

  $3,890    1.9 $(4,477)  (2.2)%  $8,367    *
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

*Percentage information not meaningful

Our net service revenues increased by $4.7 million, or 2.3%, to $209.2 million for the nine months ended September 30, 2012

compared to $204.5 million for the nine months ended September 30, 2011. This net increase consists of an increase of 6.0%allowable deduction in home & community net service revenues partially offset by a 13.1% decrease in home health net service revenues. Home & community revenue growth was driven by an increase in average census and related increase in billable hours. Our home health revenue decline for the nine months ended September 30, 2012 was primarily due to a decrease in Medicare and non-Medicare admissions from on-going operations and a loss of revenues from agencies that were closed or sold.

Total operating income (loss), expressed as a percentage of net service revenues, for the nine months ended September 30, 2012 and 2011, was 3.5% and (4.0)%, respectively. Corporate general and administrative expenses increased by $0.9 million to 5.9% of net service revenues for the nine months ended September 30, 2012, as compared to 5.6% for the same period in 2011.

During the third quarter of 2011, we determined that all of the $16.0 million allocated to goodwill and intangible assets for our home health reportable unit as of September 30, 2011 was impaired and recorded an impairment loss of $16.0 million in the third quarter of 2011. Excluding the impairment charge, total operating income, expressed as a percentage of net service revenues, for the nine months ended September 30, 2011 was 3.8%.2012.

Home & Community SegmentDiscontinued Operations

During the fourth quarter of fiscal year 2012, we announced that we were pursuing strategic alternatives for our Home Health Business, and in February 2013, we entered into the Home Health Purchase Agreement. Following the sale, we have segregated the Home Health Business operating results and presented them separately as discontinued operations for all periods presented (see note 2 – “Discontinued Operations” of the Notes to the Consolidated Financial Statements included herein).

The following table sets forth, forbelow depicts the periods indicated, a summary of our home & community segment’s unaudited results of operations through operating income, before corporate expenses:discontinued operations.

 

   Nine Months Ended
September 30, 2012
  Nine Months Ended
September 30, 2011
  Change 
   Amount   % of Net
Service
Revenues
  Amount   % of Net
Service
Revenues
  Amount  % 
   (in thousands, except percentages) 

Net service revenues

  $175,160     100.0 $165,309     100.0 $9,851    6.0

Cost of service revenues

   130,681     74.6    123,221     74.5    7,460    6.1  
  

 

 

   

 

 

  

 

 

   

 

 

  

 

 

  

 

 

 

Gross profit

   44,479     25.4    42,088     25.5    2,391    5.7  

General and administrative expenses

   22,072     12.6    22,117     13.4    (45)  (0.2)

Depreciation and amortization

   1,385     0.8    1,828     1.1    (443)  (24.2
  

 

 

   

 

 

  

 

 

   

 

 

  

 

 

  

 

 

 

Operating income

  $21,022     12.0 $18,143     11.0 $2,879    15.9
  

 

 

   

 

 

  

 

 

   

 

 

  

 

 

  

 

 

 

Segment Data:

         

Billable hours (in thousands)

   10,377      9,736      641    6.6

Billable hours per business day

   54,298      50,716      3,582    7.1

Revenues per billable hour

  $16.88     $16.98     $(0.10)  (0.6)% 

Average census

   23,677      22,761      916    4.0
   For the Three Months Ended March 31,    
   2013  2012  Change 
   Amount  % of Net
Service
Revenues
  Amount  % of Net
Service
Revenues
  Amount  % 
   (in thousands, except percentages) 

Net service revenues

  $6,476    100.0 $9,035    100.0 $(2,559  (28.3)% 

Cost of service revenues

   3,713    57.3    5,418    60.0    (1,705  (31.5
  

 

 

   

 

 

   

 

 

  

Gross profit

   2,763    42.7    3,617    40.0    (854  (23.6

General and administrative expenses

   3,674    56.7    5,461    60.4    (1,787  (32.7

Depreciation and amortization

   —      —     3    0.0    (3  (100.0
  

 

 

   

 

 

   

 

 

  

Operating income (loss) from discontinued operations

   (911  (14.1  (1,847  (20.4  936    (50.7
  

 

 

   

 

 

   

 

 

  

Income tax (benefit)

   (374  (5.8  (730  (8.1  356    (48.8
  

 

 

   

 

 

   

 

 

  

Loss from home health business, net of tax

  $(537  (8.3)%  $(1,117  (12.4)%  $580    (51.9)% 
  

 

 

   

 

 

   

 

 

  

Net service revenues from state, local and other governmental programs accounted for 95.3% and 94.4% of home & community net service revenues for the nine months ended September 30, 2012 and 2011, respectively. Private duty and, to a lesser extent, commercial payors accounted for the remainder of net service revenues.

Net service revenues increased $9.9 million, or 6.0%, to $175.2 million for the nine months ended September 30, 2012 compared to $165.3 million for the same period in 2011. The increase waslosses were primarily due to a 4.0% increase in average censusreduced sales, higher costs to treat consumers and a related 6.6% increase in billable hours.

Gross profit, expressed as a percentage of net service revenues, decreasedour inability to 25.4% for the nine months ended September 30, 2012, from 25.5% for the same period in 2011. This decrease as a percent of revenue of 0.1% is primarily due to an increase in workers’ compensation costs as a result of an increase in average claim costs during 2012, partially offset by a decrease in field wage costs.

General and administrative expenses, expressed as a percentage of net service revenues decreased to 12.6% for the nine months ended September 30, 2012, from 13.4% for the nine months ended September 30, 2011. General and administrative expenses were comparable at $22.1 million for the nine months ended September 30, 2012 and 2011. During the nine months ended September 30, 2012, we had cost increases in administrative wages, telecom and technology related costs, and an increase in management bonuses, which were completely offset by a decrease in bad debt expense due to improved collections and a decrease in legal related expenses.

Depreciation and amortization, expressed as a percentage of net service revenues, decreased to 0.8% for the nine months ended September 30, 2012, from 1.1% for the same period in 2011. Amortization of intangibles, which are principally amortized using accelerated methods, totaled $1.3 million and $1.7 million for the nine months ended September 30, 2012 and 2011, respectively.

Home Health Segment

The following table sets forth, for the periods indicated, a summary of our home health segment’s unaudited results of operations through operating income, before corporate expenses:

   Nine Months Ended
September 30, 2012
  Nine Months Ended
September 30, 2011
  Change 
   Amount  % of Net
Service
Revenues
  Amount  % of Net
Service
Revenues
  Amount  % 
   (in thousands, except percentages) 

Net service revenues

  $34,051    100.0 $39,169    100.0 $(5,118  (13.1)% 

Cost of service revenues

   19,151    56.2    21,082    53.8    (1,931)  (9.2)
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Gross profit

   14,900    43.8    18,087    46.2    (3,187)  (17.6

General and administrative expenses

   16,209    47.6    15,984    40.8    225    1.4  

Goodwill and intangible asset impairment charge

   —      —      15,989    40.8    15,989    *  

Depreciation and amortization

   11    0.1    385    1.0    (374  (97.1
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Operating income (loss)

  $(1,320)  (3.9)%  $(14,271)  (36.4)%  $12,951    *
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Segment Data:

       

Medicare admissions

   6,168     6,826     (658)  (9.6)% 

Non-Medicare admissions

   3,777     4,909     (1,132  (23.1)% 

Medicare revenues per episode completed

  $2,571    $2,494    $77    3.1

*Percentage information not meaningful

Net service revenues from Medicare accounted for 64.8% and 65.5% of home health net service revenues for the nine months ended September 30, 2012 and 2011, respectively. Non-Medicare net service revenues, in order of significance, include Medicaid and other governmental programs, commercial insurers and private duty payors.

Net service revenues decreased $5.1 million, or 13.1%, to $34.1 million for the nine months ended September 30, 2012, compared to $39.2 million in the same period of 2011. Our home health revenue decline for the nine months ended September 30, 2012 was primarily due to a 15.3% decrease in admissions and a loss of revenues from agencies that were closed or sold.

Gross profit, expressed as a percentage of net service revenues, decreased to 43.8% for the nine months ended September 30, 2012, from 46.2% in the same period of 2011. This decrease of 2.4% in gross margin percentage is primarily due to decrease in field staff productivity, an increase in workers’ compensation costs due to an increase in average claim costs during 2012, and due to an increase in insurance related costs.

General and administrative expenses, expressed as a percentage of net service revenues, increased to 47.6% for the nine months ended September 30, 2012, from 40.8% for the same period in 2011. General and administrative expenses increased by $0.2 million to $16.2 million for the nine months ended September 30, 2012, as compared to $16.0 million for the same period in 2011. This increase was primarily due to an increase in administrative wages, an increase in telecom and technology related costs, and severance expense recorded in the third quarter of 2012, partially offset by reduction in bad debt expense and a decrease in management bonuses.

Total operating loss expressed as a percentage of net service revenues, for the nine months ended September 30, 2012 and 2011, was (3.9)% and (36.4)%, respectively.

During the third quarter of 2011, we determined that all of the $16.0 million allocated to goodwill and intangible assets for our home health reportable unit as of September 30, 2011 was impaired and recorded an impairment loss for the three months ended September 30, 2011. Excluding the impairment charge, total operating income, expressed as a percentage of net service revenues, for the nine months ended September 30, 2011 was 4.4%.

Depreciation and amortization, expressed as a percentage of net service revenues, decreased by 97.1% for the nine months ended September 30, 2012. This decrease is due to the write-off of all intangible assets in the third quarter of 2011 as a result of an impairment analysis completed.

Corporate General and Administrative Expense

Corporatereduce fixed general and administrative expenses increased $0.9 million, or 8.3%, to $12.4 million for the nine months ended September 30, 2012, from $11.5 million for the nine months ended September 30, 2011. This increase was primarily due to an increase in wage related costs asat a result of additions to our corporate infrastructure, an increase in telecom and data related expenses due to technology upgrades, and an increase in consulting expenses for business development initiatives, partially offset by a decrease in legal expenses and management bonus expense. These expenses, expressed as a percentage of net service revenues, were 5.9% and 5.6% for the nine months ended September 30, 2012 and 2011, respectively.rate consistent with revenue declines.

Interest Income

Legislation enacted in Illinois entitles designated service program providers to receive a prompt payment interest penalty based on qualifying services approved for payment that remain unpaid after a designated period of time. As the amount and timing of the receipt of these payments are not certain, the interest income is recognized when received and reported in the income statement caption, interest income. We received $0.1 million in prompt payment interest in the nine months ended September 30, 2012. We did not receive any prompt payment interest for the nine months ended September 30, 2011. While we may be owed additional prompt payment interest, the amount and timing of receipt of such payments remains uncertain and we have determined that we will continue to recognize prompt payment interest income when received. The state amended its prompt payment interest terms, effective July 1, 2011, which changed the measurement period for outstanding invoices from a 60-day to a 90-day outstanding period. We believe this change in terms will reduce future amounts paid for prompt payment interest.

Interest Expense

Interest expense was $1.4 million and $1.9 million for the nine months ended September 30, 2012 and 2011, respectively. Interest expense decreased $0.5 million primarily due to a reduction in outstanding debt.

Income Tax Expense

Our effective tax rates for the nine months ended September 30, 2012 and 2011 were 35.5% and 55.6%, respectively. The principal difference between the Federal and state statutory rates and our effective tax rate is the use of Federal employment opportunity tax credits. The decrease of 20.1% in our effective tax rate for the nine months ended September 30, 2012 is a direct result of the impact that the $16.0 million goodwill and intangible asset impairment charge had on the effective tax rate. Our effective tax rate for 2012 does not include any earned 2012 Federal employment opportunity tax credits and will not be recognized until such time that the Federal employment opportunity tax credits are reinstated.

Liquidity and Capital Resources

Overview

Our primary sources of liquidity are cash from operations and borrowings under our credit facility. At September 30, 2012March 31, 2013 and December 31, 2011,2012, we had cash balances of $17.8 million and $1.7 million, respectively. The increase in cash balance between December 31, 2012 and $2.0 million, respectively.March 31, 2013 is primarily attributable to the cash received from the purchasers for our Home Health Business and increased collections on outstanding accounts receivable which were offset by payments on our line of credit and term loan.

Cash flows from operating activities represent the inflow of cash from our payor clients and the outflow of cash for payroll and payroll taxes, operating expenses, interest and taxes. Due to its revenue deficiencies and financing issues, the State of Illinois has reimbursed us on a delayed basis with respect to our various agreements including with our largest payor, the Illinois Department on Aging. The open receivable balance from the State of Illinois increaseddecreased by $5.6$8.0 million, to $45.2 million as of March 31, 2013 from $47.4$53.2 million as of December 31, 2011 to $53.0 million as of September 30, 2012.

The State of Illinois continues to reimburse us on a delayed basis. These payment delays have adversely impacted, and may further adversely impact, our liquidity, and may result in the need to increase borrowings under our credit facility. Delayed reimbursements from our other state payors have also contributed to the increase in our receivable balances.

Our credit facility provides a $55.0 million revolving line of credit expiring November 2, 2014, includes a $15.0 million sublimit for the issuance of letters of credit and previously included a $5.0 million term loan that matured and was paid on January 5, 2013. Substantially all of the subsidiaries of Holdings are co-borrowers, and Holdings has guaranteed the borrowers’ obligations under the credit facility. The credit facility is secured by a first priority security interest in all of Holdings’ and the borrowers’ current and future tangible and intangible assets, including the shares of stock of the borrowers.

Our credit facility provides (i) maximum aggregate amount of revolving loans available to us of $55.0 million, (ii) maximum senior debt leverage ratio of 3.00 to 1.0 for the twelve (12) month period ending March 31, 2010 and each twelve (12) month period ending on the last day of each fiscal quarter thereafter and (iii) advance multiple of 3.25 used to determine the amount of the borrowing base.

On March 18, 2010, we entered into the first amendment (the “First Amendment”) to our credit facility. The First Amendment (i) increased the maximum aggregate amount of revolving loans available to us by $5.0 million to $55.0 million, (ii) modified our maximum senior debt leverage ratio from 2.75 to 1.0 to 3.00 to 1.0 for the twelve (12) month period ending March 31, 2010 and each twelve (12) month period ending on the last day of each fiscal quarter thereafter and (iii) increased the advance multiple used to determine the amount of the borrowing base from 2.75 to 3.00.

On March 18, 2010, we also amended our subordinated dividend notes that we issued on November 2, 2009 in the aggregate original principal amount of $12.9 million. Pursuant to the amendments, the dividend notes were amended to (i) extend the maturity date of the notes from September 30, 2011 to December 31, 2012, (ii) modify the amortization schedule of the notes to reduce the annual principal payment amounts from $4.5 million to $1.3 million in 2010; from $3.3 million to $2.5 million in 2011; and provide for total payments in 2012 of $4.0 million and (iii) permit, based on our leverage ratio, the prepayment of all or a portion of the principal amount of the notes, together with interest on the principal amount.

On July 26, 2010, we entered into a secondan amendment (the “Second Amendment”) to our credit facility. The Second Amendmentfacility, which provided for a $5.0 millionnew term loan component of the credit facility in the proceedsaggregate principal amount of which were used to finance a portion of the purchase price payable in connection$5,000 with our acquisition of certain assets of Advantage effective July 25, 2010. The term loan will be repaid in 24 equal monthly installments, which commenced February 2011. Interest on the new term loan under the credit facility is payable either at a floating rate equal to the 30-day LIBOR, plus an applicable margin of 4.6% or the LIBOR rate for term periods of one, two, three or six months plus a margin of 4.6%. Interest will be paid monthly or at the end of the relevant interest period. The term loan has a maturity date of January 5, 2013. The total consideration payable pursuant to the Purchase Agreementterm loan was $8.3 million, comprised of $5.1 million in cash, common stock consideration with a deemed value of $1.2 million resulting in the issuance of 248,000 common shares, a maximum of $2.0 million in future cash consideration subject to the achievement of certain performance targets set forth in an earn-out agreement and the assumption of certain specified liabilities. In April 2011, we paid the first earn-out payment of $0.5 million to the sellers of Advantage. The second earn-out payment obligation was reviewed during the fourth quarter of 2011 and it was revalued at approximately $0.7 million. The final payment is expected to be made during the fourth quarter of 2012.

On May 24, 2011, we entered into a Joinder, Consent and Amendment No. 3 to our credit facility to include Addus HealthCare (Delaware) Inc., a wholly-owned subsidiary of Addus HealthCare, as an additional borrower under our credit facility.repaid when due on January 5, 2013.

On July 26, 2011, we entered into a fourthanother amendment (the “Fourth Amendment”) to our credit facility. The Fourth Amendment (i)facility, which modified our maximum senior leverage ratio from 3.00 to 1.00 to 3.25 to 1.00 for each twelve month period ending on the last of day of each fiscal quarter beginning with the twelve month period ended June 30, 2011 and (ii) increased the advance multiple used to determine the amount of the borrowing base from 3.0 to 1.0 to 3.25 to 1.0. The Fourth Amendment resulted in an increase in the available borrowings under our credit facility.

On March 2, 2012, we entered into a fifth amendment (the “Fifth Amendment”) to our credit facility. The Fifth Amendment includes technical changes that are intended to comply with rules promulgated by CMS that restrict lenders from exercising any rights of set-off of funds on deposit in any lockboxes established for receiving payments from governmental authorities.

During the fourth quarter of 2011, the lenders under our credit facility permitted us to add back approximately $1.8 million to adjusted EBITDA for the purpose of determining availability under the credit facility. The effect of the add back was to increase availability by approximately $5.8 million until March 1, 2012. On March 1, 2012, the add back allowance was reduced by $0.2 million and will continue to bewas reduced by $0.2 million on the first day of each month thereafter until the add back iswas eliminated, which will resultresulted in a reduction in availability of $0.65 million on the first day of each month thereafter until the add back iswas eliminated. The add-back was eliminated on December 1, 2012.

During the second quarter of 2012, the lenders under our credit facility agreed to a modified interpretation of the credit facility as it relates to the calculation of the fixed charge ratio, which provides us with increased flexibility in meeting this covenant. The credit facility contains customary affirmative, negative and financial covenants with which we were in compliance at March 31, 2013.

As of September 30, 2012March 31, 2013 we had $20.5 millionno outstanding amount on our revolving credit facility.facility other than letters of credit. After giving effect to the amount drawn on our credit facility, approximately $7.4 million of outstanding letters of credit, borrowing limits based on an advanced multiple of adjusted EBITDA and the Fourth Amendment, we had $15.8$47.6 million available for borrowing under the credit facility as of September 30, 2012.March 31, 2013. In order to obtain consent from our lender for the sale of the Home Health Business we agreed to work in good faith to negotiate and enter into an amendment to the credit facility to amend certain provisions including a reduction in the maximum revolving loan limit and revolving loan commitment.

We believe the available borrowings under our credit facility which, when taken together with existing cash reserves and cash from operations, will be sufficient to cover our working capital needs for at least the next 12 months and provide resources, subject to any necessary lender consent, to enter into and complete select acquisitions. While our growth plan is not dependent on the completion of acquisitions, if we do not have sufficient cash resources or availability under our credit facility, or we are otherwise prohibited from making acquisitions, our growth could be limited unless we obtain additional equity or debt financing or unless we obtain the necessary consents from our lenders. We believe the available borrowings under our credit facility which, when taken together with cash from operations, will be sufficient to cover our working capital needs for at least the next 12 months.

Cash Flows

The following table summarizes our cash flows for the ninethree months ended September 30, 2012March 31, 2013 and 2011:2012:

 

   Nine Months Ended
September 30,
 
   2012  2011 
   (unaudited) 

Net cash provided by operating activities

  $9,336   $11,815  

Net cash used in investing activities

   (518)  (777)

Net cash used in financing activities

   (9,125)  (10,557
   Three Months Ended
March 31,
 
   2013  2012 

Net cash provided by (used in) operating activities

  $13,025   $(1,283

Net cash provided by investing activities

   19,480    207  

Net cash (used in) provided by financing activities

   (16,458  375  

NineThree Months Ended September 30, 2012March 31, 2013 Compared to NineThree Months Ended September 30, 2011March 31, 2012

Net cash provided by operating activities was $9.3$13.0 million for the ninethree months ended September 30, 2012,March 31, 2013, compared to $11.8cash used in operations of $(1.3) million for the same period in 2011.2012. This decreaseincrease in cash provided by operations was primarily due to a reductionan increase in cash from changes in net working capital and an increase in operating income before depreciation and amortization and goodwill and intangible asset impairment charge, generated for the ninethree months ended September 30, 2012March 31, 2013 as compared to the same period in 2011.2012.

Net cash used inprovided by investing activities was $0.5$19.5 million for the ninethree months ended September 30, 2012.March 31, 2013. Our investing activities for the ninethree months ended September 30,March 31, 2013 were $19.7 million in net proceeds received from the sale of the Home Health Business and the purchase of $0.2 million of property and equipment. Our investing activities for the three months ended March 31, 2012 were $0.5 million in net proceeds received for the sale of a home healthan agency and the purchase of $1.0 million of property and equipment. Our investing activities for the nine months ended September 30, 2011 were $0.3 million forin capital expenditures and a $0.5 million earn-out payment for Advantage.expenditures.

Net cash used in financing activities was $9.1$16.5 million for the ninethree months ended September 30, 2012March 31, 2013 as compared to net cash used of $10.6provided by financing activities $0.4 million for the ninethree months ended September 30, 2011.March 31, 2012. Our financing activities for the ninethree months ended September 30, 2012March 31, 2013 were primarily driven by net payments of $4.3$16.2 million on the revolving credit portion of our credit facility, $3.0 million in payments on our subordinated dividend notes and $1.8$0.2 million in payments on our term loan. Our financing activities for the ninethree months ended September 30, 2011March 31, 2012 were primarily driven by $6.8$2.0 million in paymentsborrowings on the revolving credit portion of our credit facility, $1.8offset by $1.0 million in payments on subordinated dividend notes, $1.7and $0.6 million in payments on our term loan, and $0.3 million in payments on other notes.loan.

Outstanding Accounts Receivable

Outstanding accounts receivable, net of the allowance for doubtful accounts, decreased by $1.0$10.7 million as of September 30, 2012March 31, 2013 as compared to December 31, 2011.2012. The decrease in accounts receivable is primarily attributable to the consistent payments we received from the State of Illinois during the first quarter of 2013 and to a lesser extent the winding down of our Home Health Business.

We establish our allowance for doubtful accounts to the extent it is probable that a portion or all of a particular account will not be collected. Our provision for doubtful accounts is estimated and recorded primarily by aging receivables utilizing eight aging categories and applying our historical collection rates to each aging category, taking into consideration factors that might impact the use of historical collection rates or payor groups, with certain large payors analyzed separately from other payor groups. In our evaluation of these estimates, we also consider other factors including: delays in payment trends in individual states due to budget or funding issues, billing conversions related to acquisitions or internal systems, regulatory requirements for submitting Medicare billing including face-to-face and physical therapy documentation, resubmission of bills with required documentation and disputes with specific payors.

Our collection procedures include review of account agings and direct contact with our payors. We have historically not used collection agencies. An uncollectible amount, not governed by amount or aging, is written off to the allowance account only after reasonable collection efforts have been exhausted.

The following tables detail our accounts receivable before reserves by payor category, showing Illinois governmental payors separately, and segment and the related allowance amount at September 30, 2012March 31, 2013 and December 31, 2011:2012:

 

   September 30, 2012 
   0-90 Days  91-180 Days  181-365 Days  Over
365  Days
  Total 
   (in thousands, except percentages) 

Home & Community

      

Illinois governmental based programs

  $37,225   $14,317   $886   $103   $52,531  

Other state, local and other governmental programs

   9,220    683    617    622    11,142  

Private duty and commercial

   1,744    354    231    724    3,053  
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 
   48,189    15,354    1,734    1,449    66,726  
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Home Health

      

Medicare

   4,575    1,343    343    —      6,261  

Other state, local and other governmental programs

   1,212    202    120    178    1,712  

Private duty and commercial

   1,234    219    227    50    1,730  

Illinois governmental based programs

   156    163    148    39    506  
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 
   7,177    1,927    838    267    10,209  
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Total

  $55,366   $17,281   $2,572   $1,716   $76,935  
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Related aging %

   72.0  22.5  3.3  2.2 

Allowance for doubtful accounts

      $5,535  

Reserve as % of gross accounts receivable

       7.2

  December 31, 2011   March 31, 2013 
  0-90 Days 91-180 Days 181-365 Days Over
365  Days
 Total   0-90 Days 91-180 Days 181-365 Days Over
365 Days
 Total 
  (in thousands, except percentages)   (in thousands, except percentages) 

Home & Community

      

Continuing operations

      

Illinois governmental based programs

  $33,233   $11,969   $416   $1,110   $46,728    $39,098   $3,484   $1,341   $911   $44,834  

Other state, local and other governmental programs

   10,106    1,077    901    1,720    13,804     10,541    888    543    231    12,203  

Private duty and commercial

   1,454    482    569    920    3,425     1,874    449    214    335    2,872  
  

 

  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

  

 

 
   44,793    13,528    1,886    3,750    63,957     51,513    4,821    2,098    1,477    59,909  
  

 

  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

  

 

 

Home Health

      

Aging % continuing operations

   86.0  8.0  3.5  2.5 

Discontinued operations

      

Medicare

   6,109    2,991    991    17    10,108     2,309    1,050    164    —     3,523  

Other state, local and other governmental programs

   1,617    310    259    251    2,437     303    41    25    4    373  

Private duty and commercial

   1,459    412    369    146    2,386     521    192    135    14    862  

Illinois governmental based programs

   241    249    119    60    669     125    121    38    50    334  
  

 

  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

  

 

 
   9,426    3,962    1,738    474    15,600     3,258    1,404    362    68    5,092  
  

 

  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

  

 

 

Total

  $54,219   $17,490   $3,624   $4,224   $79,557    $54,771   $6,225   $2,460   $1,545   $65,001  
  

 

  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

  

 

 

Related aging %

   68.2  22.0  4.6  5.2 

Aging % of total

   84.2  9.6  3.8  2.4 

Allowance for doubtful accounts

      $7,189        $4,361  

Reserve as % of gross accounts receivable

       9.0       6.7
  December 31, 2012 
  0-90 Days 91-180 Days 181-365 Days Over
365 Days
 Total 
  (in thousands, except percentages) 

Continuing operations

      

Illinois governmental based programs

  $38,339   $13,374   $1,076   $126   $52,915  

Other state, local and other governmental programs

   10,248    845    610    329    12,032  

Private duty and commercial

   1,936    360    127    401    2,824  
  

 

  

 

  

 

  

 

  

 

 
   50,523    14,579    1,813    856    67,771  
  

 

  

 

  

 

  

 

  

 

 

Aging % continuing operations

   74.5  21.5  2.7  1.3 

Discontinued operations

      

Medicare

   4,751    955    188    —     5,894  

Other state, local and other governmental programs

   340    109    58    —     507  

Private duty and commercial

   965    211    164    30    1,370  

Illinois governmental based programs

   128    19    35    45    227  
  

 

  

 

  

 

  

 

  

 

 
   6,184    1,294    445    75    7,998  
  

 

  

 

  

 

  

 

  

 

 

Total

  $56,707   $15,873   $2,258   $931   $75,769  
  

 

  

 

  

 

  

 

  

 

 

Aging % of total

   74.9  20.9  3.0  1.2 

Allowance for doubtful accounts

      $4,466  

Reserve as % of gross accounts receivable

       5.9

We calculate our continuing operations days sales outstanding (“DSO”) by taking the accounts receivable outstanding net of the allowance for doubtful accounts and deducting deferred revenues at the end of the period, divided by the total net service revenues for the last quarter, multiplied by the number of days in that quarter. The adjustment for deferred revenues relates to Medicare receivables which are recorded at the inception of each 60 day episode of care at the full requested anticipated payment (“RAP”) amount. Our DSOs from continuing operations were 81 days and 92 days at September 30, 2012March 31, 2013 and December 31, 2011 were 90 days and 94 days,2012, respectively. The DSODSOs for our largest payor, the Illinois Department on Aging, at September 30, 2012March 31, 2013 and December 31, 20112012 were 12799 days and 125122 days, respectively.

Indebtedness

Credit Facility

Our credit facility most recently amended on March 2, 2012, provides a $55.0 million revolving line of credit expiring November 2, 2014, and a $5.0 million term loan maturing January 5, 2013, and includes a $15.0 million sublimit for the issuance of letters of credit.credit and previously included a $5.0 million term loan that matured and was paid on January 5, 2013. Substantially all of the subsidiaries of Holdings are co-borrowers, and Holdings has guaranteed the borrowers’ obligations under the credit facility. The credit facility is secured by a first priority security interest in all of Holdings’ and the borrowers’ current and future tangible and intangible assets, including the shares of stock of the borrowers.

The availability of funds under the revolving credit portion of the credit facility, as amended, is based on the lesser of (i) the product of adjusted EBITDA, as defined, for the most recent 12-month period for which financial statements have been delivered under the credit facility agreement multiplied by the specified advance multiple, up to 3.25, less the outstanding senior indebtedness and letters of credit, and (ii) $55.0 million less the outstanding revolving loans and letters of credit. Interest on the revolving line of credit and term loan amounts outstanding under the credit facility is payable either at a floating rate equal to the 30-day LIBOR, plus an applicable margin of 4.6% or the LIBOR rate for term periods of one, two, three or six months plus a margin of 4.6%. Interest on the credit facility will be paid monthly on or at the end of the relevant interest period, as determined in accordance with the credit facility agreement. The borrowers will pay a fee equal to 0.5% per annum of the unused portion of the revolving portion of the credit facility. Issued stand-by letters of credit will be charged at a rate of 2.0% per annum payable monthly. A balance of $20.5 million wasWe did not have any amounts outstanding on our credit facility as of September 30, 2012March 31, 2013 and the total availability under the revolving credit loan facility was $15.8 million at September 30, 2012.$47.6 million.

The credit facility contains customary affirmative covenants regarding, among other things, the maintenance of records, compliance with laws, maintenance of permits, maintenance of insurance and property and payment of taxes. The credit facility also contains certain customary financial covenants and negative covenants that, among other things, include a requirement to maintain a minimum fixed charge coverage ratio, a requirement to stay below a maximum senior leverage ratio and a requirement to stay below a maximum permitted amount of capital expenditures, as well as restrictions on guarantees, indebtedness, liens, dividends, distributions, investments and loans, subject to customary carve outs, restrictions on Holdings’ and the borrowers’ ability to enter into transactions other than in the ordinary course of business, a restriction on the ability to consummate more than three acquisitions in any calendar year, or for the purchase price of any one acquisition to exceed $0.5 million, in each case without the consent of the lenders, restrictions on mergers, transfers of assets, acquisitions, equipment, subsidiaries and affiliate transactions, subject to customary carve outs, and restrictions on fundamental changes and lines of business. We were in compliance with all of our credit facility covenants at September 30, 2012.

During the fourth quarter of 2011, the lenders under our credit facility permitted us to add back approximately $1.8 million to adjusted EBITDA for the purpose of determining availability under the credit facility. The effect of the add back was to increase availability by approximately $5.8 million until March 1, 2012. On March 1, 2012, the add back allowance was reduced by $0.2 million and will continue to be reduced by $0.2 million on the first day of each month thereafter until the add back is eliminated, which will result in a reduction in availability of $0.65 million on the first day of each month thereafter until the add back is eliminated.31, 2013.

During the second quarter of 2012, the lenders under our credit facility agreed to a modified interpretation of the credit facility as it relates to the calculation of the fixed charge ratio, which provides us with increased flexibility in meeting this covenant. In order to obtain consent from our lender for the sale of the Home Health Business we agreed to work in good faith to negotiate and enter into an amendment to the credit facility to amend certain provisions including a reduction in the maximum revolving loan limit and revolving loan commitment.

Dividend Notes

On March 18, 2010,Prior to the completion of our IPO, we amendedhad 37,750 shares of series A preferred stock issued and outstanding, all of which were converted into shares of our common stock on November 2, 2009. Shares of our series A preferred stock accumulated dividends each quarter at a rate of 10%, compounded annually. We accrued these undeclared dividends because the holders had the option to convert their shares of series A preferred stock into common stock at any time with the accumulated dividends payable in cash or a note payable. Our series A preferred stock was converted into 4,077,000 shares of common stock in connection with the completion of our IPO on November 2, 2009. We paid $0.2 million of the $13.1 million outstanding accumulated dividends as of November 2, 2009 with the remaining $12.9 million being converted into 10% junior subordinated promissory notes, which we refer to as the dividend notes. PursuantThe dividends notes were subordinated and junior to the amendments, theall obligations under our credit facility. Our dividend notes were amended to (i) extendrepaid in full during the maturity datefourth quarter of the dividend notes from September 30, 2011 to December 31, 2012, (ii) modify the amortization schedule of the dividend notes to reduce the annual principal payment amounts from $4.5 million to $1.3 million in 2010; from $3.4 million to $2.5 million in 2011; and to provide for total payments in 2012 to $4.1 million, and (iii) permit, based on our leverage ratio, the prepayment of all or a portion of the principal amount of the dividend notes, together with interest on the principal amount. A balance of $1.1 million was outstanding on the dividend notes as of September 30, 2012.

Off-Balance Sheet Arrangements

As of September 30, 2012,March 31, 2013, we did not have any off-balance sheet guarantees or arrangements with unconsolidated entities.

Critical Accounting Policies and Estimates

The discussion and analysis of our financial condition and results of operations are based on our consolidated financial statements prepared in accordance with accounting principles generally accepted in the United States. The preparation of the financial statements requires us to make estimates and assumptions that affect the reported amounts of assets and liabilities, revenues and expense and related disclosures. We base our estimates and judgments on historical experience and other sources and factors that we believe to be reasonable under the circumstances; however, actual results may differ from these estimates. We consider the items discussed below to be critical because of their impact on operations and their application requires our judgment and estimates.

Revenue Recognition

The majority of our home & community segment revenues for the three months ended March 31, 2013 and 2012 from continuing operations are derived from Medicaid and Medicaid waiver programs under agreements with various state and local authorities. These agreements provide for a service term from one year to an indefinite term. Services are provided based on authorized hours, determined by the relevant state or local agency, at an hourly rate specified in the agreement or fixed by legislation. Services to other payors, such as private or commercial clients, are provided at negotiated hourly rates and recognized in net service revenues as services are provided. We provide for appropriate allowances for uncollectible amounts at the time the services are rendered.

More than half of our home health segment revenues are derived from Medicare. Home health services are reimbursed by Medicare basedThe Illinois Department on episodes of care. UnderAging initiated technical changes to the Medicare Prospective Payment System, or PPS, an episode of care is defined as a length of care up to 60 days per patient with multiple continuous episodes allowed. Billings per episode under PPS vary based on the severity of the patient’s condition and are subject to adjustment, both higher and lower,method for changes in the patient’s medical condition and certain other reasons. At the inception of each episode of care, we submit a request for anticipated payment, or RAP, to Medicare for 50% to 60% of the estimated PPS reimbursement.reimbursing providers effective May 1, 2013. We estimate the net PPS revenues to be earned during an episode of care based on the initial RAP billing, historical trends and other known factors. The net PPS revenues are initially recognized as deferredthat first quarter net service revenues and subsequently amortized as netwould have been reduced by approximately $0.6 million with no corresponding reduction in the cost of service revenues, ratably over the 60-day episodic period. At the end of each episode of care, a final billing is submitted to Medicare and anyif such changes between the initial RAP and final billings are recorded as an adjustment to net service revenues. For open episodes, we estimate net revenues based on historical data, and adjust net service revenues for the difference, if any, between the initial RAP and ultimate final claim amount.

The remaining revenueshad been in our home health segment are from state and local governmental agencies, commercial insurers and private individuals. Services are primarily provided to these payors on a per visit basis based on negotiated rates. As such, net service revenues are readily determinable and recognized at the time the services are rendered. We provide for appropriate allowances for uncollectible amounts at the time the services are rendered.effect beginning January 1, 2013.

Accounts Receivable and Allowance for Doubtful Accounts

We are paid for our services primarily by state and local agencies under Medicaid or Medicaid waiver programs, Medicare, commercial insurance companies and private individuals. While our accounts receivable are uncollateralized, our credit risk is somewhat limited due to the significance of Medicare and state agencygovernmental payors to our results of operations. Laws and regulations governing the Medicaid and Medicaregovernmental programs in which we participate are complex and subject to interpretation. Amounts collected may be different than amounts billed due to client eligibility issues, insufficient or incomplete documentation, services at levels other than authorized and other reasons unrelated to credit risk.

Legislation enacted in Illinois entitles designated service program providers to receive a prompt payment interest penalty based on qualifying services approved for payment that remain unpaid after a designated period of time. As the amount and timing of the receipt of these payments are not certain, the interest income is recognized when received and reported in the income statement caption, interest income. We did not receive any prompt payment interest in the three months ended March 31, 2013 and 2012, respectively. While we may be owed additional prompt payment interest, the amount and timing of receipt of such payments remains uncertain and we have determined that we will continue to recognize prompt payment interest income when received. The state amended its prompt payment interest terms, effective July 1, 2011, which changed the measurement period for outstanding invoices from a 60-day to a 90-day outstanding period. We believe this change in terms will reduce future amounts paid for prompt payment interest.

We establish our allowance for doubtful accounts to the extent it is probable that a portion or all of a particular account will not be collected. Our allowance for doubtful accounts is estimated and recorded primarily by aging receivables utilizing eight aging categories and applying our historical collection rates to each aging category, taking into consideration factors that might impact the use of historical collection rates or payor groups, with certain large payors analyzed separately from other payor groups. In our evaluation of these estimates, we also consider delays in payment trends in individual states due to budget or funding issues, billing conversions related to acquisitions or internal systems, resubmission of bills with required documentation and disputes with specific payors. Historically, we have not experienced any write-off of accounts as a result of a state operating with budget deficits. While we regularly monitor state budget and funding developments for the states in which we operate, we consider losses due to state credit risk on outstanding balances as remote. We believe that our recorded allowance for doubtful accounts is sufficient to cover potential losses; however, actual collections in subsequent periods may require changes to our estimates.

Goodwill and Other Intangible Assets

Our carrying value of goodwill is the residual of the purchase price over the fair value of the net assets acquired from various acquisitions, including the acquisition of Addus HealthCare.HealthCare, Inc. (“Addus HealthCare”). In accordance with ASC Topic 350, “Goodwill and Other Intangible Assets,,” goodwill and intangible assets with indefinite useful lives are not amortized. Goodwill and indefinite lived intangible assets are required to be tested for impairment at least annually. We test goodwill for impairment at the reporting unit level on an annual basis, as of October 1, or whenever potential impairment triggers occur, such as a significant change in business climate or regulatory changes that would indicate that an impairment may have occurred. Goodwill is required to be tested for

impairment at least annually usingWe may use a qualitative test, known as “Step 0” or a two-step method. The first step in the evaluation of goodwill impairment involves comparing the current fair value of each reporting unit to the recorded value, including goodwill. We use the combination of a discounted cash flow model (“DCF model”) and the market multiple analysisquantitative method to determine the current fair value of each reporting unit. The DCF model was prepared using revenuewhether impairment has occurred. We can elect to perform Step-0 an optional qualitative analysis and expense projections based on our current operating plan. As such, a number of significant assumptionsthe results skip the remaining two steps. In 2012, we elected to implement Step 0 and estimates are involved inwere not required to conduct the application of the DCF model to forecast revenue growth, price changes, gross profits, operating expenses and operating cash flows. The cash flows were discounted using a weighted average cost of capital of 14.5%, which was management’s best estimate based on our capital structure and external industry data. As part of the secondremaining two step of this evaluation, if the carrying value of goodwill exceeds its fair value, an impairment loss would be recognized.analysis.

We completed a preliminary assessment of the fair value of our two reporting units, home & community and home health and the potential for goodwilldid not record any impairment as of June 30, 2011.

We determined that the estimated fair value of our home health reporting unit was less than the net book value indicating that its allocated goodwill was impaired. The preliminary assessmentcharges for the home & community reportable unit indicated that its fair value was greater than its net book value with no initial indication of goodwill impairment.three months ended March 31, 2013 and 2012.

As permitted by ASC Topic 350, when an impairment indicator arises toward the end of an interim reporting period, we may recognize our best estimate of that impairment loss. Based on our preliminary analysis prepared as of June 30, 2011, we determined that all of the $13.1 million allocated to goodwill for the home health reportable unit as of September 30, 2011 was impaired and recorded a goodwill impairment loss in the third quarter of 2011. The analysis prepared as of June 30, 2011 was preliminary and subject to the completion of our annual impairment test as of October 1, 2011. We completed our annual impairment test of goodwill as of October 1, 2011 and determined that no additional impairment charges or adjustments were required. The goodwill for our two reporting units, home & community and home health was $50.1 million and $0, respectively. Home & community had fair values in excess of carrying amounts of approximately $9.1million, or 8.9% as of October 1, 2011.

Long-Lived Assets

We review our long-lived assets and finiteindefinite lived intangibles for impairment whenever changes in circumstances indicate that the carrying amount of an asset may not be recoverable. To determine if impairment exists, we compare the estimated future undiscounted cash flows from the related long-lived assets to the net carrying amount of such assets. If the carrying amount of an asset exceeds its estimated future cash flows, an impairment charge is recognized for the amount by which the carrying amount of the asset exceeds the estimated fair value of the asset, generally determined by discounting the estimated future cash flows. In connection with our assessment of fair value discussed above, we determined that all ofNo impairments were recorded for the $2.3 million allocated to home health finite lived intangibles were impairedthree months ended March 31, 2013 and recorded an impairment loss of $2.3 million in the third quarter of 2011.

We also have indefinite-lived assets that are not subject to amortization expense such as certificates of need and licenses to conduct specific operations within geographic markets. Our management has concluded that certificates of need and licenses have indefinite lives, as management has determined that there are no legal, regulatory, contractual, economic or other factors that would limit the useful life of these intangible assets and we intend to renew and operate the certificates of need and licenses indefinitely. The certificates of need and licenses are tested annually for impairment. In connection with our assessment of fair value discussed above, we determined that all of the $0.6 million allocated to home health certificates of need and licenses were impaired and recorded an impairment loss for 2011.2012.

Workers’ Compensation Program

Our workers’ compensation insurance program has a $0.35 million deductible component. We recognize our obligations associated with this program in the period the claim is incurred. The cost of both the claims reported and claims incurred but not reported, up to the deductible, have been accrued based on historical claims experience, industry statistics and an actuarial analysis performed by an independent third party. We monitor our claims quarterly and adjust our reserves accordingly. These costs are recorded primarily in the cost of services caption in the consolidated statement of income. Under the agreement pursuant to which we acquired Addus HealthCare, claims under our workers’ compensation insurance program that relate to December 31, 2005 or earlier are the responsibility of the selling shareholders in the acquisition, subject to certain limitations. In August 2010, the FASB issued Accounting Standards Update No 2010-24, Health Care Entities (Topic 954), “Presentation of Insurance Claims and Related Insurance Recoveries” (“ASU 2010-24”), which clarifies that companies should not net insurance recoveries against a related claim liability. Additionally, the amount of the claim liability should be determined without consideration of insurance recoveries. As of September 30, 2012March 31, 2013 and December 31, 2011,2012, we recorded $1.8$1.5 and $1.0 million in workers’ compensation insurance recovery receivables and a corresponding increase in its workers’ compensation liability. The workers’ compensation insurance recovery receivable is included in our prepaid expenses and other current assets on the balance sheet.

Income Taxes

We account for income taxes under the provisions of ASC Topic 740, “Accounting for Income Taxes.” The objective of accounting for income taxes is to recognize the amount of taxes payable or refundable for the current year and deferred tax liabilities and assets for the future tax consequences of events that have been recognized in our financial statements or tax returns. Deferred taxes, resulting from differences between the financial and tax basis of our assets and liabilities, are also adjusted for changes in tax rates and tax laws when changes are enacted. ASC 740 also requires that deferred tax assets be reduced by a valuation allowance if it is more likely than not that some portion or all of the deferred tax asset will not be realized.

 

ITEM 4.CONTROLS AND PROCEDURES

Evaluation of Disclosure Controls and Procedures

Our management, with the participation of our Chief Executive Officer and our Chief Financial Officer, evaluated the effectiveness of our disclosure controls and procedures as of September 30, 2012.March 31, 2013. The term “disclosure controls and procedures,” as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended (the “Exchange Act”), means controls and other procedures of a company that are designed to ensure that information required to be disclosed by a company in the reports that it files or submits under the Exchange Act is recorded, processed, summarized and reported, within the time periods specified in the SEC’s rules and forms. Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that information required to be disclosed by a company in the reports that it files or submits under the Exchange Act is accumulated and communicated to the company’s management, including its principal executive and principal financial officers, as appropriate to allow timely decisions regarding required disclosure. Management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving their objectives and management necessarily applies its judgment in evaluating the cost-benefit relationship of possible controls and procedures. Based on the evaluation of our disclosure controls and procedures as of September 30, 2012,March 31, 2013, our Chief Executive Officer and Chief Financial Officer concluded that, as of such date, our disclosure controls and procedures were effective.

Changes in Internal Control over Financial Reporting

There was no change in our internal control over financial reporting identified in connection with the evaluation required by Rule 13a-15(d) and 15d-15(d) of the Exchange Act that occurred during the period covered by this report that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

Given the recent increase in our share price, it is likely that we will be required to comply with Section 404 of the Sarbanes-Oxley Act during 2013.

PART II – OTHER INFORMATION

 

Item 1.Legal Proceedings

Legal Proceedings

The Company is a party to legal and/or administrative proceedings arising in the ordinary course of its business. It is the opinion of management that the outcome of such proceedings will not have a material effect on the Company’s financial position and results of operations.

 

Item 1A.Risk Factors

Investing in our common stock involves a high degree of risk. In addition to the other information set forth in this quarterly report on Form 10-Q, you should carefully consider the risk factors discussed under the caption “Risk Factors” set forth in Part I, Item 1A, of our Annual Report on Form 10-K for the year ended December 31, 2011 and Part II, Item 1A of our Quarterly Report on Form 10-Q for the quarter ended June 30, 2012. ThereExcept as set forth below, there have been no material changes to the risk factors previously disclosed under the caption “Risk Factors” in our Annual Report on Form 10-K and under the caption “Risk Factors” in our Quarterly Report on Form 10-Q for the quarter ended June 30, 2012. All references in the Risk Factors in our Annual Report on Form 10-K and our Quarterly Reports on Form 10-Q to the Health Reform Act should be read to mean both the Patient Protection and Affordable Care Act signed into law on March 23, 2010 and the Health Care Education Reconciliation Act of 2010 signed into law on March 30, 2010.10-K. Additional risks and uncertainties not currently known to us or that we currently deem to be immaterial also may materially adversely affect our business, financial condition or operating results.

Changes to Medicaid, Medicaid waiver or other state and local medical and social programs could adversely affect our net service revenues and profitability.

For the year ended December 31, 2012, we derived approximately 95% of our net service revenues from continuing operations from agreements that are directly or indirectly paid for by state and local governmental agencies, such as Medicaid funded programs and Medicaid waiver programs. Governmental agencies generally condition their agreements with us upon a sufficient budgetary appropriation. If a governmental agency does not receive an appropriation sufficient to cover its contractual obligations with us, it may terminate an agreement or defer or reduce the amount of the reimbursement we receive. Almost all the states in which we operate are facing budgetary shortfalls due to the current economic downturn and the rising costs of health care, and as a result, have made, are considering or may consider making changes in their Medicaid, Medicaid waiver or other state and local medical and social programs. The Deficit Reduction Act of 2005 permits states to make benefit cuts to their Medicaid programs, which could affect the services for which states contract with us. Changes that states have made or may consider making to address their budget deficits include:

limiting increases in, or decreasing, reimbursement rates;

redefining eligibility standards or coverage criteria for social and medical programs or the receipt of home and community based services under those programs;

increasing the consumer’s share of costs or co-payment requirements;

decreasing the number of authorized hours for recipients;

slowing payments to providers;

increasing utilization of self-directed care alternatives or “all inclusive” programs; or

shifting beneficiaries to managed care programs.

Certain of these measures have been implemented by, or are proposed in, states in which we operate. For example, California has considered a number of proposals, including potential changes in eligibility standards or hours utilization and Illinois has delayed payments to providers. In 2012, we derived approximately 64% of our total net service revenues from continuing operations from services provided in Illinois, 7% of our total net service revenues from continuing operations from services provided in California and 7% of our total net service revenues from continuing operations from services provided in Washington. Because a substantial portion of our business is concentrated in these states, any significant reduction in expenditures that pay for our services in these states and other states in which we do business may have a disproportionately negative impact on our future operating results. Provisions in the Health Reform Act increase eligibility for Medicaid, which may cause a reallocation of Medicaid funding. It is difficult to predict at this time what the effect of these changes would be on our business. If changes in Medicaid policy result in a reduction in available funds for the services we offer, our net service revenues could be negatively impacted.

Further, in an effort to control escalating Medicaid costs, states are increasingly requiring Medicaid beneficiaries to enroll in managed care plans. Under a health reform bill signed into law in January 2012, Illinois set a goal to increase the percentage of Medicaid beneficiaries in Medicaid managed care plans from the current 8% to 50% by 2015. The difficulty of getting healthcare providers to agree to sign up for the plans, however, has proved to be a stumbling block to managed care enrollment. States are also increasingly requiring Medicaid beneficiaries to work with case managers.

On April 2, 2013, the Centers for Medicare and Medicaid Services published final regulations for implementation of the increased FMAP payments for the Medicaid program under the Health Reform Act. Under the Health Reform Act, the FMAP to states to cover individuals who are “newly eligible” is 100% for calendar years 2014-2016 and gradually decreases by 2020 to 90%. Expansion States will receive a much lower 2.2% FMAP increase. Expansion States will receive the enhanced FMAP payment for those individuals who previously did not qualify for Medicaid. The final rule, among other things, establishes methodologies for states to determine who is newly eligible. Thus, we expect that not all states in which we do business will receive enhanced FMAP payments or substantial enhanced FMAP payments. We are not able at this time to determine the impact these changes will have on our business.

The Governor of Illinois has reported that state revenue is not sufficient to keep up with pension and Medicaid obligations. On February 22, 2012, the Governor of Illinois released his proposed budget for fiscal year 2013. He called for a $2.7 billion cut to the state’s $14 billion Medicaid program. Options to reach that goal include rate reduction and reform, eliminating some services, implementing utilization controls, and restricting Medicaid eligibility so that fewer people can qualify. On March 7, 2013 the Illinois Department on Aging released a letter to all providers notifying them that it was projecting it would run out of appropriations for home and community based services by March 15, 2013. We were notified shortly thereafter that substantially all billings for our services beginning on March 1, 2013 would be held for approval pending additional appropriations. While there are bills drafted to provide supplemental appropriation to the Illinois Department on Aging, those bills have not been introduced. The Governor’s budget for fiscal year 2014 was introduced on March 6, 2013 and included funding for the Illinois Department on Aging. It is not clear whether fiscal year 2013 bills will be payable with fiscal year 2014 appropriations. Absent passage of the supplemental appropriation or approval of the fiscal year 2014 budget by the General Assembly, we are at risk of not being reimbursed for services provided from March 1, 2013 through June 30, 2013. Because a substantial portion of our business is concentrated in these programs, any significant reduction in expenditures that pay for our services would have a disproportionately negative impact on our future operating results.

In February 2012, CMS agreed to allow Illinois to move forward on at least one of two efforts to combat Medicaid fraud. In January 2013, Illinois began a program to verify annually the income and residency of Medicaid beneficiaries. If Illinois identifies non-resident Medicaid beneficiaries and removes them from the Medicaid rolls or prevents non-resident individuals from becoming Medicaid beneficiaries, or if Illinois identifies Medicaid applicants or Medicaid beneficiaries who do not meet income requirements and prevents them from becoming Medicaid beneficiaries or removes beneficiaries from the Medicaid rolls, the number of consumers we serve in Illinois could be reduced, which could negatively affect our business and results of operations.

The federal government implemented in March 2013 certain budgetary reductions commonly known as sequestration. Reimbursement or authorizations for services under our programs with federal and state contracts may be reduced as a result of these actions, which could negatively impact our business and the results of operations.

Item 2.Unregistered Sales of Equity Securities and Use of Proceeds

None

 

Item 5.Other Information

None

Item 6. Exhibits

 

3.1  Amended and Restated Certificate of Incorporation of the Company dated as of November 2, 2009 (filed on November 20, 2009 as Exhibit 3.1 to the Company’s Quarterly Report on Form 10-Q and incorporated by reference herein)
3.2  Amended and Restated Bylaws of the Company, (filed on September 21, 2009 as Exhibit 3.5 toamended by the First Amendment No. 2 to the Company’s Registration Statement on Form S-1Amended and incorporated by reference herein)Restated Bylaws*
4.1  Form of Common Stock Certificate (filed on October 2, 2009 as Exhibit 4.1 to Amendment No. 4 to the Company’s Registration Statement on Form S-1 and incorporated by reference herein)
10.1  SeparationAsset Purchase Agreement, and General Release, effectivedated as of September 12, 2012, betweenFebruary 7, 2013, by and among Addus HealthCare, Inc.and Gregory BreemesInc., its subsidiaries identified therein, LHC Group, Inc. and its subsidiaries identified therein (filed on September 21, 2012March 6, 2013 as Exhibit 99.1 to Addus HomeCare Corporation’sthe Company’s Current Report on Form 8-K and incorporated by reference herein)8-K)
31.1  Certification of Chief Executive Officer Pursuant to Rule 13-14(a) of the Securities Exchange Act of 1934 as Adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002*
31.2  Certification of Chief Financial Officer Pursuant to Rule 13-14(a) of the Securities Exchange Act of 1934 as Adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002*
32.1  Certification of Chief Executive Officer Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002**
32.2  Certification of Chief Financial Officer Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002**
101  Financial statements from the quarterly report on Form 10-Q of Addus HomeCare Corporation for the quarter ended September 30, 2012, filed on November 1, 2012, formatted in XBRL: (i) Consolidated Balance Sheets, (ii) Consolidated Statements of Income, (iii) Consolidated Statements of Stockholders’ Equity, (iv) Consolidated Statements of Cash Flows, and (v) the Notes to Condensed Consolidated Financial Statements, tagged as blocks of text.

 

*Filed herewith
**Furnished herewith

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

 

  ADDUS HOMECARE CORPORATION

Date: November 1, 2012

May 9, 2013
 By: 

/S/ MARK S. HEANEY

  

Mark S. Heaney

President and Chief Executive Officer

(As Principal Executive Officer)

Date: November 1, 2012

May 9, 2013
 By: 

/S/ DENNIS B. MEULEMANS

  

Dennis B. Meulemans

Chief Financial Officer

(As Principal Financial Officer)

Item 6.Exhibits

 

3.1  Amended and Restated Certificate of Incorporation of the Company dated as of November 2, 2009 (filed on November 20, 2009 as Exhibit 3.1 to the Company’s Quarterly Report on Form 10-Q and incorporated by reference herein)
3.2  Amended and Restated Bylaws of the Company, (filed on September 21, 2009 as Exhibit 3.5 toamended by the First Amendment No. 2 to the Company’s Registration Statement on Form S-1Amended and incorporated by reference herein)Restated Bylaws*
4.1  Form of Common Stock Certificate (filed on October 2, 2009 as Exhibit 4.1 to Amendment No. 4 to the Company’s Registration Statement on Form S-1 and incorporated by reference herein)
10.1  SeparationAsset Purchase Agreement, and General Release, effectivedated as of September 12, 2012, betweenFebruary 7, 2013, by and among Addus HealthCare, Inc.and Gregory BreemesInc., its subsidiaries identified therein, LHC Group, Inc. and its subsidiaries identified therein (filed on September 21, 2012March 6, 2013 as Exhibit 99.1 to Addus HomeCare Corporation’sthe Company’s Current Report on Form 8-K and incorporated by reference herein)8-K)
31.1  Certification of Chief Executive Officer Pursuant to Rule 13-14(a) of the Securities Exchange Act of 1934 as Adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002*
31.2  Certification of Chief Financial Officer Pursuant to Rule 13-14(a) of the Securities Exchange Act of 1934 as Adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002*
32.1  Certification of Chief Executive Officer Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002**
32.2  Certification of Chief Financial Officer Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002**
101  Financial statements from the quarterly report on Form 10-Q of Addus HomeCare Corporation for the quarter ended September 30, 2012, filed on November 1, 2012, formatted in XBRL: (i) Consolidated Balance Sheets, (ii) Consolidated Statements of Income, (iii) Consolidated Statements of Stockholders’ Equity, (iv) Consolidated Statements of Cash Flows, and (v) the Notes to Condensed Consolidated Financial Statements, tagged as blocks of text.

 

*Filed herewith
**Furnished herewith

 

4236