Exhibit 99.1

| | | | |
Contacts: | | Investor Contact: | | Media Contact: |
| | Amedisys, Inc. | | Amedisys, Inc. |
| | Kevin LeBlanc | | Jacqueline Chen Valencia |
| | Director of Investor Relations | | Senior Vice President – Marketing & Communications |
| | (225) 292-2031 | | (225) 299-3688 |
| | kevin.leblanc@amedisys.com | | jacqueline.chen@amedisys.com |
AMEDISYS REPORTS FOURTH QUARTER FINANCIAL RESULTS
ISSUES 2013 GUIDANCE
AMEDISYS TO HOST CONFERENCE CALL TODAY AT 10:00 A.M. ET
BATON ROUGE, Louisiana (March 12, 2013) — Amedisys, Inc. (NASDAQ: AMED), a leading home health and hospice company, today reported its financial results for the fourth quarter and year ended December 31, 2012 and issued 2013 guidance.
Three-Month Periods Ended December 31, 2012 and 2011
| • | | After adding back $153.4 million and $11.3 million ($113.9 million and $7.1 million, net of income tax ) or $3.75 and $0.24 per diluted share for certain items* in 2012 and 2011, the following would have been our adjusted results**: |
| • | | Net service revenue of $362.9 million compared to $370.3 million in 2011, a decrease of $7.4 million or 2.0%. |
| • | | Net income from continuing operations attributable to Amedisys, Inc., of $7.2 million compared to $14.5 million in 2011, a decrease of 50.5%. |
| • | | Net income from continuing operations attributable to Amedisys, Inc. per diluted share of $0.23 compared to $0.49 per diluted share in 2011, a decrease of 53.1%. |
| • | | Earnings before interest, taxes, depreciation and amortization attributable to continuing operations (“EBITDA”) of $23.3 million compared to $35.9 million in 2011, a decrease of 35.1%. |
Twelve-Month Periods Ended December 31, 2012 and 2011
| • | | After adding back $159.5 million and $588.7 million ($115.1 million and $441.7 million, net of income tax) or $3.83 and $15.36 per diluted share for certain items* in 2012 and 2011, the following would have been our adjusted results**: |
| • | | Net service revenue of $1,487.9 million compared to $1,463.6 million in 2011, an increase of $24.3 million or 1.7%. |
| • | | Net income from continuing operations attributable to Amedisys, Inc., of $32.8 million compared to $66.8 million in 2011, a decrease of 50.9%. |
| • | | Net income from continuing operations attributable to Amedisys, Inc. per diluted share of $1.08 compared to $2.29 per diluted share in 2011, a decrease of 52.8%. |
| • | | EBITDA of $103.2 million compared to $157.1 million in 2011, a decrease of 34.3%. |
William F. Borne, Chief Executive Officer stated, “I’m pleased to report that after appropriate adjustments, we generated $1.00 in earnings per diluted share for the year, falling within the guidance we provided at both the beginning of the year and on our last earnings call. To better reflect core operations and as a basis to present adjusted results going forward, we have further adjusted earnings for legal costs associated with governmental investigations which were incurred in each quarter of the year and tax credits earned in the third quarter. On this basis, we earned $1.08 in earnings per diluted share for the year, compared to $2.29 per diluted share in 2011. In 2012, we faced another year of significant reimbursement cuts, slow industry growth, and limited acquisition opportunities. Yet, in addition to achieving guidance, we had a number of accomplishments including stabilizing our Medicare home health admissions, increasing our managed care business, lowering operating costs in the face of declining volumes, continuing development of our next generation operating system, and improving our capital structure.”
“Moving into 2013, in addition to a focus on growth, operational efficiency, and clinical excellence, we are making significant investments in technology and evolving our model of care. This differentiating strategy recognizes the changes taking place within the health care industry. We believe these investments will yield positive long-term results for our patients, our partners, employees and shareholders.”
2013 Guidance
| • | | Net service revenue is anticipated to be in the range of $1.425 billion to $1.45 billion. |
| • | | Diluted earnings per share is expected to be in the range of $0.60 to $0.70 based on an estimated 31.5 million shares outstanding. |
This guidance includes an estimate of legal costs associated with our on-going government investigations and anticipates that the 2% Medicare sequestration goes into effect April 1, 2013 on any admissions starting on or after that date.
We urge caution in considering the current trends and 2013 guidance disclosed in this press release. The home health and hospice industry is highly competitive and subject to intensive regulations, and trends and guidance are subject to numerous factors, risks, and uncertainties, some of which are referenced in the cautionary language below and others that are described more fully in our reports
* | See footnote 2 on page 10 for explanation of these certain items. |
** | See page 9 for the reconciliations of non-GAAP financial measures. |
1
filed with the Securities and Exchange Commission (“SEC”) including our Annual Report on Form 10-K for the fiscal year ended December 31, 2012, and subsequent Quarterly Reports on Form 10-Q, and current reports on Form 8-K which can be found on the SEC’s internet website,http://www.sec.gov, and our internet website,http://www.amedisys.com. We disclaim any obligations to update disclosed information on trends.
Earnings Call and Webcast Information
To participate in the conference call, please call a few minutes before 10:00 a.m. ET on Tuesday, March 12, 2013, to either (877) 490-9717 (Toll free) or (704) 385-4855 (Toll), use conference ID #15174665. A replay of the conference call will be available through March 19, 2013. The replay dial in number is (855) 859-2056 (Toll free) or (404) 537-3406 (Toll), use conference ID #15174665.
The call will also be available through our website and for seven days thereafter at the following web address:http://investors.amedisys.com.
We are headquartered in Baton Rouge, Louisiana. Our common stock trades on the NASDAQ Global Select Market under the symbol “AMED.”
Additional information
Our company website address iswww.amedisys.com. We use our website as a channel of distribution for important company information. Important information, including press releases, analyst presentations and financial information regarding our company, is routinely posted on and accessible on the Investor Relations subpage of our website, which is accessible by clicking on the tab labeled “Investors” on our website home page. We also use our website to expedite public access to time-critical information regarding our company in advance of or in lieu of distributing a press release or a filing with the SEC disclosing the same information. Therefore, investors should look to the Investor Relations subpage of our website for important and time-critical information. Visitors to our website can also register to receive automatic e-mail and other notifications alerting them when new information is made available on the Investor Relations subpage of our website.
Forward-Looking Statements
When included in this press release, words like “believes,” “belief,” “expects,” “plans,” “anticipates,” “intends,” “projects,” “estimates,” “may,” “might,” “would,” “should” and similar expressions are intended to identify forward-looking statements as defined by the Private Securities Litigation Reform Act of 1995. These forward-looking statements involve a variety of risks and uncertainties that could cause actual results to differ materially from those described therein. These risks and uncertainties include, but are not limited to the following: changes in Medicare and other medical payment levels, our ability to open care centers, acquire additional care centers and integrate and operate these care centers effectively, changes in or our failure to comply with existing Federal and State laws or regulations or the inability to comply with new government regulations on a timely basis, competition in the home health industry, changes in the case mix of patients and payment methodologies, changes in estimates and judgments associated with critical accounting policies, our ability to maintain or establish new patient referral sources, our ability to attract and retain qualified personnel, changes in payments and covered services due to the economic downturn and deficit spending by Federal and State governments, future cost containment initiatives undertaken by third-party payors, our access to financing due to the volatility and disruption of the capital and credit markets, our ability to meet debt service requirements and comply with covenants in debt agreements, business disruptions due to natural disasters or acts of terrorism, our ability to integrate and manage our information systems, changes in or developments with respect to any litigation or investigations relating to the Company, including the SEC investigation and the U.S. Department of Justice Civil Investigative Demand and various other matters, many of which are beyond our control.
Because forward-looking statements are inherently subject to risks and uncertainties, some of which cannot be predicted or quantified, you should not rely on any forward-looking statement as a prediction of future events. We expressly disclaim any obligation or undertaking and we do not intend to release publicly any updates or changes in our expectations concerning the forward-looking statements or any changes in events, conditions or circumstances upon which any forward-looking statement may be based, except as required by law.
Non-GAAP Financial Measures
This press release includes the following non-GAAP financial measures as defined under SEC rules: EBITDA, defined as net income (loss) from continuing operations attributable to Amedisys, Inc. before provision for income taxes, net interest expense and depreciation and amortization, adjusted EBITDA, defined as EBITDA plus certain items, adjusted net service revenue, defined as net service revenue plus certain items, adjusted net income from continuing operations attributable to Amedisys, Inc., defined as net income (loss) from continuing operations attributable to Amedisys, Inc. plus the certain items and adjusted net income from continuing operations attributable to Amedisys, Inc. per diluted share, defined as net income (loss) from continuing operations attributable to Amedisys, Inc. common stockholders per diluted share plus the earnings per share effect of certain items. In accordance with SEC rules, we have provided herein a reconciliation of these non-GAAP financial measures to the most directly comparable measures under GAAP. Management believes that these are useful gauges of our performance and are common measures used in our industry to assess relative financial performance among companies.
2
AMEDISYS, INC. AND SUBSIDIARIES
SELECT CONSOLIDATED FINANCIAL STATEMENT DATA AND SUPPLEMENTAL INFORMATION
(Amounts in thousands, except share, per share data and statistical information)
(Unaudited)
Balance Sheet Information
| | | | | | | | |
| | As of December 31, | |
| | 2012 | | | 2011 | |
ASSETS | |
Current assets: | | | | | | | | |
Cash and cash equivalents | | $ | 14,545 | | | $ | 48,004 | |
Patient accounts receivable, net of allowance for doubtful accounts of $20,994 and $17,438 | | | 169,172 | | | | 148,061 | |
Prepaid expenses | | | 10,631 | | | | 11,321 | |
Other current assets | | | 11,440 | | | | 24,630 | |
| | | | | | | | |
Total current assets | | | 205,788 | | | | 232,016 | |
Property and equipment, net of accumulated depreciation of $113,154, and $94,266 | | | 156,709 | | | | 148,536 | |
Goodwill | | | 209,594 | | | | 334,695 | |
Intangible assets, net of accumulated amortization of $23,457 and $20,611 | | | 47,050 | | | | 50,067 | |
Deferred tax asset | | | 92,804 | | | | 68,649 | |
Other assets, net | | | 18,650 | | | | 24,322 | |
| | | | | | | | |
Total assets | | $ | 730,595 | | | $ | 858,285 | |
| | | | | | | | |
LIABILITIES AND EQUITY | |
Current Liabilities: | | | | | | | | |
Accounts payable | | $ | 29,175 | | | $ | 25,475 | |
Payroll and employee benefits | | | 79,341 | | | | 82,130 | |
Accrued expenses | | | 54,855 | | | | 68,493 | |
Current portion of long-term obligations | | | 35,807 | | | | 33,888 | |
Current portion of deferred income taxes | | | 5,609 | | | | 11,748 | |
| | | | | | | | |
Total current liabilities | | | 204,787 | | | | 221,734 | |
Long-term obligations, less current portion | | | 66,904 | | | | 111,551 | |
Other long-term obligations | | | 4,671 | | | | 4,852 | |
| | | | | | | | |
Total liabilities | | | 276,362 | | | | 338,137 | |
| | | | | | | | |
Equity: | | | | | | | | |
Preferred stock, $0.001 par value, 5,000,000 shares authorized; none issued or outstanding | | | — | | | | — | |
Common stock, $0.001 par value, 60,000,000 shares authorized; 31,876,508 and 30,328,549 shares issued; and 31,086,619 and 29,639,735 shares outstanding | | | 32 | | | | 30 | |
Additional paid-in capital | | | 450,792 | | | | 432,390 | |
Treasury stock at cost, 789,889 and 688,814 shares of common stock | | | (17,116 | ) | | | (15,770 | ) |
Accumulated other comprehensive income | | | 15 | | | | 13 | |
Retained earnings | | | 18,617 | | | | 102,205 | |
| | | | | | | | |
Total Amedisys, Inc. stockholders’ equity | | | 452,340 | | | | 518,868 | |
Noncontrolling interests | | | 1,893 | | | | 1,280 | |
| | | | | | | | |
Total equity | | | 454,233 | | | | 520,148 | |
| | | | | | | | |
Total liabilities and equity | | $ | 730,595 | | | $ | 858,285 | |
| | | | | | | | |
3
Statement of Operations Information
| | | | | | | | | | | | | | | | |
| | For the Three-Month Periods Ended December 31, | | | For the Years Ended December 31, | |
| | 2012 | | | 2011 | | | 2012 | | | 2011 | |
Net service revenue | | $ | 362,949 | | | $ | 370,279 | | | $ | 1,487,905 | | | $ | 1,468,305 | |
Cost of service, excluding depreciation and amortization | | | 206,243 | | | | 201,783 | | | | 841,146 | | | | 780,606 | |
General and administrative expenses: | | | | | | | | | | | | | | | | |
Salaries and benefits | | | 84,325 | | | | 85,361 | | | | 339,528 | | | | 332,536 | |
Non-cash compensation | | | 1,152 | | | | 27 | | | | 7,217 | | | | 8,292 | |
Other | | | 48,573 | | | | 48,591 | | | | 188,514 | | | | 184,819 | |
Provision for doubtful accounts | | | 5,441 | | | | 3,780 | | | | 21,676 | | | | 13,514 | |
Depreciation and amortization | | | 10,004 | | | | 10,169 | | | | 39,926 | | | | 38,558 | |
Goodwill and other intangibles impairment charge | | | 162,103 | | | | 5,841 | | | | 162,103 | | | | 579,955 | |
| | | | | | | | | | | | | | | | |
Operating expenses | | | 517,841 | | | | 355,552 | | | | 1,600,110 | | | | 1,938,280 | |
| | | | | | | | | | | | | | | | |
Operating income (loss) | | | (154,892 | ) | | | 14,727 | | | | (112,205 | ) | | | (469,975 | ) |
Other (expense) income: | | | | | | | | | | | | | | | | |
Interest income | | | 13 | | | | 6 | | | | 65 | | | | 231 | |
Interest expense | | | (6,111 | ) | | | (2,129 | ) | | | (12,169 | ) | | | (8,822 | ) |
Equity in earnings from equity investments | | | 604 | | | | 380 | | | | 1,695 | | | | 1,494 | |
Miscellaneous, net | | | 3,636 | | | | 6 | | | | 3,917 | | | | (837 | ) |
| | | | | | | | | | | | | | | | |
Total other expense, net | | | (1,858 | ) | | | (1,737 | ) | | | (6,492 | ) | | | (7,934 | ) |
| | | | | | | | | | | | | | | | |
(Loss) income before income taxes | | | (156,750 | ) | | | 12,990 | | | | (118,697 | ) | | | (477,909 | ) |
Income tax (expense) benefit | | | 34,808 | | | | (5,555 | ) | | | 21,397 | | | | 103,076 | |
| | | | | | | | | | | | | | | | |
(Loss) income from continuing operations | | | (121,942 | ) | | | 7,435 | | | | (97,300 | ) | | | (374,833 | ) |
Discontinued operations, net of tax | | | (65 | ) | | | (3,115 | ) | | | (1,283 | ) | | | (7,509 | ) |
| | | | | | | | | | | | | | | | |
Net (loss) income | | | (122,007 | ) | | | 4,320 | | | | (98,583 | ) | | | (382,342 | ) |
Net loss (income) attributable to noncontrolling interests | | | 15,195 | | | | (6 | ) | | | 14,995 | | | | (122 | ) |
| | | | | | | | | | | | | | | | |
Net (loss) income attributable to Amedisys, Inc. | | $ | (106,812 | ) | | $ | 4,314 | | | $ | (83,588 | ) | | $ | (382,464 | ) |
| | | | | | | | | | | | | | | | |
Basic earnings per common share: | | | | | | | | | | | | | | | | |
(Loss) income from continuing operations attributable to Amedisys, Inc. common stockholders | | $ | (3.52 | ) | | $ | 0.26 | | | $ | (2.75 | ) | | $ | (13.07 | ) |
Discontinued operations, net of tax | | | — | | | | (0.11 | ) | | | (0.04 | ) | | | (0.26 | ) |
| | | | | | | | | | | | | | | | |
Net (loss) income attributable to Amedisys, Inc. common stockholders | | $ | (3.52 | ) | | $ | 0.15 | | | $ | (2.79 | ) | | $ | (13.33 | ) |
| | | | | | | | | | | | | | | | |
Weighted average shares outstanding | | | 30,358 | | | | 29,011 | | | | 29,896 | | | | 28,693 | |
| | | | | | | | | | | | | | | | |
Diluted earnings per common share: | | | | | | | | | | | | | | | | |
(Loss) income from continuing operations attributable to Amedisys, Inc. common stockholders | | $ | (3.52 | ) | | $ | 0.25 | | | $ | (2.75 | ) | | $ | (13.07 | ) |
Discontinued operations, net of tax | | | — | | | | (0.10 | ) | | | (0.04 | ) | | | (0.26 | ) |
| | | | | | | | | | | | | | | | |
Net (loss) income attributable to Amedisys, Inc. common stockholders | | $ | (3.52 | ) | | $ | 0.15 | | | $ | (2.79 | ) | | $ | (13.33 | ) |
| | | | | | | | | | | | | | | | |
Weighted average shares outstanding | | | 30,358 | | | | 29,415 | | | | 29,896 | | | | 28,693 | |
| | | | | | | | | | | | | | | | |
Amounts attributable to Amedisys, Inc. common stockholders: | | | | | | | | | | | | | | | | |
(Loss) income from continuing operations | | $ | (106,747 | ) | | $ | 7,429 | | | $ | (82,305 | ) | | $ | (374,955 | ) |
Discontinued operations, net of tax | | | (65 | ) | | | (3,115 | ) | | | (1,283 | ) | | | (7,509 | ) |
| | | | | | | | | | | | | | | | |
Net (loss) income | | $ | (106,812 | ) | | $ | 4,314 | | | $ | (83,588 | ) | | $ | (382,464 | ) |
| | | | | | | | | | | | | | | | |
4
Cash Flow Information
| | | | | | | | | | | | | | | | |
| | For the Three-Month Periods Ended December 31, | | | For the Years Ended December 31, | |
| | 2012 | | | 2011 | | | 2012 | | | 2011 | |
Net cash provided by operating activities | | $ | 12,590 | | | $ | 36,917 | | | $ | 69,494 | | | $ | 141,210 | |
Net cash used in investing activities | | | (19,744 | ) | | | (12,047 | ) | | | (59,993 | ) | | | (180,710 | ) |
Net cash used in financing activities | | | (17,407 | ) | | | (6,328 | ) | | | (42,960 | ) | | | (32,791 | ) |
| | | | | | | | | | | | | | | | |
Net (decrease) increase in cash and cash equivalents | | | (24,561 | ) | | | 18,542 | | | | (33,459 | ) | | | (72,291 | ) |
Cash and cash equivalents at beginning of period | | | 39,106 | | | | 29,462 | | | | 48,004 | | | | 120,295 | |
| | | | | | | | | | | | | | | | |
Cash and cash equivalents at end of period | | $ | 14,545 | | | $ | 48,004 | | | $ | 14,545 | | | $ | 48,004 | |
| | | | | | | | | | | | | | | | |
Supplemental Information—Home Health
| | | | | | | | | | | | | | | | | | | | |
| | For the Three-Month Periods Ended | | | For the Year Ended December 31, 2012 | |
| | March 31, 2012 | | | June 30, 2012 | | | September 30, 2012 | | | December 31, 2012 | | |
Financial Information (in millions): | | | | | | | | | | | | | | | | | | | | |
Medicare | | $ | 242.4 | | | $ | 241.0 | | | $ | 236.0 | | | $ | 233.2 | | | $ | 952.6 | |
Non-Medicare | | | 59.0 | | | | 63.8 | | | | 65.1 | | | | 57.5 | | | | 245.4 | |
| | | | | | | | | | | | | | | | | | | | |
Net service revenue | | | 301.4 | | | | 304.8 | | | | 301.1 | | | | 290.7 | | | | 1,198.0 | |
Cost of service | | | 172.0 | | | | 174.3 | | | | 175.9 | | | | 168.9 | | | | 691.1 | |
| | | | | | | | | | | | | | | | | | | | |
Gross margin | | | 129.4 | | | | 130.5 | | | | 125.2 | | | | 121.8 | | | | 506.9 | |
Provision for doubtful accounts | | | 5.0 | | | | 4.1 | | | | 4.8 | | | | 3.9 | | | | 17.8 | |
Depreciation and amortization | | | 3.5 | | | | 3.6 | | | | 3.7 | | | | 3.1 | | | | 13.9 | |
Other operating expenses | | | 89.3 | | | | 86.5 | | | | 87.3 | | | | 87.7 | | | | 350.8 | |
| | | | | | | | | | | | | | | | | | | | |
Operating income before impairment (1) | | $ | 31.6 | | | $ | 36.3 | | | $ | 29.4 | | | $ | 27.1 | | | $ | 124.4 | |
| | | | | | | | | | | | | | | | | | | | |
Key Statistical Data: | | | | | | | | | | | | | | | | | | | | |
Medicare: | | | | | | | | | | | | | | | | | | | | |
Same Store Volume (2) | | | | | | | | | | | | | | | | | | | | |
Revenue | | | (8 | )% | | | (9 | )% | | | (6 | )% | | | (7 | )% | | | (7 | )% |
Admissions | | | (2 | )% | | | 2 | % | | | 0 | % | | | 1 | % | | | 0 | % |
Recertifications | | | (5 | )% | | | (7 | )% | | | (6 | )% | | | (12 | )% | | | (8 | )% |
Admissions | | | 51,153 | | | | 50,490 | | | | 49,395 | | | | 49,552 | | | | 200,590 | |
Recertifications | | | 35,794 | | | | 35,299 | | | | 35,217 | | | | 32,732 | | | | 139,042 | |
Completed Episodes | | | 82,204 | | | | 83,403 | | | | 81,745 | | | | 82,223 | | | | 329,575 | |
Visits | | | 1,625,473 | | | | 1,620,174 | | | | 1,571,071 | | | | 1,490,536 | | | | 6,307,254 | |
Average revenue per completed episode (3) | | $ | 2,882 | | | $ | 2,891 | | | $ | 2,869 | | | $ | 2,853 | | | $ | 2,874 | |
Visits per completed episode (4) | | | 18.6 | | | | 19.1 | | | | 18.8 | | | | 18.4 | | | | 18.7 | |
Non-Medicare: | | | | | | | | | | | | | | | | | | | | |
Admissions: | | | | | | | | | | | | | | | | | | | | |
Episodic | | | 8,721 | | | | 8,578 | | | | 8,592 | | | | 4,366 | | | | 30,257 | |
Non-episodic | | | 14,471 | | | | 15,248 | | | | 15,570 | | | | 17,470 | | | | 62,759 | |
| | | | | | | | | | | | | | | | | | | | |
Total | | | 23,192 | | | | 23,826 | | | | 24,162 | | | | 21,836 | | | | 93,016 | |
Recertifications: | | | | | | | | | | | | | | | | | | | | |
Episodic | | | 5,005 | | | | 5,211 | | | | 5,317 | | | | 2,434 | | | | 17,967 | |
Non-episodic | | | 4,726 | | | | 5,560 | | | | 6,238 | | | | 7,909 | | | | 24,433 | |
| | | | | | | | | | | | | | | | | | | | |
Total | | | 9,731 | | | | 10,771 | | | | 11,555 | | | | 10,343 | | | | 42,400 | |
Visits: | | | | | | | | | | | | | | | | | | | | |
Episodic | | | 254,679 | | | | 253,395 | | | | 251,670 | | | | 151,303 | | | | 911,047 | |
Non-episodic | | | 249,719 | | | | 288,663 | | | | 298,524 | | | | 326,493 | | | | 1,163,399 | |
| | | | | | | | | | | | | | | | | | | | |
Total | | | 504,398 | | | | 542,058 | | | | 550,194 | | | | 477,796 | | | | 2,074,446 | |
Total: | | | | | | | | | | | | | | | | | | | | |
Cost per Visit | | $ | 80.76 | | | $ | 80.61 | | | $ | 82.90 | | | $ | 85.83 | | | $ | 82.45 | |
Visits | | | 2,129,871 | | | | 2,162,232 | | | | 2,121,265 | | | | 1,968,332 | | | | 8,381,700 | |
5
Supplemental Information—Home Health (continued)
| | | | | | | | | | | | | | | | | | | | |
| | For the Three-Month Periods Ended | | | For the Year Ended December 31, 2011 | |
| | March 31, 2011 | | | June 30, 2011 | | | September 30, 2011 | | | December 31, 2011 | | |
Financial Information (in millions): | | | | | | | | | | | | | | | | | | | | |
Medicare | | $ | 268.1 | | | $ | 267.2 | | | $ | 252.9 | | | $ | 249.5 | | | $ | 1,037.7 | |
Non-Medicare | | | 52.7 | | | | 54.4 | | | | 53.1 | | | | 52.6 | | | | 212.8 | |
| | | | | | | | | | | | | | | | | | | | |
Net service revenue | | | 320.8 | | | | 321.6 | | | | 306.0 | | | | 302.1 | | | | 1,250.5 | |
Cost of service | | | 167.1 | | | | 164.2 | | | | 167.2 | | | | 165.5 | | | | 664.0 | |
| | | | | | | | | | | | | | | | | | | | |
Gross margin | | | 153.7 | | | | 157.4 | | | | 138.8 | | | | 136.6 | | | | 586.5 | |
Provision for doubtful accounts | | | 3.2 | | | | 2.1 | | | | 3.9 | | | | 3.1 | | | | 12.3 | |
Depreciation and amortization | | | 3.1 | | | | 3.8 | | | | 3.6 | | | | 3.5 | | | | 14.0 | |
Other operating expenses | | | 85.2 | | | | 83.0 | | | | 85.1 | | | | 86.9 | | | | 340.2 | |
| | | | | | | | | | | | | | | | | | | | |
Operating income before impairment (1) | | $ | 62.2 | | | $ | 68.5 | | | $ | 46.2 | | | $ | 43.1 | | | $ | 220.0 | |
| | | | | | | | | | | | | | | | | | | | |
Key Statistical Data: | | | | | | | | | | | | | | | | | | | | |
Medicare: | | | | | | | | | | | | | | | | | | | | |
Same Store Volume (2) | | | | | | | | | | | | | | | | | | | | |
Revenue | | | (16 | )% | | | (16 | )% | | | (15 | )% | | | (15 | )% | | | (15 | )% |
Admissions | | | (1 | )% | | | (5 | )% | | | (6 | )% | | | (7 | )% | | | (5 | )% |
Recertifications | | | (13 | )% | | | (6 | )% | | | (3 | )% | | | (5 | )% | | | (7 | )% |
Admissions | | | 53,401 | | | | 50,385 | | | | 49,835 | | | | 48,982 | | | | 202,603 | |
Recertifications | | | 38,183 | | | | 38,575 | | | | 37,949 | | | | 37,411 | | | | 152,118 | |
Completed Episodes | | | 86,373 | | | | 87,528 | | | | 84,454 | | | | 84,481 | | | | 342,836 | |
Visits | | | 1,675,730 | | | | 1,659,890 | | | | 1,644,181 | | | | 1,586,743 | | | | 6,566,544 | |
Average revenue per completed episode (3) | | $ | 3,055 | | | $ | 3,049 | | | $ | 2,994 | | | $ | 3,010 | | | $ | 3,027 | |
Visits per completed episode (4) | | | 18.5 | | | | 18.9 | | | | 18.6 | | | | 18.9 | | | | 18.7 | |
Non-Medicare: | | | | | | | | | | | | | | | | | | | | |
Admissions: | | | | | | | | | | | | | | | | | | | | |
Episodic | | | 8,006 | | | | 7,510 | | | | 7,377 | | | | 7,903 | | | | 30,796 | |
Non-episodic | | | 10,546 | | | | 10,456 | | | | 10,930 | | | | 11,152 | | | | 43,084 | |
| | | | | | | | | | | | | | | | | | | | |
Total | | | 18,552 | | | | 17,966 | | | | 18,307 | | | | 19,055 | | | | 73,880 | |
Recertifications: | | | | | | | | | | | | | | | | | | | | |
Episodic | | | 5,078 | | | | 5,217 | | | | 5,378 | | | | 5,154 | | | | 20,827 | |
Non-episodic | | | 4,241 | | | | 4,380 | | | | 4,277 | | | | 4,535 | | | | 17,433 | |
| | | | | | | | | | | | | | | | | | | | |
Total | | | 9,319 | | | | 9,597 | | | | 9,655 | | | | 9,689 | | | | 38,260 | |
Visits: | | | | | | | | | | | | | | | | | | | | |
Episodic | | | 233,065 | | | | 244,558 | | | | 236,855 | | | | 235,412 | | | | 949,890 | |
Non-episodic | | | 197,808 | | | | 201,081 | | | | 203,667 | | | | 201,809 | | | | 804,365 | |
| | | | | | | | | | | | | | | | | | | | |
Total | | | 430,873 | | | | 445,639 | | | | 440,522 | | | | 437,221 | | | | 1,754,255 | |
Total: | | | | | | | | | | | | | | | | | | | | |
Cost per Visit | | $ | 79.31 | | | $ | 77.98 | | | $ | 80.24 | | | $ | 81.75 | | | $ | 79.80 | |
Visits | | | 2,106,603 | | | | 2,105,529 | | | | 2,084,703 | | | | 2,023,964 | | | | 8,320,799 | |
(1) | Operating loss of $134.5 million and $37.2 million on a GAAP basis for the quarter and year ended December 31, 2012, respectively. Operating loss of $527.8 million, operating income of $37.3 million and operating loss of $359.9 million on a GAAP basis for the quarter ended September 30, 2011, the quarter ended December 31, 2011 and the year ended December 31, 2011, respectively. |
(2) | Medicare revenue, admissions or recertifications growth is the percent increase (decrease) in our Medicare revenue, admissions or recertifications for the period as a percent of the Medicare revenue, admissions or recertifications of the prior period. |
(3) | Average Medicare revenue per completed episode is the average Medicare revenue earned for each Medicare completed episode of care. |
(4) | Medicare visits per completed episode are the home health Medicare visits on completed episodes divided by the home health Medicare episodes completed during the period. |
6
Supplemental Information – Hospice
| | | | | | | | | | | | | | | | | | | | |
| | For the Three-Month Periods Ended | | | For the Year Ended December 31, 2012 | |
| | March 31, 2012 | | | June 30, 2012 | | | September 30, 2012 | | | December 31, 2012 | | |
Financial Information (in millions): | | | | | | | | | | | | | | | | | | | | |
Medicare | | $ | 65.3 | | | $ | 69.8 | | | $ | 70.6 | | | $ | 68.1 | | | $ | 273.8 | |
Non-Medicare | | | 4.1 | | | | 3.9 | | | | 3.9 | | | | 4.2 | | | | 16.1 | |
| | | | | | | | | | | | | | | | | | | | |
Net service revenue | | | 69.4 | | | | 73.7 | | | | 74.5 | | | | 72.3 | | | | 289.9 | |
Cost of service | | | 36.5 | | | | 38.0 | | | | 38.2 | | | | 37.3 | | | | 150.0 | |
| | | | | | | | | | | | | | | | | | | | |
Gross margin | | | 32.9 | | | | 35.7 | | | | 36.3 | | | | 35.0 | | | | 139.9 | |
Provision for doubtful accounts | | | 0.8 | | | | 0.6 | | | | 1.0 | | | | 1.5 | | | | 3.9 | |
Depreciation and amortization | | | 0.3 | | | | 0.3 | | | | 0.5 | | | | 0.4 | | | | 1.5 | |
Other operating expenses | | | 16.6 | | | | 18.0 | | | | 19.2 | | | | 18.6 | | | | 72.4 | |
| | | | | | | | | | | | | | | | | | | | |
Operating income before impairment (1) | | $ | 15.2 | | | $ | 16.8 | | | $ | 15.6 | | | $ | 14.5 | | | $ | 62.1 | |
| | | | | | | | | | | | | | | | | | | | |
Key Statistical Data: | | | | | | | | | | | | | | | | | | | | |
Same store Medicare revenue growth (2) | | | 17 | % | | | 22 | % | | | 13 | % | | | 3 | % | | | 13 | % |
Hospice admits | | | 4,902 | | | | 4,891 | | | | 4,706 | | | | 4,662 | | | | 19,161 | |
Average daily census | | | 5,190 | | | | 5,497 | | | | 5,615 | | | | 5,405 | | | | 5,427 | |
Revenue per day | | $ | 147.07 | | | $ | 147.36 | | | $ | 144.17 | | | $ | 145.31 | | | $ | 145.94 | |
Cost of service per day | | $ | 77.10 | | | $ | 75.78 | | | $ | 74.03 | | | $ | 74.92 | | | $ | 75.43 | |
Average length of stay | | | 91 | | | | 95 | | | | 102 | | | | 105 | | | | 99 | |
| | | | | | | | | | | | | | | | | | | | |
| | For the Three-Month Periods Ended | | | For the Year Ended December 31, 2011 | |
| | March 31, 2011 | | | June 30, 2011 | | | September 30, 2011 | | | December 31, 2011 | | |
Financial Information (in millions): | | | | | | | | | | | | | | | | | | | | |
Medicare | | $ | 36.1 | | | $ | 43.7 | | | $ | 60.4 | | | $ | 64.3 | | | $ | 204.5 | |
Non-Medicare | | | 2.4 | | | | 3.1 | | | | 3.9 | | | | 3.9 | | | | 13.3 | |
| | | | | | | | | | | | | | | | | | | | |
Net service revenue | | | 38.5 | | | | 46.8 | | | | 64.3 | | | | 68.2 | | | | 217.8 | |
Cost of service | | | 20.2 | | | | 25.2 | | | | 34.9 | | | | 36.3 | | | | 116.6 | |
| | | | | | | | | | | | | | | | | | | | |
Gross margin | | | 18.3 | | | | 21.6 | | | | 29.4 | | | | 31.9 | | | | 101.2 | |
Provision for doubtful accounts | | | (0.1 | ) | | | 0.2 | | | | 0.4 | | | | 0.7 | | | | 1.2 | |
Depreciation and amortization | | | 0.1 | | | | 0.2 | | | | 0.2 | | | | 0.2 | | | | 0.7 | |
Other operating expenses | | | 9.4 | | | | 10.8 | | | | 14.5 | | | | 15.3 | | | | 50.0 | |
| | | | | | | | | | | | | | | | | | | | |
Operating income | | $ | 8.9 | | | $ | 10.4 | | | $ | 14.3 | | | $ | 15.7 | | | $ | 49.3 | |
| | | | | | | | | | | | | | | | | | | | |
Key Statistical Data: | | | | | | | | | | | | | | | | | | | | |
Same store Medicare revenue growth (2) | | | 20 | % | | | 21 | % | | | 17 | % | | | 17 | % | | | 19 | % |
Hospice admits | | | 3,163 | | | | 3,702 | | | | 4,589 | | | | 4,435 | | | | 15,889 | |
Average daily census | | | 3,126 | | | | 3,746 | | | | 4,879 | | | | 5,010 | | | | 4,197 | |
Revenue per day | | $ | 136.87 | | | $ | 137.34 | | | $ | 143.17 | | | $ | 147.91 | | | $ | 142.14 | |
Cost of service per day | | $ | 71.89 | | | $ | 73.99 | | | $ | 77.32 | | | $ | 78.20 | | | $ | 75.85 | |
Average length of stay | | | 88 | | | | 86 | | | | 86 | | | | 93 | | | | 88 | |
(1) | Operating income of $14.0 million and $61.6 million on a GAAP basis for the quarter and year ended December 31, 2012, respectively. |
(2) | Same store Medicare revenue growth is the percent increase in our Medicare revenue for the period as a percent of the Medicare revenue of the period. |
7
Supplemental Information – Corporate
| | | | | | | | | | | | | | | | | | | | |
| | For the Three-Month Periods Ended | | | For the Year Ended December 31, 2012 | |
| | March 31, 2012 | | | June 30, 2012 | | | September 30, 2012 | | | December 31, 2012 | | |
Financial Information (in millions): | | | | | | | | | | | | | | | | | | | | |
Depreciation and amortization | | | 6.3 | | | | 6.0 | | | | 5.8 | | | | 6.4 | | | | 24.5 | |
Other operating expenses | | | 28.0 | | | | 31.6 | | | | 24.6 | | | | 27.9 | | | | 112.1 | |
| | | | | | | | | | | | | | | | | | | | |
Operating income | | $ | (34.3 | ) | | $ | (37.6 | ) | | $ | (30.4 | ) | | $ | (34.3 | ) | | $ | (136.6 | ) |
| | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | |
| | For the Three-Month Periods Ended | | | For the Year Ended December 31, 2011 | |
| | March 31, 2011 | | | June 30, 2011 | | | September 30, 2011 | | | December 31, 2011 | | |
Financial Information (in millions): | | | | | | | | | | | | | | | | | | | | |
Depreciation and amortization | | | 6.0 | | | | 5.6 | | | | 5.9 | | | | 6.4 | | | | 23.9 | |
Other operating expenses | | | 35.1 | | | | 33.2 | | | | 35.4 | | | | 31.8 | | | | 135.5 | |
| | | | | | | | | | | | | | | | | | | | |
Operating income | | $ | (41.1 | ) | | $ | (38.8 | ) | | $ | (41.3 | ) | | $ | (38.2 | ) | | $ | (159.4 | ) |
| | | | | | | | | | | | | | | | | | | | |
8
AMEDISYS, INC. AND SUBSIDIARIES
SELECT CONSOLIDATED KEY STATISTICAL DATA AND
RECONCILIATION OF NON-GAAP FINANCIAL MEASURE TO GAAP FINANCIAL STATEMENTS
(Amounts in thousands, except key statistical data)
(Unaudited)
| | | | | | | | | | | | | | | | |
| | For the Three-Month Periods Ended December 31, | | | For the Year Ended December 31, | |
| | 2012 | | | 2011 | | | 2012 | | | 2011 | |
Key Statistical Data: | | | | | | | | | | | | | | | | |
General | | | | | | | | | | | | | | | | |
Number of home health care centers | | | 435 | | | | 439 | | | | 435 | | | | 439 | |
Number of hospice care centers | | | 97 | | | | 87 | | | | 97 | | | | 87 | |
Number of care centers acquired (1) | | | — | | | | 1 | | | | 11 | | | | 23 | |
Number of care centers opened as start-up locations (1) | | | 4 | | | | 2 | | | | 7 | | | | 12 | |
Days revenue outstanding, net (2) | | | 41.5 | | | | 35.3 | | | | 41.5 | | | | 35.3 | |
(1) | Includes both home health and hospice care centers. |
(2) | Our calculation of days revenue outstanding, net at December 31, 2012 and 2011 is derived by dividing our ending patient accounts receivable (i.e., net of estimated revenue adjustments and allowance for doubtful accounts) by our average daily net patient revenue for the three month-period ended December 31, 2012 and 2011, respectively. |
Earnings From Continuing Operations Before Interest, Taxes, Depreciation and Amortization (“EBITDA”) and Adjusted EBITDA
| | | | | | | | | | | | | | | | |
| | For the Three-Month Periods Ended December 31, | | | For the Year Ended December 31, | |
| | 2012 | | | 2011 | | | 2012 | | | 2011 | |
Net (loss) income from continuing operations attributable to Amedisys, Inc. | | $ | (106,747 | ) | | $ | 7,429 | | | $ | (82,305 | ) | | $ | (374,955 | ) |
Add: | | | | | | | | | | | | | | | | |
Provision for income taxes | | | (34,808 | ) | | | 5,555 | | | | (21,397 | ) | | | (103,076 | ) |
Interest expense, net | | | 6,098 | | | | 2,123 | | | | 12,104 | | | | 8,591 | |
Depreciation and amortization | | | 10,004 | | | | 10,169 | | | | 39,926 | | | | 38,558 | |
| | | | | | | | | | | | | | | | |
EBITDA (1) | | $ | (125,453 | ) | | $ | 25,276 | | | $ | (51,672 | ) | | $ | (430,882 | ) |
| | | | | | | | | | | | | | | | |
Add: | | | | | | | | | | | | | | | | |
Certain items (2) | | | 153,417 | | | | 11,314 | | | | 159,507 | | | | 588,734 | |
Debt fees (2) | | | (4,681 | ) | | | — | | | | (4,681 | ) | | | — | |
Intangible write-off (2) | | | — | | | | (737 | ) | | | — | | | | (737 | ) |
| | | | | | | | | | | | | | | | |
Adjusted EBITDA (3) | | $ | 23,283 | | | $ | 35,853 | | | $ | 103,154 | | | $ | 157,115 | |
| | | | | | | | | | | | | | | | |
Adjusted Net Service Revenue Reconciliation
| | | | | | | | | | | | | | | | |
| | For the Three-Month Periods Ended December 31, | | | For the Year Ended December 31, | |
| | 2012 | | | 2011 | | | 2012 | | | 2011 | |
Net service revenue | | $ | 362,949 | | | $ | 370,279 | | | $ | 1,487,905 | | | $ | 1,468,305 | |
Add: | | | | | | | | | | | | | | | | |
Certain items (2) | | | — | | | | — | | | | — | | | | (4,733 | ) |
| | | | | | | | | | | | | | | | |
Adjusted net service revenue (4) | | $ | 362,949 | | | $ | 370,279 | | | $ | 1,487,905 | | | $ | 1,463,572 | |
| | | | | | | | | | | | | | | | |
Adjusted Net Income From Continuing Operations Attributable to Amedisys, Inc. Reconciliation:
| | | | | | | | | | | | | | | | |
| | For the Three-Month Periods Ended December 31, | | | For the Year Ended December 31, | |
| | 2012 | | | 2011 | | | 2012 | | | 2011 | |
Net income (loss) from continuing operations attributable to Amedisys, Inc. | | $ | (106,747 | ) | | $ | 7,429 | | | $ | (82,305 | ) | | $ | (374,955 | ) |
Add: | | | | | | | | | | | | | | | | |
Certain items (2) | | | 113,944 | | | | 7,097 | | | | 115,065 | | | | 441,739 | |
| | | | | | | | | | | | | | | | |
Adjusted net income from continuing operations attributable to Amedisys, Inc. (5) | | $ | 7,197 | | | $ | 14,526 | | | $ | 32,760 | | | $ | 66,784 | |
| | | | | | | | | | | | | | | | |
9
Adjusted Net Income From Continuing Operations Attributable to Amedisys, Inc. per Diluted Share:
| | | | | | | | | | | | | | | | |
| | For the Three-Month Periods Ended December 31, | | | For the Year Ended December 31, | |
| | 2012 | | | 2011 | | | 2012 | | | 2011 | |
Net income (loss) from continuing operations attributable to Amedisys, Inc. common stockholders per diluted share | | $ | (3.52 | ) | | $ | 0.25 | | | $ | (2.75 | ) | | $ | (13.07 | ) |
Add: | | | | | | | | | | | | | | | | |
Certain items(2) | | | 3.75 | | | | 0.24 | | | | 3.83 | | | | 15.36 | |
| | | | | | | | | | | | | | | | |
Adjusted net income from continuing operations attributable to Amedisys, Inc. common stockholders per diluted share(6) | | $ | 0.23 | | | $ | 0.49 | | | $ | 1.08 | | | $ | 2.29 | |
| | | | | | | | | | | | | | | | |
(1) | EBITDA is defined as net income (loss) from continuing operations attributable to Amedisys, Inc. before provision for income taxes, net interest expense, and depreciation and amortization. EBITDA should not be considered as an alternative to, or more meaningful than, income before income taxes, cash flow from operating activities, or other traditional indicators of operating performance. This calculation of EBITDA may not be comparable to a similarly titled measure reported by other companies, since not all companies calculate this non-GAAP financial measure in the same manner. |
(2) | The following details the certain items for the three-months and years ended December 31, 2012 and 2011 (amounts in thousands, except per share data): |
| | | | | | | | | | | | | | | | | | | | | | | | |
| | For the Three-Month Periods Ended December 31, 2012 | | | For the Twelve-Month Periods Ended December 31, 2012 | |
| | (Income) Expense | | | Net | | | Diluted EPS | | | (Income) Expense | | | Net | | | Diluted EPS | |
Goodwill and other intangibles impairment charge | | $ | 162,103 | | | | 125,130 | | | | 4.12 | | | | 162,103 | | | | 125,130 | | | | 4.17 | |
Non-controlling interests portion of impairment charges | | | (14,874 | ) | | | (14,874 | ) | | | (0.49 | ) | | | (14,874 | ) | | | (14,874 | ) | | | (0.50 | ) |
Severance | | | 2,244 | | | | 1,337 | | | | 0.04 | | | | 2,244 | | | | 1,318 | | | | 0.04 | |
Lease terminations | | | 463 | | | | 276 | | | | 0.01 | | | | 463 | | | | 272 | | | | 0.01 | |
Debt costs | | | 4,681 | | | | 2,790 | | | | 0.09 | | | | 4,681 | | | | 2,750 | | | | 0.09 | |
Lawsuit settlement | | | (3,604 | ) | | | (2,148 | ) | | | (0.06 | ) | | | (3,604 | ) | | | (2,117 | ) | | | (0.06 | ) |
Legal fees | | | 2,404 | | | | 1,433 | | | | 0.04 | | | | 8,494 | | | | 4,990 | | | | 0.16 | |
State tax credits | | | — | | | | — | | | | — | | | | — | | | | (2,404 | ) | | | (0.08 | ) |
| | | | | | | | | | | | | | | | | | | | | | | | |
Total | | $ | 153,417 | | | $ | 113,944 | | | $ | 3.75 | | | $ | 159,507 | | | $ | 115,065 | | | $ | 3.83 | |
| | | | | | | | | | | | | | | | | | | | | | | | |
| | |
| | For the Three-Month Periods Ended December 31, 2011 | | | For the Twelve-Month Periods Ended December 31, 2011 | |
| | (Income) Expense | | | Net | | | Diluted EPS | | | Income (Expense) | | | Net | | | Diluted EPS | |
CMS Bonus | | $ | — | | | $ | — | | | $ | — | | | $ | (4,733 | ) | | $ | (2,864 | ) | | $ | (0.10 | ) |
Goodwill and other intangibles impairment charge | | | 5,841 | | | | 3,897 | | | | 0.13 | | | | 579,955 | | | | 438,464 | | | | 15.25 | |
Valuation allowance adjustment | | | — | | | | — | | | | — | | | | — | | | | (1,924 | ) | | | (0.07 | ) |
Severance | | | 1,559 | | | | 898 | | | | 0.04 | | | | 3,268 | | | | 1,949 | | | | 0.07 | |
Exit activities related to continuing operations | | | 2,502 | | | | 1,489 | | | | 0.05 | | | | 3,370 | | | | 2,014 | | | | 0.07 | |
Legal fees | | | 1,412 | | | | 813 | | | | 0.02 | | | | 7,125 | | | | 4,250 | | | | 0.15 | |
Certain costs | | | — | | | | — | | | | — | | | | (251 | ) | | | (150 | ) | | | (0.01 | ) |
| | | | | | | | | | | | | | | | | | | | | | | | |
Total | | $ | 11,314 | | | $ | 7,097 | | | $ | 0.24 | | | $ | 588,734 | | | $ | 441,739 | | | $ | 15.36 | |
| | | | | | | | | | | | | | | | | | | | | | | | |
(3) | Adjusted EBITDA is defined as net income (loss) from continuing operations attributable to Amedisys, Inc. before provision for income taxes, net interest expense, depreciation and amortization plus certain items as described in footnote 2. Adjusted EBITDA should not be considered as an alternative to, or more meaningful than, income before income taxes, cash flow from operating activities, or other traditional indicators of operating performance. This calculation of adjusted EBITDA may not be comparable to a similarly titled measure reported by other companies, since not all companies calculate this non-GAAP financial measure in the same manner. |
(4) | Adjusted net service revenue is defined as net service revenue plus certain items as described in footnote 2. Adjusted net service revenue should not be considered as an alternative to, or more meaningful than, income before income taxes, cash flow from operating activities, or other traditional indicators of operating performance. This calculation of adjusted net service revenue may not be comparable to a similarly titled measure reported by other companies, since not all companies calculate this non-GAAP measure in the same manner. |
(5) | Adjusted net income from continuing operations attributable to Amedisys, Inc. is defined as net income (loss) from continuing operations attributable to Amedisys, Inc. plus certain items as described in footnote 2. Adjusted net income from continuing operations attributable to Amedisys, Inc. should not be considered as an alternative to, or more meaningful than, income before income taxes, cash flow from operating activities, or other traditional indicators of operating performance. This calculation of adjusted net income from continuing operations attributable to Amedisys, Inc. may not be comparable to a similarly titled measure reported by other companies, since not all companies calculate this non-GAAP measure in the same manner. |
(6) | Adjusted net income from continuing operations attributable to Amedisys, Inc. common stockholders per diluted share is defined as diluted earnings (loss) from continuing operations per share plus the earnings per share effect of certain items as described in footnote 2. Adjusted net income from continuing operations attributable to Amedisys, Inc. common stockholders per diluted share should not be considered as an alternative to, or more meaningful than, income before income taxes, cash flow from operating activities, or other traditional indicators or operating performance. This calculation of adjusted net income from continuing operations attributable to Amedisys, Inc. common stockholders per diluted share may not be comparable to a similarly titled measure reported by other companies, since not all companies calculate this non-GAAP financial measure in the same manner. |
10