LHC Group Announces Fourth Quarter EPS of $0.44 and 17.8% Growth in Adjusted EPS to $0.53

Establishes Financial Guidance for 2016


LAFAYETTE, La., March 02, 2016 (GLOBE NEWSWIRE) -- LHC Group, Inc. (NASDAQ:LHCG), a national provider of home health, hospice, community-based and comprehensive post-acute healthcare services, today announced its financial results for the three months and year ended December 31, 2015.

Financial Results for the Fourth Quarter

  • Net service revenue increased 13.2% to $219.0 million for the fourth quarter of 2015 compared with $193.4 million for the fourth quarter of 2014.
  • Net income attributable to LHC Group for the fourth quarter of 2015 was $7.7 million, or $0.44 per diluted share, compared with $5.5 million, or $0.32 per diluted share, in the same period of 2014.
  • Adjusted net income attributable to LHC Group increased 21.0% to $9.3 million and 17.8% to $0.53 per diluted share for the fourth quarter of 2015 from $7.7 million and $0.45 per diluted share for the fourth quarter of 2014.(1)
  • Total comparable-quarter growth in admissions for all service lines was 7.7%.
  • Total comparable-quarter organic growth in home health admissions was 4.0%.

Financial Results for the Year

  • Net service revenue grew 11.3% to $816.4 million for 2015 compared with $733.6 million for 2014.
  • Net income attributable to LHC Group for 2015 was $32.3 million, or $1.84 per diluted share.
  • Adjusted net income attributable to LHC Group for 2015 increased 41.9% to $34.1 million and 39.6% to $1.94 per diluted share.(1)
  • Total growth in admissions for all service lines for 2015 was 8.3% compared with 2014.
  • Total organic growth in home health admissions for 2015 was 3.4% compared with 2014.
  • General and administrative expense improved 140 basis points to 30.5% of revenue for 2015.

(1) See "Reconciliation of Non-GAAP Measures - Adjusted net income attributable to LHC Group" to GAAP results on page 9.

"LHC Group produced substantial profitable growth for the fourth quarter of 2015 to complete a year of strong financial performance," said Keith G. Myers, LHC Group's chairman and CEO. "The double-digit increase in our revenues reflected continued meaningful organic revenue growth, which, at 5.9%, was our strongest quarterly performance for the year. Our acquisition strategy also again drove our results. For 2015, we completed seven acquisition transactions, for nine home health agencies, 17 hospice agencies and two community-based services agencies, which generate aggregate annualized revenue of $64.6 million. These transactions included the fourth quarter acquisitions of Halcyon Hospice with approximately $41 million of annualized revenue and two home health agencies in Kentucky with approximately $7.6 million in aggregate annualized revenue. In addition, our ongoing cost containment efforts, combined with increased revenue-driven operating leverage, produced a 60 basis-point improvement in G&A as a percentage of revenue for the fourth quarter.

"I congratulate our team for these results, even as we continued to achieve above-industry quality scores. We expect our growth momentum to continue in 2016, as we capitalize on opportunities for further organic growth and evaluate a very robust pipeline of potential acquisition opportunities. With cash flow from operations for 2015 of $60 million and availability under our credit agreement of $117.1 million at year end, we are confident of our ability to execute our growth plans for 2016.

"Over the longer term, we also believe LHC Group is well positioned for the shift in the reimbursement system to value-based payment models, which incentivize payors to leverage the capabilities of high quality home health providers. We are already seeing an increase in the volume and acuity of our admissions as payors shift patients from more intensive and more expensive clinical settings, and we are already making a difference in the lives of our patients and their families with our innovative physician-led clinical protocols. With this shift intensifying over the coming years, we expect to be a leading partner of choice for health systems and payors as they seek to improve their patients’ non-acute care. Based on LHC Group’s demonstrated quality of care, scale and market density, innovative, data-driven technology capabilities, financial strength and proven acquisition and integration expertise, we expect to leverage these favorable market dynamics to produce further long-term growth in earnings and shareholder value."

FY 2016 Guidance
Fiscal year 2016 net service revenue is expected to be in the range of $870 million to $890 million, and fully diluted earnings per share are expected to be in the range of $1.90 to $2.00. This guidance includes:

(1) the negative impact from the Medicare Home Health Prospective Payment System for 2016, which is expected to have an approximate 2% impact, or $9.5 million reduction to Medicare Home Health revenue and $0.32 reduction in fully diluted earnings per share for 2016; and
(2) the negative impact from the Medicare Long-Term Care Hospital (LTCH) Prospective Payment System (PPS), which establishes two different types of LTCH PPS payment rates depending on whether the patient meets certain clinical criteria: the LTCH PPS standard Federal payment rate and a new LTCH PPS site neutral payment rate comparable to the IPPS payment rates. The effect from the LTCH PPS is a 4.9% impact, or an expected $3.6 million reduction to Medicare LTCH revenue or $0.06 net reduction in fully diluted earnings per share for 2016 after implementation strategies.

The Company's financial guidance does not take into account the impact of other future reimbursement changes, if any, future acquisitions, if made, de novo locations, if opened, or future legal expenses, if necessary.

Conference Call
LHC Group will host a conference call on Thursday, March 3, 2016, at 11:00 a.m. Eastern time to discuss its fourth quarter and full year 2015 results. The toll-free number to call for this interactive teleconference is (866) 393‑1608 (international callers should call (973) 890-8327). A telephonic replay of the conference call will be available through midnight on Thursday, March 10, 2016, by dialing (855) 859‑2056 (international callers should call (404) 537-3406) and entering confirmation number 19231055. A live broadcast of LHC Group's conference call will be available under the Investor Relations section of the Company's website, www.LHCgroup.com. A one-year online replay will be available approximately an hour following the conclusion of the live broadcast.

About LHC Group, Inc.
LHC Group, Inc. is a national provider of post-acute healthcare services, providing quality, cost-effective healthcare to patients primarily within the comfort and privacy of their home or place of residence. LHC Group provides a comprehensive array of healthcare services through home health, hospice, community‑based services agencies and long-term acute care hospitals.

Certain matters discussed in this press release constitute forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, such as statements about the Company’s future financial performance and the strength of the Company's operations. Such forward-looking statements may be identified by words such as "continue," "expect," and similar expressions. Forward-looking statements involve a number of risks and uncertainties that may cause actual results to differ materially from those expressed or implied by such forward-looking statements, including changes in reimbursement, changes in government regulations, changes in LHC Group’s relationships with referral sources, increased competition for LHC Group’s services, increased competition for joint venture and acquisition candidates, changes in the interpretation of government regulations and other risks set forth in Item 1A. Risk Factors in LHC Group’s Annual Report on Form 10-K for the year ended December 31, 2014, filed with the Securities and Exchange Commission. LHC Group undertakes no obligation to update or revise any forward-looking statements, whether as a result of new information, future events or otherwise.


LHC GROUP, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS
(Amounts in thousands, except share data)
(Unaudited)
 
 Dec. 31,
2015
Dec. 31,
2014
ASSETS
Current assets:  
Cash$  6,139 $  531 
Receivables:  
Patient accounts receivable, less allowance for uncollectible accounts of $26,712 and $18,582, respectively 110,350  97,498 
Other receivables 2,093  1,334 
Amounts due from governmental entities 1,081  1,164 
  Total receivables, net 113,524  99,996 
Deferred income taxes   11,381 
Prepaid income taxes 1,949  3,093 
Prepaid expenses 10,833  8,724 
Other current assets 5,835  3,777 
Receivable due from insurance carrier 550  7,850 
  Total current assets 138,830  135,352 
Property, building and equipment, net of accumulated depreciation of $38,907 and $44,683, respectively 38,096  34,787 
Goodwill 290,694  240,019 
Intangible assets, net of accumulated amortization of $8,496 and $6,560, respectively 96,405  79,685 
Other assets 2,029  1,896 
  Total assets$  566,054 $  491,739 
   
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:  
Accounts payable and other accrued liabilities$  24,586 $  19,278 
Salaries, wages and benefits payable 28,098  22,466 
Self-insurance reserve 9,636  6,559 
Current portion of long-term debt 241  230 
Amounts due to governmental entities 7,055  4,459 
Legal settlement payable 550  7,850 
  Total current liabilities 70,166  60,842 
Deferred income taxes 23,729  33,592 
Income tax payable 3,415  3,415 
Revolving credit facility 98,000  60,000 
Long-term debt, less current portion 543  778 
  Total liabilities 195,853  158,627 
Noncontrolling interest – redeemable 12,408  11,517 
Stockholders’ equity:  
Common stock – $0.01 par value: 40,000,000 shares authorized; 22,224,423 and 22,015,211 shares issued in 2015 and 2014, respectively 222  220 
Treasury stock – 4,776,560 and 4,734,363 shares at cost, respectively (37,139) (35,660)
Additional paid-in capital 113,793  108,708 
Retained earnings 277,706  245,371 
Total LHC Group, Inc. stockholders’ equity 354,582  318,639 
Noncontrolling interest – non-redeemable 3,211  2,956 
Total stockholders’ equity 357,793  321,595 
Total liabilities and stockholders’ equity$  566,054 $  491,739 


LHC GROUP, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF INCOME
(Amounts in thousands, except share and per share data)
(Unaudited)
 
 Three Months Ended
December 31,
Year Ended
December 31,
  2015  2014  2015  2014 
Net service revenue$  218,993 $  193,371 $  816,366 $  733,632 
Cost of service revenue 128,940  112,792  480,878  434,775 
Gross margin 90,053  80,579  335,488  298,857 
Provision for bad debts 4,369  4,081  19,243  15,780 
General and administrative expenses 68,106  61,287  248,629  233,945 
Impairment of intangibles and other 1,025  3,646  1,273  3,646 
Operating income 16,553  11,565  66,343  45,486 
Interest expense  (769) (625) (2,302) (2,486)
Non-operating income 100  106  457  265 
Income before income taxes and noncontrolling interest 15,884  11,046  64,498  43,265 
Income tax expense 5,752  3,314  22,848  14,513 
Net income 10,132  7,732  41,650  28,752 
Less net income attributable to noncontrolling interest 2,398  2,198  9,315  6,915 
Net income attributable to LHC Group, Inc.’s common stockholders$  7,734 $  5,534 $  32,335 $  21,837 
     
Earnings per share – basic:    
Net income attributable to LHC Group, Inc.’s common stockholders$  0.44 $  0.32 $  1.86 $  1.27 
     
Earnings per share – diluted:    
Net income attributable to LHC Group, Inc.’s common stockholders$  0.44 $  0.32 $  1.84 $  1.26 
     
Weighted average shares outstanding:    
Basic 17,447,691  17,274,677  17,405,379  17,229,026 
Diluted 17,647,483  17,419,423  17,547,531  17,315,333 


LHC GROUP, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(Amounts in thousands)
(Unaudited)
 
 Year Ended
December 31,
  2015  2014 
Operating activities  
Net income$  41,650 $  28,752 
Adjustments to reconcile net income to net cash provided by operating activities:  
Depreciation and amortization expense 11,955  9,571 
Provision for bad debts 19,243  15,780 
Stock based compensation expense 4,225  4,094 
Deferred income taxes 1,518  2,402 
Impairment of intangibles and other 1,990  3,650 
Changes in operating assets and liabilities, net of acquisitions:  
Receivables (27,951) (16,372)
Prepaid expenses and other assets (3,793) 191 
Prepaid income taxes 441  911 
Accounts payable and accrued expenses 10,526  (10,460)
Net amounts due to/from governmental entities 130  138 
Net cash provided by operating activities 59,934  38,657 
   
Investing activities  
Purchases of property, building and equipment (13,283) (8,105)
Cash paid for acquisitions, primarily goodwill and intangible assets (70,572) (73,933)
Net cash used in investing activities (83,855) (82,038)
   
Financing activities  
Proceeds from line of credit 83,000  75,000 
Payments on line of credit (45,000) (37,000)
Proceeds from employee stock purchase plan 782  782 
Payments on debt (233) (202)
Noncontrolling interest distributions (8,324) (6,843)
Payment of deferred financing fees   (852)
Excess tax benefits from vesting of restricted stock 914  124 
Redemption of treasury shares (1,479) (945)
Purchase of additional noncontrolling interest (275) (359)
Proceeds from exercise of stock options 144   
Sale of noncontrolling interest   193 
Net cash provided by financing activities 29,529  29,898 
Change in cash 5,608  (13,483)
Cash at beginning of period 531  14,014 
Cash at end of period$  6,139 $  531 
       
Supplemental disclosures of cash flow information      
Interest paid$  1,870 $  2,461 
Income taxes paid$  20,361 $  11,781 


LHC GROUP, INC. AND SUBSIDIARIES
SEGMENT INFORMATION
(Amounts in thousands)
(Unaudited)
 
 Three Months Ended December 31, 2015
 Home
Health
Services
Hospice
Services
Community-
Based
Services
Facility-
Based
Services
Total
Net service revenue$  158,279 $  31,166 $  10,488 $  19,060 $  218,993 
Cost of service revenue 92,147  18,271  7,444  11,078  128,940 
Provision for bad debts 3,627  306  384  52  4,369 
General and administrative expenses 49,352  11,096  2,155  5,503  68,106 
Impairment of intangibles and other 1,025        1,025 
Operating income 12,128  1,493  505  2,427  16,553 
Interest expense (607) (85) (8) (69) (769)
Non-operating income 89  13  1  (3) 100 
Income before income taxes and noncontrolling interest 11,610  1,421  498  2,355  15,884 
Income tax expense 4,173  485  230  864  5,752 
Net income 7,437  936  268  1,491  10,132 
Less net income attributable to noncontrolling interest 1,839  299  (43) 303  2,398 
Net income attributable to LHC Group, Inc.'s  common stockholders$  5,598 $  637 $  311 $  1,188 $  7,734 
Total assets$  394,392 $  101,641 $  31,235 $  38,786 $  566,054 


 Three Months Ended December 31, 2014
 Home
Health
Services
Hospice
Services
Community-
Based
Services
Facility-
Based
Services
Total
Net service revenue$  147,637 $  18,260 $  9,439 $  18,035 $  193,371 
Cost of service revenue 84,473  10,325  6,821  11,173  112,792 
Provision for bad debts 3,104  442  366  169  4,081 
General and administrative expenses 48,821  4,888  2,264  5,314  61,287 
Impairment of intangibles and other 3,269  202    175  3,646 
Operating income 7,970  2,403  (12) 1,204  11,565 
Interest expense (495) (63) (4) (63) (625)
Non-operating income 99  3  1  3  106 
Income before income taxes and noncontrolling interest 7,574  2,343  (15) 1,144  11,046 
Income tax expense 2,319  558  22  415  3,314 
Net income 5,255  1,785  (37) 729  7,732 
Less net income attributable to noncontrolling interest 1,780  294  (24) 148  2,198 
Net income attributable to LHC Group, Inc.’s common stockholders$  3,475 $  1,491 $  (13)$  581 $  5,534 
Total assets$  386,511 $  34,847 $  34,027 $  36,354 $  491,739 


LHC GROUP, INC. AND SUBSIDIARIES
SEGMENT INFORMATION (Continued)
(Amounts in thousands)
(Unaudited)
 
 Year Ended December 31, 2015
 Home
Health
Services
Hospice
Services
Community-
Based
Services
Facility-
Based
Services
Total
Net service revenue$  613,188 $  85,854 $  41,202 $  76,122 $  816,366 
Cost of service revenue 354,750  50,906  29,076  46,146  480,878 
Provision for bad debts 15,736  1,002  1,816  689  19,243 
General and administrative expenses 191,135  26,517  8,506  22,471  248,629 
Impairment of intangibles and other 1,245    28    1,273 
Operating income 50,322  7,429  1,776  6,816  66,343 
Interest expense (1,819) (253) (23) (207) (2,302)
Non-operating income 397  38  3  19  457 
Income before income taxes and noncontrolling interest 48,900  7,214  1,756  6,628  64,498 
Income tax expense 17,173  2,541  787  2,347  22,848 
Net income 31,727  4,673  969  4,281  41,650 
Less net income attributable to noncontrolling interest 7,424  1,077  (144) 958  9,315 
Net income attributable to LHC Group, Inc.'s common stockholders$  24,303 $  3,596 $  1,113 $  3,323 $  32,335 
Total assets$  394,392 $  101,641 $  31,235 $  38,786 $  566,054 


 Year Ended December 31, 2014
 Home 
Health
Services
Hospice
Services
Community-
Based
Services
Facility-
Based 
Services
Total
Net service revenue$  564,966 $  67,621 $  27,698 $  73,347 $  733,632 
Cost of service revenue 329,856  39,804  19,611  45,504  434,775 
Provision for bad debts 13,072  909  873  926  15,780 
General and administrative expenses 187,281  18,882  6,551  21,231  233,945 
Impairment of intangibles  and other 3,269  202    175  3,646 
Operating income 31,488  7,824  663  5,511  45,486 
Interest expense (1,969) (249) (19) (249) (2,486)
Non-operating income 201  43  2  19  265 
Income before income taxes and noncontrolling interest 29,720  7,618  646  5,281  43,265 
Income tax expense 10,999  1,955  105  1,454  14,513 
Net income 18,721  5,663  541  3,827  28,752 
Less net income attributable to noncontrolling interest 5,121  1,122  (36) 708  6,915 
Net income attributable to LHC Group, Inc.'s common stockholders$  13,600 $  4,541 $  577 $  3,119 $  21,837 
Total assets$  386,511 $  34,847 $  34,027 $  36,354 $  491,739 


LHC GROUP, INC. AND SUBSIDIARIES
SELECT CONSOLIDATED KEY STATISTICAL AND FINANCIAL DATA
(Unaudited)
 
 Three Months Ended
December 31,
Year Ended
December 31,
  2015  2014  2015  2014 
Key Data:            
Home-Health Services:            
Locations 283  277  283  277 
Acquired 4  2  9  40 
De novo       3 
Divested/Consolidated (3) (11) (6) (22)
Total new admissions 36,249  34,329  143,197  133,054 
Medicare new admissions 24,060  23,404  96,911  90,490 
Average daily census 37,060  36,153  36,752  35,299 
Average Medicare daily census 27,432  26,781  27,297  26,336 
Medicare completed and billed episodes 48,636  46,726  191,208  182,896 
Average Medicare case mix for completed and billed Medicare episodes 1.02  1.01  0.99  0.99 
Average reimbursement per completed and billed Medicare episodes$  2,508 $  2,445 $  2,475 $  2,397 
Total visits 1,088,846  1,012,677  4,183,204  3,911,293 
Total Medicare visits 804,537  750,924  3,107,029  2,912,440 
Average visits per completed and billed Medicare episodes 16.5  16.1  16.1  15.9 
Organic growth:(1)    
Net revenue 5.9% 2.0% 4.5% 1.4%
Net Medicare revenue 5.5% -0.8% 3.5% -0.4%
Total new admissions 4.0% 4.5% 3.4% 1.6%
Medicare new admissions  1.5% 3.0% 2.4% 1.2%
Average daily census 0.9% -0.7% 0.1% -3.5%
Average Medicare daily census 0.9% -3.1% -0.5% -4.1%
Medicare completed and billed episodes 3.2% -1.2% 1.4% 0.9%
     
Community-Based Services:    
Locations 13  12  13  12 
Acquired     2  6 
De novo        
Divested/Consolidated   (1) (1) (1)
Average daily census 1,423  1,240  1,124  984 
Billable hours 307,781  304,618  1,213,870  911,217 
Revenue per billable hour$  34.08 $  30.99 $  33.94 $  30.40 
     
Hospice-Based Services:    
Locations 56  38  56  38 
Acquired 16    17  6 
De novo   1  2  1 
Divested/Consolidated (2) 1  (1) (3)
Admissions 2,225  1,412  6,787  5,546 
Average daily census 2,360  1,387  1,675  1,343 
Patient days 217,157  127,633  611,493  490,252 
Average revenue per patient day$  144 $  143 $  141 $  138 
     
Facility-Based Services:    
 Long-term Acute Care     
Locations 8  8  8  8 
Patient days 14,450  15,589  61,427  62,352 
Average revenue per patient day$  1,249 $  1,115 $  1,183 $  1,130 

 (1) Organic growth is calculated as the sum of same store plus de novo for the period divided by total from the same period in the prior year.


LHC GROUP, INC. AND SUBSIDIARIES
RECONCILIATION OF ADJUSTED NET INCOME ATTRIBUTABLE TO LHC GROUP, INC.
(Amounts in thousands)
(Unaudited)
 
 Three
Months

Ended
Dec. 31,
2015
Year
Ended
Dec. 31,
2015
Net income attributable to LHC Group, Inc.’s common stockholders$  7,734 $  32,335 
Add (net of tax):  
Disposal costs on closures of underperforming locations (1) 657  657 
Goodwill and intangible disposal costs (2) 605  749 
Acquisition costs (3) 341  341 
Adjusted net income attributable to LHC Group, Inc.’s common stockholders$  9,337 $  34,082 


 

RECONCILIATION OF ADJUSTED NET INCOME ATTRIBUTABLE TO LHC GROUP, INC. PER DILUTED SHARE
(Unaudited)
 
 Three
Months

Ended
Dec. 31,
2015
Year
Ended
Dec. 31,
2015
Net income attributable to LHC Group, Inc.’s common stockholders per diluted share$  0.44 $  1.84 
Add:  
Disposal costs on closures of underperforming locations (1) 0.04  0.04 
Goodwill and intangible disposal costs (2) 0.03  0.04 
Acquisition costs (3) 0.02  0.02 
Adjusted net income attributable to LHC Group, Inc.’s common stockholders per diluted share$  0.53 $  1.94 

(1) Disposal costs related to the closures of underperforming locations
(2) Goodwill and intangible disposal costs related to closures of underperforming locations and indefinite-lived intangible impairment related to write down of the assets.
(3) Cost associated with Halcyon and Nurses Registry acquisitions.

 


            

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