BATON ROUGE, La., April 30, 2019 (GLOBE NEWSWIRE) -- Amedisys, Inc. (NASDAQ: AMED) today reported its financial results for the three-month period ended March 31, 2019.

Three Month Periods Ended March 31, 2019 and 2018

  • Net service revenue increased $68.0 million to $467.3 million compared to $399.3 million in 2018.
  • Net income attributable to Amedisys, Inc. of $31.3 million compared to $27.2 million in 2018.
  • Net income attributable to Amedisys, Inc. per diluted share of $0.95 per diluted share compared to $0.79 in 2018.

Adjusted Quarterly Results*

  • Adjusted EBITDA of $54.9 million compared to $41.7 million in 2018.
  • Adjusted net service revenue of $467.8 million compared to $399.3 million in 2018.
  • Adjusted net income attributable to Amedisys, Inc. of $36.4 million compared to $27.3 million in 2018.
  • Adjusted net income attributable to Amedisys, Inc. per diluted share of $1.11 compared to $0.79 in 2018.

*  See pages 10 and 11 for the definition and reconciliations of non-GAAP financial measures to GAAP measures.

Paul B. Kusserow, President and Chief Executive Officer stated, “I am very proud of our first quarter results as we continue our momentum into 2019. Most importantly and core to what we do, our clinical quality metrics continue to be at, or near, the top of the industry in both home health and hospice. Providing our clinically distinct care to as many patients wherever they call home is and will always be our mission. Finally, thanks to our team of over 21,000 employees for continuing to do all that you do to drive such impressive results and provide such incredible care.”

2019 Guidance

  • Net service revenue is anticipated to be in the range of $1.94 billion to $1.98 billion.
  • Adjusted EBITDA is anticipated to be in the range of $205 million to $210 million.
  • Adjusted diluted earnings per share is anticipated to be in the range of $3.98 to $4.09 based on an estimated 33.1 million shares outstanding.

This guidance excludes the effects of any future acquisitions, if any are made.

We urge caution in considering the current trends and 2019 guidance disclosed in this press release. The home health and hospice industry is highly competitive and subject to intensive regulations, and trends are subject to numerous factors, risks, and uncertainties, some of which are referenced in the cautionary language below and others that are described more fully in our reports filed with the Securities and Exchange Commission (“SEC”) including our Annual Report on Form 10-K for the fiscal year ended December 31, 2018, 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.

Earnings Call and Webcast Information

Amedisys will host a conference call on Wednesday, May 1, 2019, at 11:00 a.m. ET to discuss its first quarter results. To participate on the conference call, please call before 11:00 a.m. ET to either (877) 524-8416 (Toll-Free) or (412) 902-1028 (Toll). A replay of the conference call will be available through June 1, 2019 by dialing (877) 660-6853 (Toll-Free) or (201) 612-7415 (Toll) and entering conference ID #13689585

A live webcast of the call will be accessible through our website on our Investor Relations section at the following web address: http://investors.amedisys.com.

Non-GAAP Financial Measures

This press release includes reconciliations of the most comparable financial measures calculated and presented in accordance with accounting principles generally accepted in the U.S. (“GAAP”) to non-GAAP financial measures. The non-GAAP financial measures as defined under SEC rules are as follows: (1) adjusted EBITDA, defined as net income attributable to Amedisys, Inc. before provision for income taxes, net interest expense and depreciation and amortization, excluding certain items; (2) adjusted net service revenue, defined as net service revenue excluding certain items; (3) adjusted net income attributable to Amedisys, Inc., defined as net income attributable to Amedisys, Inc. excluding certain items; and (4) adjusted net income attributable to Amedisys, Inc. per diluted share, defined as net income attributable to Amedisys, Inc. common stockholders per diluted share excluding certain items. Management believes that these non-GAAP financial measures, when reviewed in conjunction with GAAP financial measures, are useful gauges of our current performance and are also included in internal management reporting. These non-GAAP financial measures should be considered in addition to, and not more meaningful than or as an alternative to the GAAP financial measures presented in this earnings release and the company’s financial statements. Non-GAAP measures as presented herein may not be comparable to similarly titled measures reported by other companies since not all companies calculate these non-GAAP measures consistently.

Additional information

Amedisys, Inc. (the “Company”) is a leading healthcare at home Company delivering personalized home health, hospice and personal care. Amedisys is focused on delivering the care that is best for our patients, whether that is home-based personal care; recovery and rehabilitation after an operation or injury; care focused on empowering them to manage a chronic disease; or hospice care at the end of life. More than 3,000 hospitals and 65,000 physicians nationwide have chosen Amedisys as a partner in post-acute care. Founded in 1982, headquartered in Baton Rouge, LA with an executive office in Nashville, TN, Amedisys is a publicly held company. With more than 21,000 employees, in 471 care centers within 38 states and the District of Columbia, Amedisys is dedicated to delivering the highest quality of care to the doorsteps of more than 376,000 patients and clients in need every year. For more information about the Company, please visit: www.amedisys.com.

We use our website as a channel of distribution for important company information. Important information, including press releases, investor presentations and financial information regarding our company, is routinely posted on and accessible on the Investor Relations subpage of our website, which is accessible by clicking on the tab labeled “Investors” on our website home page. Visitors to our website can also register to receive automatic e-mail and other notifications alerting them when new information is made available on the Investor Relations subpage of our website.

Forward-Looking Statements

When included in this press release, words like “believes,” “belief,” “expects,” “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 or our failure to comply with existing federal and state laws or regulations or the inability to comply with new government regulations on a timely basis, changes in Medicare and other medical payment levels, our ability to open care centers, acquire additional care centers and integrate and operate these care centers effectively, competition in the healthcare industry, changes in the case mix of patients and payment methodologies, changes in estimates and judgments associated with critical accounting policies, our ability to maintain or establish new patient referral sources, our ability to consistently provide high-quality care, our ability to attract and retain qualified personnel, changes in payments and covered services by federal and state governments, future cost containment initiatives undertaken by third-party payors, our access to financing, our ability to meet debt service requirements and comply with covenants in debt agreements, business disruptions due to natural disasters or acts of terrorism, our ability to integrate, manage and keep our information systems secure, our ability to comply with requirements stipulated in our corporate integrity agreement, our ability to realize the anticipated benefits of the acquisition of Compassionate Care Hospice, and changes in law or developments with respect to any litigation relating to the Company, including various other matters, many of which are beyond our control.

Because forward-looking statements are inherently subject to risks and uncertainties, some of which cannot be predicted or quantified, you should not rely on any forward-looking statement as a prediction of future events. We expressly disclaim any obligation or undertaking and we do not intend to release publicly any updates or changes in our expectations concerning the forward-looking statements or any changes in events, conditions or circumstances upon which any forward-looking statement may be based, except as required by law.

    
Contact:Investor Contact:Media Contact: 
 Amedisys, Inc.Amedisys, Inc. 
 Nick MuscatoKendra Kimmons 
 Vice President, Strategic FinanceVice President, Marketing & Communications 
 (855) 259-2046(225) 299-3720 
 IR@amedisys.comkendra.kimmons@amedisys.com 


   
AMEDISYS, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(Amounts in thousands, except per share data)
(Unaudited)
   
 For the Three-Month
Periods Ended March 31
  2019   2018 
Net service revenue$467,340  $399,262 
Cost of service, excluding depreciation and amortization 275,274   238,309 
General and administrative expenses:  
Salaries and benefits 94,830   75,631 
Non-cash compensation 6,615   4,044 
Other 43,402   41,680 
Depreciation and amortization 2,895   3,593 
Operating expenses 423,016   363,257 
Operating income 44,324   36,005 
Other income (expense):  
Interest income 24   120 
Interest expense (3,349)  (1,703)
Equity in earnings from equity method investments 1,216   1,860 
Miscellaneous, net 236   601 
Total other (expense) income, net (1,873)  878 
Income before income taxes 42,451   36,883 
Income tax expense (10,878)  (9,563)
Net income 31,573   27,320 
Net income attributable to noncontrolling interests (269)  (161)
Net income attributable to Amedisys, Inc.$31,304  $27,159 
        
Basic earnings per common share:       
Net income attributable to Amedisys, Inc. common stockholders$0.98  $0.80 
Weighted average shares outstanding 32,001   33,971 
Diluted earnings per common share:  
Net income attributable to Amedisys, Inc. common stockholders$0.95  $0.79 
Weighted average shares outstanding 32,893   34,592 



   
AMEDISYS, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS
(Amounts in thousands, except share data)
        
 March 31, 2019
(unaudited)

 December 31,
2018

ASSETS       
Current assets:       
Cash and cash equivalents $  10,554  $  20,229 
Patient accounts receivable    236,437     188,972 
Prepaid expenses    10,792     7,568 
Other current assets    13,948     7,349 
Total current assets    271,731     224,118 
Property and equipment, net of accumulated depreciation of $96,892 and $95,472    29,716     29,449 
Operating lease right of use assets    83,064     —  
Goodwill    649,514     329,480 
Intangible assets, net of accumulated amortization of $33,166 and $33,050   62,801     44,132 
Deferred income taxes    32,525     35,794 
Other assets    54,888     54,145 
Total assets $  1,184,239  $  717,118 
        
LIABILITIES AND EQUITY       
Current liabilities:       
Accounts payable $  32,797  $  28,531 
Payroll and employee benefits    111,312     92,858 
Accrued expenses    121,716     99,475 
Current portion of long-term obligations    6,038     1,612 
Current portion of operating lease liabilities    25,514     —  
Total current liabilities   297,377     222,476 
Long-term obligations, less current portion    303,733     5,775 
Operating lease liabilities, less current portion    55,840     —  
Other long-term obligations    6,089     6,234 
Total liabilities   663,039     234,485 
        
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; 36,337,743 and 36,252,280 shares issued; and 32,037,667 and 31,973,505 shares outstanding    36     36 
Additional paid-in capital    613,714     603,666 
Treasury stock, at cost 4,300,076 and 4,278,775 shares of common stock    (244,373)    (241,685)
Accumulated other comprehensive income    15     15 
Retained earnings    150,854     119,550 
Total Amedisys, Inc. stockholders’ equity    520,246     481,582 
Noncontrolling interests    954     1,051 
Total equity    521,200     482,633 
Total liabilities and equity $  1,184,239  $  717,118 
        


   
AMEDISYS, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS AND DAYS REVENUE OUTSTANDING
(Amounts in thousands, except statistical information)
(Unaudited)
        
 For the Three-Month
Periods Ended March 31

  2019   2018 
Cash Flows from Operating Activities:       
Net income$31,573  $27,320 
Adjustments to reconcile net income to net cash provided by operating activities:       
Depreciation and amortization 2,895   3,593 
Non-cash compensation 6,615   4,044 
401(k) employer match 2,379   2,567 
Amortization and impairment of operating lease right of use assets 8,345    
(Gain) loss on disposal of property and equipment (4)  563 
Deferred income taxes 3,269   2,945 
Equity in earnings from equity method investments (1,216)  (1,860)
Amortization of deferred debt issuance costs/debt discount 213   178 
Return on equity investment 725   625 
Changes in operating assets and liabilities, net of impact of acquisitions:       
Patient accounts receivable (22,333)  8,260 
Other current assets (10,635)  (6,982)
Other assets (338)  46 
Accounts payable (11,140)  (1,523)
Accrued expenses 18,838   (1,807)
Other long-term obligations (144)  2,348 
Operating lease liabilities (8,139)   
Operating lease right of use assets (844)   
        
Net cash provided by operating activities 20,059   40,317 
        
Cash Flows from Investing Activities:       
Proceeds from sale of deferred compensation plan assets 208   462 
Proceeds from the sale of property and equipment 65   5 
Investments in equity method investees (120)   
Purchases of property and equipment (1,198)  (1,462)
Acquisitions of businesses, net of cash acquired (327,867)  (2,250)
        
Net cash used in investing activities (328,912)  (3,245)
        
Cash Flows from Financing Activities:       
Proceeds from issuance of stock upon exercise of stock options 356   125 
Proceeds from issuance of stock to employee stock purchase plan 782   597 
Shares withheld upon stock vesting (2,688)  (1,305)
Noncontrolling interest distribution (366)  (28)
Proceeds from borrowings under term loan 175,000    
Proceeds from borrowings under revolving line of credit 161,500    
Repayments of borrowings under revolving line of credit (34,000)   
Principal payments of long-term obligations (559)  (2,819)
Debt issuance costs (847)   
Net cash provided by (used in) financing activities 299,178   (3,430)
Net (decrease) increase in cash and cash equivalents (9,675)  33,642 
Cash and cash equivalents at beginning of period 20,229   86,363 
Cash and cash equivalents at end of period$10,554  $120,005 
        
Supplemental Disclosures of Cash Flow Information:       
Cash paid for interest$725  $1,065 
        
Cash paid for income taxes, net of refunds received$404  $2,813 
        
Days revenue outstanding (1) 41.2   41.4 

(1)  Our calculation of days revenue outstanding at March 31, 2019 and 2018 is derived by dividing our ending patient accounts receivable by our average daily patient revenue for the three month periods ended March 31, 2019 and 2018, respectively.

        
AMEDISYS, INC. AND SUBSIDIARIES
SEGMENT INFORMATION
(Amounts in millions, except statistical information)
(Unaudited)
        
Segment Information - Home Health       
 For the Three-
Month Periods
Ended March 31,
  2019   2018 
Financial Information (in millions):       
Medicare$213.4  $205.0 
Non-Medicare 96.7   79.1 
Net service revenue 310.1   284.1 
Cost of service 185.7   174.4 
Gross margin 124.4   109.7 
Other operating expenses 72.4   68.8 
Operating income$52.0  $40.9 
        
Same Store Growth (1):       
Medicare revenue 4%  5%
Non-Medicare revenue 22%  14%
Total admissions 6%  4%
Total volume (2) 6%  7%
Total Episodic admissions (3) 4%  3%
Total Episodic volume (4) 3%  6%
Key Statistical Data - Total (5):       
Medicare:       
Admissions 50,320   49,455 
Recertifications 27,112   27,236 
Total volume 77,432   76,691 
Completed episodes 73,978   72,836 
Visits 1,331,409   1,314,126 
Average revenue per completed episode (6)$2,902  $2,792 
Visits per completed episode (7) 17.4   17.2 
Non-Medicare:       
Admissions 33,649   29,889 
Recertifications 14,683   12,432 
Total volume 48,332   42,321 
Visits 753,679   660,933 
Total (5):       
Visiting Clinician Cost per Visit$81.05  $80.34 
Clinical Manager Cost per Visit 8.01   7.99 
Total Cost per Visit$89.06  $88.33 
Visits 2,085,088   1,975,059 

(1)  Same store information represents the percent change in our Medicare, Non-Medicare, Total and Episodic revenue, admissions or volume for the period as a percent of the Medicare, Non-Medicare, Total and Episodic revenue, admissions or volume of the prior period.
(2)  Total volume includes all admissions and recertifications.
(3)  Total Episodic admissions includes admissions for Medicare and Non-Medicare payors that bill on a 60-day episode of care basis.
(4)  Total Episodic volume includes admissions and recertifications for Medicare and Non-Medicare payors that bill on a 60-day episode of care basis.
(5)  Total includes acquisitions and denovos.
(6)  Average Medicare revenue per completed episode is the average Medicare revenue earned for each Medicare completed episode of care.
(7)  Medicare visits per completed episode are the home health Medicare visits on completed episodes divided by the home health Medicare episodes completed during the period.

   
 Segment Information - Hospice  
 For the Three-
Month Periods
Ended March 31,
 2019 2018
Financial Information (in millions):     
Medicare$130.7  $91.8 
Non-Medicare 6.3   5.5 
Net service revenue 137.0   97.3 
Cost of service 74.1   50.1 
Gross margin 62.9   47.2 
Other operating expenses 29.4   20.2 
Operating income$33.5  $27.0 
        
Same Store Growth (1):       
Medicare revenue 9%  12%
Hospice admissions 5%  5%
Average daily census 8%  12%
Key Statistical Data - Total (2):  
Hospice admissions 9,711   6,933 
Average daily census 9,982   7,214 
Revenue per day, net$152.56  $149.80 
Cost of service per day$82.43  $77.17 
Average discharge length of stay 98   97 

(1)      Same store information represents the percent change in our Medicare revenue, Hospice admissions or average daily census for the period as a percent of the Medicare revenue, Hospice admissions or average daily census of the prior period.
(2)      Total includes acquisitions and denovos.

   
Segment Information - Personal Care  
 For the Three-
Month Periods
Ended March 31,
 2019 2018
Financial Information (in millions):    
Medicare$ $
Non-Medicare 20.2  17.9
Net service revenue 20.2  17.9
Cost of service 15.5  13.8
Gross margin 4.7  4.1
Other operating expenses 3.2  3.3
Operating income$1.5 $0.8
      
Key Statistical Data (1):     
Billable hours 833,617  749,953
Clients served 12,801  12,536
Shifts 376,182  348,166
Revenue per hour$24.19 $23.85
Revenue per shift$53.60 $51.36
Hours per shift 2.2  2.2

(1)      Total includes acquisitions.

   
Segment Information - Corporate  
 For the Three-
Month Periods
Ended March 31,
 2019 2018
Financial Information (in millions):     
Other operating expenses$41.3 $30.2
Depreciation and amortization 1.4  2.5
Total operating expenses$42.7 $32.7
      



AMEDISYS, INC. AND SUBSIDIARIES
RECONCILIATION OF NON-GAAP FINANCIAL MEASURES TO GAAP MEASURES
(Amounts in thousands)
(Unaudited)
   
Adjusted Earnings Before Interest, Taxes, Depreciation and Amortization (“Adjusted EBITDA”):
 For the Three-
Month Period
Ended March 31,
 2019  2018
Net income attributable to Amedisys, Inc.$31,304  $27,159 
Add:  
Income tax expense 10,878   9,563 
Interest expense, net 3,325   1,583 
Depreciation and amortization 2,895   3,593 
Certain items (1) 6,914   188 
Interest component of certain items (1) (441)  (383)
Adjusted EBITDA (2) (6)$54,875  $41,703 
        


Adjusted Net Service Revenue Reconciliation:  
 For the Three-
Month Period
Ended March 31,
 2019 2018
Net service revenue$467,340  $399,262
Add:  
Certain items (1) 478   
Adjusted net service revenue (3) (6)$467,818  $399,262
       


Adjusted Net Income Attributable to Amedisys, Inc Reconciliation:  
 For the Three-
Month Period
Ended March 31,
 2019 2018
Net income attributable to Amedisys, Inc.$31,304 $27,159
Add:  
Certain items (1) 5,141  139
Adjusted net income attributable to Amedisys, Inc. (4) (6)$36,445 $27,298
      


Adjusted Net Income Attributable to Amedisys, Inc. per Diluted Share:
 For the Three-
Month Period
Ended March 31,
 2019 2018
Net income attributable to Amedisys, Inc. common stockholders per diluted share$0.95 $0.79
Add:  
Certain items (1) 0.16  
Adjusted net income attributable to Amedisys, Inc. common stockholders per diluted share (5) (6)$1.11 $0.79
      

(1)  The following details the certain items for the three month periods ended March 31, 2019 and 2018:


Certain Items:       
 For the Three-Month Period
Ended March 31, 2019
 For the Three-Month Period
Ended March 31, 2018
 (Income) Expense
 (Income) Expense
Certain Items Impacting Net Service Revenue:       
Contingency accrual$1,018  $ 
Planned closures (7) (540)   
Certain Items Impacting Cost of Service:  
Planned closures (7) 844    
Certain Items Impacting Operating Expenses:  
Planned closures (7) 88    
Acquisition costs 5,758   435 
Legal fees - non-routine (132)  562 
Certain Items Impacting Total Other Income (Expense):  
Miscellaneous, other (income) expense, net (122)  (809)
   
Total$6,914  $188 
   
Net of tax$5,141  $139 
   
Diluted EPS$0.16  $ 
   

(2)  Adjusted EBITDA is defined as net income attributable to Amedisys, Inc. before provision for income taxes, net interest expense and depreciation and amortization, excluding certain items as described in footnote 1.
(3)  Adjusted net service revenue is defined as net service revenue plus certain items as described in footnote 1.
(4)  Adjusted net income attributable to Amedisys, Inc. is defined as net income attributable to Amedisys, Inc. calculated in accordance with GAAP excluding certain items as described in footnote 1.
(5)  Adjusted net income attributable to Amedisys, Inc. common stockholders per diluted share is defined as diluted income per share calculated in accordance with GAAP excluding the earnings per share effect of certain items as described in footnote 1.
(6)  Adjusted EBITDA, adjusted net service revenue, adjusted net income attributable to Amedisys, Inc. and adjusted net income attributable to Amedisys, Inc. common stockholders per diluted share should not be considered as an alternative to, or more meaningful than, income before income taxes or other measure calculated in accordance with GAAP. These calculations may not be comparable to a similarly titled measure reported by other companies, since not all companies calculate these non-GAAP financial measures in the same manner.
(7)  Planned closures consist of in-patient units acquired from Compassionate Care Hospice whose operations ceased in April 2019.