Almost Family Reports First Quarter 2017 Results


LOUISVILLE, Ky., May 09, 2017 (GLOBE NEWSWIRE) -- Almost Family, Inc. (NASDAQ:AFAM), a leading national provider of home health and related services, announced today its financial results for the quarter ended March 31, 2017.

First Quarter Highlights (1):

  • Record net service revenues of approximately $201.3 million including the first quarter of operations of the CHS-JV (see below), up 31% from the first quarter of 2016
  • GAAP net income of $3.6 million
  • GAAP EPS of $0.28(2) per diluted share
  • Adjusted net income of $7.1(1) million
  • Adjusted EPS of $0.55(1, 2).  Excluding the effect of the January 2017 equity sale, Adjusted EPS would have been $0.68(1, 2)
  • Adjusted EBITDA of $16.6 million
  • Net cash from operating activities of $7.0 million
  • As of May 9, 2017 the Company has completed conversion of 32 home health branches to the new HomeCare-HomeBase information system and currently expects to complete conversion of the remaining branches before the end of 2017
  1. See Non-GAAP Financial Measures below
  2. Note that comparability of EPS between years is partially impacted by changes in shares outstanding as explained further below

Management Comments
William Yarmuth, Chairman and CEO, commented:  “We are exceptionally pleased to report strong operating results for our first quarter.  Our transition efforts are well underway and we are seeing very nice performance in the JV operations.  We’re also demonstrating strong organic growth in our legacy home health operations, with 4.5% episodic admission growth overall, the best we’ve seen in some time.  The earnings power of our business is especially evident when viewed in terms of adjusted net income which increased by almost one-third.  While our personal care business presents some near-term opportunities for improvement, the JV’s hospice operations are contributing nicely.  As we proceed into the remainder of 2017 with an exceptionally strong balance sheet, we’ll work to complete our transition efforts and improve our organic growth rates even further, while also increasing our focus on M&A and other business development opportunities.”

Steve Guenthner, President added:  “We completed our recent equity offering primarily to enable us to continue as a leading consolidator in the home health space.  We have a very active development pipeline that includes not only traditional “bolt-on” acquisition opportunities but also reflects heightened interest from health systems for additional joint ventures.  Meanwhile, on the regulatory front, we’re pleased with developments at the Federal level that seem to indicate a more business-friendly approach to new laws and regulations while also continuing to acknowledge the critical and growing role home health services play in the evolution of the US healthcare delivery system.  This continues to be a receptive environment in which we can aggressively put capital to work and we’ll continue our efforts to do so.”

Yarmuth concluded:  “I want to express my sincere appreciation to the continued commitment and dedication of all our employees and in particular welcome and thank the newest members of our team, those of the CHS-JV, for their patience and hard work as they complete the transition from CHS to Almost Family.”

First Quarter Financial Results (See Matters Impacting Comparability and Presentation below)

Home Health segment net revenues increased by 38% or $41.7 million to $151.2 million from $109.4 million in the prior year and episodic admissions grew by 44.8% to 31,290 from 21,612 primarily due to the CHS-JV acquisition.  Net revenue and episodic admissions in the CHS-JV were $42.9 million and 8,731, respectively.  Excluding the CHS-JV, episodic admissions grew by approximately 4.5%, including growth in Florida of 2.8% while episodic admits in the CHS-JV grew 4.2% over the prior year.

Home Health segment contribution increased $4.8 million, or 32.2%, to $19.9 million, from $15.0 million in the prior year period.  Home Health contribution margins as a percentage of revenue decreased slightly from 13.7% to 13.2% primarily due to the combined effect of a 1% Medicare rate cut and an annual cost of living wage rate adjustment of 2% both effective January 1, 2017.

Other Home-Based Services (OHBS) segment net revenues increased $5.7 million or 14.3% to $45.6 million in 2017 from $39.9 million primarily as a result of the 15 hospice facilities acquired in the CHS-JV transaction.  Hospice revenues were $7.0 million for the quarter including $6.7 million in the CHS-JV.  Personal care revenues were down $1.1 million or 2.9% from prior year on lower volumes.  Additionally, rate cuts and increases in wages influenced by increases in statutory minimum wage rates in certain states negatively impacted personal care margins.  OHBS segment contribution increased $0.1 million as compared to the same period of last year.

Healthcare Innovations (HCI) segment net revenues increased $0.2 million to $4.6 million in 2017 from $4.4 million in 2016, while operating losses as percent of revenue declined to 7.5% from 15.3% in 2016.  HCI segment first quarter assessment revenues are traditionally lower than the other quarters due to the seasonal nature of Medicare Advantage plan customers.

Corporate expenses as a percentage of revenue decreased to 4.5% from 5.0% in the prior year period primarily due to a larger base of business.  Deal, transition and other costs were $7.2 million, primarily as a result of the CHS-JV acquisition and the first-full quarter conversion of the HH Segment to the HomeCare-HomeBase information system.  System conversion, implementation, training and related costs are expected to continue throughout 2017.  Borrowings related to acquisitions increased interest expense to $1.9 million, from $1.3 million in the prior year period.

Net cash from operating activities of $7.0 million was generated in the first quarter of 2017.  Accounts receivable days sales outstanding were 57 at the end of the first quarter of 2017, as compared to 56 days last year and 53 days at the end of the fourth quarter of 2016.  Variations in days outstanding are largely attributable to delayed regulatory processing from asset acquisitions and the timing of Medicare claims processing.

The effective tax rate for the first quarter of 2017 and 2016 was 17.6% and 40.5%, respectively.  The Company’s lower effective income tax rate for the first quarter of 2017 was due to a change in accounting rules for excess tax benefits from the exercise of stock options and vesting of restricted shares as a result of the prospective adoption of Accounting Standards Update 2016-09 as of the first day of fiscal 2017.  Under previous accounting rules these benefits were recorded in “additional paid-in capital” rather than in the current period tax provision.  Future periods with option exercises or restricted stock vesting could lower or raise the Company’s tax provision in those periods.  Excluding this item, the Company expects its effective tax rate for 2017 to be 39.5%.

Increased average shares outstanding from the Company’s late January sale of common shares reduced Adjusted EPS of $0.55 for the first quarter of 2017 by $0.13. 

The Company noted that it will continue to pursue quality acquisitions of in-home health care service providers consistent with its stated strategy and the types of services its segments currently provide.

Matters Impacting Comparability and Presentation – CHS-JV and Segment Presentation

On the first day of 2017, the Company acquired an 80% controlling interest in the entity holding the home health and hospice assets of Community Health Systems, Inc. (NYSE:CYH) (“CHS-JV”).  Community Health Systems, Inc. ("CHS"), one of the largest publicly-traded hospital companies in the United States and a leading operator of general acute care hospitals in communities across the country, retained the remaining 20%.  With the completion of this transaction, the Company now operates 340 branches across 26 states including 15 hospice agencies across 7 states.

In the first quarter in 2017, the Company redefined its reporting segments to include a) Home Health (HH) formerly Visiting Nurse, b) Other Home-Based Services (OHBS) which includes all other home care services outside of Home Health services and c) the Healthcare Innovations (HCI) segment.  The OHBS segment consists of the historical Personal Care (“Personal Care” or “PC”) operations plus hospice services.  Prior year segment information has been reclassified to conform to its new segment definitions.  In management’s opinion, this approach provides investors clarity for the largest segment, Home Health, and best aligns with the Company’s internal decision-making processes as viewed by the chief operating decision maker.

Financing Activities

On January 25, 2017, the Company completed a public offering of 3.5 million shares of its common stock for gross proceeds in excess of $150 million.  The net proceeds of $144 million were applied to the Company’s revolving credit facility, which increased credit available under the Facility from approximately $78.6 million at December 30, 2016 to approximately $204.1 million after the offering.

ALMOST FAMILY, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF INCOME
(Unaudited)
(In thousands, except per share data)
     
 Quarter ended 
 March 31, 2017 April 1, 2016 
Net service revenues$201,312  $153,698  
Cost of service revenues (excluding depreciation & amortization) 106,268   82,232  
Gross margin 95,044   71,466  
General and administrative expenses:    
Salaries and benefits 56,033   41,676  
Other 24,716   19,445  
Deal, transition & other costs 7,231   2,609  
Total general and administrative expenses 87,980   63,730  
Operating income 7,064   7,736  
Interest expense, net (1,897)  (1,332) 
Income before noncontrolling interests and income taxes 5,167   6,404  
Net loss (gain) - noncontrolling interests (760)  190  
Income before income tax expense 4,407   6,594  
Income tax expense (774)  (2,677) 
Net income attributable to Almost Family, Inc.$3,633  $3,917  
     
Per share amounts-basic:    
Average shares outstanding 12,695   10,089  
     
Net income attributable to Almost Family, Inc.$0.29  $0.39  
     
Per share amounts-diluted:    
Average shares outstanding 12,937   10,260  
     
Net income attributable to Almost Family, Inc.$0.28  $0.38  


ALMOST FAMILY, INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
(In thousands)
        
  (Unaudited)    
  March 31, 2017 December 30, 2016 
ASSETS       
CURRENT ASSETS:       
Cash and cash equivalents $13,891  $10,110  
Accounts receivable - net  126,205   99,212  
Prepaid expenses and other current assets  13,054   11,432  
TOTAL CURRENT ASSETS  153,150   120,754  
PROPERTY AND EQUIPMENT - NET  13,598   10,732  
GOODWILL  427,868   305,476  
OTHER INTANGIBLE ASSETS - NET  113,387   85,063  
TRANSACTION DEPOSIT     128,930  
OTHER ASSETS  8,274   7,757  
TOTAL ASSETS $716,277  $658,712  
        
LIABILITIES AND STOCKHOLDERS’ EQUITY        
CURRENT LIABILITIES:       
Accounts payable $15,665  $12,122  
Accrued other liabilities  57,006   39,728  
TOTAL CURRENT LIABILITIES  72,671   51,850  
        
LONG-TERM LIABILITIES:       
Revolving credit facility  117,226   262,456  
Deferred tax liabilities  22,604   21,145  
Seller notes  12,500   12,500  
Other liabilities  6,851   6,581  
TOTAL LONG-TERM LIABILITIES  159,181   302,682  
TOTAL LIABILITIES  231,852   354,532  
        
NONCONTROLLING INTEREST - REDEEMABLE -       
HEALTHCARE INNOVATIONS  2,256   2,256  
        
STOCKHOLDERS’ EQUITY:       
Preferred stock, par value $0.05; authorized 2,000 shares; none issued or outstanding       
Common stock, par value $0.10; authorized 25,000; 13,938 and 10,504 issued and outstanding  1,410   1,051  
Treasury stock, at cost, 160 and 117 shares  (5,293)  (3,258) 
Additional paid-in capital  286,666   141,233  
Retained earnings  167,287   163,763  
Almost Family, Inc. stockholders' equity  450,070   302,789  
Noncontrolling interests - nonredeemable  32,099   (865) 
TOTAL STOCKHOLDERS’ EQUITY  482,169   301,924  
TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY $716,277  $658,712  


ALMOST FAMILY, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited)
(In thousands)
    
 Quarter ended
 March 31, 2017 April 1, 2016
Cash flows from operating activities:   
Net income attributable to Almost Family, Inc.$3,633  $3,917 
Net (gain) loss attributable to noncontrolling interests (760)  190 
Income before non-controlling interests 4,393   3,727 
Adjustments to reconcile net income to net cash provided by
operating activities:
   
Depreciation and amortization 1,533   985 
Provision for uncollectible accounts 3,564   3,845 
Stock-based compensation 767   717 
Loan costs amortization 250   65 
Deferred income taxes 1,458   2,166 
  11,965   11,505 
Change in certain net assets and liabilities, net of the effects of acquisitions:   
Accounts receivable (9,536)  (3,571)
Prepaid expenses and other current assets (1,009)  (257)
Other assets (721)  (334)
Accounts payable and accrued expenses 6,332   (1,735)
Net cash provided by operating activities 7,031   5,608 
    
Cash flows of investing activities:   
Capital expenditures (895)  (969)
Transaction deposit 128,930   - 
Acquisitions, net of cash acquired (129,144)  (24,229)
Net cash used in investing activities (1,109)  (25,198)
    
Cash flows of financing activities:   
Credit facility borrowings 55,276   78,011 
Credit facility repayments, net (200,461)  (58,626)
Proceeds from stock offering, net 143,937   - 
Proceeds from stock option exercises 1,143   - 
Purchase of common stock in connection with share awards (2,036)  (396)
Tax impact of share awards -   214 
Net cash (used in) provided by financing activities (2,141)  19,203 
    
Net change in cash and cash equivalents 3,781   (387)
Cash and cash equivalents at beginning of period 10,110   7,522 
Cash and cash equivalents at end of period$13,891  $7,135 


ALMOST FAMILY, INC. AND SUBSIDIARIES
RESULTS OF OPERATIONS
(Unaudited)
(In thousands)
                
  Quarter ended     
  March 31, 2017 April 1, 2016 Change
  Amount % Rev Amount % Rev Amount %
Net service revenues:               
Home Health $151,155  75.1 %$109,422  71.2 %$ 41,733  38.1 %
Other Home-Based Services  45,598  22.7 % 39,884  25.9 %  5,714  14.3 %
Healthcare Innovations  4,559  2.3 % 4,392  2.9 %  167  3.8 %
   201,312  100.0 % 153,698  100.0 %  47,614  31.0 %
Operating income before corporate expenses:               
Home Health  19,882  13.2 % 15,041  13.7 %  4,841  32.2 %
Other Home-Based Services  3,814  8.4 % 3,671  9.2 %  143  3.9 %
Healthcare Innovations  (343) (7.5)% (673) (15.3)%  330  (49.0)%
   23,353  11.6 % 18,039  11.7 %  5,314  29.5 %
                
Corporate expenses  9,058  4.5 % 7,694  5.0 %  1,364  17.7 %
Deal, transition and other costs  7,231  3.6 % 2,609  1.7 %  4,622  NM  
Operating income  7,064  3.5 % 7,736  5.0 %  (672) (8.7)%
Interest expense, net  (1,897) (0.9)% (1,332) (0.9)%  (565) 42.4 %
Net (gain) loss - noncontrolling interests  (760) (0.4)% 190  0.1 %  (950) NM  
Net income before income taxes  4,407  2.2 % 6,594  4.3 %  (2,187) (33.2)%
Income tax expense  (774) (0.4)% (2,677) (1.7)%  1,903  (71.1)%
Net income attributable to Almost Family, Inc. $3,633  1.8 %$3,917  2.5 %$$(284) (7.3)%
                
                
Adjusted EBITDA (1) $16,595  8.2 %$12,047  7.8 %$ 4,548  37.8 %
Adjusted net income (1) $7,091  3.5 %$5,469  3.6 %$ 1,622  29.6 %
                
(1) See Non-GAAP Financial Measures below. 


HOME HEALTH OPERATING METRICS
                 
  Quarter ended      
  March 31, 2017 April 1, 2016 Change 
  Amount % Rev Amount % Rev Amount % 
Locations  240    163    77  47.2 %
                 
All payors:                
Admissions  41,457    28,432    13,025  45.8 %
Census  31,333    23,092    8,241  35.7 %
Visits  969,354    736,159    233,195  31.7 %
Cost per visit $76
   $71
   $5
  6.4 %
G&A expense per census $1,843   $1,815   $28  1.5 %
                 
Episodic:                
Admissions  31,290    21,612    9,678  44.8 %
Census  24,148    17,695    6,453  36.5 %
Episodes  45,891    32,540    13,351  41.0 %
Visits  768,012    587,692    180,320  30.7 %
Revenue $130,069 86.0%$95,432 87.2%$34,637  36.3 %
Revenue per episode $2,834    2,933   $(98) (3.4)%
Visits per episode  16.7    18.1    (1.3) (7.3)%
                 
Non-episodic:                
Admissions  10,167    6,820    3,347  49.1 %
Census  7,185    5,397    1,788  33.1 %
Visits  201,342    148,467    52,875  35.6 %
Revenue $21,086 14.0%$13,990 12.8%$7,096  50.7 %
Revenue per visit $105
   $94
   $11
  11.1 %
Visits per admission  19.8    21.8    (2.0) (9.0)%
                 


OTHER HOME-BASED SERVICES OPERATING METRICS
                 
  Quarter ended      
  March 31, 2017 April 1, 2016 Change 
  Amount   Amount   Amount % 
Personal care locations   82     72      10  13.9 %
Hospice locations   16     1      15  NM 
                 
Personal Care:                
Admissions   2,341     2,446      (105) (4.3)%
Census   12,826     12,545      281  2.2 %
Hours of service   1,829,542     1,848,209      (18,667) (1.0)%
Hours per patient per week   10.9     11.3      (0.4) (3.5)%
Revenue $ 38,554   $ 39,693    $ (1,139) (2.9)%
Operating income (loss) $ 2,348   $ 3,737    $ (1,389) (37.2)%
Revenue per hour $ 21.07   $ 21.48    $ (0.40) (1.9)%
Cost per hour $ 12.93   $ 12.97    $ (0.04) (0.3)%
                 
Hospice:                
Admissions   758     23      735  NM 
Census   465     15      450  NM 
Length of stay   58     30      28  NM 
Revenue $ 7,044   $ 191    $ 6,853  NM 
Operating income (loss) $ 1,466   $ (66)   $ 1,532  NM 
Revenue per day $ 166   $ 140    $ 26  NM 


HEALTHCARE INNOVATIONS SUPPLEMENTAL DATA
             
  Quarter ended      
  March 31, 2017 April 1, 2016  Change 
  Amount Amount  Amount % 
             
ACO Management:            
Medicare ACO enrollees under management  141,556   121,881   19,675  (16.1)%
ACOs under contract  15   14   1  (7.1)%
Revenue $543  $171  $372  (217.5)%
Operating income (loss) $(389) $(392) $3  0.8 %
             
             
Assessment Services            
Assessments  15,212   15,575   (363) 2.3 %
Revenue $4,016  $4,221  $(205) 4.9 %
Operating income (loss) $46  $(281) $327  116.4 %
             

Non-GAAP Financial Measures
The information provided in some of the tables in this release includes certain non-GAAP financial measures as defined under SEC rules.  In accordance with SEC rules, the Company has provided, in the supplemental information, a reconciliation of those measures to the most directly comparable GAAP measures.

Adjusted Net Income and Adjusted Earnings Per Share
Adjusted net income and adjusted earnings per share is not a measure of financial performance under accounting principles generally accepted in the United States of America.  It should not be considered in isolation or as a substitute for net income, operating income, cash flows from operating, investing or financing activities, or any other measure calculated in accordance with generally accepted accounting principles. The presentation of adjusted net income and adjusted earnings per share provides investors with pertinent information to enable comparison of financial performance between periods by excluding certain items that the Company believes are not representative of its ongoing operations due to the nature of the items. 

The following table sets forth a reconciliation of net income attributable to Almost Family, Inc. to adjusted net income:

ALMOST FAMILY, INC. AND SUBSIDIARIES
RECONCILIATION OF ADJUSTED NET INCOME AND ADJUSTED EARNINGS PER SHARE
 (In thousands)
        
  Quarter ended 
(in thousands) March 31, 2017 April 1, 2016 
Net income attributable to Almost Family, Inc. $3,633 $3,917 
        
Addbacks:       
Deal, transition and other, net of tax  3,458  1,552 
Adjusted net income attributable to Almost Family, Inc. $7,091 $5,469 
        
Per share amounts-diluted:       
Average shares outstanding  12,937  10,260 
        
Net income attributable to Almost Family, Inc. $0.28 $0.38 
        
Addbacks:       
Deal, transition and other, net of tax  0.27  0.15 
Adjusted net income attributable to Almost Family, Inc. $0.55 $0.53 
        

Adjusted EBITDA
Adjusted earnings before interest, income tax, depreciation and amortization, amortization of stock-based compensation, deal, transition and other (Adjusted EBITDA) is not a measure of financial performance under accounting principles generally accepted in the United States of America.  It should not be considered in isolation or as a substitute for net income, operating income, cash flows from operating, investing or financing activities, or any other measure calculated in accordance with generally accepted accounting principles.  The items excluded from Adjusted EBITDA Operations are significant components in understanding and evaluating financial performance and liquidity.  Management routinely calculates and communicates Adjusted EBITDA Operations and believes that it is useful to investors because it provides a common analytical indicator within its industry to evaluate performance, measure leverage capacity and debt service ability, and to estimate current or prospective enterprise value.  Adjusted EBITDA is also used in certain covenants contained in the Company’s credit agreement.

The following table sets forth a reconciliation of net income to Adjusted EBITDA:

ALMOST FAMILY, INC. AND SUBSIDIARIES
RECONCILIATION OF ADJUSTED EBITDA
 (In thousands)
        
  Quarter ended 
(in thousands) March 31, 2017 April 1, 2016 
Net income $3,633 $3,917  
Add back:       
Net (loss) gain - noncontrolling interests  760  (190) 
Interest expense  1,897  1,332  
Income tax expense  774  2,677  
Depreciation and amortization  1,533  985  
Stock-based compensation  767  717  
Deal, transition and other costs  7,231  2,609  
Adjusted EBITDA $16,595 $12,047  
        

Forward Looking Statements

This press release contains forward-looking statements within the meaning of the federal securities laws, including statements related to the offering and the expected use of the net proceeds. These forward-looking statements are based on current plans, expectations, projections, forecasts and assumptions about future events that involve risks and uncertainties that could cause actual outcomes and results to differ materially. Forward-looking statements relate to expectations, beliefs, projections, future plans and strategies, anticipated events or trends and similar expressions concerning matters that are not historical facts. In some cases, you can identify forward-looking statements by the use of forward-looking terminology such as “may,” “will,” “should,” “could,” “would,” “estimate,” “project,” “forecast,” “intend,” “expect,” “plan,” “anticipate,” “believe,” “target,” or similar terms, variations of those terms or the negative of those terms. While forward-looking statements reflect good faith beliefs, assumptions and expectations, they are not guarantees of future performance, and the Company undertakes no obligation to update or revise its forward-looking statements. The forward-looking statements in this news release are based on a variety of assumptions that may not be realized and that are subject to significant risks and uncertainties, including that the offering may not be completed. For a more complete discussion regarding other factors which could affect the Company's financial performance, refer to the Company's various filings with the Securities and Exchange Commission, including its filing on Form 10-K for the year ended January 1, 2016, in particular information under the headings "Special Caution Regarding Forward-Looking Statements" and “Risk Factors.”

About Almost Family, Inc.

Almost Family, Inc., founded in 1976, is a leading national provider of home healthcare services, with 340 branch locations in 26 states, including its joint venture with Community Health Systems, Inc. (CHS) (NYSE:CYH). Almost Family, Inc. and its subsidiaries operate Home Health, Other Home-Based Services and HealthCare Innovations segments.


            

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