Almost Family Reports Fourth Quarter and Full Year 2016 Results


LOUISVILLE, Ky., March 07, 2017 (GLOBE NEWSWIRE) -- Almost Family, Inc. (Nasdaq:AFAM), a leading regional provider of home health nursing and personal care services, announced today its financial results for the quarter and full year ended December 30, 2016.

Twelve Month Accomplishments:

  • Established the largest home health-hospital joint venture in the nation on December 31, 2016 with Community Health System Inc., increasing our annual revenue run rate to $800 million.
  • Arranged a total financing package of one-half billion dollars with the completion of our $150 million equity offering in January of 2017 and the expansion of our existing Credit Facility to $350 million.
  • Achieved the first year of profitable results in our HealthCare Innovations segment with annual revenues approaching $30 million.
  • Formalized our commitment to implement point of care technology in our VN segment over the course of 2017.
  • Completed the integration of our 2015 and 2016 acquisitions.

Fourth Quarter Highlights (1):

  • Net service revenues of approximately $153.4 million
  • GAAP EPS of $0.35(2) per diluted share
  • Adjusted EPS of $0.59(2)
  • GAAP net income of $3.6 million
  • Adjusted net income of $6.1 million
  • Adjusted EBITDA of $13.0 million
  • Net cash from operating activities of $9.3 million

Fiscal Year Highlights (1):

  • Record Net service revenues of approximately $623.5 million
  • GAAP EPS of $1.71(2) per diluted share
  • Adjusted EPS of $2.38(2)
  • GAAP net income of $17.7 million
  • Adjusted net income of $24.6 million
  • Adjusted EBITDA of $53.5 million
  • Net cash from operating activities of $24.4 million

(1) See Non-GAAP Financial Measures starting on page 12
(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 Chief Executive Officer, commented:  “In addition to reporting record revenues and continuing our growth trajectory, we are very pleased with the significant strides our Company has made over the last twelve months, foremost of which is our recent joint venture with Community Health Systems.  I am exceptionally pleased to welcome all the employees of CHS Home Health and Hospice to our growing family of care providers.  Additionally, we view the substantial expansion of capital through our new credit facility and recent public offering as validation of our strategic direction and recognition of the opportunities for the Company and our industry.”

Steve Guenthner, President added:  “As a result of our financing activities and strong operating cash flows, we have $200 million of capital availability, positioning us to continue our trajectory as a consolidator.  We are very optimistic about our ability to continue to source, negotiate, acquire and integrate quality providers.  Additionally, we plan to continue the solid foundation of work we have built with Federal and State regulators and policy makers helping them to understand how home health can be a key part of their efforts to lower costs while improving quality and patient satisfaction.”

Yarmuth concluded:  “I am particularly gratified by the progress we have made in our HealthCare Innovations segment achieving profitability in only its third full year of existence.  Our Imperium ACO enablement subsidiary is not only one of the largest but also one of the most successful ACO management organizations in the U.S.  As we move forward into 2017, we will continue our efforts to innovate and bring linkage between our HCI segment and our home health operations.  In closing, I would like to thank our more than 18,000 employees who come to work every day, ensuring our success and making lives better through home care for the hundreds of thousands of patients we serve every year.”

Fourth Quarter Financial Results
VN segment net revenues increased $2.0 million to $107.5 million from $105.4 million in the prior year and total Medicare admissions grew by 2.0% to 23,516 from 23,062. On a same-store basis, Medicare episodic admissions outside of Florida grew by 4%, while Florida grew 1%.  VN segment contribution increased $0.8 million, or 6.0%, to $13.7 million, from $12.9 million in the prior year period.  Contribution margin as a percentage of revenue increased from 12.3% to 12.7%. 

PC segment net revenues increased $1.7 million or 4.3% to $40.3 million in 2016 from $38.6 million in 2015 primarily due to acquisitions.  PC segment contribution decreased $0.4 million as compared to the same period of last year, primarily due to rate cuts in Ohio and Connecticut’s Medicaid-sponsored behavioral health programs.  The rates cuts more than offset the earnings from acquisitions. 

Healthcare Innovations (HCI) segment net revenues increased $4.5 million to $5.7 million, in 2016 from $1.2 million in 2015.  As a result, operating income for the HCI segment was $0.6 million.

Corporate expenses as a percentage of revenue increased to 4.8%, from 4.3% in the prior year period.  Deal, transition and other costs were $4.4 million for 2016, primarily as a result of costs related to acquisitions and the commencement of our VN Segment’s company-wide clinical system conversion to HomeCare HomeBase.  Such implementation, training and related costs began in the fourth quarter of 2016 and are expected to continue throughout 2017.  Borrowings related to acquisitions increased interest expense to $1.4 million, from $0.8 million in the prior year period.

Net cash from operating activities of $9.3 million was generated in the fourth quarter of 2016.  Home Health accounts receivable days sales outstanding were 53 at the end of the fourth quarter of 2016, as compared to 58 at the end of the fourth quarter of 2015. 

The effective tax rate for the fourth quarter of 2016 and 2015 was 34.2% and 43.0%, respectively, primarily due to certain non-deductible deal and transaction costs in 2015.  Increased shares outstanding reduced Adjusted EPS of $0.59 for the fourth quarter of 2016 by $0.02 without which it would have been $0.61.

Fiscal Financial Results
VN segment net revenues increased $35.1 million to a record $436.1 million from $401.1 million in the prior year period and total Medicare admissions grew by 4.0% to 95,487 from 91,823.  On a same-store basis, Medicare episodic admissions outside of Florida grew organically by 4% while Florida was down 2%.  VN segment contribution increased $6.7 million, or 13.4%, to $56.6 million, from $49.9 million in the same period last year.  Contribution margin as a percentage of revenue increased to 13.0% from 12.4%. 

PC segment net revenues increased $33.7 million or 26.4% to a record $161.4 million in 2016 from $127.7 million in 2015 primarily due to acquisitions.  PC segment contribution decreased 4.7% or $0.7 million due to rate cuts in certain skilled elements of the Connecticut and Ohio Medicaid programs that more than offset earnings from acquisitions.

HCI segment net revenues increased $22.6 million to a record $26.0 million in 2016 from $3.5 million in 2015, as acquired LTS and Ingenios assessment business revenues were $20.6 million with the remainder due to higher shared savings revenue as multiple Imperium served ACOs received Medicare shared savings payments.  LTS was acquired in January 2016 and Ingenios was acquired in July 2015.  The HCI segment contribution thus improved $6.9 million, as the segment was profitable for fiscal 2016.

Corporate expenses as a percentage of revenue declined to 4.6%, from 4.9% in the prior year period.  Deal, transition and other costs grew to $11.8 million for 2016, primarily as a result of costs related to acquisitions, while the prior year included a one-time $4.2 million benefit related to legal settlements.  Borrowings related to acquisitions increased interest expense to $5.8 million, from $2.3 million 2015.

Net cash from operating activities of $24.4 million was generated in 2016, up $3.2 million from the $21.2 million generated in 2015. 

The effective tax rate for 2016 and 2015 was 38.4% and 34.5%, respectively.  Increased shares outstanding reduced Adjusted EPS of $2.38 for 2016 by $0.15 without which it would have been $2.53.

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.

Acquisition of the Home Health and Hospice Assets of Community Health Systems, Inc.
On Saturday, December 31, 2016 (the first day of the Company’s 2017 fiscal year), the Company completed its acquisition of a controlling interest in the entity holding the home health and hospice assets of Community Health Systems, Inc. for $128.0 million, subject to a working capital adjustment.  The Company expects the transaction will add approximately $200 million in revenue, all of which will be classified in the Company’s VN segment.  The transaction expands the Company’s geographic service territory to a total of 26 states.  The Company funded the acquisition purchase price in a deposit on Friday, December 30, 2016 (the last day of the Company’s 2016 fiscal year).

Financing Activities
On December 5, 2016 the Company announced the expansion of its credit facility from $175 million to $350 million.  All of its existing bank group upsized their positions and Capital One was added to the group.

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
(In thousands, except per share data)
(UNAUDITED)
 
  Three months ended Fiscal Year
  December 30, 2016 January 1, 2016  2016   2015 
Net service revenues $153,427  $145,217  $623,541  $532,214 
Cost of service revenues (excluding depreciation & amortization)  83,475   77,696   335,472   281,842 
Gross margin  69,952   67,521   288,069   250,372 
General and administrative expenses:        
Salaries and benefits  42,222   38,856   168,356   147,849 
Other  16,615   18,241   72,939   66,000 
Deal, transition & other costs  4,387   4,835   11,842   4,139 
Total general and administrative expenses  63,224   61,932   253,137   217,988 
Operating income  6,728   5,589   34,932   32,384 
Interest expense, net  (1,442)  (823)  (5,776)  (2,287)
Income before income taxes  5,286   4,766   29,156   30,097 
Income tax expense  (1,864)  (2,097)  (10,984)  (10,556)
Net income  3,422   2,669   18,172   19,541 
Net loss (gain) - noncontrolling interests  170   137   (519)  468 
Net income attributable to Almost Family, Inc. $3,592  $2,806  $17,653  $20,009 
         
Per share amounts-basic:        
Average shares outstanding  10,162   9,775   10,153   9,505 
         
Net income attributable to Almost Family, Inc. $0.35  $0.29  $1.74  $2.11 
         
Per share amounts-diluted:        
Average shares outstanding  10,330   10,000   10,346   9,745 
         
Net income attributable to Almost Family, Inc. $0.35  $0.28  $1.71  $2.05 
         
 


ALMOST FAMILY, INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
(In thousands)
 
  December 30, 2016 January 1, 2016
ASSETS      
CURRENT ASSETS:      
Cash and cash equivalents $10,110  $7,522 
Accounts receivable - net  99,212   92,270 
Prepaid expenses and other current assets  11,432   9,672 
TOTAL CURRENT ASSETS  120,754   109,464 
PROPERTY AND EQUIPMENT - NET  10,732   10,000 
GOODWILL  305,476   277,061 
OTHER INTANGIBLE ASSETS - NET  85,063   64,629 
TRANSACTION DEPOSIT  128,930    
OTHER ASSETS  7,757   3,615 
TOTAL ASSETS $658,712  $464,769 
       
LIABILITIES AND STOCKHOLDERS’ EQUITY       
CURRENT LIABILITIES:      
Accounts payable $12,122  $12,297 
Accrued other liabilities  39,728   42,524 
TOTAL CURRENT LIABILITIES  51,850   54,821 
       
LONG-TERM LIABILITIES:      
Revolving credit facility  262,456   113,790 
Deferred tax liabilities  21,145   13,094 
Seller notes  12,500   6,556 
Other liabilities  6,581   2,608 
TOTAL LONG-TERM LIABILITIES  302,682   136,048 
TOTAL LIABILITIES  354,532   190,869 
       
NONCONTROLLING INTEREST - REDEEMABLE -      
HEALTHCARE INNOVATIONS  2,256   3,639 
       
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; 10,504 and 10,125 issued and outstanding  1,051   1,013 
Treasury stock, at cost, 117 and 103 shares  (3,258)  (2,731)
Additional paid-in capital  141,233   127,253 
Retained earnings  163,763   145,456 
Almost Family, Inc. stockholders' equity  302,789   270,991 
Noncontrolling interest - nonredeemable  (865)  (730)
TOTAL STOCKHOLDERS’ EQUITY  301,924   270,261 
TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY $658,712  $464,769 


ALMOST FAMILY, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands)
 
 Fiscal Year
  2016   2015 
Cash flows from operating activities:   
Net income$18,172  $19,541 
Adjustments to reconcile net income to net cash provided by
operating activities:
   
Depreciation and amortization 4,445   3,927 
Provision for uncollectible accounts 11,708   12,743 
Stock-based compensation 2,760   2,121 
Loan costs amortization 336   281 
Deferred income taxes 8,725   3,914 
  46,146   42,527 
Change in certain net assets and liabilities, net of the effects of acquisitions:   
Accounts receivable (18,701)  (17,393)
Prepaid expenses and other current assets (377)  2,402 
Other assets (1,215)  (585)
Accounts payable and accrued expenses (1,410)  (5,745)
Net cash provided by operating activities 24,443   21,206 
    
Cash flows of investing activities:   
Capital expenditures (6,206)  (3,117)
Cost basis investment -   (1,000)
Transaction deposit (128,930)  - 
Acquisitions, net of cash acquired (31,486)  (82,578)
Net cash used in investing activities (166,622)  (86,695)
    
Cash flows of financing activities:   
Credit facility borrowings 389,328   233,425 
Credit facility repayments (240,662)  (166,082)
Debt issuance fees (3,900)  (1,161)
Proceeds from stock option exercises 230   128 
Purchase of common stock in connection with share awards (527)  (338)
Tax impact of share awards 353   215 
Payment of special dividend in connection with share awards -   (50)
Principal payments on notes payable and capital leases (55)  (12)
Net cash provided by financing activities 144,767   66,125 
    
Net change in cash and cash equivalents 2,588   636 
Cash and cash equivalents at beginning of period 7,522   6,886 
Cash and cash equivalents at end of period$10,110  $7,522 
    


ALMOST FAMILY, INC. AND SUBSIDIARIES
RESULTS OF OPERATIONS
(UNAUDITED)
(In thousands)
 
  Three Months Ended      
  December 30, 2016 January 1, 2016 Change 
  Amount % Rev Amount % Rev Amount % 
Home Health Operations                
Net service revenues:                
Visiting Nurse $107,450  72.7% $105,424  73.2% $2,026  1.9% 
Personal Care  40,293  27.3%  38,626  26.8%  1,667  4.3% 
   147,743  100.0%  144,050  100.0%  3,693  2.6% 
Operating income before corporate expenses:                
Visiting Nurse  13,695  12.7%  12,916  12.3%  779  6.0% 
Personal Care  4,239  10.5%  4,600  11.9%  (361) -7.8% 
   17,934  12.1%  17,516  12.2%  418  2.4% 
Healthcare Innovations Operations                
Revenue  5,684  100.0%  1,167  100.0%  4,517  387.1% 
Operating income (loss)  559  9.8%  (783) -67.1%  1,342  -171.4% 
                 
Corporate expenses  7,378  4.8%  6,309  4.3%  1,069  16.9% 
Deal, transition and other costs  4,387  2.9%  4,835  3.3%  (448) -9.3% 
Operating income  6,728  4.4%  5,589  3.8%  1,139  20.4% 
Interest expense, net  (1,442) -0.9%  (823) -0.6%  (619) 75.2% 
Income tax expense  (1,864) -1.2%  (2,097) -1.4%  233  -11.1% 
Net income $3,422  2.2% $2,669  1.8% $753  28.2% 
                 
Adjusted EBITDA (1) $13,029  8.5% $12,028  8.3% $1,001  8.3% 
Adjusted net income (1) $6,115  4.0% $5,803  4.0% $311  5.4% 

(1) See Non-GAAP Financial Measures starting on page 12.

  Fiscal Year      
  2016  2015  Change 
  Amount % Rev Amount % Rev Amount % 
Home Health Operations                
Net service revenues:                
Visiting Nurse $436,147  73.0% $401,051  75.8% $35,096  8.8% 
Personal Care  161,367  27.0%  127,712  24.2%  33,655  26.4% 
   597,514  100.0%  528,763  100.0%  68,751  13.0% 
Operating income before corporate expenses:                
Visiting Nurse  56,574  13.0%  49,872  12.4%  6,702  13.4% 
Personal Care  13,509  8.4%  14,170  11.1%  (661) -4.7% 
   70,083  11.7%  64,042  12.1%  6,041  9.4% 
Healthcare Innovations Operations                
Revenue  26,027  100.0%  3,451  100.0%  22,576  654.2% 
Operating income (loss)  5,657  21.7%  (1,217) -35.3%  6,874  564.8% 
                 
Corporate expenses  28,966  4.6%  26,302  4.9%  2,664  10.1% 
Deal, transition and other costs  11,842  1.9%  4,139  0.8%  7,703  186.1% 
Operating income  34,932  5.6%  32,384  6.1%  2,548  7.9% 
Interest expense, net  (5,776) -0.9%  (2,287) -0.4%  (3,489) 152.6% 
Income tax expense  (10,984) -1.8%  (10,556) -2.0%  (428) 4.1% 
Net income $18,172  2.9% $19,541  3.7% $(1,369) -7.0% 
                 
Adjusted EBITDA (1) $53,515  8.6% $42,571  8.0% $10,944  25.7% 
Adjusted net income (1) $24,640  4.0% $20,746  3.9% $3,894  18.8% 

(1) See Non-GAAP Financial Measures starting on page 12.


VISITING NURSE SEGMENT OPERATING METRICS
 
  Three Months Ended      
  December 30, 2016 January 1, 2016 Change 
  Amount % Amount % Amount % 
Average number of locations  169     165     4  2.4% 
                 
All payors:                
Patient months  87,091     90,354     (3,263) -3.6% 
Admissions  25,946     26,423     (477) -1.8% 
Billable visits  686,982     694,783     (7,801) -1.1% 
                 
Medicare:                
Admissions  23,516  91%  23,062  87%  454  2.0% 
Revenue (in thousands) $101,798  95% $96,897  92% $4,901  5.1% 
Revenue per admission $4,329    $4,202    $127  3.0% 
Billable visits  616,077  90%  614,182  88%  1,895  0.3% 
Recertifications  12,906     12,804     102  0.8% 
Payor mix % of Admissions                
Traditional Medicare Episodic  83.6%    83.2%    0.4%   
Replacement Plans Paid Episodically  6.3%    4.4%    1.9%   
Replacement Plans Paid Per Visit  10.1%    12.4%    -2.3%   
                 
Non-Medicare:                
Admissions  2,430  9%  3,361  13%  (931) -27.7% 
Revenue (in thousands) $5,652  5% $8,527  8% $(2,875) -33.7% 
Revenue per admission $2,326    $2,537    $(211) -8.3% 
Billable visits  70,905  10%  80,601  12%  (9,696) -12.0% 
Recertifications  1,594     1,310     284  21.7% 
Payor mix % of Admissions                
Medicaid & other governmental  22.3%    30.1%    -7.8%   
Private payors  77.7%    69.9%    7.8%   


PERSONAL CARE SEGMENT OPERATING METRICS
 
  Three Months Ended      
  December 30, 2016 January 1, 2016 Change 
  Amount   Amount   Amount % 
Average number of locations  79    73    6  8.2% 
                 
Admissions  1,996    2,076    (80) -3.9% 
Patient months of care  43,615    36,605    7,010  19.2% 
Billable hours  1,866,311    1,757,886    108,425  6.2% 
Revenue per billable hour $21.59   $21.97   $(0.38) -1.7% 

       

                 
VISITING NURSE SEGMENT OPERATING METRICS 
                 
  Fiscal Year      
  2016
   2015
 Change 
  Amount % Amount % Amount % 
Average number of locations  166     163     3  1.8% 
                 
All payors:                
Patient months  357,971     333,343     24,628  7.4% 
Admissions  107,520     102,381     5,139  5.0% 
Billable visits  2,861,962     2,621,443     240,519  9.2% 
                 
Medicare:                
Admissions  95,487  89%  91,823  90%  3,664  4.0% 
Revenue (in thousands) $414,814  95% $377,724  94% $37,090  9.8% 
Revenue per admission $4,344    $4,114    $231  5.6% 
Billable visits  2,537,873  89%  2,364,404  90%  173,469  7.3% 
Recertifications  51,731     48,743     2,988  6.1% 
Payor mix % of Admissions                
Traditional Medicare Episodic  82.8%    83.3%    -0.5%   
Replacement Plans Paid Episodically  5.5%    4.1%    1.4%   
Replacement Plans Paid Per Visit  11.7%    12.6%    -0.9%   
                 
Non-Medicare:                
Admissions  12,033  11%  10,558  10%  1,475  14.0% 
Revenue (in thousands) $21,333  5% $23,327  6% $(1,994) -8.5% 
Revenue per admission $1,773    $2,209    $(437) -19.8% 
Billable visits  324,089  11%  257,039  10%  67,050  26.1% 
Recertifications  4,063     2,329     1,734  74.5% 
Payor mix % of Admissions                
Medicaid & other governmental  37.8%    30.6%    7.2%   
Private payors  62.2%    69.4%    -7.2%   


                 
PERSONAL CARE OPERATING METRICS 
                 
  Fiscal Year      
  2016 2015 Change 
  Amount   Amount   Amount % 
Average number of locations  75    65    10  15.4% 
                 
Admissions  9,671    6,879    2,792  40.6% 
Patient months of care  165,995    108,512    57,483  53.0% 
Billable hours  7,441,565    5,747,214    1,694,351  29.5% 
Revenue per billable hour $21.68   $22.22   $(0.54) -2.4% 



HEALTHCARE INNOVATIONS SUPPLEMENTAL DATA
 
  Three Months Ended      
  December 30, 2016 January 1, 2016  Change 
  Amount Amount  Amount % 
In-home Assessments  19,641   3,432   16,209  NM  
             
Medicare ACO enrollees under management  121,881   83,133   38,748  46.6% 
ACOs under contract  15   11   4  36.4% 
Assets $60,159  $22,024  $38,135  173.2% 
Liabilities $15,735  $(1,525) $17,260  NM  
Non-controlling interest - redeemable $2,256  $3,639  $(1,383) -38.0% 
Non-controlling interest - nonredeemable $(71) $(144) $73  -50.7% 


             
  Fiscal Year      
  2016 2015  Change 
  Amount Amount  Amount % 
In-home Assessments  75,814  5,394  70,420 NM  
             
Medicare enrollees under management  121,881  83,133  38,748 46.6% 
ACOs under contract  15  11  4 36.4% 


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)
 
  Three Months Ended Fiscal Year 
(in thousands) December 30, 2016 January 1, 2016 2016 2015 
Net income attributable to Almost Family, Inc. $3,592 $2,806 $17,653 $20,009 
              
Addbacks:             
Deal, transition and other, net of tax  2,523  2,997  6,987  737 
Adjusted net income attributable to Almost Family, Inc. $6,115 $5,803 24,640 $20,746 
              
Per share amounts-diluted:             
Average shares outstanding  10,330  10,000  10,346  9,745 
              
Net income attributable to Almost Family, Inc. $0.35 $0.28 $1.71 $2.05 
              
Addbacks:             
Deal, transition and other, net of tax  0.24  0.30  0.68  0.08 
Adjusted net income attributable to Almost Family, Inc. $0.59 $0.58 $2.38 $2.13 
              

Adjusted EBITDA
Adjusted earnings before interest, income tax, depreciation and amortization, amortization of stock-based compensation, deal, transition and other (Adjusted EBTIDA) 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 our 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 our 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)
 
  Three Months Ended Fiscal Year 
(in thousands) December 30, 2016 January 1, 2016 2016  2015 
Net income $3,422 $2,669 $18,172  $19,541 
Add back:              
Interest expense  1,442  823  5,776   2,287 
Income tax expense  1,864  2,097  10,984   10,556 
Depreciation and amortization  1,167  938  3,981   3,927 
Stock-based compensation  747  666  2,760   2,121 
Deal, transition and other costs  4,387  4,835  11,842   4,139 
Adjusted EBITDA $13,029 $12,028 $53,515  $42,571 
               

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, following the completion of its joint venture transaction with Community Health Systems, Inc. (CHS) (NYSE:CYH). Almost Family, Inc. and its subsidiaries operate a visiting nurse segment, a personal care segment and a HealthCare Innovations segment.

 


            

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