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Amedisys Reports First Quarter 2019 Financial Results and Reaffirms 2019 Guidance

April 30, 2019 4:34 PM

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

Adjusted Quarterly Results*

* 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

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
[email protected][email protected]

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.

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Source: Amedisys, Inc.

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