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SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
FORM 10-K
[X] ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d)
OF THE SECURITIES EXCHANGE ACT OF 1934 [FEE REQUIRED]
OR
[ ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d)
OF THE SECURITIES EXCHANGE ACT OF 1934 [NO FEE REQUIRED]
FOR THE FISCAL YEAR ENDED: DECEMBER 31, 2001
COMMISSION FILE NUMBER: 0-24260
AMEDISYS, INC.
(Exact name of registrant as specified in its charter)
DELAWARE 11-3131700
(State or other jurisdiction (IRS Employer
of incorporation or organization) Identification No.)
11100 MEAD ROAD, SUITE 300
BATON ROUGE, LOUISIANA 70816
(Address of principal executive offices, including zip code)
(225) 292-2031 or (800) 467-2662
(Registrant's telephone number, including area code)
Securities registered pursuant to Section 12(b) of the Exchange Act: NONE
Securities registered pursuant to Section 12(g) of the Exchange Act:
Common Stock, par value $.001 per share
Check whether the issuer: (1) filed all reports required to be filed by
Section 13 or 15(d) of the Exchange Act during the past 12 months (or for such
shorter period that the registrant was required to file such reports), and (2)
has been subject to such filing requirements for past 90 days. Yes [X] No [ ]
Check if there is no disclosure of delinquent filers in response to Item
405 of Regulation S-K in this form, and if no disclosure will be contained, to
the best of registrant's knowledge, in definitive proxy or information
statements incorporated by reference in Part III of this Form 10-K or any
amendment to this Form 10-K. [ ]
The aggregate market value of the voting stock held by non-affiliates of
the registrant, based on the last sale price as quoted by the OTC Bulletin Board
on March 18, 2002 was $55,487,000. As of March 18, 2002, registrant has
7,364,711 shares of Common Stock outstanding.
Documents incorporated by reference: Registrant's definitive Proxy
Statement for its 2002 Annual Meeting of Stockholders to be filed pursuant to
the Securities Exchange Act of 1934 is incorporated herein by reference into
Part III hereof.
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TABLE OF CONTENTS
PAGE
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PART I.................................................................. 1
ITEM 1. BUSINESS.................................................... 1
ITEM 2. PROPERTIES.................................................. 12
ITEM 3. LEGAL PROCEEDINGS........................................... 12
ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS......... 13
PART II................................................................. 14
ITEM 5. MARKET FOR REGISTRANT'S COMMON STOCK AND RELATED STOCKHOLDER
MATTERS..................................................... 14
ITEM 6. SELECTED FINANCIAL DATA..................................... 15
ITEM 7. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION
AND RESULTS OF OPERATIONS................................... 17
ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET
RISKS....................................................... 21
ITEM 8. FINANCIAL STATEMENTS........................................ 21
ITEM 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING
AND FINANCIAL DISCLOSURE.................................... 21
PART III................................................................ 22
ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT.......... 22
ITEM 11. EXECUTIVE COMPENSATION...................................... 24
ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND
MANAGEMENT.................................................. 25
ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS.............. 25
PART IV................................................................. 26
ITEM 14. EXHIBITS AND REPORTS ON FORM 8-K............................ 26
SIGNATURES.............................................................. 28
FINANCIAL STATEMENTS.................................................... 29
PART I
FORWARD LOOKING STATEMENTS
When included in the Annual Report on Form 10-K or in documents
incorporated herein by reference, the words "expects", "intends", "anticipates",
"believes", "estimates", and analogous expressions are intended to identify
forward-looking statements. Such statements inherently are subject to a variety
of risks and uncertainties that could cause actual results to differ materially
from those projected. Such risks and uncertainties include, among others,
general economic and business conditions, current cash flows and operating
deficits, debt service needs, adverse changes in federal and state laws relating
to the health care industry, competition, regulatory initiatives and compliance
with governmental regulations, customer preferences and various other matters,
many of which are beyond the Company's control. These forward-looking statements
speak only as of the date of the Annual Report on Form 10-K. The Company
expressly disclaims any obligation or undertaking to release publicly any
updates or any changes in the Company's expectations with regard thereto or any
changes in events, conditions or circumstances on which any statement is based.
ITEM 1. BUSINESS
GENERAL
Amedisys, Inc., a Delaware corporation ("Amedisys" or "the Company"), is a
leading multi-regional provider of home health care nursing services. The
Company operates fifty-six home care nursing offices and two corporate offices
in the southern and southeastern United States.
During 1999, the Company changed its strategy from providing a variety of
alternate site provider health care services to becoming a leader in home health
care nursing services. The Company's change of focus was largely attributed to
its significant investment in this segment as a result of its acquisition of 83
home care offices from Columbia/HCA Healthcare Corporation a/k/a The Healthcare
Company ("Columbia/HCA") in late 1998. A second major factor was the
governmental reimbursement changes in the Medicare system that would allow home
care providers the opportunity to be profitable under the Prospective Payment
System ("PPS") which was implemented in October 2000. A third significant factor
was the Company's established reputation and expertise in the field. Amedisys
has over a decade of experience in home care nursing and was an early innovator
in bringing technology, previously used only in acute care settings, to the
home, as well as providing traditional home care services.
Pursuant to this strategy, the Company launched a restructuring plan to
divest its non-home health care nursing divisions. During the period from
September 1999 through September 2001, the Company sold or closed its six
surgery centers and four infusion locations. The Company plans to achieve market
dominance in the southern and southeastern United States by expanding its
referral base by utilizing a highly trained sales force, offering specialized
programs such as wound care, and completing selective acquisitions.
The Company's business model has been developed to be successful under PPS.
The Company has implemented disease state management programs and clinical
protocols as well as supporting technology to monitor and report outcome data,
to standardize care, and to ensure quality outcomes. Using clinical managers to
assess and track patient progress and highly skilled nurses to deliver care are
also important components of the overall plan.
DEVELOPMENTS
Acquisitions
Effective October 1, 2000, the Company acquired, through its wholly-owned
subsidiary Amedisys Northwest Home Health, Inc., certain assets and liabilities
of Northwest Home Health Agency, Inc. and Georgia Mountains Homecare Services,
Inc. The purchase price amounted to the assumption of certain liabilities. In
connection with this acquisition, the Company recorded $1,148,000 of goodwill.
1
Effective November 17, 2000, the Company acquired, through its wholly-owned
subsidiary Amedisys Home Health, Inc. of Florida, certain assets and liabilities
of Mid-Florida Home Health Services from Winter Haven Hospital, Inc. In
consideration for the acquired assets and liabilities, the Company paid $975,000
cash (less the value of paid time off) at the time of closing and executed a
promissory note in the amount of $975,000 bearing an annual interest rate of 7%
and payable in 36 monthly principal and interest installments of $30,105. In
connection with this acquisition, the Company recorded $1,554,000 of goodwill.
Effective March 1, 2001, the Company acquired, through its wholly owned
subsidiary Amedisys Home Health, Inc. of Alabama, certain assets and liabilities
of Seton Home Health Services, Inc. ("Seton") from Seton Health Corporation of
North Alabama associated with their operations in Mobile and Fairhope, Alabama.
In consideration for the acquired assets and liabilities, the Company paid
$440,000 cash, which represents a purchase price of $475,000 less the estimated
value of accrued vacation obligations. In connection with this acquisition, the
Company recorded $448,000 of goodwill.
Effective April 6, 2001, the Company acquired, through its wholly-owned
subsidiary Amedisys Home Health, Inc. of Alabama, certain additional assets and
liabilities of Seton from Seton Health Corporation of North Alabama associated
with their operations in Birmingham, Tuscaloosa, Anniston, Greensboro, and
Reform, Alabama. In consideration for the acquired assets and liabilities, the
Company paid $2,216,000 cash, which represents a purchase price of $2,325,000
less the value of accrued vacation obligations. In connection with this
acquisition, the Company recorded $2,235,000 of goodwill.
Effective June 11, 2001, the Company acquired from East Cooper Community
Hospital, Inc. certain assets and liabilities of HealthCalls Professional Home
Health Services. In consideration for the acquired assets and liabilities, the
Company paid $750,000 cash. In connection with this acquisition, the Company
recorded $726,000 in goodwill.
Dispositions and Discontinued Operations
In the accompanying Statements of Operations for each of the three years
ended December 31, 2001, the Company has reflected its staffing, management
services, outpatient surgery, and infusion therapy divisions as discontinued
operations.
In August 1999, the Company adopted a formal plan to sell all of its
interests in its ambulatory surgery and infusion therapy divisions. The
Company's strategic plan was to become a focused home health nursing company. As
of December 31, 2001, the Company has completed the divestiture of both its
infusion therapy division and ambulatory surgery division. A discussion of the
sales that have occurred since the adoption of the plan is as follows.
Effective September 1, 1999, by an Asset Purchase Agreement, the Company
sold certain assets, subject to the assumption of certain liabilities, of its
wholly-owned subsidiary, Amedisys Surgery Centers, L.C. ("ASC"), to United
Surgical Partners International, Inc. The assets and liabilities sold related to
two free-standing outpatient surgery centers operated by ASC, Amedisys Surgery
Center of Pasadena and Amedisys Surgery Center of South Houston. The Company
recorded a pre-tax gain of $9,417,000 as a result of this transaction. The
Company filed a Current Report on Form 8-K with the SEC on September 15, 1999
with regard to this transaction.
Effective December 1, 1999, ASC, by a Membership Interest Purchase
Agreement, sold all of its 67% membership interest in West Texas Ambulatory
Surgery Center, L.L.C. to U.S. Orthopedics Texas, L.L.C. ASC also assigned all
of its rights under a certain management agreement to U.S. Orthopedics, Inc. At
closing, ASC received $783,333 representing the purchase price for the
membership interest and ASC's share of the assignment of the management
agreement. ASC has agreed to a five-year non-compete covenant. The Company
recorded a pre-tax gain of $324,000 as a result of this transaction.
On April 28, 2000, the Company, Park Place Surgery Center, LLC ("Park
Place"), and the remaining Members of Park Place Surgery Center ("Physician
Members") entered into an agreement for the purchase and sale of the Company's
20% membership interest in Park Place, an outpatient surgery center in
Lafayette, Louisiana, to the Physician Members. The purchase price of $3,200,000
cash was paid to the Company at
2
closing. The Company received a final partnership distribution of $165,000 in
May 2000. The Company recorded a pre-tax gain of $2,665,000 as a result of this
transaction in the quarter ended June 30, 2000. The Company filed a Current
Report on Form 8-K with the SEC on May 11, 2000 with regard to this transaction.
In May 2000, the Company decided, after a thorough evaluation of historical
financial results and available divestiture opportunities, to close one infusion
therapy location. In connection with this closure, the Company recorded a
goodwill impairment of $1,252,000 in the quarter ended June 30, 2000.
Concurrently, the Company re-evaluated the goodwill recorded for the remaining
infusion therapy locations, resulting in an additional goodwill impairment of
$519,000.
On August 9, 2000, the Company, through its wholly-owned subsidiaries,
Amedisys Alternate-Site Infusion Therapy Services, Inc. ("AASI") and PRN, Inc.
("PRN"), sold, by a Bill of Sale and Asset Purchase Agreement, certain assets,
subject to the assumption of certain liabilities, of AASI and PRN, to Park
Infusion Services, LP. The transaction had an effective date of August 1, 2000.
Subject to certain post-closing adjustments, the Company received $1,750,000,
paid immediately to the Company at closing. The Company recorded a pre-tax gain
of $1,114,000 as a result of this transaction in the quarter ended September 30,
2000. The Company filed a Current Report on Form 8-K with the SEC on August 23,
2000 with regard to this transaction.
On December 1, 2000, the Company's wholly-owned subsidiary, ASC, East
Houston Physician Surgical Services, Ltd. ("Surgical Services"), and East
Houston Surgery Center, Ltd. ("East Houston") entered into an agreement for the
purchase and sale of the Company's 22.98% membership interest in East Houston,
an outpatient surgery center in Houston, Texas, to Surgical Services. The
purchase price of $1,650,000 cash was paid to the Company at closing. The
Company recorded a pre-tax gain of $1,307,000 as a result of this transaction in
the quarter ended December 31, 2000.
Effective September 7, 2001, the Company, its wholly-owned subsidiary ASC,
its 56% owned subsidiary Hammond Surgical Care Center, L.C. d/b/a St. Luke's
SurgiCenter ("St. Luke's"), and Surgery Center of Hammond, L.L.C. ("Surgery
Center") entered into an agreement for the purchase and sale of the operations
and assets of St. Luke's, an outpatient surgery center located in Hammond,
Louisiana, to Surgery Center. The sales price of $2,850,000 was paid at closing
and distributed in the following manner: $1,066,000 paid directly to debtors of
St. Luke's relating to existing debt obligations, $1,684,000 paid to St. Luke's,
and $100,000 in cash to be released upon the determination of the value of
working capital transferred. Subsequent to the sale, St. Luke's made partnership
distributions of $1,693,000 of which the Company received $948,000 and the
physician investors received $745,000. The agreement stipulated a required level
of working capital, defined as patient accounts receivable less trade accounts
payable, of $430,000 to be conveyed at closing. Any amount in excess of $430,000
will be returned to St. Luke's, and any amount less than $430,000 will be
payable by St. Luke's to Surgery Center. In the accompanying Consolidated
Statements of Operations, the Company recorded a pre-tax gain of $1,738,000,
offset by minority interest expense of $672,000, resulting in a net pre-tax gain
of $1,066,000 in the quarter ended September 30, 2001.
3
Summarized financial information for the discontinued operations is as
follows (in 000's):
2001 2000 1999 1998 1997
------ ------- ------- ------- -------
Staffing Division:
Service Revenue..................... $ -- $ -- $ -- $12,607 $17,292
Income from Discontinued Operations
before Provision for Income
Taxes............................ $ -- $ -- $ -- $ 1,723 $ 4,139
Income from Discontinued Operations
Net of Income Taxes.............. $ -- $ -- $ -- $ 1,137 $ 2,732
Gain on Sale of Discontinued
Operations before Provision for
Income Taxes..................... $ -- $ -- $ -- $ 5,041 $ --
Gain on Sale of Discontinued
Operations Net of Income Taxes... $ -- $ -- $ -- $ 3,177 $ --
DME/Management Services Division:
Service Revenue..................... $ -- $ -- $ -- $ 1,203 $ 5,100
Income (Loss) from Discontinued
Operations before Provision for
Income Taxes..................... $ -- $ -- $ (633) $ (616) $ 1,428
Income (Loss) from Discontinued
Operations Net of Income Taxes... $ -- $ -- $ (612) $ (407) $ 943
Outpatient Surgery Division:
Service Revenue..................... $1,938 $ 3,030 $ 7,075 $ 6,224 $ 6,287
Income (Loss) from Discontinued
Operations before Provision for
Income Taxes..................... $ (516) $ 754 $ 1,311 $ 330 $(1,757)
Income (Loss) from Discontinued
Operations Net of Income Taxes... $ (516) $ 754 $ 865 $ 218 $(1,160)
Gain on Sale of Discontinued
Operations before Provision for
Income Taxes..................... $1,066 $ 3,972 $ 9,341 $ -- $ --
Gain on Sale of Discontinued
Operations Net of Income Taxes... $ 876 $ 3,570 $ 6,165 $ -- $ --
Infusion Therapy Division:
Service Revenue..................... $ -- $ 4,580 $ 7,616 $ 5,193 $ 7
Income (Loss) from Discontinued
Operations before Provision for
Income Taxes..................... $ (50) $(4,035) $(1,572) $(3,464) $ (307)
Income (Loss) from Discontinued
Operations Net of Income Taxes... $ (50) $(4,035) $(1,037) $(2,286) $ (203)
Gain on Sale of Discontinued
Operations before Provision for
Income Taxes..................... $ -- $ 1,114 $ -- $ -- $ --
Gain on Sale of Discontinued
Operations Net of Income Taxes... $ -- $ 1,114 $ -- $ -- $ --
Total Discontinued Operations:
Service Revenue..................... $1,938 $ 7,610 $14,691 $25,227 $28,686
Income (Loss) from Discontinued
Operations before Provision for
Income Taxes..................... $ (566) $(3,281) $ (894) $(2,027) $ 3,503
Income (Loss) from Discontinued
Operations Net of Income Taxes... $ (566) $(3,281) $ (784) $(1,338) $ 2,312
Gain on Sale of Discontinued
Operations before Provision for
Income Taxes..................... $1,066 $ 5,086 $ 9,341 $ 5,041 $ --
Gain on Sale of Discontinued
Operations Net of Income Taxes... $ 876 $ 4,684 $ 6,165 $ 3,177 $ --
4
During 2001, the Company completed its strategy to divest of all non-core
business assets. Included in the accompanying Consolidated Balance Sheet as of
December 31, 2000 are the following assets and liabilities Held for Sale (in
000's):
DECEMBER 31, 2000
-----------------
Cash........................................................ $ 20
Accounts Receivable......................................... 510
Prepaid Expenses............................................ 13
Inventory and Other Current Assets.......................... 172
----
Current Assets Held for Sale................................ $715
====
Property.................................................... $681
Other Assets................................................ 8
Investments................................................. --
----
Long-term Assets Held for Sale.............................. $689
====
Accounts Payable............................................ $190
Accrued Payroll............................................. 50
Accrued Other............................................... 34
Notes Payable............................................... --
Current Portion of Long-term Debt........................... 192
Current Portion of Obligations Under Capital Leases......... 14
----
Current Liabilities Held for Sale........................... $480
====
Long-term Debt.............................................. $966
Obligations under Capital Leases............................ --
----
Long-term Liabilities Held for Sale......................... $966
====
Remodification of Loan
On December 28, 2000, the Company entered into a loan agreement with NPF
Capital, Inc. ("NPF") for a principal sum of up to $11,725,000. At execution,
NPF paid $9,000,000 directly to Columbia/HCA for the benefit of the Company. The
note with Columbia/HCA ("HCA Note") was a result of the acquisition of home
health agencies consummated in November 1998. The Company also financed $725,000
of debt issue costs under this agreement, with the remaining unfunded portion of
$2,000,000 available for future acquisitions. Simultaneously, Amedisys entered
into a Termination Agreement with Columbia/HCA relating to the note payable (HCA
Note). The Termination Agreement with Columbia/HCA was effective October 1,
2000. The Termination Agreement related to that certain Credit Agreement dated
November 16, 1998 and that certain promissory note dated December 1, 1998 as
modified by that certain Loan Modification Agreement dated September 30, 1999.
As part of this agreement, the HCA Note, which carried a balance (including
accrued interest) of $16,600,000 at September 30, 2000, was terminated effective
October 1, 2000 for a cash payment of $9,000,000 and the execution of a warrant
agreement that allows Columbia/HCA to purchase up to 200,000 shares of Amedisys'
Common Stock, subject to certain conditions. These warrants have an estimated
value of $344,000. As of result of these transactions, the Company recorded an
extraordinary gain of $5,100,000, net of taxes, in the fourth quarter of 2000.
The loan agreement with NPF Capital, Inc. ("NPF Note"), an affiliate of
National Century Financial Enterprises, Inc., is for a principal sum not to
exceed $11,725,000 at an annual interest rate of 10.5%. At loan execution, the
Company borrowed an amount ("Initial Loan Amount") equal to $9,000,000 which was
paid directly to Columbia/HCA. The Initial Loan Amount is payable over a three
year term with interest only payments for the first six months and monthly
payments of principal and interest for the remainder of the term. The Company
had available an amount not to exceed $2,000,000 ("Supplemental Loan Amount")
for the acquisition of businesses, companies and/or their assets of which
$2,000,000 was drawn in 2001. The fees charged by NPF relating to the NPF Note
totaled $725,000 and are payable in accordance with the payment
5
terms of the Initial Loan Amount. The security for this note consists of all
credits, deposits, accounts, securities or moneys, and all other property rights
belonging to or in which the Company has any interest, now or hereafter, as well
as every other liability now or hereafter existing of the Company, absolute or
contingent, due or to become due.
Segment Information
The Company's principal source of revenue is derived from home health care
services. The Company's Statements of Operations for the Years Ended December
31, 2001, 2000, and 1999, attached hereto and referenced in Item 8 herein and
the "Dispositions and Discontinued Operations" section above, contain financial
information on this segment. The financial information for the years ended
December 31, 2001, 2000, 1999, 1998 and 1997 have been reflected as continuing
and discontinued operations as a result of the Company's decision to reflect its
staffing, management services, outpatient surgery, and infusion therapy
divisions as discontinued operations. Financial information on the segments is
treated as discontinued operations as stated above.
INDUSTRY OVERVIEW
As national health care spending continues to outpace the rate of inflation
and the population of older Americans increases at a faster rate, alternatives
to costly hospital stays will be in even greater demand. Managed care, Medicare,
Medicaid and other payor pressures continue to drive patients through the
continuum of care until they reach a setting where the appropriate level of care
can be provided most cost effectively. Over the past several years, home health
care has evolved as an acceptable and often preferred alternative in this
continuum. In addition to patient comfort and convenience, substantial cost
savings can usually be realized through treatment at home as an alternative to
traditional institutional settings. The continuing economic pressures within the
health care industry and the reimbursement changes dictated by the Balanced
Budget Act of 1997 ("BBA"), have forced providers of home health care services
to closely examine and often modify the manner in which they provide patient
care and services. To survive under the Interim Payment System ("IPS"),
companies were challenged with streamlining operations and modifying staffing
models to manage costs and operate successfully. As the Company has now moved
into PPS, which was effective October 1, 2000, those pressures continue to
exist. However, those companies who successfully operate with effective business
models can provide quality patient care and manage costs under this
reimbursement system.
Traditionally, the home health care industry has been highly fragmented,
comprised primarily of "mom and pop" local home health agencies offering limited
services. These local providers often do not have the necessary capital to
expand their operations or services and are often not able to achieve the
efficiencies to compete effectively. With the implementation of IPS and other
provisions of the BBA, the home health care industry experienced major
consolidation for the first time in its history. Further, with PPS recently
implemented, we continue to experience closures/consolidations in the home
nursing sector.
STRATEGY
The Company's business objective is to enhance its position in its
geographic market areas as a leading provider of high quality, low cost home
health nursing services. To accomplish this, it will do the following:
Internal Growth Strategy
Focus on Its Employees. Because the Company is engaged in a service
business, the essence of the Company is its people. The Company's emphasis
on communication, education, empowerment, and competitive benefits allows
it to attract and retain highly skilled and experienced people in its
markets.
Expand Its Service Base. The Company has targeted selected markets in
the southern and southeastern United States. Through the expansion of its
services and development of niche programs, it plans to dominate these
markets, to increase utilization of its services by payors and referral
sources, and to enhance its overall market position.
6
Expand Its Referral Base. It is anticipated that revenue growth will
be spurred by the Company's strategy to employ sales account executives
whose sole focus will be to expand its referral base, so the Company is not
dependent on relatively few physician groups in any given market.
Capitalize on the Closure of Competitive Agencies. Keeping a pulse on
agency closures (as a result of BBA) and understanding referral patterns in
each of its markets allows the Company the opportunity to gain market share
with no acquisition costs.
Manage Costs Through Disease State Management. Payors are focusing on
the management of patients who suffer from chronic diseases which correlate
with substantial long-term costs. In 1999, the Company introduced Disease
State Management programs for wound care, cardiac, and diabetics. In 2000,
the Company introduced other Disease State Management programs, such as
ortho/rehab, pain management, pulmonary/respiratory, pneumonia, cardio
vascular accident, and cancer. The Company's Disease State Management
programs include patient and family education and empowerment, frequent
monitoring and coordinated care with other medical professionals involved
in the care of the patient.
Manage Costs Through Technology. The Company utilizes a software
system that was developed internally which reduces its cost to operate its
business and integrates a number of financial and operating functions into
a single entry system. The software system was sold to CPII Acquisition
Corp., an affiliate of CareSouth Home Health Services, Inc. ("CareSouth")
in 1998. The Company is currently utilizing the software pursuant to a
licensing agreement with CareSouth which expires in 2004. The agreement
contains a bargain purchase option which the Company intends to exercise
upon expiration of the agreement. By enhancing its operations through the
use of information technology and expanded computer applications, the
Company is positioned to not only operate more efficiently, but to compete
in an environment increasingly influenced by cost containment.
External Growth Strategy
The Company's external growth strategy is to continue expansion through
selected acquisitions. The Company believes that home health nursing
companies are currently undervalued and provide excellent opportunities to
gain additional market share. The Company's acquisition strategy is to:
Focus on Large Hospital Systems with Internal Home Health
Agencies. PPS, which was implemented in October 2000, eliminates the
opportunities for cost-shifting by hospitals. Many hospitals are no longer
interested in participating in the home health business. As a result, many
have made the decision, or are in the process of deciding, to sell their
agencies or partner with a reputable company to provide these services.
This not only provides the Company with the opportunity to acquire quality
agencies, but to acquire agencies with strong physician referral bases.
Target Large, Multi-Site Agencies. By acquiring multi-site agencies
and eliminating their corporate structure, the Company hopes to rapidly
dominate a market by either layering the new business into their current
agencies, enhancing current market share or expanding its coverage to
contiguous markets.
Concentrate on Metropolitan Areas. Metropolitan-based agencies are
principal targets due to the synergies created by large patient populations
located close together.
HOME HEALTH CARE SERVICES
Services provided in home health care include four broad categories: (1)
nursing and allied health services, (2) infusion therapy, (3) respiratory
therapy and, (4) home medical equipment. According to statistics released by
HCFA Online, total spending for home care was $33.1 billion in 1999 and is
projected to be $46.6 billion in 2002, an overall increase of 41%. The Company
operates in the category of nursing and allied services which represents the
largest sector, or 70%, of all home health care spending.
The Company currently operates 56 home health care nursing offices
consisting of 35 parent offices with Medicare provider numbers, and 21 branch
offices. Serving this market for the past 10 years, the Company has built an
excellent reputation based on quality care and specialty nursing services.
Because its services are
7
comprehensive, cost-effective and accessible 24 hours a day, seven days a week,
the Company's home health care nursing services are attractive to payors and
physicians. All of its offices are accredited or in the process of seeking
accreditation by the Joint Commission on Accreditation of Health Care
Organizations ("JCAHO"), with the exception of one office which is accredited by
the Community Health Accreditation Program. The Company provides a wide variety
of home health care services including:
Registered nurses who provide specialty services such as infusion
therapy, skilled monitoring, assessments, and patient education. Many of
the Company's nurses have advanced certifications.
Licensed practical (vocational) nurses who perform technical procedures,
administer medications and change surgical and medical dressings.
Physical and occupational therapists who work to strengthen muscles,
restore range of motion and help patients perform the activities of
daily living.
Speech pathologists/therapists who work to restore communication and
oral skills.
Social workers who help families address the problems associated with
acute and chronic illnesses.
Home health aides who perform personal care such as bathing or
assistance in walking.
Private duty services such as continuous hourly nursing care and sitter
services.
BILLING AND REIMBURSEMENT
Revenues generated from the Company's home health care services are paid by
Medicare, Medicaid, private insurance carriers, managed care organizations,
individuals, and other local health insurance programs. Medicare is a federally
funded program available to persons with certain disabilities and persons aged
65 or older. Medicaid, a program jointly funded by federal, state, and local
governmental health care programs, is designed to pay for certain health care
and medical services provided to low income individuals without regard to age.
The Company has several contracts for negotiated fees with insurers and managed
care organizations. The Company submits all home health Medicare claims to a
single insurance company acting as a fiscal intermediary for the federal
government.
MEDICARE REIMBURSEMENT REDUCTIONS AND RELATED RESTRUCTURING
The Company derived approximately 88% of its revenues from continuing
operations from the Medicare system for the year ended December 31, 2001. In
1997, Congress approved BBA, which established IPS that provided for the
lowering of reimbursement limits for home health visits until PPS was
implemented on October 1, 2000. For cost reporting periods beginning on or after
October 1, 1997, Medicare-reimbursed home health agencies' cost limits were
determined as the lesser of (i) their actual costs, (ii) per visit cost limits
based on 105% of national median costs of freestanding home health agencies, or
(iii) a per beneficiary limit determined for each specific agency based on
whether the agency was an "old" or "new" provider. The IPS cost limits applied
to the Company for the cost reporting periods beginning January 1, 1998 until
the implementation of PPS on October 1, 2000.
In October 1999, Centers for Medicare & Medicaid Services ("CMS"), formerly
known as Health Care Financing Administration, issued proposed regulations for
PPS. On June 28, 2000, CMS issued the final rules for PPS which were effective
for all Medicare-certified home health agencies on October 1, 2000. The final
regulations establish payments based on episodes of care. An episode is defined
as a length of care up to sixty days with multiple continuous episodes allowed
under the rule. The services covered by the episode payment include all
disciplines of care, in addition to medical supplies, within the scope of the
home health benefit. At the onset of PPS, the standard episode payment was
established at $2,115 per episode for federal fiscal year 2001, to be adjusted
by a case mix adjuster consisting of eighty (80) home health resource groups
("HHRG") and the applicable geographic wage index. Effective October 1, 2001,
the standard episode payment was increased to $2,274. The standard episode
payment may be subject to further individual adjustments due to low utilization,
intervening events and other factors. Providers are allowed to make a request
for anticipated payment at the start of care equal to 60% of the expected
payment for the initial
8
episode and 50% for each subsequent episode. The remaining balance due to the
provider is paid following the submission of the final claim at the end of the
episode. In contrast to the cost-based reimbursement system whereby providers'
reimbursement was limited, among other things, to their actual costs, episode
payments are to be made to providers regardless of the cost to provide care,
except with regard to certain outlier provisions.
In December 2000, Congress passed the Benefits Improvement and Protection
Act ("BIPA"), which provides additional funding to healthcare providers. BIPA
provided for the following: (i) a one-year delay in applying the budgeted 15%
reduction on payment limits, (ii) the restoration of a full home health market
basket update for episodes ending on or after April 1, 2001, and before October
1, 2001 resulting in an increase to revenues of 2.2%, and (iii) a 10% increase,
beginning April 1, 2001 and extending for a period of twenty four months, for
home health services provided in a rural area. Currently, the delay in the
budgeted 15% reduction in payment limits resulting from BIPA will expire
September 30, 2002. There is ongoing debate and discussion at the congressional
level concerning the scheduled payment reduction which was further intensified
with the recommendation by the Medicare Payment Advisory Committee to eliminate
the budgeted 15% payment reduction.
DATA PROCESSING
In connection with the acquisition of the home health care agencies from
Columbia/HCA in November 1998, the Company decided to outsource its home health
care billing and payroll processing functions to create greater operating and
financial efficiencies. On November 2, 1998, the Company and CareSouth entered
into a Master Corporate Guaranty of Service Agreement whereby the Company agreed
to act as guarantor for each Agency Service Agreement, which was amended and
restated as of September 1, 1999, between CareSouth and all home health agencies
which are owned or managed by the Company. Under the Agency Service Agreements,
CareSouth agreed to provide payroll processing, billing services, and collection
services for the home health agencies. Effective October 1, 2001, the Company
terminated the management agreement. In connection with this termination, the
Company entered into a Software License Agreement ("License Agreement") with
CareSouth for the use of a home health care billing and collections software
system. This License Agreement expires May 1, 2004 at which time the Company
intends to purchase the software in accordance with the terms of the License
Agreement.
QUALITY CONTROL AND IMPROVEMENT
As a medical service business, the quality and reputation of the Company's
personnel and operations are critical to its success. The Company has
implemented quality management and improvement programs, a corporate compliance
program, and policies and procedures at both the corporate and field levels. The
Company strives to meet regulations set forth by state licensure, federal
guidelines for Medicare and Medicaid, and JCAHO standards.
The Company has an active quality management team that makes periodic
on-site inspections of field offices to review systems, operations, and clinical
procedures. An educational division is also part of this quality management team
which is responsible for conducting educational and training sessions at the
field offices, as well as disseminating continuing education materials to the
Company's employees. Additionally, the quality management team works in
conjunction with the Company's corporate compliance officer to perform audits
and conduct education to enhance the knowledge of the field staff and to ensure
compliance with state and federal laws and regulations.
RECRUITING AND TRAINING
The Company's Human Resources Department coordinates recruiting efforts for
corporate and field personnel. Employees are recruited through newspaper
advertising, professional recruiters, the Company's web page, networking,
participation in job fairs, and word-of-mouth referrals. The Company believes it
is competitive in the industry and offers its employees upward mobility, health
insurance, an Employee Stock Purchase Plan, a 401(k) plan with company matching
contributions, and a cafeteria plan.
9
Uniform procedures for screening, testing, and verifying references,
including criminal background checks where appropriate, have been established.
All employees receive a formalized orientation program, including
familiarization with the Company's policies and procedures.
The Company believes that it is in compliance with all material Department
of Labor regulations.
GOVERNMENT REGULATION
The Company's home health care business is highly regulated by federal,
state and local authorities. Regulations and policies frequently change and the
Company monitors changes through trade and governmental publications and
associations. The Company's home health care subsidiaries are certified by CMS
and are therefore eligible to receive reimbursement for services through the
Medicare system. As a provider under the Medicare and Medicaid systems, the
Company is subject to the various "anti-fraud and abuse" laws, including the
federal health care programs' anti-kickback statute. This law prohibits any
offer, payment, solicitation or receipt of any form of remuneration to induce
the referral of business reimbursable under a federal health care program or in
return for the purchase, lease, order, arranging for, or recommendation of items
or services covered by any federal health care programs or any health care plans
or programs that are funded by the United States (other than certain federal
employee health insurance benefits) and certain state health care programs that
receive federal funds under various programs, such as Medicaid. A related law
forbids the offer or transfer of any item or service for less than fair market
value, or certain waivers of copayment obligations, to a beneficiary of Medicare
or a state health care program that is likely to influence the beneficiary's
selection of health care providers. Violations of the anti-fraud and abuse laws
can result in the imposition of substantial civil and criminal penalties and,
potentially, exclusion from furnishing services under any federal health care
programs. In addition, the states in which the Company operates generally have
laws that prohibit certain direct or indirect payments or fee-splitting
arrangements between health care providers where they are designed to obtain the
referral of patients to a particular provider.
Congress adopted legislation in 1989, known as the "Stark" Law, that
generally prohibits a physician from ordering clinical laboratory services for a
Medicare beneficiary where the entity providing that service has a financial
relationship (including direct or indirect ownership or compensation
relationships) with the physician (or a member of his immediate family), and
prohibits such entity from billing for or receiving reimbursement for such
services, unless a specified exception is available. Additional legislation
became effective as of January 1, 1993 known as "Stark II," that extends the
Stark law prohibitions to services under state Medicaid programs, and beyond
clinical laboratory services to all "designated health services," including but
not limited to home health services, durable medical equipment and supplies, and
parenteral and enteral nutrients, equipment, and supplies. Violations of the
Stark Law may also trigger civil monetary penalties and program exclusion.
Pursuant to Stark II, physicians who are compensated by the Company will be
prohibited from seeking reimbursement for designated health services rendered to
such patients unless an exception applies. Several of the states in which the
Company conducts business have also enacted statutes similar in scope and
purpose to the federal fraud and abuse laws and the Stark laws.
Various federal and state laws impose criminal and civil penalties for
making false claims for Medicare, Medicaid or other health care reimbursements.
The Company believes that it bills for its services under such programs
accurately. However, the rules governing coverage of, and reimbursements for,
the Company's services are complex. There can be no assurance that these rules
will be interpreted in a manner consistent with the Company's billing practices.
The Health Insurance Portability and Accountability Act ("HIPAA") was
enacted August 21, 1996 to assure health insurance portability, reduce
healthcare fraud and abuse, guarantee security and privacy of health information
and enforce standards for health information. Organizations are required to be
in compliance with certain HIPAA provisions beginning October 2002. Provisions
not yet finalized are required to be implemented two years after the effective
date of the regulation. Organizations are subject to significant fines and
penalties if found not to be compliant with the provisions outlined in the
regulations. Management is in the process of evaluating the impact of this
legislation on its operations including future financial commitments and
operational enhancements that will be required to comply with the legislation.
10
Home health care offices have licenses granted by the health authorities of
their respective states. Additionally, some state health authorities require a
Certificate of Need ("CON"). Tennessee, Georgia, Alabama, and North Carolina do
require a CON to establish and operate a home health care agency, while
Louisiana, Oklahoma, Virginia, South Carolina and Florida currently do not. In
every state, each location license and/or CON issued by the state health
authority determines the service areas for the home health care agency.
Currently, JCAHO accreditation of home health care agencies is voluntary.
However, Managed Care Organizations ("MCOs") use JCAHO accreditation as a
minimum standard for regional and state contracts.
The Company strives to comply with all federal, state and local regulations
and has satisfactorily passed all federal and state inspections and surveys. The
ability of the Company to operate properly and fulfill its business objective
will depend on the Company's ability to comply with all applicable healthcare
regulations.
COMPETITION
The services provided by the Company are also provided by competitors at
the local, regional and national levels. Home health care providers compete for
referrals based primarily on scope and quality of services, geographic coverage,
pricing, and outcomes data. The impact of competitors is best determined on a
market-by-market basis.
The Company believes its favorable competitive position is attributable to
its reputation for over a decade of consistent, high quality care; its
comprehensive range of services; its state-of-the-art information management
systems; and its widespread service network.
SEASONALITY
The demand for the Company's home health care nursing is not typically
influenced by seasonal factors.
EMPLOYEES
As of December 31, 2001, the Company had 1,521 full-time employees,
excluding part-time field nurses and other professionals in the field. The
Company currently employs the following classifications of personnel:
administrative level employees which consist of a senior management team (CEO,
COO, Chief Development Officer, General Counsel, senior vice presidents and vice
presidents); office administrators; nursing directors; accountants; sales
executives; licensed and certified professional staff (RNs, LPNs, therapists and
therapy assistants); and non-licensed care givers (aides).
The Company complies with the Fair Labor Standards Act in establishing
compensation methods for its employees. Select positions within the Company are
eligible for bonuses based on the achievement of pre-determined budget criteria.
The Company sponsors and contributes toward the cost of a group health insurance
program for its eligible employees and their dependents. The group health
insurance program is self-funded by the Company; however, there is a
re-insurance policy in place to limit the liability for the Company. In
addition, the Company provides a group term life insurance policy and a long
term disability policy for eligible employees. The Company also offers a 401(k)
retirement plan, a Cafeteria 125 plan, an Employee Stock Purchase Plan,
supplemental benefit programs, and paid time-off benefits for eligible
employees.
The Company believes its employee relations are good. It successfully
recruits employees and most of its employees are shareholders.
INSURANCE
The Company maintains casualty coverages for all of its operations,
including professional and general liability, workers' compensation, automobile,
property, fiduciary liability, and directors and officers. The insurance program
is reviewed periodically throughout the year and thoroughly on an annual basis
to insure adequate coverage is in place. For the years ended December 31, 1995
through December 31, 1998, the Company was approved through the State of
Louisiana to self-insure its workers' compensation program. All other states
were covered on a fully insured basis through "A+" rated insurers. In January
1999, the Company
11
changed from the self-insured workers' compensation plan to a fully-insured,
guaranteed cost plan. All of the Company's employees are bonded. The Company is
self-insured for its employee health benefits.
ITEM 2. PROPERTIES
The Company operates fifty-six home care nursing offices and two corporate
offices in the southern and southeastern United States. The Company presently
leases approximately 22,337 square feet located at 11100 Mead Road, Baton Rouge,
Louisiana, and 7,797 square feet located at 3029 South Sherwood Forest
Boulevard, Baton Rouge, Louisiana, representing the corporate offices. The Mead
Road lease provides for a basic annual rental rate of approximately $14.60 per
square foot through the expiration date on December 31, 2003. The South Sherwood
Forest lease provides for a basic annual rental rate of approximately $13.75 per
square foot through the expiration date on December 31, 2003. The Company has an
aggregate of 294,081 square feet of leased space for regional offices pursuant
to leases which expire between March, 2002 and October, 2006. Rental rates for
these regional offices range from $2.28 per square foot to $26.01 per square
foot with an average of $11.23 per square foot. During 1999 and 2000, the
Company consolidated offices that covered the same patient service area in an
overall effort to decrease costs and gain operating efficiencies, while still
providing quality and accessible home health services.
The following is a list of the Company's offices. Unless otherwise
indicated, the Company has one office in each city.
Georgia (21) Louisiana (7) North Carolina (1)
Atlanta Alexandria Chapel Hill
Blue Ridge Baton Rouge (3)
Cartersville Lafayette Oklahoma (4)
Cedartown Metairie Claremore
Clayton Monroe Gore
College Park Stilwell
Covington Tennessee (11) Tulsa
Dalton Athens
Decatur Bristol Alabama (10)
Douglasville Chattanooga Anniston
Fayetteville Gordonsville Birmingham
Ft. Oglethorpe Johnson City Demopolis
Gainesville Kingsport Fairhope
Jasper Livingston Huntsville
Kennesaw McMinnville Mobile
Lavonia Nashville Montgomery
Lawrenceville Pikeville Reform
Macon Winchester Selma
Rome Tuscaloosa
Summerville Virginia (1)
Toccoa Weber City Florida (2)
Lakeland
South Carolina (1) Winter Haven
Charleston
ITEM 3. LEGAL PROCEEDINGS
From time to time, the Company and its subsidiaries are defendants in
lawsuits arising in the ordinary course of the Company's business. While the
outcome of these lawsuits cannot be predicted with certainty, management
believes that the resolution of these matters will not have a material adverse
effect on the Company's financial condition or results of operations.
12
The Company filed a lawsuit against Mr. James P. Cefaratti, the Company's
former President and Chief Operations Officer, alleging various negligent
actions which constituted breaches of fiduciary duty owed to the Company and its
stockholders. The lawsuit was initially filed in the 19th Judicial District
Court of the Parish of East Baton Rouge, State of Louisiana on November 24,
1998. The lawsuit was then removed to the United States District Court for the
Middle District of Louisiana. The Company was seeking unspecified damages
incurred as a result of the alleged negligent actions and all other appropriate
relief.
On December 7, 1998, Mr. Cefaratti filed a lawsuit naming the Company as a
defendant and claimed that he was terminated in violation of an alleged
employment contract. On December 11, 1998, Ms. Judi McQueary, the former
President of the Company's managed care division, and Mr. William G. Hardee, the
former Vice President of the Company's southeaster alternate site infusion
division, filed lawsuits claiming breaches of alleged employment contracts.
All of the above mentioned lawsuits filed by the ex-employees of the
Company were initially filed in the United States District Court for the Eastern
District of Louisiana and were consolidated together as one lawsuit. All the
said lawsuits were then transferred to the United States District Court for the
Middle District of Louisiana and severed to be tried separately. The Chief
Executive Officer of the Company, and its directors and officers liability
insurer were subsequently named as defendants in all the above mentioned
lawsuits. The relief sought in all these cases was contract damages, penalty
wages, costs, and attorney fees. All of the above mentioned lawsuits have been
settled out of court and are no longer pending against the Company.
Alliance Home Health, Inc. ("Alliance"), a wholly-owned subsidiary of the
Company (which was acquired in 1998 and ceased operations in 1999), filed for
Chapter 7 Federal bankruptcy protection with the United States Bankruptcy Court
in the Northern District of Oklahoma on September 29, 2000. A trustee was
appointed for Alliance in 2001. Until the contingencies associated with the
liabilities are resolved, the accompanying consolidated financial statements
continue to consolidate Alliance, which has net liabilities of $4.2 million.
On August 23 and October 4, 2001, two suits were filed against the Company
and three of its executive officers in the United States District Court for the
Middle District of Louisiana by individuals purportedly as class actions on
behalf of all purchasers of Amedisys stock between November 15, 2000 and June
13, 2001. The suits, which have now been consolidated, seek damages based on the
decline in Amedisys' stock price following an announced restatement of earnings
for the fourth quarter of 2000 and first quarter of 2001, claiming that the
defendants knew or were reckless in not knowing the facts giving rise to the
restatement. The Company intends to vigorously defend them.
ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS
No matters were submitted to a vote of the Company's stockholders during
the fourth quarter of 2001.
13
PART II
ITEM 5. MARKET FOR REGISTRANT'S COMMON STOCK AND RELATED STOCKHOLDER MATTERS
From August 1997, through September 1998, the Company's common stock traded
on the Nasdaq National Market. Since September 1998, the Company has been
trading on the Over the Counter ("OTC") Bulletin Board. As of March 18, 2002,
there were approximately 163 holders of record of the Company's Common Stock and
the Company believes there are approximately 2,435 beneficial holders. The
Company has not paid any dividends on its Common Stock since inception and
expects to retain any future earnings for use in its business development for
the foreseeable future. In 2001, holders of 390,000 shares of preferred stock
converted the shares into 1,300,000 shares of common stock pursuant to
conversion rights in the terms of the preferred stock. Exemption is claimed for
the issuance of the common stock under Section 3(a)(9) of the Securities Act of
1933. The following table provides the high and low prices of the Company's
Common Stock during 2000, 2001, and the first quarter of 2002 through March 18
as quoted by the OTC Bulletin Board.
HIGH LOW
------ -----
1st Quarter 2000............................................ $ 3.13 $1.31
2nd Quarter 2000............................................ 3.06 1.06
3rd Quarter 2000............................................ 5.16 2.75
4th Quarter 2000............................................ 4.88 3.13
1st Quarter 2001............................................ $ 6.97 $3.94
2nd Quarter 2001............................................ 10.75 3.35
3rd Quarter 2001............................................ 6.15 3.55
4th Quarter 2001............................................ 7.17 5.60
1st Quarter 2002 (through March 18)......................... $ 8.45 $6.06
14
ITEM 6. SELECTED FINANCIAL DATA
The selected consolidated financial data presented below are derived from
audited financial statements for each of the years ended December 31, 1997
through December 31, 2001. Selected financial data for the years ended December
31, 1997 through December 31, 1998 have been restated to reflect discontinued
operations (see "Dispositions and Discontinued Operations" section discussed in
Item 1). The financial data for the years ended December 31, 2001 and 2000
should be read in conjunction with the consolidated financial statements and
related notes attached hereto, the information set forth under "Management's
Discussion and Analysis of Financial Condition and Results of Operations", and
other financial information included herein.
SELECTED HISTORICAL STATEMENT OF INCOME DATA
2001 2000 1999 1998(1) 1997(1)
-------- ------- ------- -------- -------
(IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)
Net Service Revenue........................ $110,174 $88,155 $97,411 $ 25,466 $25,810
Cost of Service Revenue.................... 49,046 41,468 46,890 17,569 14,567
Operating Revenues............... 61,128 46,687 50,521 7,897 11,243
General/Administrative Expenses............ 53,665 49,251 53,146 33,510 15,125
Operating Income (Loss).......... 7,463 (2,564) (2,625) (25,613) (3,882)
Other Income and Expense................... (2,167) (1,769) (4,719) (1,196) (720)
Income Tax (Expense) Benefit............... (220) 1,647 3,263 (99) (1,148)
Income (Loss) before Discontinued
Operations, Extraordinary Item and
Cumulative Effect of Change in Accounting
Principle................................ 5,076 (2,686) (4,081) (26,710) (3,454)
Discontinued Operations:
Income (Loss) from Discontinued
Operations, Net of Income Tax......... (566) (3,281) (784) (1,338) 2,312
Gain on Dispositions, Net of Income
Tax................................... 876 4,684 6,165 3,177 --
Extraordinary Item, Net of Income Tax.... -- 5,053 -- -- --
Cumulative Effect of Change in Accounting
Principle............................. -- -- -- -- (52)
Net Income (Loss)........................ $ 5,386 $ 3,770 $ 1,300 $(24,871) $(1,194)
Weighted Avg. Common Shares
Outstanding -- Basic.................. 5,941 4,336 3,093 3,061 2,735
Weighted Avg. Common Shares
Outstanding -- Diluted................ 7,980 4,336 3,093 3,061 2,735
Basic Earnings (Loss) per Common Share
Outstanding
Net (Loss) before Discontinued
Operations............................ $ 0.85 $ (0.62) $ (1.32) $ (8.72) $ (1.26)
Income (Loss) from Discontinued
Operations, Net of Income Tax......... (0.10) (0.76) (0.25) (0.44) 0.85
Gain on Dispositions, Net of Income
Tax................................... 0.15 1.08 1.99 1.04 --
Extraordinary Item, Net of Income Tax.... -- 1.17 -- -- --
Cumulative Effect of Change in Accounting
Principle............................. -- -- -- -- (0.02)
Net Income (Loss)........................ 0.90 0.87 0.42 (8.12) (0.43)
15
2001 2000 1999 1998(1) 1997(1)
-------- ------- ------- -------- -------
(IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)
Diluted Earnings per Common Share
Outstanding..............................
Net (Loss) before Discontinued
Operations............................ $ 0.64 $ (0.62) $ (1.32) $ (8.72) $ (1.26)
Income (Loss) from Discontinued
Operations, Net of Income Tax......... (0.07) (0.76) (0.25) (0.44) 0.85
Gain on Dispositions, Net of Income
Tax................................... 0.11 1.08 1.99 1.04 --
Extraordinary Item, Net of Income Tax.... -- 1.17 -- -- --
Cumulative Effect of Change in Accounting
Principle............................. -- -- -- -- (0.02)
Net Income (Loss)........................ 0.68 0.87 0.42 (8.12) (0.43)
Balance Sheet Data:
Total Assets............................. $ 47,640 $38,970 $44,602 $ 44,428 $22,870
Total Long-term Obligations.............. $ 10,856 $21,102 $13,039 $ 14,394 $ 3,129
Total Convertible Preferred Stock........ $ -- $ 1 $ 1 $ 1 $ 1
- ---------------
(1) Selected Financial Data for the years ended December 31, 1997 through
December 31, 1998 reflect discontinued operations. See "Dispositions and
Discontinued Operations" section discussed in Item 1.
16
ITEM 7. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
OF OPERATIONS
The following discussion and analysis provides information which management
believes is relevant to an assessment and understanding of the Company's results
of operations and financial condition. This discussion should be read in
conjunction with the Consolidated Financial Statements and notes thereto
referenced in Item 8.
RESULTS OF OPERATIONS
The following table sets forth, for the periods indicated, certain items
included in the Company's consolidated statements of operations as a percentage
of net revenues:
YEARS ENDED DECEMBER 31,
------------------------
2001 2000 1999
------ ------ ------
Net services revenues...................................... 100.00% 100.00% 100.00%
Cost of service revenues................................... 44.52 47.04 48.14
------ ------ ------
Gross Margin............................................... 55.48 52.96 51.86
General and administrative expenses:
Salaries and benefits.................................... 27.68 32.94 30.89
Other.................................................... 21.03 22.93 23.67
------ ------ ------
Total general and administrative expenses................ 48.71 55.87 54.56
------ ------ ------
Operating income (loss).................................... 6.77 (2.91) (2.70)
Other income (expense)..................................... (1.97) (2.01) (4.84)
------ ------ ------
Net income (loss) before taxes, discontinued operations and
extraordinary item....................................... 4.80 (4.92) (7.54)
Income tax expense (benefit)............................... 0.20 (1.87) (3.35)
------ ------ ------
Net income (loss) before discontinued operations and
extraordinary item....................................... 4.61 (3.05) (4.19)
Discontinued operations:
(Loss) from discontinued operations, net of income tax... (.51) (3.72) (0.80)
Gain on dispositions, net of income tax.................. 0.80 5.31 6.33
Extraordinary item, net of income tax...................... -- 5.73 --
------ ------ ------
Net income................................................. 4.89% 4.27% 1.33%
====== ====== ======
YEARS ENDED DECEMBER 31, 2001 AND 2000
NET SERVICE REVENUES
For the year ended December 31, 2001 as compared to the year ended December
31, 2000, net revenues increased $22,019,000 or 25%. This increase was
attributed to the implementation of PPS in October 2000 as well as an increase
in patient admissions of 11,203, or 44%, from 25,431 for 2000 to 36,634 for 2001
from both internal growth and acquisitions completed during the latter part of
2000 and 2001.
COST OF SERVICE REVENUES
Cost of revenues increased by 18% in 2001 as compared to 2000. This
increase is primarily attributed to increased salaries for the clinical manager
positions from 2000 to 2001 of $3,898,000. The clinical manager position was
implemented company-wide in the latter part of 2000 to provide a greater level
of patient care oversight and coordination. As a percentage of net revenues,
cost of revenues decreased to 45% in 2001 from 47% in 2000.
17
GENERAL AND ADMINISTRATIVE EXPENSES
General and administrative expenses increased by 8% in 2001 as compared to
2000. This increase is primarily attributed to the general and administrative
expenses at the agency location relating to acquisitions completed in the latter
part of 2000 and the early part of 2001 of $6,316,000. As a percentage of net
revenues, general and administrative expenses decreased to 49% in 2001 from 56%
in 2000.
OPERATING INCOME (LOSS)
The Company had operating income of $7,463,000 in 2001 as compared to an
operating loss of $2,564,000 in 2000. The improvement in operating results of
$10,027,000 is attributed to increased patient admissions and improvement in
operating results as a percentage of revenue.
OTHER INCOME (EXPENSE)
Other income and expenses increased $398,000 primarily due to an increase
in interest expense of $626,000 due to higher net borrowings, offset by $228,000
of miscellaneous income items.
INCOME TAX (EXPENSE) BENEFIT
For the year ended December 31, 2001 as compared to December 31, 2000,
income tax expense increased from a benefit of $1,647,000 in 2000 to an expense
of $220,000 in 2001 (see Note 8 in the Notes to the Consolidated Financial
Statements). Total income tax expense for 2001 of $410,000 is comprised of
income tax expense from continuing operations of $220,000 and discontinued
operations of $190,000. For 2000, total income tax expense of $200,000 is
comprised of income tax benefit from continuing operations of $1,647,000, offset
by income tax expense from discontinued operations of $402,000 and income tax
expense related to an extraordinary item of $1,445,000.
DISCONTINUED OPERATIONS
Losses from discontinued operations, net of income taxes, amounted to
$566,000 for 2001 as compared to losses of $3,281,000 for 2000 primarily due to
a write-off of goodwill in 2000 related to the infusion division of
approximately $1,770,000. The gain on disposition of $876,000, net of taxes of
$190,000, for 2001 is attributed to the sale of one surgery center, while the
gain on disposition of $4,684,000, net of taxes, for 2000 is attributed to the
sale of two surgery centers and the Company's Infusion Division.
NET INCOME
The Company recorded net income of $5,386,000, or $0.68 per diluted common
share, for 2001 compared with net income of $3,770,000, or $0.87 per common
share, for 2000. Common stock equivalents were anti-dilutive at December 31,
2000.
YEARS ENDED DECEMBER 31, 2000 AND 1999
NET SERVICE REVENUES
For the year ended December 31, 2000 as compared to the year ended December
31, 1999, net revenues decreased $9,256,000 or 10%. This decrease was attributed
to a decrease in visits of 249,708 from 1,283,738 to 1,034,030 which is
primarily attributable to the implementation of Disease State Management
Programs which are diagnosis-specific treatment protocols implemented by each
agency. These protocols implement standardized treatment plans for patients to
reach a quality outcome in the most efficient manner possible.
COST OF SERVICE REVENUES
Cost of revenues decreased by 12% in 2000 as compared to 1999. This
decrease is primarily attributed to a reduction in visit volume as noted above.
As a percentage of net revenues, cost of revenues decreased to 47%
18
in 2000 from 48% in 1999. This decrease is attributed to cost reduction efforts
implemented during 1999 and 2000 for all operating locations in preparation for
PPS.
GENERAL AND ADMINISTRATIVE EXPENSES
General and administrative expenses decreased by 7% in 2000 as compared to
1999. This decrease is primarily attributed to the restructuring efforts during
1999 and 2000 following the acquisition of certain Columbia/HCA home health care
agencies in the latter part of 1998 in preparation for PPS. As a percentage of
net revenues, general and administrative expenses increased to 56% in 2000 from
55% in 1999.
OPERATING LOSS
The Company had an operating loss of $2,564,000 in 2000 as compared to an
operating loss of $2,625,000 in 1999. The reduction in operating losses of
$61,000 or 2% is attributed to the restructuring efforts implemented during 2000
and the implementation of PPS on October 1, 2000.
OTHER INCOME (EXPENSE)
Other income and expenses decreased by $2,950,000 primarily due to a
write-off of goodwill in 1999 of approximately $1.8 million related to the sale
of certain home health care agencies previously acquired from Columbia/HCA in
the latter part of 1998 and a decrease in interest expense of $1.5 million due
to lower net borrowings on line of credit agreements.
INCOME TAX BENEFIT
For the year ended December 31, 2000 as compared to December 31, 1999,
income tax expense decreased from $383,000 in 1999 to $200,000 in 2000 (see Note
8 in the Notes to the Consolidated Financial Statements). Total income tax
expense for 2000 of $200,000 is comprised of income tax benefit from continuing
operations of $659,000, offset by income tax expense from discontinued
operations of $172,000 and income tax expense related to an extraordinary item
of $687,000. For 1999, total income tax expense of $383,000 is comprised of
income tax benefit from continuing operations of $3,263,000, offset by income
tax expense from discontinued operations of $3,646,000.
DISCONTINUED OPERATIONS
Losses from discontinued operations, net of income taxes, amounted to
$3,281,000 for 2000 as compared to losses of $784,000 for 1999 primarily due to
a write-off of goodwill related to the infusion division of approximately $1,770
000. The gain on disposition of $4,684,000, net of taxes of $402,000, for 2000
is attributed to the sale of two surgery centers and the Company's Infusion
Division, while the gain on disposition of $6,165,000, net of taxes, for 1999 is
attributed to the sale of three surgery centers.
NET INCOME
The Company recorded net income of $3,770,000, or $0.87 per common share,
for 2000 compared with net income of $1,300,000, or $0.42 per common share, for
1999.
LIQUIDITY AND CAPITAL RESOURCES
At December 31, 2001, the Company was indebted under various promissory
notes for $10.9 million, including amounts due to NPF of $8.9 million, to
CareSouth of $0.9 million, to Winter Haven Hospital of $0.6 million and various
other notes. The Company's principal and interest requirements due under all
promissory notes is approximately $6.2 million in 2002 and $6.0 million in 2003.
At December 31, 2001 the Company had obligations under capital leases of $5.6
million, including amounts due to CareSouth under the License Agreement of $4.7
million, to Cisco Systems Capital Corporation of $0.6 million for expenditures
related to the wide area network ("WAN"), and various other capital leases. The
Company's principal and
19
interest requirements due under all capital leases are approximately $2.7
million in 2002 and $2.6 million in 2003.
The fair value of long-term debt as of December 31, 2001 and 2000,
estimated based on the Company's current borrowing rate of 11.0% and 15.3%, at
December 31, 2001 and 2000, respectively, was approximately $10.7 million and
$12.9 million, respectively.
Notes payable as of December 31, 2001 consists primarily of an asset-based
line of credit with availability, depending on collateral, of up to $25 million
with NCFE and borrowings under a revolving bank line of credit of up to
$2,500,000. The NCFE $25 million asset-based line of credit, which expires
December, 2003, is collateralized by eligible accounts receivable of the home
health care nursing division. Eligible receivables are defined as receivables,
exclusive of workers' compensation and self-pay, that are aged less than 181
days. The effective interest rate on this line of credit which had outstanding
balances at December 31, 2001 and 2000 of $8,593,000 and $2,952,000,
respectively, was 11.00% and 15.29% for the years ended December 31, 2001 and
2000, respectively. There were no amounts available under this line as of
December 31, 2001. The revolving bank line of credit of $2,500,000 bears
interest at the Bank One Prime Floating Rate, which was 4.75% and 9.5% at
December 31, 2001 and 2000, respectively. The bank line of credit expires
September 21, 2002 and is collateralized by $2.5 million cash. At December 31,
2001 there was a balance outstanding of $712,000 with $1,788,000 available. At
December 31, 2000, there were no amounts drawn on the line of credit. Notes
payable as of December 31, 2001 are reflected as current liabilities in the
accompanying Consolidated Balance Sheets due to the revolving nature of the
agreements and/or the nature of the collateral. The Company expects to produce
sufficient collateral from ongoing operations to allow those facilities to be
maintained through their respective expiration dates.
Prior to the implementation of PPS on October 1, 2000, the Company recorded
Medicare revenues at the lower of actual costs, the per visit cost limit, or a
per beneficiary cost limit on a individual provider basis. Under the previous
Medicare cost-based reimbursement system, ultimate reimbursement under the
Medicare program was determined upon review of the annual cost reports. As of
December 31, 2001, the Company estimates an aggregate payable to Medicare of
$14.2 million, of which $13.2 is netted against accounts receivable and $1.0 is
reflected in the accompanying balance sheet as a long-term Medicare liability.
For the cost report year ended December 31, 2000, the Company has aggregate
overpayments of $8.1 million offset by aggregate underpayments of $1.7 million.
The aggregate overpayments of $8.1 million are primarily attributed to a
provision in BIPA whereby the Company was eligible to receive a one-time payment
equal to two months of periodic interim payments equaling $7.4 million. For the
cost report years ended 1999 and prior, the Company has an estimated payable of
$7.8 million. Of the $7.8 million, $3.1 million is related to the bankrupt
subsidiary Alliance, $3.7 million is due within one year, and $1.0 million is
due in excess of one year. The Company derived 88%, 90%, and 90% of its revenues
from continuing operations from the Medicare system for the years ended December
31, 2001, 2000, and 1999, respectively.
The following table summarizes the Company's current contractual
obligations:
PAYMENTS DUE BY PERIOD
CONTRACTUAL OBLIGATIONS TOTAL LESS THAN 1 YEAR 1-3 YEARS 4-5 YEARS
- ----------------------- ------ ---------------- --------- ---------
Long-Term Debt............................. 10,946 5,355 5,558 33
Capital Lease Obligations.................. 5,599 2,391 3,204 4
Notes Payable.............................. 9,305 9,305 -- --
Medicare Liabilities....................... 14,171 13,213 958 --
------ ------ ----- --
Total Contractual Cash Obligations......... 40,021 30,264 9,720 37
====== ====== ===== ==
The Company's operating activities provided $7.7 million in cash during the
year ended December 31, 2001 whereas such activities provided $6.9 million in
cash during the year ended December 31, 2000. Cash provided by operating
activities in 2001 is primarily attributable to net income of $5.4 million,
non-cash items such as depreciation and amortization of $3.4 million, offset by
gains on the sale of discontinued operations of
20
$1.7 million. Investing activities used $15.8 million for the year ended
December 31, 2001, whereas such activities provided $6.0 million for the year
ended December 31, 2000. Cash used in investing activities in 2001 is primarily
attributed to purchases of property and equipment and cash used in acquisitions,
offset by proceeds from the sale of discontinued operations of $1.6 million.
Financing activities provided cash during 2001 of $4.7 million, whereas such
activities used $7.4 million during 2000. Cash provided by financing activities
in 2001 is primarily attributed to borrowings on line of credit agreements of
$6.3 million and proceeds from issuance of notes payable and capital leases of
$8.1 million offset by payments on notes payable and capital leases of $5.4
million and a decrease in long-term Medicare liabilities of $5.1 million.
As of December 31, 2001, the Company had a working capital deficit of $18.4
million. Included in this deficit are short-term Medicare liabilities, netted
against accounts receivable in the accompanying Consolidated Balance Sheets
which the Company does not expect to fully liquidate in cash during 2002. These
Medicare liabilities include an overpayment of $3.1 million relating to
Alliance, a subsidiary of the Company currently in bankruptcy proceedings, and
overpayments totaling $7.4 million as a result of BIPA. The overpayment relating
to Alliance is listed as a debt to be discharged during the final liquidation.
The BIPA overpayment relates to fiscal year 2000 for which the year-end cost
report deadline is currently June 17, 2002. The Company plans to request a
thirty-six (36) month repayment plan for this overpayment upon submission of the
cost reports. If approved, the long-term portion of this debt will be reflected
as Long-Term Medicare Liabilities on the balance sheet. The Company also has
certain contingencies recorded as current liabilities in the accompanying
Consolidated Balance Sheets (in accordance with SFAS No. 5) that management does
not believe will currently impact cash flow. Also, as discussed above, the
Company has available $1.8 million under the bank line of credit which would be
available to fund working capital needs.
The Company has completed the installation of a company-wide computer
network infrastructure to connect all of its regional offices. This WAN will
allow more immediate access to information by all company personnel including
senior management, which will increase operational efficiencies. This project
was completed in the fourth quarter of 2001 at an approximate cost of $2.3
million.
Effective October 1, 2001, the Company, in connection with the termination
of its management services agreement, entered into a Software License Agreement
that has been accounted for as a capital lease in the accompanying consolidated
balance sheets as of December 31, 2001. The capitalized value of this software
lease was $8.9 million, which was offset by the unamortized gain as of September
30, 2001 of $4.4 million.
INFLATION
The Company does not believe that inflation has had a material effect on
its results of operations for the twelve months ended December 31, 2001.
ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISKS
The Company does not engage in derivative financial instruments, other
financial instruments, or derivative commodity instruments for speculative or
trading/non-trading purposes.
ITEM 8. FINANCIAL STATEMENTS
See Consolidated Financial Statements on Page 29.
ITEM 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND
FINANCIAL DISCLOSURE
None.
21
PART III
Certain information required by Part III is omitted from this Report in
that the Registrant will file its definitive Proxy Statement for its 2002 Annual
Meeting of Shareholders to be held June 13, 2002 pursuant to Regulation 14A of
the Securities Exchange Act of 1934 (the "Proxy Statement") no later than 120
days after the end of the fiscal year covered by this Report, and certain
information included in the Proxy Statement is incorporated herein by reference.
ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT
(a) Directors -- Certain information about the current directors is set
forth below:
SERVED AS
NAME OF NOMINEE AGE DIRECTOR SINCE
- --------------- --- --------------
William F. Borne............................................ 44 1982
Ronald A. LaBorde........................................... 45 1997
Jake L. Netterville......................................... 64 1997
David R. Pitts.............................................. 62 1997
Peter F. Ricchiuti.......................................... 45 1997
William F. Borne. Mr. Borne founded the Company in 1982 and has served as
Chief Executive Officer and a director since that time. In 1988, Mr. Borne also
founded and served as President and Chief Executive Officer of Amedisys
Specialized Medical Services, Inc., a wholly-owned subsidiary of the Company
engaged in the provision of home health care services, until June 1993.
Ronald A. LaBorde. Since 1995, Mr. LaBorde has served as the President,
Chief Executive Officer, and Chairman of the Board of Piccadilly Cafeterias,
Inc. ("Piccadilly"), a publicly held retail restaurant business. Prior to 1995,
Mr. LaBorde held various executive positions with Piccadilly including Executive
Vice President and Chief Financial Officer from 1992 to 1995, Executive Vice
President, Corporate Secretary and Controller from 1986 to 1992, and Vice
President and Assistant Controller from 1982 to 1986.
Jake L. Netterville. Mr. Netterville was the Managing Director of
Postlethwaite & Netterville, A Professional Accounting Corporation from 1977 to
1998 and is now Chairman of the Board of Directors. Mr. Netterville is a
certified public accountant and has served as Chairman of the Board of the
American Institute of Certified Public Accountants, Inc. ("AICPA") and is a
permanent member of the AICPA's Governing Council.
David R. Pitts. Mr. Pitts is the President and Chief Executive Officer of
Pitts Management Associates, Inc., a national hospital and healthcare consulting
firm. Mr. Pitts has over forty years experience in hospital operations,
healthcare planning and multi-institutional organization, and has served in
executive capacities in a number of hospitals, multi-hospital systems, and
medical schools.
Peter F. Ricchiuti. Mr. Ricchiuti has been Assistant Dean and Director of
Research of BURKENROAD REPORTS at Tulane University's A. B. Freeman School of
Business since 1993, and an Adjunct Professor of Finance at Tulane since 1986.
Mr. Ricchiuti is a member of the Board of Trustees for WYES-TV, the public
broadcasting station in New Orleans, Louisiana.
22
(b) Executive Officers -- The executive officers of the Company are as
follows:
PERIOD OF SERVICE IN
NAME AGE CAPACITY SUCH CAPACITY SINCE
- ---- --- -------- --------------------
William F. Borne(1)........... 44 Chief Executive Officer December 1982
Larry R. Graham............... 36 Chief Operating Officer, January 1999
Interim Senior Vice President
of Finance January 2002
John H. Linden................ 58 Chief Information Officer September 2000
John R. Nugent................ 37 Chief Development Officer October 2001
Jeffrey D. Jeter.............. 30 Vice President of Compliance April 2001
Michael D. Lutgring........... 32 General Counsel and Secretary November 1997
- ---------------
(1) Biographical information with respect to this officer was previously
provided above.
---------------------
Larry R. Graham became Chief Operating Officer in January 1999 and was
appointed as interim Senior Vice President of Finance in January 2002. He joined
the Company in April 1996 as Vice President of Finance and in January 1998 he
was promoted to Senior Vice President of Operations. From 1993 to 1996, he was
Director of Financial Services at General Health Systems, a regional
multi-faceted health care system in Baton Rouge. From 1989 to 1993, he was a
Senior Accountant for Arthur Andersen LLP.
John H. Linden became Chief Information Officer in September 2000 after
consulting with the Company on various projects. Prior to his appointment, Mr.
Linden was President of Impact Solutions, Inc., a consulting firm specializing
in project management and automation solutions.
John R. Nugent joined the Company in October 2001 as Chief Development
Officer. From 1999 to 2001, he was Vice President of Business Development with
AON Corporation's Health Care Practice. Prior to 1999, Mr. Nugent held several
executive positions including President/CEO of Associated Health Services, Inc.,
a regional home health provider, and President/CEO of LAMMICO Practice
Management, a state wide physician practice management and managed care
organization.
Jeffrey D. Jeter joined the Company in April 2001 as Vice President of
Compliance. Prior to joining the Company he served as an Assistant Attorney
General for the Louisiana Department of Justice, where he prosecuted health care
fraud and nursing home abuse.
Michael D. Lutgring was named General Counsel and Secretary in 1997.
Previously, after his graduation from law school in 1996, he was in the private
practice of law.
(c) Section 16(a) Beneficial Ownership Reporting Compliance -- Section
16(a) of the Securities Exchange Act of 1934 requires the Company's directors
and executive officers, and persons who own more than ten percent of the
Company's Common Stock, to file reports of ownership and changes of ownership
with the Securities and Exchange Commission ("SEC"). Copies of all filed reports
are required to be furnished to the Company. Based solely on the reports
received by the Company, the Company believes all such persons complied with all
applicable filing requirements during 2001.
23
ITEM 11. EXECUTIVE COMPENSATION
The following table sets forth certain information regarding compensation
earned by the chief executive officer and for all other executive officers whose
total annual salary and bonus exceeded $100,000 during 2001.
SUMMARY COMPENSATION TABLE
ANNUAL COMPENSATION
LONG-TERM
COMPENSATION
ANNUAL COMPENSATION ------------
----------------------------------------- SECURITIES
OTHER ANNUAL UNDERLYING
YEAR SALARY BONUS COMPENSATION OPTIONS
---- -------- -------- ------------ ------------
William F. Borne........................ 2001 $303,338 $ -- $ -- 32,680
Chief Executive Officer 2000 276,355 235,000 -- 38,000
and President 1999 240,915 250,000 -- 107,225
Larry R. Graham......................... 2001 $195,445 $ -- $ -- 16,340
Chief Operating Officer 2000 179,509 90,000 -- --
1999 138,024 75,000 -- 75,000
John M. Joffrion(1)..................... 2001 $162,375 $ -- $ -- 16,340
Senior Vice President 2000 137,898 60,000 -- 50,000
of Finance 1999 115,925 60,000 -- 20,000
John H. Linden.......................... 2001 $115,400 $ -- $ -- 10,000
Chief Information Officer 2000 47,835 10,000 -- --
Michael D. Lutgring..................... 2001 $108,208 $ -- $ -- 10,000
General Counsel 2000 93,418 20,000 -- --
- ---------------
(1) Mr. Joffrion passed away January 1, 2002.
2001 STOCK OPTION GRANTS
POTENTIAL REALIZABLE
VALUE AT ASSUMED
ANNUAL RATES OF STOCK
PERCENT OF PRICE APPRECIATION FOR
OPTIONS TOTAL OPTIONS OPTION TERM
GRANTED GRANTED TO EXERCISE PRICE ----------------------
NAME (SHARES) EMPLOYEES (PER SHARE)(1) EXPIRATION DATE 5% 10%
- ---- -------- ------------- -------------- ------------------ --------- ----------
William F. Borne..... 32,680 16.43% $4.34 December 31, 2010 $78,196 $192,599
Larry R. Graham...... 16,340 8.21% $4.25 February 1, 2011 $43,674 $110,677
John M. Joffrion..... 16,340 8.21% $4.25 February 1, 2011 $43,674 $110,677
John H. Linden....... 10,000 5.03% $6.75 March 4, 2011 $42,450 $107,578
John R. Nugent....... 25,000 12.57% $5.90 September 30, 2011 $92,762 $235,077
Jeffrey D. Jeter..... 5,000 2.51% $7.20 April 30, 2011 $22,640 $ 57,375
Michael D. 10,000 5.03% $6.75 March 4, 2011 $42,450 $107,578
Lutgring...........
- ---------------
(1) Represents the fair market value on the date of the grant.
24
AGGREGATED OPTION EXERCISES IN 2001
AND YEAR-END OPTION VALUES
NUMBER OF SECURITIES
UNDERLYING UNEXERCISED VALUE OF UNEXERCISED
SHARES OPTIONS IN-THE-MONEY OPTIONS(*)
ACQUIRED ON VALUE --------------------------- ---------------------------
NAME EXERCISE REALIZED EXERCISABLE UNEXERCISABLE EXERCISABLE UNEXERCISABLE
- ---- ----------- -------- ----------- ------------- ----------- -------------
William F. Borne.......... -- -- 188,895 18,340 $487,989 $47,149
Larry R. Graham........... -- -- 90,186 8,170 $328,080 $22,468
John M. Joffrion.......... -- -- 65,670 20,670 $233,718 $66,218
John H. Linden............ -- -- 5,000 5,000 $ 1,250 $ 1,250
John R. Nugent............ -- -- -- 25,000 $ -- $27,500
Jeffrey D. Jeter.......... -- -- 2,500 2,500 $ -- $ --
Michael D. Lutgring....... -- -- 22,000 5,000 $ 69,250 $ 1,250
- ---------------
(*) Computed based on the differences between the fair market value at fiscal
year end and aggregate exercise prices.
---------------------
DIRECTORS' COMPENSATION
Each director is paid a retainer fee of $1,000 per month and, in addition,
is also eligible to receive stock options. During 2001, each director was
granted stock options for 10,000 shares of Common Stock at an exercise price of
$6.00 per share (fair market value at the date of grant). All directors are
entitled to reimbursement for reasonable travel and lodging expenses incurred in
attending meetings.
COMPENSATION COMMITTEE INTERLOCKS AND INSIDER PARTICIPATION
There have been no Compensation Committee interlocks or insider
participation.
ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT
The information required by this Item is incorporated by reference to the
sections entitled "Record Date and Principal Ownership" and "Security Ownership
of Management" in the Proxy Statement.
ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS
Notes receivable from related parties at December 31, 2001 of $13,000
consists of payments made to John Nugent in accordance with a loan agreement.
The loan agreement, which bears interest at 6% annually, provides for monthly
payments beginning October 1, 2001 and ending July 1, 2003 for a cumulative
principal sum not to exceed $102,000.
The Company paid consulting fees to Matt Hession, an Amedisys stockholder,
of $75,000, $63,000, and $125,000 for the years ended December 31, 2001, 2000
and 1999, respectively. The company paid The Printing Department, owned by Cecil
Williams, father-in-law of Michael Lutgring, $465,000, $278,000, and $277,000
for the years ended December 31, 2001, 2000 and 1999 respectively. The Printing
Department prints forms and other materials used in daily operations. The
Company paid Alphagraphics, owned by Carole Nugent, wife of John Nugent,
$115,000 for the year ended December 31, 2001. Alphagraphics provides printing
and recruitment mail-out services. The Company believes the fees paid for these
goods and services approximated fair market value.
25
PART IV
ITEM 14. EXHIBITS AND REPORTS ON FORM 8-K
Documents to be filed with Form 10-K:
- Report of Independent Public Accountants
- Consolidated Balance Sheets as of December 31, 2001 and 2000
- Consolidated Statements of Operations for the Years Ended December 31,
2001, 2000, and 1999
- Consolidated Statements of Stockholders' Equity for the Years Ended
December 31, 2001, 2000, and 1999
- Consolidated Statements of Cash Flows for the Years Ended December 31,
2001, 2000, and 1999
- Notes to Financial Statements as of December 31, 2001, 2000, and 1999
(a) Exhibits.
EXHIBIT
NO. IDENTIFICATION OF EXHIBIT
------- -------------------------
3.1(i)(4) -- Certificate of Incorporation
3.1(ii)(4) -- Certificate of Designation for the Series A Preferred
Stock
3.1(iii)(14) -- Certificate of Amendment of Certificate of Designation
Specimen
3.4(iv)(14) -- Series A Preferred Stock Conversion Agreement Specimen
3.2(4) -- Bylaws
4.2(7) -- Common Stock Specimen
4.3(7) -- Preferred Stock Specimen
4.4(7) -- Form of Placement Agent's Warrant Agreement
4.5(14) -- Certificate of Amendment of Certificate of Designation
Specimen
4.6(14) -- Series A Preferred Stock Conversion Agreement Specimen
10.1(4) -- Master Note with Union Planter's Bank of Louisiana
10.2(4) -- Merrill Lynch Term Working Capital Management Account
10.3(5) -- Promissory Note with Deposit Guaranty National Bank
10.4(7) -- Amended and Restated Stock Option Plan
10.5(7) -- Registration Rights Agreement
10.6(11) -- Master Corporate Guaranty of Service Agreements between
CareSouth Home Health Services, Inc. and Amedisys, Inc.
dated November 2, 1998
10.7(16) -- Loan Modification Agreement by and between Amedisys, Inc.
and Columbia/HCA Healthcare Corporation
10.8(20) -- Employment Agreement between Amedisys, Inc. and William
F. Borne
10.9(20) -- Employment Agreement between Amedisys, Inc. and Larry
Graham
10.10(20) -- Amendment to Employment Agreement by and between
Amedisys, Inc. and Larry Graham
10.11(20) -- Employment Agreement between Amedisys, Inc. and John
Joffrion
10.12(23) -- Employment Agreement between Amedisys, Inc. and John
Nugent
10.13(23) -- Loan Agreement by and among Amedisys, Inc. and John
Nugent
10.14(21) -- Director's Stock Option Plan
10.15(22) -- Modification Agreement by and between CareSouth Home
Health Services, Inc. and Amedisys, Inc.
10.16(22) -- Software License Agreement by and between CareSouth Home
Health Services, Inc. and Amedisys, Inc.
26
EXHIBIT
NO. IDENTIFICATION OF EXHIBIT
------- -------------------------
18.1(12) -- Letter regarding Change in Accounting Principles
21.1(7) -- List of Subsidiaries
99(23) -- Letter of Andersen Representation
- ---------------
(1) Previously filed as an exhibit to the Current Report on Form 8-K dated
December 20, 1993.
(2) Previously filed as an exhibit to the Current Report on Form 8-K dated
February 14, 1994.
(3) Previously filed as an exhibit to the Current Report on Form 8-K dated
August 11, 1994.
(4) Previously filed as an exhibit to the Annual Report on Form 10-KSB for the
year ended December 31, 1994.
(5) Previously filed as an exhibit to the Current Report on Form 8-K dated June
30, 1995.
(6) Previously filed as an exhibit to the Registration Statement on Form S-1
(333-8329) dated July 18, 1996.
(7) Previously filed as an exhibit to the Registration Statement on Form S-3
dated March 11, 1998.
(8) Previously filed as an exhibit to the Quarterly Report on Form 10-Q dated
August 14, 1998.
(9) Previously filed as an exhibit to the Current Report on Form 8-K dated
October 5, 1998.
(10) Previously filed as an exhibit to the Current Report on Form 8-K dated
November 10, 1998.
(11) Previously filed as an exhibit to the Quarterly Report on Form 10-Q dated
December 30, 1998.
(12) Previously filed as an exhibit to the Annual Report on Form 10-K for the
year ended December 31, 1997.
(13) Previously filed as an exhibit to the Annual Report on Form 10-K for the
year ended December 31, 1998.
(14) Previously filed as an exhibit to the Quarterly Report on Form 10-Q/A for
the period ended June 30, 1999.
(15) Previously filed as an exhibit to the Current Report on Form 8-K dated
September 15, 1999.
(16) Previously filed as an exhibit to the Quarterly Report on Form 10-Q for the
period ended September 30, 1999.
(17) Previously filed as an exhibit to the Annual Report on Form 10-K for the
year ended December 31, 1999.
(18) Previously filed as an exhibit to the Current Report on Form 8-K dated May
11, 2000.
(19) Previously filed as an exhibit to the Current Report on Form 8-K dated
August 23, 2000.
(20) Previously filed as an exhibit to the Annual Report on Form 10-K for the
year ended December 31, 2000.
(21) Previously filed as an exhibit to the Quarterly Report on Form 10-Q for the
period ended March 31, 2001.
(22) Previously filed as an exhibit to the Quarterly Report on Form 10-Q for the
period ended September 30, 2001.
(23) Filed herewith.
(b) Report on Form 8-K.
On November 1, 2001, the Company filed a current Report on Form 8-K with
the SEC attaching a press release announcing that it will release third quarter
operating results on November 5, 2001 and will host a conference call on that
same day.
On November 5, 2001, the Company filed a current Report on Form 8-K with
the SEC attaching a press release announcing third quarter 2001 operating
results.
27
SIGNATURES
Pursuant to the requirements of Section 13 or 15(d) of the Securities
Exchange Act of 1934, the registrant has duly caused this report to be signed on
its behalf by the undersigned, there unto duly authorized, on the 21st day of
March, 2002.
AMEDISYS, INC.
By: /s/ WILLIAM F. BORNE
----------------------------------
WILLIAM F. BORNE,
Chief Executive Officer
and Chairman of the Board
Pursuant to the requirements of the Securities Exchange Act of 1934, this
report has been signed by the following persons on behalf of the registrant and
in the capacities and on the dates indicated:
SIGNATURE TITLE DATE
--------- ----- ----
/s/ WILLIAM F. BORNE Chief Executive Officer and March 21, 2002
- ----------------------------------------------------- Chairman of the Board
William F. Borne
/s/ LARRY R. GRAHAM Principal Financial and Accounting March 21, 2002
- ----------------------------------------------------- Officer
Larry R. Graham
/s/ JAKE L. NETTERVILLE Director March 21, 2002
- -----------------------------------------------------
Jake L. Netterville
/s/ DAVID R. PITTS Director March 21, 2002
- -----------------------------------------------------
David R. Pitts
Director March 21, 2002
- -----------------------------------------------------
Peter F. Ricchiuti
Director March 21, 2002
- -----------------------------------------------------
Ronald A. Laborde
28
AMEDISYS, INC. AND SUBSIDIARIES
CONSOLIDATED FINANCIAL STATEMENTS
AS OF DECEMBER 31, 2001 AND 2000
TOGETHER WITH AUDITORS' REPORT
29
REPORT OF INDEPENDENT PUBLIC ACCOUNTANTS
To the Board of Directors and Stockholders
of Amedisys, Inc. and Subsidiaries:
We have audited the accompanying consolidated balance sheets of Amedisys,
Inc. (a Delaware Corporation) and subsidiaries (the Company) as of December 31,
2001 and 2000, and the related consolidated statements of operations,
stockholders' equity and cash flows for each of the three years in the period
ended December 31, 2001. These financial statements are the responsibility of
the Company's management. Our responsibility is to express an opinion on these
financial statements based on our audits.
We conducted our audits in accordance with auditing standards generally
accepted in the United States. Those standards require that we plan and perform
the audits to obtain reasonable assurance about whether the financial statements
are free of material misstatement. An audit includes examining, on a test basis,
evidence supporting the amounts and disclosures in the financial statements. An
audit also includes assessing the accounting principles used and significant
estimates made by management, as well as evaluating the overall financial
statement presentation. We believe that our audits provide a reasonable basis
for our opinion.
In our opinion, the financial statements referred to above present fairly,
in all material respects, the consolidated financial position of Amedisys, Inc.
and Subsidiaries as of December 31, 2001 and 2000, and the results of their
operations and their cash flows for each of the three years in the period ended
December 31, 2001 in conformity with accounting principles generally accepted in
the United States.
/s/ ARTHUR ANDERSEN LLP
New Orleans, Louisiana
February 28, 2002
30
AMEDISYS, INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
AS OF DECEMBER 31, 2001 AND 2000
(IN 000'S EXCEPT SHARE DATA)
2001 2000
-------- --------
CURRENT ASSETS:
Cash and cash equivalents................................. $ 3,515 $ 6,967
Accounts receivable, net of allowance for doubtful
accounts of $3,125 in 2001 and $1,385 in 2000........... 10,468 6,628
Prepaid expenses.......................................... 244 196
Inventory and other current assets........................ 822 414
Current assets held for sale.............................. -- 715
-------- --------
Total current assets............................... 15,049 14,920
PROPERTY AND EQUIPMENT, NET (Notes 3 and 7)................. 10,290 2,935
OTHER ASSETS, NET (Note 4).................................. 22,288 20,426
NOTES RECEIVABLE FROM RELATED PARTIES (Note 9).............. 13 --
LONG-TERM ASSETS HELD FOR SALE (Notes 2, 3 and 4)........... -- 689
-------- --------
Total assets....................................... $ 47,640 $ 38,970
======== ========
CURRENT LIABILITIES:
Accounts payable.......................................... $ 2,440 $ 1,590
Accrued expenses --
Payroll and payroll taxes............................... 6,798 6,203
Insurance (Note 11)..................................... 1,881 708
Income taxes............................................ 930 638
Legal settlements....................................... 1,227 1,469
Other................................................... 3,082 2,456
Notes payable (Note 5).................................... 9,305 2,952
Notes payable to related parties (Note 9)................. -- 10
Current portion of long-term debt (Note 6)................ 5,355 3,379
Current portion of obligations under capital leases (Note
7)...................................................... 2,391 385
Deferred revenue, current portion......................... -- 2,119
Current liabilities held for sale......................... -- 480
-------- --------
Total current liabilities.......................... 33,409 22,389
LONG-TERM DEBT (Note 6)..................................... 5,591 9,343
LONG-TERM MEDICARE LIABILITIES (Note 13).................... 958 6,053
DEFERRED REVENUE............................................ -- 3,884
OBLIGATIONS UNDER CAPITAL LEASES (Note 7)................... 3,208 30
OTHER LONG-TERM LIABILITIES................................. 1,099 826
LONG-TERM LIABILITIES HELD FOR SALE (Notes 2 and 6)......... -- 966
-------- --------
Total liabilities.................................. 44,265 43,491
-------- --------
MINORITY INTEREST IN CONSOLIDATED SUBSIDIARIES.............. 66 --
-------- --------
STOCKHOLDERS' EQUITY (DEFICIT) (Note 10):
Preferred stock -- $.001 par value; 5,000,000 shares
authorized; 0 and 390,000 shares outstanding in 2001 and
2000, respectively...................................... -- 1
Common stock -- $.001 par value; 30,000,000 shares
authorized; 7,178,152 and 5,326,126 shares outstanding
in 2001 and 2000, respectively.......................... 7 5
Additional paid-in capital................................ 16,539 14,096
Treasury stock- 4,167 shares at $6.00 per share........... (25) (25)
Retained deficit.......................................... (13,212) (18,598)
-------- --------
Total stockholders' equity (deficit)............... 3,309 (4,521)
-------- --------
Total liabilities and stockholders' equity
(deficit)......................................... $ 47,640 $ 38,970
======== ========
The accompanying notes are an integral part of these consolidated financial
statements.
31
AMEDISYS, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS
FOR THE YEARS ENDED DECEMBER 31, 2001, 2000 AND 1999
(IN 000'S EXCEPT SHARE DATA)
2001 2000 1999
---------- --------- ---------
INCOME:
Net service revenues...................................... $ 110,174 $ 88,155 $ 97,411
Cost of service revenues.................................. 49,046 41,468 46,890
---------- --------- ---------
Gross margin...................................... 61,128 46,687 50,521
---------- --------- ---------
GENERAL AND ADMINISTRATIVE EXPENSES:
Salaries and benefits..................................... 30,495 29,038 30,089
Other..................................................... 23,170 20,213 23,057
---------- --------- ---------
Total general and administrative expenses......... 53,665 49,251 53,146
---------- --------- ---------
Operating income (loss)........................... 7,463 (2,564) (2,625)
---------- --------- ---------
OTHER INCOME (EXPENSE):
Interest expense.......................................... (2,785) (2,159) (3,625)
Interest income........................................... 328 249 66
Miscellaneous............................................. 290 141 (1,160)
---------- --------- ---------
Total other expense............................... (2,167) (1,769) (4,719)
---------- --------- ---------
INCOME (LOSS) BEFORE INCOME TAXES, DISCONTINUED OPERATIONS,
AND EXTRAORDINARY ITEM.................................... 5,296 (4,333) (7,344)
INCOME TAX (EXPENSE) BENEFIT (Note 8)....................... (220) 1,647 3,263
---------- --------- ---------
Income (loss) before discontinued operations and
extraordinary item..................................... 5,076 (2,686) (4,081)
DISCONTINUED OPERATIONS:
Loss from discontinued operations, net of income tax...... (566) (3,281) (784)
Gain on dispositions, net of income tax................... 876 4,684 6,165
EXTRAORDINARY ITEM, NET OF INCOME TAX....................... -- 5,053 --
---------- --------- ---------
Net income........................................ $ 5,386 $ 3,770 $ 1,300
========== ========= =========
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING -- BASIC (Note
1)........................................................ 5,941,000 4,336,000 3,093,000
---------- --------- ---------
BASIC EARNINGS PER COMMON SHARE (Note 1):
Income (loss) before discontinued operations and
extraordinary item..................................... $ 0.85 $ (0.62) $ (1.32)
Loss from discontinued operations, net of income tax...... (0.10) (0.76) (0.25)
Gain on dispositions of discontinued operations, net of
income tax............................................. 0.15 1.08 1.99
Extraordinary item, net of income tax..................... -- 1.17 --
---------- --------- ---------
Net income........................................ $ 0.90 $ 0.87 $ 0.42
========== ========= =========
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING -- DILUTED (Note
1)........................................................ 7,980,000 4,336,000 3,093,000
---------- --------- ---------
DILUTED EARNINGS PER COMMON SHARE (Note 1):
Income (loss) before discontinued operations and
extraordinary item..................................... $ 0.64 $ (0.62) $ (1.32)
Loss from discontinued operations, net of income tax...... (0.07) (0.76) (0.25)
Gain on dispositions of discontinued operations, net of
income tax............................................. 0.11 1.08 1.99
Extraordinary item, net of income tax..................... -- 1.17 --
---------- --------- ---------
Net income........................................ $ 0.68 $ 0.87 $ 0.42
========== ========= =========
The accompanying notes are an integral part of these consolidated financial
statements.
32
AMEDISYS, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY
FOR THE YEARS ENDED DECEMBER 31, 2001, 2000 AND 1999
(IN 000'S, EXCEPT SHARE DATA)
TOTAL
COMMON STOCK PREFERRED STOCK ADDITIONAL RETAINED STOCKHOLDERS'
------------------ ----------------- PAID-IN TREASURY EARNINGS EQUITY
SHARES AMOUNT SHARES AMOUNT CAPITAL STOCK (DEFICIT) (DEFICIT)
--------- ------ -------- ------ ---------- -------- --------- -------------
BALANCE, December 31, 1998....... 3,064,918 $3 750,000 $ 1 $12,005 $(25) $(23,668) $(11,684)
Issuance of stock for Employee
Stock Purchase plan (Note
10).......................... 37,701 -- -- -- 69 -- -- 69
Issuance of stock in connection
with 401(k) plan (Note 12)... 44,895 -- -- -- 129 -- -- 129
Net income..................... -- -- -- -- -- -- 1,300 1,300
--------- -- -------- --- ------- ---- -------- --------
BALANCE, December 31, 1999....... 3,147,514 $3 750,000 $ 1 $12,203 $(25) $(22,368) $(10,186)
Issuance of stock for Employee
Stock Purchase plan (Note
10).......................... 317,494 -- -- -- 625 -- -- 625
Issuance of stock in connection
with 401(k) plan (Note 12)... 448,830 1 -- -- 617 -- -- 618
Issuance of stock for
bonuses...................... 212,288 -- -- -- 306 -- -- 306
Preferred stock conversion..... 1,200,000 1 (360,000) -- 1 -- -- 2
Issuance of warrants........... -- -- -- -- 344 -- -- 344
Net income..................... -- -- -- -- -- -- 3,770 3,770
--------- -- -------- --- ------- ---- -------- --------
BALANCE, December 31, 2000....... 5,326,126 $5 390,000 $ 1 $14,096 $(25) $(18,598) $ (4,521)
Issuance of stock for Employee
Stock Purchase plan (Note
10).......................... 156,663 -- -- -- 675 -- -- 675
Issuance of stock in connection
with 401(k) plan (Note 12)... 262,280 1 -- -- 1,257 -- -- 1,258
Issuance of stock and stock
options...................... 470 -- -- -- 74 -- -- 74
Exercise of stock options...... 127,612 -- -- -- 418 -- -- 418
Preferred stock conversion..... 1,300,001 1 (390,000) (1) (1) -- -- (1)
Exercise of warrants........... 5,000 -- -- -- 20 -- -- 20
Net income..................... -- -- -- -- -- -- 5,386 5,386
--------- -- -------- --- ------- ---- -------- --------
BALANCE, December 31, 2001....... 7,178,152 $7 -- $-- $16,539 $(25) $(13,212) $ 3,309
========= == ======== === ======= ==== ======== ========
The accompanying notes are an integral part of these consolidated financial
statements.
33
AMEDISYS, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS
FOR THE YEARS ENDED DECEMBER 31, 2001, 2000 AND 1999
(IN 000'S)
2001 2000 1999
-------- -------- --------
CASH FLOWS FROM OPERATING ACTIVITIES:
Net income.................................................. $ 5,386 $ 3,770 $ 1,300
Adjustments to reconcile net income to net cash provided
(used) by operating activities --
Depreciation and amortization........................... 3,439 2,872 3,068
Provision for bad debts................................. 2,248 2,361 1,827
Deferred revenue........................................ (1,589) (2,119) (2,119)
Compensation expense due to issuance of stock and stock
options.............................................. 74 -- --
Gain on disposal of assets.............................. -- -- (4)
Gain on sale of discontinued operations................. (1,738) (5,086) (7,764)
Impairment of goodwill (Note 2)......................... -- 1,771 --
Minority interest....................................... 710 (339) 3
Changes in assets and liabilities --
Increase (decrease) in cash included in assets held
for sale........................................... 20 201 (36)
(Increase) decrease in accounts receivable........... (6,078) 5,092 (9,981)
(Increase) decrease in inventory and other current
assets............................................. (266) 235 546
Decrease (increase) in other assets.................. 56 545 (422)
Increase (decrease) in accounts payable.............. 687 (3,148) (981)
Increase in accrued expenses......................... 4,713 759 2,341
-------- -------- --------
Net cash provided (used) by operating activities... 7,662 6,914 (12,222)
-------- -------- --------
CASH FLOWS FROM INVESTING ACTIVITIES:
Proceeds from sale of property, equipment................. 17 290 118
Purchase of property and equipment........................ (13,424) (338) (947)
Cash used in purchase acquisitions........................ (3,406) (787) --
Proceeds from sale of discontinued operations............. 1,684 6,599 12,223
Partnership distributions................................. (745) -- --
Minority interest investment in subsidiary................ 101 259 81
-------- -------- --------
Net cash (used) provided by investing activities... (15,773) 6,023 11,475
-------- -------- --------
CASH FLOWS FROM FINANCING ACTIVITIES:
Net borrowings (payments) on line of credit agreements.... 6,353 (2,418) 231
Proceeds from issuance of notes payable and capital
leases.................................................. 8,147 10,725 1,152
Payments on notes payable and capital leases.............. (5,434) (20,687) (2,732)
Increase (decrease) in long-term Medicare liabilities..... (5,095) 3,535 1,689
Capitalized interest expense.............................. -- 1,106 1,356
Increase in long-term liabilities......................... 273 -- --
Proceeds from issuance of stock........................... 438 -- --
Issuance of warrants for extinguishment of debt........... -- 344 --
Decrease in notes payable -- related parties.............. (10) -- --
(Increase) decrease in notes receivable -- related
parties................................................. (13) -- 89
-------- -------- --------
Net cash provided (used) by financing activities... 4,659 (7,395) 1,785
-------- -------- --------
NET (DECREASE) INCREASE IN CASH AND CASH EQUIVALENTS........ (3,452) 5,542 1,038
CASH AND CASH EQUIVALENTS AT BEGINNING OF YEAR.............. 6,967 1,425 387
-------- -------- --------
CASH AND CASH EQUIVALENTS AT END OF YEAR.................... $ 3,515 $ 6,967 $ 1,425
======== ======== ========
SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION:
Cash paid for --
Interest................................................ $ 2,843 $ 1,194 $ 2,573
======== ======== ========
Income taxes............................................ $ 378 $ 44 $ --
======== ======== ========
The accompanying notes are an integral part of these consolidated financial
statements.
34
AMEDISYS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2001
1. NATURE OF OPERATIONS AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES:
Nature of Organization and Operations
Amedisys, Inc. and Subsidiaries (the Company) is incorporated in the state
of Delaware and operates in nine states including Louisiana, Tennessee, North
Carolina, Georgia, Oklahoma, Alabama, Florida, Virginia, and South Carolina. The
Company provides home health care nursing services. From 1999 to 2001, the
Company disposed of its ambulatory surgery division and its infusion therapy
division (see Note 2).
Use of Estimates
The accounting and reporting policies of the Company conform with
accounting principles generally accepted in the United States. In preparing the
consolidated financial statements, the Company is required to make estimates and
assumptions that affect the amounts reported in the consolidated financial
statements and accompanying notes. Actual results could differ from those
estimates.
Principles of Consolidation
The consolidated financial statements include the accounts of the Company
and its wholly and majority-owned subsidiaries. All material intercompany
accounts and transactions have been eliminated in these consolidated financial
statements. Business combinations accounted for as purchases are included in the
consolidated financial statements from the respective dates of acquisition.
Revenue Recognition
The Company has agreements with third party payors that provide for
payments to the Company at amounts different from its established rates. Gross
revenue is recorded on an accrual basis based upon the date of service at
amounts equal to the Company's established rates or estimated reimbursement
rates, as applicable. Allowances and contractual adjustments are recorded for
the difference between the established rates and the amounts estimated to be
payable by third parties and are deducted from gross revenues to determine net
service revenues. Net service revenues are the estimated net amounts realizable
from patients, third party payors and others for services rendered, including
estimated retroactive adjustments under reimbursement agreements.
Prior to the implementation of the Medicare Prospective Payment System
("PPS") on October 1, 2000, reimbursement for home health care services to
patients covered by the Medicare program was based on reimbursement of allowable
costs subject to certain limits. Final reimbursement was determined after
submission of annual cost reports and audits thereof by the fiscal
intermediaries. Retroactive adjustments have been accrued on an estimated basis
in the period the related services were rendered and will be adjusted in future
periods as final settlements are determined. Settlements for cost report years
ended 1999 and subsequent years, which are still subject to audit by the
intermediary and the Department of Health and Human Services, are recorded in
accounts receivable and long-term Medicare liabilities. Under the new PPS rules,
annual cost reports are still required as a condition of participation in the
Medicare program. However, there are no final settlements or retroactive
adjustments.
Under PPS, the Company is reimbursed from Medicare based on episodes of
care. An episode of care is defined as a length of care up to sixty days with
multiple continuous episodes allowed. At the onset of PPS, the standard episode
payment was established at $2,115 per episode, to be adjusted by a case mix
adjuster consisting of eighty (80) home health resource groups ("HHRG") and the
applicable geographic wage index. Effective October 1, 2001, the standard
episode payment was increased to $2,274. The services covered by the episode
payment include all disciplines of care, in addition to medical supplies, within
the scope of the home health benefit. The standard episode payment may be
subject to further individual adjustments due to low or
35
AMEDISYS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED)
high utilization, intervening events and other factors. Providers are allowed to
make a request for anticipated payment at the start of care equal to 60% of the
expected payment for the initial episode and 50% for each subsequent episode.
The remaining balance due to the provider is paid following the submission of
the final claim at the end of the episode. Revenue is recognized when services
are provided based on the number of visits performed during the episode using a
weighted average revenue per visit. Costs are recognized as services are
rendered.
Cash and Cash Equivalents
For purposes of reporting cash flows, cash includes certificates of deposit
and all highly liquid debt instruments with maturities of three months or less
when purchased.
Inventory
Inventory consists of medical supplies that are utilized in the treatment
and care of home health patients. Inventory is stated at the lower of cost
(first-in, first-out method) or market.
Property and Equipment
Property and equipment is generally carried at cost. Additions and
improvements are capitalized, but ordinary maintenance and repair expenses are
charged to income as incurred. The cost of property sold or otherwise disposed
of and the accumulated depreciation thereon are eliminated from the property and
related accumulated depreciation accounts, and any gain or loss is credited or
charged to income.
Capital leases, primarily consisting of computer equipment and phone
systems, are included in property and equipment. Capital leases are recorded at
the present value of the future rentals at lease inception and are generally
amortized over the lesser of the applicable lease term or the useful life of the
equipment.
For financial reporting purposes, depreciation and amortization of property
and equipment including those subject to capital leases ($1,948,000 in 2001,
$1,569,000 in 2000, and $1,718,000 in 1999) is included in other general and
administrative expenses and is provided utilizing the straight-line method based
upon the following estimated useful service lives:
Buildings................................................... 40 years
Leasehold improvements...................................... 5 years
Equipment and furniture..................................... 5-7 years
Vehicles.................................................... 5 years
Computer software........................................... 5 years
Goodwill
Goodwill reflects the excess of cost over the estimated fair value of the
net assets acquired. Goodwill is being amortized on a straight-line basis over
its estimated useful life of twenty years. Realization of goodwill is
periodically assessed by management based on the expected future profitability
and undiscounted future cash flows of acquired entities and their contribution
to the overall operations of the Company.
In July 2001, the Financial Accounting Standards Board (FASB) issued
Financial Accounting Standards Statement No. 141, "Business Combinations" ("SFAS
141"). SFAS 141 eliminates the pooling-of-interests method of accounting for
business combinations except for qualifying business combinations that were
initiated prior to July 1, 2001. The purchase method of accounting is required
to be used for all business combinations initiated after June 30, 2001. SFAS 141
also requires separate recognition of intangible assets acquired in business
combinations that meet certain criteria.
36
AMEDISYS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED)
In July 2001, the FASB issued Financial Accounting Standards Statement No.
142, "Goodwill and Other Intangible Assets" ("SFAS 142") which is effective
January 1, 2002. Under SFAS 142, goodwill and indefinite-lived intangible assets
are no longer amortized but are reviewed for impairment annually, or more
frequently if circumstances indicate potential impairment. Separable intangible
assets that are not deemed to have an indefinite life continue to be amortized
over their useful lives. For goodwill and indefinite-lived intangible assets
acquired prior to July 1, 2001, goodwill will continue to be amortized through
the remainder of 2001 at which time amortization will cease and a transitional
goodwill impairment test will be performed. Any impairment charges resulting
from the initial application of the new rules would be classified as a
cumulative change in accounting principle. The Company is in the process of
completing its evaluation of any goodwill impairment that is required with the
adoption of the SFAS No. 142. The Company, however, does not believe that its
existing goodwill balances are impaired under the new standards. Included in
general and administrative expenses in the accompanying consolidated statements
of operations is goodwill amortization expense as follows (in 000's):
2001 2000 1999
------ ------ ------
Goodwill amortization expense.............................. $1,234 $1,003 $1,036
Deferred Revenue
On November 3, 1998, the Company and CPII Acquisition Corp. ("CPII")
entered into an Asset Purchase Agreement whereby the Company sold certain of the
assets, subject to the assumption of certain liabilities, of its proprietary
software system and home health care management division to CPII in exchange for
$11,000,000 cash. An affiliate of CPII utilized the assets to provide certain
management services to the Company's home health agencies. Due to the Company's
continuing involvement with the assets sold, the gain on the sale of the
software system totaling $10,593,000 was deferred and was being amortized over
the five-year term of the management services agreement. The unamortized gain at
December 31, 2000 and 1999 was reflected as deferred revenue in the accompanying
consolidated balance sheets. Effective October 1, 2001, the Company terminated
its management services agreement and entered into a Software License Agreement
that has been accounted for as a capital lease in the accompanying consolidated
balance sheets as of December 31, 2001. The unamortized gain as of September 30,
2001 of $4,414,000 has been offset against the capitalized value of the software
lease and is included in Property and Equipment, net in the accompanying
consolidated balance sheets.
Accounting for the Impairment of Long-Lived Assets and for Long-Lived Assets
to be Disposed of
Whenever recognized events or changes in circumstances indicate the
carrying amount of an asset, including intangible assets, may not be
recoverable, management reviews the asset for possible impairment. In accordance
with Statement of Financial Accounting Standards No. 121 ("SFAS 121"),
Accounting for the Impairment of Long-lived Assets to be Disposed", management
uses undiscounted estimated expected future cash flows to assess the
recoverability of the asset. If the expected future net cash flows are less than
the carrying amount of the asset, an impairment loss, measured as the amount by
which the carrying amount of the asset exceeds the fair value of the asset,
would be recognized.
SFAS No. 144, "Accounting for the Impairment or Disposal of Long-Lived
Assets ("SFAS 144"), supersedes SFAS No. 121, "Accounting for the Impairment of
Long-Lived Assets and for Long-Lived Assets to be Disposed of". SFAS 144 also
supersedes certain aspects of APB 30, "Reporting the Results of
Operations-Reporting the Effects of Disposal of a Segment of a Business, and
Extraordinary, Unusual and Infrequently Occurring Events and Transactions", with
regard to reporting the effects of a disposal of a segment of a business and
will require expected future operating losses from discontinued operations to be
reported in discontinued operations in the period incurred rather than as of the
measurement date as presently required by APB 30. Additionally, certain
dispositions may now qualify for discontinued operations treatment.
37
AMEDISYS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED)
The provisions of SFAS 144 are required to be applied for fiscal years beginning
after December 15, 2001 and interim periods within those fiscal years. The
adoption of this statement is not expected to have any effect on the Company's
financial statements upon adoption.
Accounting for Derivative Instruments and Hedging Activities
In June 1998, the FASB issued Statement of Financial Accounting Standards
No. 133 ("SFAS 133"), "Accounting for Derivative Instruments and Hedging
Activities", which was amended by Statement of Financial Accounting Standards
No. 137 ("SFAS 137"), "Accounting for Derivative Instruments and Hedging
Activities -- Deferral of the Effective Date of FASB 133". The Statement
establishes accounting and reporting standards requiring that every derivative
instrument (including certain derivative instruments embedded in other
contracts) be recorded in the consolidated balance sheet as either an asset or
liability measured at its fair value. The adoption of this accounting
pronouncement did not have a material effect on the Company's financial position
or results of operations at December 31, 2001 and 2000 as the Company does not
engage in derivative financial instruments.
Accounting for Asset Retirement Obligations
In July 2001, the FASB issued SFAS No. 143, "Accounting for Asset
Retirement Obligations" ("SFAS 143"), which requires recording the fair value of
a liability for an asset retirement obligation in the period incurred. SFAS 143
is effective for fiscal years beginning after June 15, 2002, with earlier
application permitted. Upon adoption of SFAS 143, the Company would be required
to use a cumulative effect approach to recognize transition amounts for any
existing retirement obligation liabilities, asset retirement costs and
accumulated depreciation. The Company does not have any asset retirement
obligations; therefore, adoption of this statement is not applicable to the
Company.
Extraordinary Gain
On December 28, 2000, the Company entered into a loan agreement with NPF
Capital, Inc. ("NPF") for a principal sum of up to $11,725,000. At execution,
NPF paid $9,000,000 directly to Columbia/HCA for the benefit of the Company. The
Company also financed $725,000 of debt issue costs under this agreement, with
the remaining unfunded portion of $2,000,000 available for future acquisitions.
Simultaneously, Amedisys entered into a Termination Agreement with Columbia/HCA
relating to the note payable ("HCA Note"). The Termination Agreement with
Columbia/HCA was effective October 1, 2000. The Termination Agreement related to
that certain Credit Agreement dated November 16, 1998 and that certain
promissory note dated December 1, 1998 as modified by that certain Loan
Modification Agreement dated September 30, 1999. As part of this agreement, the
HCA Note, which carried a balance (including accrued interest) of $16.6 million
at September 30, 2000, was terminated effective October 1, 2000 for a cash
payment of $9,000,000 and the execution of a warrant agreement that allows
Columbia/HCA to purchase up to 200,000 shares of Amedisys' Common Stock, subject
to certain conditions. These warrants have an estimated value of $344,000. As a
result of these transactions, the Company recorded an extraordinary gain of $5.1
million, net of taxes, in the fourth quarter of 2000.
Net Income Per Common Share
Earnings per common share are based on the weighted average number of
shares outstanding during the period. There was no difference between basic and
diluted weighted average common shares outstanding for the years ended December
31, 2000 and 1999. The effect of stock options (732,521 and 468,521 common
shares for the years ended December 31, 2000 and 1999, respectively) and
preferred shares (390,000 preferred shares convertible into 1.3 million common
shares and 750,000 preferred shares convertible into 2.5 million common shares
for the years ended December 31, 2000 and 1999, respectively) were anti-dilutive
(see
38
AMEDISYS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED)
Note 10). The following table sets forth the computation of basic and diluted
net income per common share for the years ended December 31, 2001, 2000, and
1999 including the results of discontinued operations (in 000's except per share
data).
2001 2000 1999
------ ------ ------
Basic Net Income per Share:
Net Income........................................... $5,386 $3,770 $1,300
====== ====== ======
Weighted Average Number of Shares Outstanding........ 5,941 4,336 3,093
------ ------ ------
Net Income per Common Share -- Basic................. $ 0.90 $ 0.87 $ 0.42
====== ====== ======
Diluted Net Income per Share:
Net Income........................................... $5,386 $3,770 $1,300
====== ====== ======
Weighted Average Number of Shares Outstanding........ 5,941 4,336 3,093
Effect of Dilutive Securities:
Stock Options..................................... 737 -- --
Warrants.......................................... 263 -- --
Convertible Preferred Shares...................... 1,039 -- --
------ ------ ------
Average Shares -- Diluted............................ 7,980 4,336 3,093
------ ------ ------
Net Income per Common Share -- Diluted............... $ 0.68 $ 0.87 $ 0.42
====== ====== ======
2. ACQUISITIONS AND DISPOSITIONS:
Acquisitions:
NORTHWEST HOME HEALTH, INC.
Effective October 1, 2000, the Company acquired through its wholly-owned
subsidiary Amedisys Northwest Home Health, Inc. certain assets and liabilities
of Northwest Home Health Agency, Inc. and Georgia Mountains Homecare Services,
Inc. (collectively, "Northwest"). The purchase price amounted to the assumption
of certain liabilities. In connection with this acquisition, the Company
recorded $1,148,000 of goodwill.
MID-FLORIDA HOME HEALTH SERVICES
Effective November 17, 2000, the Company acquired through its wholly-owned
subsidiary Amedisys Home Health Inc. of Florida certain assets and liabilities
of Mid-Florida Home Health Services from Winter Haven Hospital, Inc. In
consideration for the acquired assets and liabilities, the Company paid $975,000
cash (less the value of paid time off) at the time of closing and executed a
promissory note in the amount of $975,000 bearing interest of 7%, payable in 36
monthly principal and interest installments. In connection with this
acquisition, the Company recorded $1,554,000 of goodwill.
SETON HOME HEALTH SERVICES, INC.
Effective March 1, 2001, the Company acquired, through its wholly-owned
subsidiary Amedisys Home Health, Inc. of Alabama, certain assets and liabilities
of Seton Home Health Services, Inc. ("Seton") from Seton Health Corporation of
North Alabama associated with their operations in Mobile and Fairhope, Alabama.
In consideration for the acquired assets and liabilities, the Company paid
$440,000 cash, which represents a purchase price of $475,000 less the value of
accrued vacation obligations. In connection with this acquisition, the Company
recorded $448,000 of goodwill.
39
AMEDISYS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED)
Effective April 6, 2001, the Company acquired, through its wholly-owned
subsidiary Amedisys Home Health, Inc. of Alabama, certain additional assets and
liabilities of Seton from Seton Health Corporation of North Alabama associated
with their operations in Birmingham, Tuscaloosa, Anniston, Greensboro, and
Reform, Alabama. In consideration for the acquired assets and liabilities, the
Company paid $2,216,000 cash, which represents a purchase price of $2,325,000
less the value of accrued vacation obligations. In connection with this
acquisition, the Company recorded $2,235,000 of goodwill.
HEALTHCALLS PROFESSIONAL HOME HEALTH SERVICES
Effective June 11, 2001, the Company acquired from East Cooper Community
Hospital, Inc. certain assets and liabilities of HealthCalls Professional Home
Health Services. In consideration for the acquired assets and liabilities, the
Company paid $750,000 cash. In connection with this acquisition, the Company
recorded $726,000 of goodwill.
Each of the above acquisitions was accounted for as a purchase.
Dispositions:
In August 1999, the Company adopted a formal plan to divest of all of its
interests in its outpatient surgery and infusion therapy divisions. The
Company's strategic plan was to become a focused home health nursing company. As
of December 31, 2001, the Company has completed the divestiture of both its
infusion therapy division and ambulatory surgery division. A discussion of the
sales that have occurred since the adoption of the plan is as follows.
AMEDISYS SURGERY CENTERS, LC
Effective September 1, 1999, by an Asset Purchase Agreement, the Company
sold certain assets, subject to the assumption of certain liabilities, of its
wholly-owned subsidiary, Amedisys Surgery Centers, LC ("ASC"), to United
Surgical Partners International, Inc. ("USP"). The assets and liabilities sold
related to two free-standing outpatient surgery centers operated by ASC,
Amedisys Surgery Center of Pasadena and Amedisys Surgery Center of South Houston
(the "Surgery Centers"). In consideration for the assets of the Surgery Centers,
ASC received $11,000,000. The Company recorded a pre-tax gain of $9,417,000 in
1999 as a result of this transaction.
WEST TEXAS AMBULATORY SURGERY CENTER, LLC
Effective December 1, 1999, ASC, by a Membership Interest Purchase
Agreement, sold all of its 67% membership interest in West Texas Ambulatory
Surgery Center, LLC to U.S. Orthopedics Texas, LLC. ASC also assigned all of its
rights under a certain management agreement to U.S. Orthopedics, Inc. At
closing, ASC received $783,333 in cash representing the purchase price for the
membership interest and ASC's share of the assignment of the management
agreement. ASC has agreed to a five-year non-compete covenant. The Company
recorded a pre-tax gain of $324,000 in 1999 as a result of this transaction.
PARK PLACE SURGERY CENTER, LLC
On April 28, 2000, the Company, Park Place Surgery Center, LLC ("Park
Place"), and the remaining Members of Park Place Surgery Center ("Physician
Members") entered into an agreement for the purchase and sale of the Company's
20% membership interest in Park Place, an outpatient surgery center in
Lafayette, Louisiana, to the Physician Members. The purchase price of $3,200,000
cash was paid to the Company at closing. The Company received a final
partnership distribution of $165,000 in May 2000. The Company recorded a pre-tax
gain of $2,665,000 as a result of this transaction in the quarter ended June 30,
2000.
40
AMEDISYS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED)
INFUSION THERAPY DIVISION
In May 2000, the Company decided, after a thorough evaluation of historical
financial results and available divestiture opportunities, to close one infusion
therapy location. In connection with this closure, the Company recorded a
goodwill impairment of $1,252,000 in the quarter ended June 30, 2000.
Concurrently, the Company re-evaluated the goodwill recorded for the remaining
infusion therapy locations, resulting in an additional goodwill impairment of
$519,000.
On August 9, 2000, the Company through its wholly-owned subsidiaries,
Amedisys Alternate-Site Infusion Therapy Services, Inc. ("AASI") and PRN, Inc.
("PRN"), sold, by a Bill of Sale and Asset Purchase Agreement, certain assets,
subject to the assumption of certain liabilities, of AASI and PRN, to Park
Infusion Services, LP. The transaction had an effective date of August 1, 2000.
Subject to certain post-closing adjustments, the Company received $1,750,000,
calculated using a multiple of EBITDA. The Company recorded a pre-tax gain of
$1,114,000 as a result of this transaction in the quarter ended September 30,
2000.
EAST HOUSTON SURGERY CENTER, LLC
On December 1, 2000, the Company's wholly-owned subsidiary, ASC, East
Houston Physician Surgical Services, Ltd. ("Surgical Services"), and East
Houston Surgery Center, Ltd. ("East Houston") entered into an agreement for the
purchase and sale of the Company's 22.98% membership interest in East Houston,
an outpatient surgery center in Houston, Texas, to Surgical Services. The
purchase price of $1,650,000 cash was paid to the Company at closing. The
Company recorded a pre-tax gain of $1,307,000 as a result of this transaction in
the quarter ended December 31, 2000.
HAMMOND SURGICAL CARE CENTER, LC
Effective September 7, 2001, the Company, its wholly-owned subsidiary ASC,
its 56% owned subsidiary Hammond Surgical Care Center, LC d/b/a St. Luke's
SurgiCenter ("St. Luke's"), and Surgery Center of Hammond, LLC ("Surgery
Center") entered into an agreement for the purchase and sale of the operations
and assets of St. Luke's, an outpatient surgery center located in Hammond,
Louisiana, to Surgery Center. The sales price of $2,850,000 was paid at closing
and distributed in the following manner: $1,066,000 paid directly to debtors of
St. Luke's relating to existing debt obligations, $1,684,000 paid to St. Luke's,
and $100,000 in cash to be released upon the determination of the value of
working capital transferred. Subsequent to the sale, St. Luke's made partnership
distributions of $1,693,000 of which the Company received $948,000 and the
physician investors received $745,000. The agreement stipulated a required level
of working capital, defined as patient accounts receivable less trade accounts
payable, of $430,000 to be conveyed at closing. Any amount in excess of $430,000
will be returned to St. Luke's, and any amount less than $430,000 will be
payable by St. Luke's to Surgery Center. The Company and its affiliates had no
material relationship with Surgery Center prior to this transaction. In the
accompanying Consolidated Statements of Operations, the Company recorded a
pre-tax gain of $1,738,000, offset by minority interest expense of $672,000,
resulting in a net pre-tax gain of $1,066,000 in the quarter ended September 30,
2001.
41
AMEDISYS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED)
3. PROPERTY AND EQUIPMENT:
Property and equipment consists of the following as of December 31, 2001
and 2000 (in 000's):
2001 2000
------- -------
Land........................................................ $ 58 $ 58
Buildings and leasehold improvements........................ 214 195
Equipment, furniture and vehicles........................... 10,390 7,840
Computer software........................................... 4,693 205
------- -------
15,355 8,298
Less: Accumulated depreciation.............................. (5,065) (4,682)
------- -------
10,290 3,616
Net Property and equipment included in Long-term Assets Held
for Sale.................................................. -- (681)
------- -------
Total property and equipment................................ $10,290 $ 2,935
======= =======
4. OTHER ASSETS:
Other assets include the following as of December 31, 2001 and 2000 (in
000's):
2001 2000
------- -------
Notes Receivable............................................ $ -- $ 221
Goodwill, net of accumulated amortization of $4,314 and
$3,080.................................................... 22,216 20,159
Deposits and Other.......................................... 72 155
------- -------
22,288 20,535
Included in Long-term Assets Held for Sale.................. -- (109)
------- -------
Total Other Assets.......................................... $22,288 $20,426
======= =======
5. NOTES PAYABLE:
Notes payable as of December 31, 2001 consists primarily of an asset-based
line of credit with availability, depending on collateral, of up to $25 million
with National Century Financial Enterprises, Inc. ("NCFE") and borrowings under
a revolving bank line of credit of up to $2,500,000. The NCFE $25 million
asset-based line of credit, which expires December, 2003, is collateralized by
eligible accounts receivable of the home health care nursing division. Eligible
receivables are defined as receivables, exclusive of workers' compensation and
self-pay, that are aged less than 181 days. The effective interest rate on this
line of credit which had outstanding balances at December 31, 2001 and 2000 of
$8,593,000 and $2,952,000, respectively, was 11.00% and 15.29% for the years
ended December 31, 2001 and 2000, respectively. The revolving bank line of
credit of $2,500,000 bears interest at the Bank One Prime Floating Rate, which
was 4.75% and 9.5% at December 31, 2001 and 2000, respectively. The bank line of
credit expires September 21, 2002 and is collateralized by $2.5 million cash. At
December 31, 2001 and 2000, there was a balance outstanding of $712,000 and $0,
respectively.
42
AMEDISYS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED)
6. LONG-TERM DEBT:
Long-term debt consists primarily of notes payable to banks and other
financial institutions that are due in monthly installments through 2005.
Long-term debt includes the following as of December 31, 2001 and 2000 (in
000's):
LENDER: 2001 2000
- ------- ------- -------
Notes payable to finance and equipment companies -- interest
ranging from 5.50-10.50%.................................. $10,946 $13,880
Less current portion:
Current portion of long-term debt......................... (5,355) (3,379)
Included in current liabilities held for sale............. -- (192)
Included in long-term liabilities held for sale........... -- (966)
------- -------
Long-term debt.............................................. $ 5,591 $ 9,343
======= =======
These borrowings are secured by furniture, fixtures, and computer
equipment. Maturities of debt as of December 31, 2001 are as follows (in 000's):
YEAR ENDED
- ----------
December 31, 2002........................................... $5,355
December 31, 2003........................................... 5,273
December 31, 2004........................................... 285
December 31, 2005........................................... 33
Thereafter.................................................. --
The fair value of long-term debt as of December 31, 2001 and 2000,
estimated based on the Company's current borrowing rate of 11.0% and 15.3%, at
December 31, 2001 and 2000, respectively, was approximately $10,719,000 and
$12,875,000, respectively.
7. CAPITAL LEASES:
The Company acquired certain equipment under capital leases for which the
related liabilities have been recorded at the present value of future minimum
lease payments due under the leases. The present minimum lease payments under
the capital leases and the net present value of future minimum lease payments
are as follows (in 000's):
YEAR ENDED
- ----------
December 31, 2002........................................... $2,558
December 31, 2003........................................... 2,446
Thereafter.................................................. 901
------
Total future minimum lease payments......................... 5,905
Amount representing interest................................ (306)
------
Present value of future minimum lease payments............ 5,599
------
Current portion:
Included in current portion of obligations under Capital
leases................................................. (2,391)
------
Obligations under capital leases............................ $3,208
======
43
AMEDISYS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED)
8. INCOME TAXES:
The Company files a consolidated federal income tax return which includes
all subsidiaries that are more than 80% owned. State income tax returns are
filed individually by the subsidiaries in accordance with state statutes.
The Company utilizes the liability approach to measuring deferred tax
assets and liabilities based on temporary differences existing at each balance
sheet date using currently enacted tax rates in accordance with Statement of
Financial Accounting Standards No. 109 ("SFAS 109"), Accounting for Income
Taxes. Deferred tax assets are reduced by a valuation allowance when, in the
opinion of management, it is more likely than not that some portion or all of
the deferred tax assets will not be realized. Deferred tax assets and
liabilities are adjusted for the effects of changes in tax laws and rates on the
date of enactment.
The total provision for income taxes consists of the following for the
years ended December 31, 2001, 2000 and 1999 (in 000's):
2001 2000 1999
---- ---- ----
Current portion............................................. $410 $200 $383
Deferred portion............................................ -- -- --
---- ---- ----
$410 $200 $383
==== ==== ====
Total income tax expense (benefit) is included in the following financial
statement captions for the years ended December 31, 2001, 2000 and 1999 (in
000's):
2001 2000 1999
---- ------- -------
Continuing operations...................................... $220 $(1,647) $(3,263)
Discontinued operations:
Loss from discontinued operations........................ -- -- 88
Gain on disposition of discontinued operations........... 190 402 3,558
Extraordinary item......................................... -- 1,445 --
---- ------- -------
$410 $ 200 $ 383
==== ======= =======
Net deferred tax assets consist of the following components as of December
31, 2001 and 2000 (in 000's):
2001 2000
------- -------
Deferred tax assets:
NOL carryforward.......................................... $ 1,066 $ 1,561
Allowance for doubtful accounts........................... 847 538
Property and equipment.................................... 371 --
Self-insurance reserves................................... 618 618
Deferred revenue.......................................... -- 2,281
Losses of consolidated subsidiaries not consolidated for
tax purposes, expiring beginning in 2010............... 144 208
Expenses not currently deductible for tax purposes........ 606 746
Other..................................................... 100 65
Deferred tax liabilities:
Amortization of intangible assets......................... (1,165) (1,005)
Property and equipment.................................... -- (999)
Net liability for cash basis partnership for tax reporting
purposes............................................... -- (249)
Less: Valuation allowance................................... (2,587) (3,764)
------- -------
$ -- $ --
======= =======
44
AMEDISYS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED)
The valuation allowance was recorded against net deferred tax assets due to
the significant operating losses incurred by the Company during 2000 and 1999.
The NOL carryforward expires in 2020.
Total tax expense (benefit) on income before taxes resulted in effective
tax rates that differed from the federal statutory income tax rate. A
reconciliation of these rates is as follows for 2001, 2000 and 1999:
2001 2000 1999
---- ---- ----
Income taxes computed on federal statutory rate............. 35% 38% 35%
State income taxes and other................................ 8 3 23
Valuation allowance......................................... (36) (39) (40)
Nondeductible expenses and other............................ -- 1 5
--- --- ---
Total.................................................. 7% 3% 23%
=== === ===
9. RELATED PARTY TRANSACTIONS:
Notes Receivable
Notes receivable from related parties at December 31, 2001 of $13,000
consists of payments made to an executive officer in accordance with a loan
agreement. The loan agreement, which bears interest at 6% annually, provides for
monthly payments beginning October 1, 2001 and ending July 1, 2003 for a
cumulative principal sum not to exceed $102,000.
Notes Payable
Notes payable to related parties at December 31, 2000 consists of unsecured
notes to certain stockholders of the Company amounting to $10,000 that were due
on demand and bear interest at rates from 0%-12%.
Other
The Company paid consulting fees to stockholders of $75,000, $63,000, and
$125,000 for the years ended December 31, 2001, 2000 and 1999, respectively. The
Company paid vendors related to executive officers $580,000, $278,000, and
$277,000 for the years ended December 31, 2001, 2000, and 1999, respectively,
for goods and services. The Company believes the fees paid for these goods and
services approximated fair market value.
10. CAPITAL STOCK:
Preferred Stock
In December 1997, the Company completed a private placement of 400,000
shares of $.001 par value convertible preferred stock pursuant to Regulation D
of the Securities Act of 1933 at $10 per share for gross proceeds of $4 million.
The Company used the proceeds of this placement to fund acquisitions and
accelerate the growth of its network of outpatient health care services,
including home health care offices, infusion therapy sites and outpatient
surgery centers. Under the original placement agreement, these shares were
initially convertible into 864,865 shares of common stock which is equivalent to
$4.625 per share. On March 3, 1998, the Company completed a secondary phase of
its private placement of preferred stock and issued an additional 350,000 shares
for gross proceeds of $3.5 million. These shares were initially convertible into
756,757 shares of common stock which is equivalent to $4.625 per share. Warrants
to purchase 52,500 shares of preferred stock at $10 per share, convertible into
113,514 shares of common stock, were issued to the placement agent, Hudson
Capital Partners, L.P., in connection with the offering. Effective February 16,
1999, the Company amended the conversion terms through Preferred Stock
Conversion Agreements. The conversion rate was reduced to $3.00 per common share
in exchange for an agreement by these shareholders not to
45
AMEDISYS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED)
sell, transfer or otherwise dispose of any Company securities until December 31,
1999. Under this conversion agreement, the 750,000 preferred shares are
convertible into 2,500,000 common shares. During 2000, eight preferred
shareholders converted a total of 360,000 preferred shares into 1,200,000 common
shares. During 2001, the remaining preferred shareholders converted 390,000
preferred shares into 1,300,000 common shares. As of December 31, 2001, the
Company has no outstanding preferred stock.
Stock Options and Warrants
The Company's Statutory Stock Option Plan ("the Plan") provides incentive
stock options to key employees. The Plan is administered by a Compensation
Committee (appointed by the Board of Directors) which determines, within the
provisions of the Plan, those eligible employees to whom, and the times at
which, options shall be granted. Each option granted under the Plan is to be
convertible into one share of common stock, unless adjusted in accordance with
the provisions of the Plan. Options may be granted for a number of shares not to
exceed, in the aggregate, 1,425,000 shares of common stock at an option price
per share of no less than the greater of (a) 100% of the fair market value of a
share of common stock on the date the option is granted or (b) the aggregate par
value of the shares of common stock on the date the option is granted. If the
option is granted to any owner of 10% or more of the total combined voting power
of the Company and its subsidiaries, the option price is to be at least 110% of
the fair market value of a share of common stock on the date the option is
granted. Each option vests ratably over a two to three year period and may be
exercised during a period as determined by the Compensation Committee, not to
exceed ten years from the date such option is granted. The aggregate fair market
value of common stock subject to an option granted to a participant by the
Compensation Committee in any calendar year shall not exceed $100,000.
The Company's Directors' Stock Option Plan ("the Directors' Plan") provides
stock options to directors. The Directors' Plan is administered by the Board of
Directors in accordance with the provisions of the Directors' Plan. Each option
granted under the Directors' Plan is to be convertible into one share of common
stock, unless adjusted in accordance with the provisions of the Directors' Plan.
Options may be granted for a number of shares not to exceed, in the aggregate,
250,000 shares of common stock. The option price is to be the fair market value,
which is the closing price of a share of common stock on the last preceding
business day prior to the date as to which fair market value is being
determined, or on the next preceding business day on which such common stock is
traded, if no shares of common stock were traded on such date. Each option vests
ratably over a two to three year period and may be exercised during a period not
to exceed ten years from the date such option is granted.
46
AMEDISYS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED)
A summary of the Company's stock options as of December 31, 2001, 2000 and
1999 and changes during each of the years then ended is as follows:
2001 2000 1999
----------------------- ----------------------- -----------------------
WGTD. AVG. WGTD. AVG. WGTD. AVG.
SHARES EXER. PRICE SHARES EXER. PRICE SHARES EXER. PRICE
-------- ----------- -------- ----------- -------- -----------
Outstanding at beginning
of year............... 846,271 $3.72 897,771 $3.84 462,051 $6.11
Granted................. 238,960 5.68 105,000 4.05 866,772 3.43
Exercised............... (127,612) 3.28 -- -- -- --
Cancelled, forfeited or
expired............... (38,586) 3.86 (156,500) 4.09 (431,052) 5.50
-------- ----- -------- ----- -------- -----
Outstanding at end of
year.................. 919,033 $4.25 846,271 $3.72 897,771 $3.84
======== ===== ======== ===== ======== =====
Exercisable at end of
year.................. 756,353 $3.96 732,521 $3.68 468,521 $4.34
======== ===== ======== ===== ======== =====
Weighted average fair
value of options
granted during the
year.................. $5.66 $3.74 $1.34
===== ===== =====
Of the 162,680 options outstanding but not exercisable at December 31,
2001, 146,430 become exercisable in 2002 and 16,250 in 2003.
The following table summarizes information about stock options outstanding
at December 31, 2001:
OPTIONS OUTSTANDING OPTIONS EXERCISABLE
--------------------------------------------- -------------------------
NUMBER NUMBER
OUTSTANDING WGTD. AVG. WGTD. AVG. EXERCISABLE WGTD. AVG.
AT REMAINING EXERCISE AT EXERCISE
RANGE OF EXERCISE PRICES 12/31/01 CONTRACTUAL LIFE PRICE 12/31/01 PRICE
- ------------------------ ----------- ---------------- ---------- ----------- ----------
$3.00 -- $6.75............... 919,033 6.42 $4.25 756,353 $3.96
The Company applies Accounting Principles Board Opinion No. 25 ("APB 25"),
Accounting for Stock Issued to Employees, and related interpretations in
accounting for its stock option plans. Statement of Financial Accounting
Standards No. 123 ("SFAS 123"), Accounting for Stock-Based Compensation, was
issued in 1995 and changes the methods for recognition of cost on plans similar
to those of the Company. Pro forma disclosures, as if the Company had adopted
the cost recognition requirements under SFAS 123 are presented below.
At December 31, 2001, the Company had the following warrants outstanding:
WARRANTS OUTSTANDING PRICE
- -------------------- -----
175,000...................................................... $3.00
30,000...................................................... 4.00
50,000...................................................... 5.00
4,000...................................................... 6.25
30,720...................................................... 6.93
-------
289,720
=======
The fair value of each option and warrant granted during the periods
presented is estimated on the date of grant using the Black-Scholes option
pricing model with the following assumptions: (i) dividend yield of 0%, (ii)
expected volatility of a range of 112.23% to 117.30% for options issued in 2001,
a range of 112.62% to
47
AMEDISYS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED)
130.87% for options issued in 2000, and a range of 99.8% to 114.4% for options
issued in 1999, (iii) risk-free interest rate of a range of 4.68% to 5.49% in
2001, a range of 5.31% to 7.03% in 2000, and a range of 5.80% to 6.21% in 1999,
and (iv) expected life of 3 to 9 years.
Had compensation cost for the Company's options awarded in 1995 or later
been determined consistent with SFAS 123, the Company's net income, net income
applicable to common stockholders and net income per common share for 2001, 2000
and 1999 would approximate the pro forma amounts below (in 000's, except per
share amounts):
2001 2000 1999
-------------------- -------------------- --------------------
AS AS AS
REPORTED PRO FORMA REPORTED PRO FORMA REPORTED PRO FORMA
-------- --------- -------- --------- -------- ---------
Net income................. $5,386 $4,612 $3,770 $3,014 $1,300 $ 882
====== ====== ====== ====== ====== =====
Basic earnings per common
share.................... $ 0.90 $ 0.78 $ 0.87 $ 0.70 $ 0.42 $0.29
====== ====== ====== ====== ====== =====
Diluted earnings per common
share.................... $ 0.68 $ 0.58 $ 0.87 $ 0.70 $ 0.42 $0.29
====== ====== ====== ====== ====== =====
The effects of applying SFAS 123 in this pro forma disclosure are not
indicative of future amounts. SFAS 123 does not apply to awards made prior to
1995. Additional awards in future years are anticipated.
Amedisys Specialized Medical Services, Inc. (ASM) Employee Stock Ownership
Plan
ASM, a wholly owned subsidiary, developed an Employee Stock Ownership Plan
("ESOP") effective January 1, 1997 to enable participating employees of ASM to
share in the ownership of ASM. Under the ESOP, the Company may make annual
contributions to a trust for the benefit of eligible employees, in the form of
either cash or common stock of ASM. The amount of the annual contribution is
discretionary. No contributions were made for the years ended December 31, 2001,
2000, and 1999.
Employee Stock Purchase Plan
The Company has a plan whereby eligible employees may purchase the
Company's common stock at 85% of the lower of the market price at the time of
grant or the time of purchase. There are 1,000,000 shares reserved for this
plan. At December 31, 2001, there were 454,915 shares available for future
offerings. A summary of the shares issued since the inception of the plan is as
follows:
EMPLOYEE STOCK PURCHASE PLAN PERIOD SHARES ISSUED PRICE
- ----------------------------------- ------------- -----
August 1, 1998 to December 31, 1998......................... 4,489 $2.44
January 1, 1999 to June 30, 1999............................ 30,822 1.70
July 1, 1999 to December 31, 1999........................... 53,524 1.69
January 1, 2000 to June 30, 2000............................ 70,899 1.17
July 1, 2000 to September 30, 2000.......................... 192,671 2.50
October 1, 2000 to December 31, 2000........................ 43,198 3.61
January 1, 2001 to March 31, 2001........................... 41,024 3.69
April 1, 2001 to June 30, 2001.............................. 31,394 5.10
July 1, 2001 to September 30, 2001.......................... 41,047 5.10
October 1, 2001 to December 1, 2001......................... 36,017 5.02
-------
545,085
=======
48
AMEDISYS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED)
11. COMMITMENTS AND CONTINGENCIES:
Legal Proceedings
From time to time, the Company and its subsidiaries are defendants in
lawsuits arising in the ordinary course of the Company's business. While the
outcome of these lawsuits cannot be predicted with certainty, management
believes that the resolution of these matters will not have a material adverse
effect on the Company's financial condition or results of operations.
The Company filed a lawsuit against Mr. James P. Cefaratti, the Company's
former President and Chief Operations Officer, alleging various negligent
actions which constituted breaches of fiduciary duty owed to the Company and its
stockholders. The Company was seeking unspecified damages incurred as a result
of the alleged negligent actions and all other appropriate relief. On December
7, 1998, Mr. Cefaratti filed a lawsuit naming the Company as a defendant and
claimed that he was terminated in violation of an alleged employment contract.
The lawsuit with Mr. Cefaratti was settled out of court during 2001 for a
confidential amount and is no longer pending.
Other ex-employees of the Company filed lawsuits against the Company
claiming breaches of alleged employment contracts including Ms. Judi M.
McQueary, the former President of the Company's managed care division, and Mr.
William G. Hardee, the former Vice President of the Company's southeastern
alternate site infusion division (both filed on December 11, 1998). These
lawsuits were settled out of court and are no longer pending.
Alliance Home Health, Inc. ("Alliance"), a wholly-owned subsidiary of the
Company (which was acquired in 1998 and ceased operations in 1999), filed for
Chapter 7 Federal bankruptcy protection with the United States Bankruptcy Court
in the Northern District of Oklahoma on September 29, 2000. A trustee was
appointed for Alliance in 2001. The accompanying consolidated financial
statements continue to include the net liabilities of Alliance of $4.2 million
until the contingencies associated with the liabilities are resolved.
On August 23 and October 4, 2001, two suits were filed against the Company
and three of its executive officers in the United States District Court for the
Middle District of Louisiana by individuals purportedly as class actions on
behalf of all purchasers of Amedisys stock between November 15, 2000 and June
13, 2001. The suits, which have now been consolidated, seek damages based on the
decline in Amedisys' stock price following an announced restatement of earnings
for the fourth quarter of 2000 and first quarter of 2001, claiming that the
defendants knew or were reckless in not knowing the facts giving rise to the
restatement. The Company intends to seek dismissal of these claims and, if they
are not dismissed, to vigorously defend them.
Medicare Reimbursement Reductions
With the introduction of PPS, the method of reimbursement under the
Medicare program was changed from a cost-based reimbursement system to a
prospective payment system based on episodes of care. An episode of care is
defined as a length of care up to sixty days with multiple continuous episodes
allowed. At the beginning of PPS on October 1, 2000, the standard episode
payment was established at $2,115 per episode, to be adjusted by certain factors
and intervening events. In December 2000, Congress passed the Benefits
Improvement Protection Act ("BIPA"), which provided additional funding to
healthcare providers. BIPA provided for the following: (i) a one-year delay in
applying the budgeted 15% reduction on payment limits, (ii) the restoration of a
full home health market basket update for episodes ending on or after April 1,
2001 and before October 1, 2001 resulting in an increase to revenues of 2.2%,
and (iii) a 10% increase, beginning April 1, 2001 and extending for a period of
twenty four months, for home health services provided in a rural area. Effective
October 1, 2001 with the beginning of federal fiscal year 2002, the standard
episode payment was increased to $2,274. Currently, the delay in the budgeted
15% reduction in payment limits resulting from BIPA will expire September 30,
2002. There is ongoing debate and discussion at the congressional level
49
AMEDISYS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED)
concerning the scheduled payment reduction which was further intensified with
the recommendation by the Medicare Payment Advisory Committee to eliminate the
budgeted 15% payment reduction.
Legislation
The healthcare industry is subject to numerous laws and regulations of
Federal, state, and local governments. These laws and regulations include, but
are not necessarily limited to, matters such as licensure, accreditation,
government healthcare program participation requirements, reimbursement for
patient services, and Medicare and Medicaid fraud and abuse. Government activity
has increased with respect to investigations and allegations concerning possible
violations of fraud and abuse statutes and regulations by healthcare providers.
Violations of these laws and regulations could result in expulsion from
government healthcare programs together with the imposition of significant fines
and penalties, as well as significant repayments for patient services previously
billed. Management believes that the Company is in compliance with all state and
Federal legal provisions concerning fraud and abuse as well as other applicable
government laws and regulations. While no material regulatory inquiries have
been made, compliance with such laws and regulations can be subject to future
government review and interpretation as well as regulatory actions unknown or
unasserted at this time.
The Health Insurance Portability and Accountability Act ("HIPAA") was
enacted August 21, 1996 to assure health insurance portability, reduce
healthcare fraud and abuse, guarantee security and privacy of health information
and enforce standards for health information. Organizations are required to be
in compliance with certain HIPAA provisions beginning October 2002. Provisions
not yet finalized are required to be implemented two years after the effective
date of the regulation. Organizations are subject to significant fines and
penalties if found not to be compliant with the provisions outlined in the
regulations. Management is in the process of evaluating the impact of this
legislation on its operations including future financial commitments and
operational enhancements that will be required to comply with the legislation.
Leases
The Company and its subsidiaries have leased office space at various
locations under non-cancelable agreements which expire between March 21, 2002
and October 31, 2006, and require various minimum annual rentals. Total minimum
rental commitments at December 31, 2001 are due as follows (in 000's):
2002........................................................ $3,266
2003........................................................ 2,278
2004........................................................ 885
2005........................................................ 507
2006........................................................ 92
Thereafter.................................................. --
Rent expense for all non-cancelable operating leases was $3,729,000,
$4,040,000, and $4,860,000 for the years ended December 31, 2001, 2000, and
1999, respectively.
Management and License Agreement
On November 2, 1998, the Company and CareSouth Home Health Services, Inc.
("CareSouth"), an affiliate of CPII Acquisition Corp., entered into agreements
under which CareSouth agreed to provide payroll processing, billing services,
collection services, cost reporting services and software maintenance and
support for the Company's home health agencies with a consolidated fee
structure. Under the consolidated fee structure, fees are collected for services
provided on a per visit basis, which may be adjusted depending on the cumulative
number of annual visits. Effective September 1, 1999, the management agreement
was amended to exclude cost reporting services and software maintenance and
support for a corresponding decrease in
50
AMEDISYS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED)
professional fees. The Company paid CareSouth $475,000 per month through
September, 2001 under this amended agreement. Effective October 1, 2001, the
Company terminated the management agreement. In connection with this
termination, the Company entered into a Software License Agreement ("License
Agreement") with CareSouth for the use of a home health care billing and
collections software system. The License Agreement, which expires May 1, 2004,
provided for a $2,000,000 cash payment at signing, monthly payments beginning
October 1, 2001 of $178,226 through May, 2004, and a $1,000,000 cash payment,
included in Other Accrued Expenses in the accompanying consolidated balance
sheets, due on or before February 28, 2002. At the expiration of the License
Agreement, the Company has the option to acquire the software system for $1.00,
and consequently, the Company has accounted for this lease as a capital lease
obligation.
Self-Funded Insurance Plans
During 1995, the Company became self-insured for workers' compensation
claims in the State of Louisiana up to certain policy limits. Claims in excess
of $200,000 per incident and $1,300,000 in the aggregate over a two-year policy
period were insured by third party reinsurers. In connection with the self-
insurance plan and as required by the State of Louisiana, the Company issued a
$175,000 letter of credit in favor of the Louisiana Department of Labor, which
expired February, 1998, and was renewed to February, 2003. In January 1999, the
Company changed from a self-insured workers' compensation plan to a fully
insured, guaranteed cost plan.
The Company currently has a letter of credit with Bank One for $825,000
secured in full by cash relating to its workers' compensation plan for the plan
year December 31, 2000 through December 31, 2001 which expires January 3, 2003.
The Company is self-insured for health claims up to certain policy limits.
Claims in excess of $100,000 per incident are insured by third party reinsurers.
The Company has accrued a liability of approximately $905,000 and $708,000 at
December 31, 2001 and 2000, respectively, for both outstanding and incurred but
not reported claims based on historical experience.
Employment Contracts
The Company has commitments related to employment contracts with a number
of its senior executives. Such contracts generally commit the Company to pay
bonuses upon the attainment of certain operating goals and severance benefits
under certain circumstances.
Other
The Company is subject to various other types of claims and disputes
arising in the course of its business. While the resolution of such issues is
not presently determinable with certainty, management believes that the ultimate
resolution of such matters will not have a significant effect on the Company's
financial position or results of operations.
12. 401(k) BENEFIT PLAN:
The Company adopted a plan qualified under Section 401(k) of the Internal
Revenue Code for all employees who are 21 years of age and have at least 90 days
of service. Under the plan, eligible employees may elect to defer a portion of
their compensation, subject to Internal Revenue Service limits. The Company may
make matching contributions equal to a discretionary percentage of the
employee's salary deductions. A matching contribution of $617,000 was made for
1999 in 2000, and a matching contribution of $891,000 was made in 2001 for 2000.
Such contributions were made in the form of common stock of the Company, valued
based upon the fair market value of the stock as of December 31 of the
applicable year. During 2001, the
51
AMEDISYS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED)
Company accelerated the matching frequency from an annual basis to a quarterly
basis. During 2001, the Company contributed approximately $305,000 for 2001 and
plans to contribute approximately $925,000 for 2001 matching contributions
during 2002.
13. AMOUNTS DUE TO AND DUE FROM MEDICARE:
Prior to the implementation of PPS on October 1, 2000, the Company recorded
Medicare revenues at the lower of actual costs, the per visit cost limit, or a
per beneficiary cost limit on a individual provider basis. Under the previous
Medicare cost-based reimbursement system, ultimate reimbursement under the
Medicare program was determined upon review of the annual cost reports. As of
December 31, 2001, the Company estimates an aggregate payable to Medicare of
$14.2 million, of which $13.2 is netted against accounts receivable and $1.0 is
reflected in the accompanying balance sheet as a long-term Medicare liability.
For the cost report year ended December 31, 2000, the Company has aggregate
overpayments of $8.1 million offset by aggregate underpayments of $1.7 million.
The aggregate overpayments of $8.1 million are primarily attributed to a
provision in BIPA whereby the Company was eligible to receive a one-time payment
equal to two months of periodic interim payments equaling $7.4 million. For the
cost report years ended 1999 and prior, the Company has an estimated payable of
$7.8 million. Of the $7.8 million, $3.1 is related to a bankrupt subsidiary,
$3.7 million is due within one year, and $1.0 million is due in excess of one
year. The Company derived 88%, 90%, and 90% of its revenues from continuing
operations from the Medicare system for the years ended December 31, 2001, 2000,
and 1999, respectively.
14. UNAUDITED SUMMARIZED QUARTERLY FINANCIAL INFORMATION:
INCOME (LOSS)
BEFORE
DISCONTINUED NET INCOME
OPERATIONS AND (LOSS) PER SHARE
EXTRAORDINARY NET INCOME -----------------
REVENUES ITEM (LOSS) BASIC DILUTED
-------- -------------- ---------- ------ --------
2001:
1st Quarter............................... $ 22,171 $ (409) $ (616) (0.11) (0.11)
2nd Quarter............................... 27,198 1,180 1,258 0.22 0.16
3rd Quarter............................... 29,672 1,979 2,579 0.44 0.33
4th Quarter............................... 31,133 2,326 2,165 0.33 0.26
-------- ------- -------
110,174 5,076 5,386 0.90 0.68
======== ======= =======
2000:
1st Quarter............................... 23,418 (1,362) (1,292) (0.40) (0.40)
2nd Quarter............................... 23,270 (1,372) (1,334) (0.35) (0.35)
3rd Quarter............................... 22,091 (1,469) (760) (0.15) (0.15)
4th Quarter............................... 19,376 1,517 7,156 1.35 1.35
-------- ------- -------
88,155 (2,686) 3,770 0.87 0.87
======== ======= =======
1999:
1st Quarter............................... 25,057 (1,621) (2,498) (0.81) (0.81)
2nd Quarter............................... 24,642 (1,444) (1,455) (0.47) (0.47)
3rd Quarter............................... 24,170 58 6,168 1.98 1.98
4th Quarter............................... 23,542 (1,074) (915) (0.29) (0.29)
-------- ------- -------
97,411 (4,081) 1,300 0.42 0.42
======== ======= =======
52
EXHIBIT INDEX
EXHIBIT
NO. IDENTIFICATION OF EXHIBIT
------- -------------------------
3.1(i)(4) -- Certificate of Incorporation
3.1(ii)(4) -- Certificate of Designation for the Series A Preferred
Stock
3.1(iii)(14) -- Certificate of Amendment of Certificate of Designation
Specimen
3.4(iv)(14) -- Series A Preferred Stock Conversion Agreement Specimen
3.2(4) -- Bylaws
4.2(7) -- Common Stock Specimen
4.3(7) -- Preferred Stock Specimen
4.4(7) -- Form of Placement Agent's Warrant Agreement
4.5(14) -- Certificate of Amendment of Certificate of Designation
Specimen
4.6(14) -- Series A Preferred Stock Conversion Agreement Specimen
10.1(4) -- Master Note with Union Planter's Bank of Louisiana
10.2(4) -- Merrill Lynch Term Working Capital Management Account
10.3(5) -- Promissory Note with Deposit Guaranty National Bank
10.4(7) -- Amended and Restated Stock Option Plan
10.5(7) -- Registration Rights Agreement
10.6(11) -- Master Corporate Guaranty of Service Agreements between
CareSouth Home Health Services, Inc. and Amedisys, Inc.
dated November 2, 1998
10.7(16) -- Loan Modification Agreement by and between Amedisys, Inc.
and Columbia/HCA Healthcare Corporation
10.8(20) -- Employment Agreement between Amedisys, Inc. and William
F. Borne
10.9(20) -- Employment Agreement between Amedisys, Inc. and Larry
Graham
10.10(20) -- Amendment to Employment Agreement by and between
Amedisys, Inc. and Larry Graham
10.11(20) -- Employment Agreement between Amedisys, Inc. and John
Joffrion
10.12(23) -- Employment Agreement between Amedisys, Inc. and John
Nugent
10.13(23) -- Loan Agreement by and among Amedisys, Inc. and John
Nugent
10.14(21) -- Director's Stock Option Plan
10.15(22) -- Modification Agreement by and between CareSouth Home
Health Services, Inc. and Amedisys, Inc.
10.16(22) -- Software License Agreement by and between CareSouth Home
Health Services, Inc. and Amedisys, Inc.
18.1(12) -- Letter regarding Change in Accounting Principles
21.1(7) -- List of Subsidiaries
99(23) -- Letter of Andersen Representation
- ---------------
(1) Previously filed as an exhibit to the Current Report on Form 8-K dated
December 20, 1993.
(2) Previously filed as an exhibit to the Current Report on Form 8-K dated
February 14, 1994.
(3) Previously filed as an exhibit to the Current Report on Form 8-K dated
August 11, 1994.
(4) Previously filed as an exhibit to the Annual Report on Form 10-KSB for the
year ended December 31, 1994.
(5) Previously filed as an exhibit to the Current Report on Form 8-K dated June
30, 1995.
(6) Previously filed as an exhibit to the Registration Statement on Form S-1
(333-8329) dated July 18, 1996.
(7) Previously filed as an exhibit to the Registration Statement on Form S-3
dated March 11, 1998.
(8) Previously filed as an exhibit to the Quarterly Report on Form 10-Q dated
August 14, 1998.
(9) Previously filed as an exhibit to the Current Report on Form 8-K dated
October 5, 1998.
(10) Previously filed as an exhibit to the Current Report on Form 8-K dated
November 10, 1998.
(11) Previously filed as an exhibit to the Quarterly Report on Form 10-Q dated
December 30, 1998.
(12) Previously filed as an exhibit to the Annual Report on Form 10-K for the
year ended December 31, 1997.
(13) Previously filed as an exhibit to the Annual Report on Form 10-K for the
year ended December 31, 1998.
(14) Previously filed as an exhibit to the Quarterly Report on Form 10-Q/A for
the period ended June 30, 1999.
(15) Previously filed as an exhibit to the Current Report on Form 8-K dated
September 15, 1999.
(16) Previously filed as an exhibit to the Quarterly Report on Form 10-Q for the
period ended September 30, 1999.
(17) Previously filed as an exhibit to the Annual Report on Form 10-K for the
year ended December 31, 1999.
(18) Previously filed as an exhibit to the Current Report on Form 8-K dated May
11, 2000.
(19) Previously filed as an exhibit to the Current Report on Form 8-K dated
August 23, 2000.
(20) Previously filed as an exhibit to the Annual Report on Form 10-K for the
year ended December 31, 2000.
(21) Previously filed as an exhibit to the Quarterly Report on Form 10-Q for the
period ended March 31, 2001.
(22) Previously filed as an exhibit to the Quarterly Report on Form 10-Q for the
period ended September 30, 2001.
(23) Filed herewith.