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Exhibit 99.1

Almost Family, Inc.
Steve Guenthner
(502) 891-1000
 
 
The Ruth Group
Investor Relations
Nick Laudico/Zack Kubow
(646) 536-7030/7020
nlaudico@theruthgroup.com
zkubow@theruthgroup.com
 

Almost Family Reports First Quarter 2011 Results

First Quarter Highlights:
·  
Net service revenues increased to approximately $83 million
·  
Net income of $5.7 million, or $0.61 per diluted share
·  
Diluted EPS includes $0.03 of expenses related to governmental inquiries and $0.01 for acquisition costs, excluding which, diluted EPS would have been $0.65
·  
Visiting Nurse segment net revenues grew to $73 million, on 8% Medicare organic admission growth
·  
Quarterly operating cash flow was $8.3 million
·  
Approximately $174 million in cash plus credit facility is available to fund acquisitions

Louisville, KY, April 28, 2011 – Almost Family, Inc. (Nasdaq: AFAM), a leading regional provider of home health nursing services, announced today its financial results for the three-months ended March 31, 2011.

William Yarmuth, Chief Executive Officer, commented, “Our first quarter operating results mark the Company’s first full quarter with the effect of the Medicare rate cut combined with other operational challenges from health care reform.  Despite these headwinds, we are pleased to announce favorable operating results and continued growth produced by the unwavering patient care focus of our Senior Advocacy Mission and our team of over 6,000.  Our organic admission and revenue growth continue to produce cash flow that further strengthens our balance sheet and positions us well for continued growth.”

First Quarter Financial Results

Almost Family reported first quarter results that included the impact of the Medicare reimbursement rate cut for 2011 which reduced consolidated and Visiting Nurse (VN) segment revenue and pre-tax operating income by $3.9 million. This was partially offset by volume growth.

Net service revenues for the first quarter grew to $82.6 million, a 2% increase from $81.3 million reported in the first quarter of 2010.

Net income for the first quarter of 2011 was $5.7 million, or $0.61 per diluted share, down from first quarter of 2010 net income of $7.4 million, or $0.80 per diluted share. Fees and expenses related to governmental inquiries lowered first quarter 2011 EPS by approximately $0.03 while deal costs lowered first quarter 2011 EPS by approximately $0.01, without which diluted EPS would have been $0.65.  There were no investigation or acquisition costs included in operating results for the first quarter of 2010.

 
 

 
Almost Family Reports First Quarter 2011 Results
Page  2
April 28, 2011



First Quarter Segment Results

Net service revenues in the VN segment for the first quarter grew to $72.7 million, a 1.6% increase from $71.5 million in the first quarter of 2010, after the $3.9 million effect of the previously mentioned Medicare rate cut.  Organic Medicare admissions grew 8.2%, while completed episodes grew 5.7%.  Operating income before corporate expenses in the VN segment for the first quarter of 2011 was $13.0 million, a $2.9 million decrease from $15.9 million reported for the first quarter of 2010 as the impact of VN admission growth offset approximately $1.0 million of the Medicare rate cut.

Net service revenues in the Personal Care (PC) segment for the first quarter of 2011 grew 1.4% or $0.1 million to $9.9 million from $9.8 million in the first quarter of 2010.  Operating income before unallocated corporate expenses in the PC segment increased 24.2% to $1.5 million from $1.2 million in the first quarter of 2010.  In 2011, the Company discontinued its personal care operations previously located in Boston MA.

Regulatory Inquiries and Shareholder Litigation
As previously announced, the Company is continuing to cooperate fully with investigators from the US Senate Finance Committee and the US Securities and Exchange Commission regarding their inquiries following an April 27, 2010 Wall Street Journal article related to Medicare home health therapy services.  Fees and expenses associated with these inquiries and their impact on the Company’s financial results are described above.

Conference Call

A conference call to review the results will begin at 11:00 a.m. ET on April 28, 2011, and will be hosted by William Yarmuth, Chief Executive Officer, and Steve Guenthner, Chief Financial Officer. To participate in the conference call, please dial 1-877-407-0789 (USA) or 1-201-689-8562 (International).  In addition, a dial-up replay of the conference call will be available beginning April 28, 2011 at 2:00 p.m. ET and ending on May 12, 2011. The replay telephone number is 1-877-870-5176 (USA) or 1-858-384-5517 (International). Pin number 371592.

A live Web cast of the call will also be available from the Investor Relations section of the corporate Web site at http://www.almostfamily.com. A Web cast replay can be accessed on the corporate Web site beginning April 28, 2011 at approximately 2:00 p.m. ET and will remain available until May 28, 2011.



 
 

 
Almost Family Reports First Quarter 2011 Results
Page  3
April 28, 2011


 
 
ALMOST FAMILY, INC. AND SUBSIDIARIES
 
CONSOLIDATED STATEMENTS OF INCOME
 
(UNAUDITED)
 
(In thousands, except per share data)
 
             
   
Three Months Ended March 31,
 
   
2011
   
2010
 
 Net service revenues
  $ 82,594     $ 81,312  
 Cost of service revenues (excluding depreciation and amortization)
    38,965       37,206  
 Gross margin
    43,629       44,106  
 General and administrative expenses:
               
 Salaries and benefits
    24,339       22,274  
 Other
    9,687       9,287  
 Total general and administrative expenses
    34,026       31,561  
 Operating income
    9,603       12,545  
 Interest expense, net
    (55 )     (89 )
 Income before income taxes
    9,548       12,456  
 Income tax expense
    (3,843 )     (5,013 )
 Net income
  $ 5,705     $ 7,443  
                 
 Per share amounts-basic:
               
 Average shares outstanding
    9,205       9,071  
 Net income
  $ 0.62     $ 0.82  
                 
 Per share amounts-diluted:
               
 Average shares outstanding
    9,329       9,326  
 Net income
  $ 0.61     $ 0.80  




 
 

 
Almost Family Reports First Quarter 2011 Results
Page  4
April 28, 2011


 
 
ALMOST FAMILY, INC. AND SUBSIDIARIES
 
CONSOLIDATED BALANCE SHEETS
 
(In thousands)
 
   
   
March 31, 2011
       
 ASSETS
 
(UNAUDITED)
   
December 31, 2010
 
 CURRENT ASSETS:
           
 Cash and cash equivalents
  $ 55,462     $ 47,943  
 Accounts receivable - net
    41,106       39,772  
 Prepaid expenses and other current assets
    6,105       3,513  
 Deferred tax assets
    7,325       8,521  
 TOTAL CURRENT ASSETS
    109,998       99,749  
                 
 PROPERTY AND EQUIPMENT - NET
    4,283       4,514  
 GOODWILL
    101,060       101,060  
 OTHER INTANGIBLE ASSETS
    14,258       14,285  
 OTHER ASSETS
    533       519  
    $ 230,132     $ 220,127  
                 
 LIABILITIES AND STOCKHOLDERS' EQUITY
               
 CURRENT LIABILITIES:
               
 Accounts payable
  $ 5,746     $ 5,424  
 Accrued other liabilities
    23,612       20,529  
 Current portion - capital leases and notes payable
    141       1,695  
 TOTAL CURRENT LIABILITIES
    29,499       27,648  
                 
 LONG-TERM LIABILITIES:
               
 Notes payable
    1,325       1,325  
 Deferred tax liabilities
    9,160       8,763  
 Other liabilities
    140       223  
 TOTAL LONG-TERM LIABILITIES
    10,625       10,311  
 TOTAL LIABILITIES
    40,124       37,959  
                 
 STOCKHOLDERS' EQUITY:
               
 Preferred stock, par value $0.05; authorized
               
 2,000 shares; none issued or outstanding
    -       -  
 Common stock, par value $0.10; authorized
               
 25,000; 9,364 and 9,239
               
 issued and outstanding
    937       924  
 Treasury stock, at cost, 8 and 4 shares
    (297 )     (139 )
 Additional paid-in capital
    99,353       97,073  
 Retained earnings
    90,015       84,310  
 TOTAL STOCKHOLDERS' EQUITY
    190,008       182,168  
    $ 230,132     $ 220,127  



 
 

 
Almost Family Reports First Quarter 2011 Results
Page  5
April 28, 2011


 
 
ALMOST FAMILY, INC. AND SUBSIDIARIES
 
CONSOLIDATED STATEMENTS OF CASH FLOWS
 
(UNAUDITED)
 
 (In thousands)  
       
                                                                                                          
Three Months Ended March 31,
 
   
2011
   
2010
 
 Cash flows from operating activities:
           
 Net income
  $ 5,705     $ 7,443  
 Adjustments to reconcile income to net cash provided by operating activities:
               
 Depreciation and amortization
    745       669  
 Provision for uncollectible accounts
    605       814  
 Stock-based compensation
    392       430  
 Deferred income taxes
    1,592       1,059  
      9,039       10,415  
 Change in certain net assets and liabilities, net of the effects of acquisitions:
               
 (Increase) decrease in:
               
 Accounts receivable
    (1,939 )     (1,882 )
 Prepaid expenses and other current assets
    248       293  
 Other assets
    (14 )     6  
 Increase in:
               
 Accounts payable and accrued expenses
    929       4,750  
 Net cash provided by operating activities
    8,263       13,582  
                 
 Cash flows from investing activities:
               
 Capital expenditures
    (434 )     (467 )
 Acquisitions, net of cash acquired
    -       (1 )
 Net cash used in investing activities
    (434 )     (468 )
                 
 Cash flows from financing activities:
               
 Proceeds from exercise of stock options
    43       107  
 Purchase of common stock in connection with share awards
    (391 )     (31 )
 Tax benefit from share awards
    1,592       21  
 Principal payments on capital leases and notes payable
    (1,554 )     (1,600 )
 Net cash used in financing activities
    (310 )     (1,503 )
                 
 Net increase  in cash and cash equivalents
    7,519       11,611  
 Cash and cash equivalents at beginning of period
    47,943       19,389  
 Cash and cash equivalents at end of period
  $ 55,462     $ 31,000  
                 
 Summary of non-cash investing and financing activities:
               
 Settlement of Directors Deferred Compensation Plan
  $ 501     $ -  








 
 

 
Almost Family Reports First Quarter 2011 Results
Page  6
April 28, 2011


 
 
ALMOST FAMILY, INC. AND SUBSIDIARIES
 
RESULTS OF OPERATIONS
 
(UNAUDITED)
 
(In thousands)
 
   
   
Three Months Ended March 31,
 
   
2011
   
2010
   
Change
 
   
Amount
   
% Rev
   
Amount
   
% Rev
   
Amount
   
%
 
Net service revenues:
                                   
 Visiting Nurse
  $ 72,690       88.0 %   $ 71,541       88.0 %   $ 1,149       1.6 %
 Personal Care
    9,904       12.0 %     9,771       12.0 %     133       1.4 %
    $ 82,594       100.0 %   $ 81,312       100.0 %   $ 1,282       1.6 %
Operating income before corporate expenses:
                                               
 Visiting Nurse
  $ 13,010       17.9 %   $ 15,883       22.2 %   $ (2,873 )     -18.1 %
 Personal Care
    1,459       14.7 %     1,176       12.0 %     283       24.1 %
      14,469       17.5 %     17,059       21.0 %     (2,590 )     -15.2 %
Corporate expenses
    4,866       5.9 %     4,514       5.6 %     352       7.8 %
Operating income
    9,603       11.6 %     12,545       15.4 %     (2,942 )     -23.5 %
Interest expense, net
    55       0.1 %     89       0.1 %     (34 )     -38.2 %
Income tax expense
    3,843       4.7 %     5,013       6.2 %     (1,170 )     -23.3 %
Net income
  $ 5,705       6.9 %   $ 7,443       9.2 %   $ (1,738 )     -23.4 %
                                                 
EBITDA
  $ 10,740       13.0 %   $ 13,644       16.8 %   $ (2,904 )     -21.3 %
 
 
 
 
 

 
Almost Family Reports First Quarter 2011 Results
Page  7
April 28, 2011


ALMOST FAMILY, INC. AND SUBSIDIARIES
 
VISITING NURSE SEGMENT OPERATING METRICS
 
                                     
   
Three Months Ended March 31,
 
   
2011
   
2010
   
Change
 
   
Amount
   
% Rev
   
Amount
   
% Rev
   
Amount
   
%
 
Average number of locations
    91             84             7       8.3 %
                                             
All payors:
                                           
Patients Months
    52,486             50,528             1,958       3.9 %
Admissions
    15,675             14,664             1,011       6.9 %
Billable Visits
    479,807             460,223             19,584       4.3 %
                                             
Medicare Statisitics:
                                           
Revenue (in thousands)
  $ 67,304       92.6 %   $ 65,698       91.8 %   $ 1,606       2.4 %
Billable visits
    407,502               381,958               25,544       6.7 %
Admissions
    14,352               13,268               1,084       8.2 %
Recertifications
    8,327               8,104               223       2.8 %
Episodes Completed
    21,427               20,262               1,165       5.7 %
                                                 
Revenue per completed episode
  $ 2,998             $ 3,133             $ (135 )     -4.3 %
Visits per episode
    18.0               18.0               -       0.0 %
                                                 
PERSONAL CARE OPERATING METRICS
 
                                                 
   
Three Months Ended March 31,
 
      2011               2010            
Change
 
   
Amount
           
Amount
           
Amount
   
%
 
Average number of locations
    23               23               -       0.0 %
                                                 
Admissions
    781               792               (11 )     -1.4 %
Patient months of care
    10,949               11,300               (351 )     -3.1 %
Patient days of care
    140,631               141,232               (601 )     -0.4 %
Billable hours
    551,514               556,339               (4,825 )     -0.9 %
Revenue per billable hour
  $ 17.96             $ 17.56             $ 0.39       2.2 %
 
Non-GAAP Financial Measure
The information provided in some of the tables in this release includes certain non-GAAP financial measures as defined under Securities and Exchange Commission (SEC) rules.  In accordance with SEC rules, the Company has provided, in the supplemental information and the footnotes to the tables, a reconciliation of those measures to the most directly comparable GAAP measures.

EBITDA
Earnings before interest, taxes, depreciation and amortization (EBITDA) is not a measure of financial performance under accounting principles generally accepted in the United States of America.  It should not be considered in isolation or as a substitute for net

 
 

 
Almost Family Reports First Quarter 2011 Results
Page  8
April 28, 2011


income, operating income, cash flows from operating, investing or financing activities, or any other measure calculated in accordance with generally accepted accounting principles. The items excluded from EBITDA are significant components in understanding and evaluating financial performance and liquidity. Management routinely calculates and communicates EBITDA and believes that it is useful to investors because it is commonly used as an analytical indicator within our industry to evaluate performance, measure leverage capacity and debt service ability, and to estimate current or prospective enterprise value. EBITDA is also used in certain covenants contained in our credit agreement.

The following tables set forth a reconciliation of net income to EBITDA:


(In thousands)
 
   
   
Three Months Ended March 31,
 
   
2011
   
2010
 
Net income
  $ 5,705     $ 7,443  
Add back:
               
Interest expense
    55       89  
Income tax expense
    3,843       5,013  
Depreciation and amortization
    745       669  
Amortization of stock-based compensation
    392       430  
Earnings before interest, income taxes, depreciation and amortization (EBITDA)
  $ 10,740     $ 13,644  

About Almost Family
Almost Family, Inc., founded in 1976, is a leading regional provider of home health nursing services, with branch locations in Florida, Kentucky, New Jersey, Connecticut, Ohio, Massachusetts, Missouri, Alabama, Illinois, Pennsylvania, and Indiana (in order of revenue significance). Almost Family, Inc. and its subsidiaries operate a Medicare-certified segment and a personal care segment. Altogether, Almost Family operates over 110 branch locations in 11 U.S. states.

Forward Looking Statements
All statements, other than statements of historical facts, included in this news release are forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements may be identified by the use of forward-looking terminology such as "may," "will," "expect," "believe," "estimate," "project," "anticipate," "continue," or similar terms, variations of those terms or the negative of those terms. These forward-looking statements are based on the Company's current plans, expectations and projections about future events.

Because forward-looking statements involve risks and uncertainties, the Company's actual results could differ materially from any future results, performance or achievements expressed or implied by such forward-looking statements. The potential risks and uncertainties which could cause actual results to differ materially include: regulatory approvals or third party consents may not be obtained, the impact of further changes in healthcare reimbursement systems, including the ultimate outcome of potential changes to Medicare reimbursement for home health services and to Medicaid reimbursement due to state budget shortfalls; the ability of the Company to maintain its level of operating performance and achieve its cost control objectives; changes in

 
 

 
Almost Family Reports First Quarter 2011 Results
Page  9
April 28, 2011


our relationships with referral sources; the ability of the Company to integrate acquired operations; government regulation; health care reform; pricing pressures from Medicare, Medicaid and other third-party payers; changes in laws and interpretations of laws relating to the healthcare industry; and the Company’s self-insurance risks.  For a more complete discussion regarding these and other factors which could affect the Company's financial performance, refer to the Company's various filings with the Securities and Exchange Commission, including its filing on Form 10-K for the year ended December 31, 2010, in particular information under the headings "Special Caution Regarding Forward-Looking Statements" and “Risk Factors.” The Company undertakes no obligation to update or revise its forward-looking statements.