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Exhibit 99.1

 

LOGO

AMEDISYS REPORTS THIRD QUARTER 2020 FINANCIAL RESULTS

UPDATES 2020 GUIDANCE

BATON ROUGE, Louisiana (October 28, 2020) — Amedisys, Inc. (NASDAQ: AMED) today reported its financial results for the three and nine-month periods ended September 30, 2020.

Three-Month Periods Ended September 30, 2020 and 2019

 

   

Net service revenue increased $49.5 million to $544.1 million compared to $494.6 million in 2019.

 

   

Net income attributable to Amedisys, Inc. of $72.0 million compared to $34.1 million in 2019.

 

   

Net income attributable to Amedisys, Inc. per diluted share of $2.16 (inclusive of $0.72 income tax benefit related to executive stock option exercise) compared to $1.03 in 2019.

Adjusted Quarterly Results*

 

   

Adjusted EBITDA of $75.7 million compared to $56.8 million in 2019.

 

   

Adjusted net service revenue of $544.1 million compared to $494.6 million in 2019.

 

   

Adjusted net income attributable to Amedisys, Inc. of $74.6 million compared to $37.9 million in 2019.

 

   

Adjusted net income attributable to Amedisys, Inc. per diluted share of $2.24 (inclusive of $0.72 income tax benefit related to executive stock option exercise) compared to $1.15 in 2019.

Nine-Month Periods Ended September 30, 2020 and 2019

 

   

Net service revenue increased $65.9 million to $1,520.8 million compared to $1,454.9 million in 2019.

 

   

Net income attributable to Amedisys, Inc. of $138.5 million compared to $99.2 million in 2019.

 

   

Net income attributable to Amedisys, Inc. per diluted share of $4.16 (inclusive of $0.72 income tax benefit related to executive stock option exercise) compared to $3.01 in 2019.

Adjusted Year to Date Results*

 

   

Adjusted EBITDA of $195.4 million compared to $173.0 million in 2019.

 

   

Adjusted net service revenue of $1,520.8 million compared to $1,460.9 million in 2019.

 

   

Adjusted net income attributable to Amedisys, Inc. of $153.9 million compared to $114.2 million in 2019.

 

   

Adjusted net income attributable to Amedisys, Inc. per diluted share of $4.63 (inclusive of $0.72 income tax benefit related to executive stock option exercise) compared to $3.47 in 2019.

 

*

See pages 13-15 for the definition and reconciliations of non-GAAP financial measures to GAAP measures.

Paul B. Kusserow, President and Chief Executive Officer stated, “I am very proud of our third quarter results which have bested both our internal and external expectations and have allowed us to increase our full year 2020 guidance ranges. Home health and hospice have shown strong recoveries and returned to growth this quarter which is no small feat given the continued impact of COIVD-19. We are well underway with our integration of Aseracare, have paid down a large portion of our already low debt and continue to drive prodigious amounts of cash flow. Most importantly, we have done all of this while delivering the highest quality care and continuing our relentless focus on clinical quality. The importance of caring for people in their homes, wherever they call home, has never been more evident, and as such, we are well positioned for continued success. A special thank you to all of our clinician staff for continuing to do what you do best. It is because of your compassion, bravery and tireless efforts that we are able to deliver another great quarter.”

 

1


Updated 2020 Guidance

 

   

Net service revenue is anticipated to be in the range of $2.067 billion to $2.072 billion.

 

   

Adjusted EBITDA is anticipated to be in the range of $269 million to $272 million.

 

   

Adjusted diluted earnings per share is anticipated to be in the range of $6.02 to $6.08 (inclusive of $0.72 income tax benefit related to executive stock option exercise) based on an estimated 33.4 million shares outstanding.

This guidance excludes the effects of any future acquisitions, if any are made.

We urge caution in considering the current trends and 2020 guidance disclosed in this press release. The home health, hospice and personal care industries are highly competitive and subject to intensive regulations, and trends are subject to numerous factors, risks, and uncertainties, some of which are referenced in the cautionary language below and others that are described more fully in our reports filed with the Securities and Exchange Commission (“SEC”) including our Annual Report on Form 10-K for the fiscal year ended December 31, 2019, subsequent Quarterly Reports on Form 10-Q, and current reports on Form 8-K which can be found on the SEC’s internet website, http://www.sec.gov, and our internet website, http://www.amedisys.com.

Earnings Call and Webcast Information

Amedisys will host a conference call on Thursday, October 29, 2020, at 11:00 a.m. ET to discuss its third quarter results. To participate on the conference call, please call before 11:00 a.m. ET to either (877) 524-8416 (Toll-Free) or (412) 902-1028 (Toll). A replay of the conference call will be available through November 29, 2020 by dialing (877) 660-6853 (Toll-Free) or (201) 612-7415 (Toll) and entering conference ID #13712002.

A live webcast of the call will be accessible through our website on our Investor Relations section at the following web address: http://investors.amedisys.com.

Non-GAAP Financial Measures

This press release includes reconciliations of the most comparable financial measures calculated and presented in accordance with accounting principles generally accepted in the U.S. (“GAAP”) to non-GAAP financial measures. The non-GAAP financial measures as defined under SEC rules are as follows: (1) adjusted EBITDA, defined as net income attributable to Amedisys, Inc. before provision for income taxes, net interest expense and depreciation and amortization, excluding certain items; (2) adjusted net service revenue, defined as net service revenue excluding certain items; (3) adjusted other operating income, defined as other operating income excluding certain items; (4) adjusted net income attributable to Amedisys, Inc., defined as net income attributable to Amedisys, Inc. excluding certain items; and (5) adjusted net income attributable to Amedisys, Inc. per diluted share, defined as net income attributable to Amedisys, Inc. common stockholders per diluted share excluding certain items. Management believes that these non-GAAP financial measures, when reviewed in conjunction with GAAP financial measures, are useful gauges of our current performance and are also included in internal management reporting. These non-GAAP financial measures should be considered in addition to, and not more meaningful than or as an alternative to the GAAP financial measures presented in this earnings release and the company’s financial statements. Non-GAAP measures as presented herein may not be comparable to similarly titled measures reported by other companies since not all companies calculate these non-GAAP measures consistently.

Additional Information

Amedisys, Inc. (the “Company”) is a leading healthcare at home company delivering personalized home health, hospice and personal care. Amedisys is focused on delivering the care that is best for our patients, whether that is home-based personal care; recovery and rehabilitation after an operation or injury; care focused on empowering our patients to manage a chronic disease; or hospice care at the end of life. More than 2,600 hospitals and 67,000 physicians nationwide have chosen Amedisys as a partner in post-acute care. Founded in 1982, headquartered in Baton Rouge, LA with an executive office in Nashville, TN, Amedisys is a publicly held company. With more than 21,000 employees in 516 care centers within 39 states and the District of Columbia, Amedisys is dedicated to delivering the highest quality of care to the doorsteps of more than 415,000 patients and clients in need every year. For more information about the Company, please visit: www.amedisys.com.

We use our website as a channel of distribution for important company information. Important information, including press releases, investor presentations and financial information regarding our company, is routinely posted on and accessible on the Investor Relations subpage of our website, which is accessible by clicking on the tab labeled “Investors” on our website home page. Visitors to our website can also register to receive automatic e-mail and other notifications alerting them when new information is made available on the Investor Relations subpage of our website.

 

2


Forward-Looking Statements

When included in this press release, words like “believes,” “belief,” “expects,” “strategy,” “plans,” “anticipates,” “intends,” “projects,” “estimates,” “may,” “might,” “could,” “would,” “should” and similar expressions are intended to identify forward-looking statements as defined by the Private Securities Litigation Reform Act of 1995. These forward-looking statements involve a variety of risks and uncertainties that could cause actual results to differ materially from those described therein. These risks and uncertainties include, but are not limited to the following: the impact of the novel coronavirus pandemic (“COVID-19”), including the measures that have been and may be taken by governmental authorities to mitigate it, on our business, financial condition and results of operations, changes in or our failure to comply with existing federal and state laws or regulations or the inability to comply with new government regulations on a timely basis, changes in Medicare and other medical payment levels, our ability to open care centers, acquire additional care centers and integrate and operate these care centers effectively, competition in the healthcare industry, changes in the case mix of patients and payment methodologies, changes in estimates and judgments associated with critical accounting policies, our ability to maintain or establish new patient referral sources, our ability to consistently provide high-quality care, our ability to attract and retain qualified personnel, our ability to keep our patients and employees safe, changes in payments and covered services by federal and state governments, future cost containment initiatives undertaken by third-party payors, our access to financing, our ability to meet debt service requirements and comply with covenants in debt agreements, business disruptions due to natural disaster, acts of terrorism, widespread protest or civil unrest, our ability to integrate, manage and keep our information systems secure, our ability to realize the anticipated benefits of acquisitions and changes in law or developments with respect to any litigation relating to the Company, including various other matters, many of which are beyond our control.

Because forward-looking statements are inherently subject to risks and uncertainties, some of which cannot be predicted or quantified, you should not rely on any forward-looking statement as a prediction of future events. We expressly disclaim any obligation or undertaking and we do not intend to release publicly any updates or changes in our expectations concerning the forward-looking statements or any changes in events, conditions or circumstances upon which any forward-looking statement may be based, except as required by law.

 

Contact:    Investor Contact:    Media Contact:
   Amedisys, Inc.    Amedisys, Inc.
   Nick Muscato    Kendra Kimmons
   Senior Vice President, Finance    Vice President, Marketing & Communications
   (855) 259-2046    (225) 299-3720
   IR@amedisys.com    kendra.kimmons@amedisys.com

 

3


AMEDISYS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(Amounts in thousands, except per share data)

(Unaudited)

 

     For the Three-Month
Periods Ended September 30,
    For the Nine-Month
Periods Ended September 30,
 
     2020     2019     2020     2019  

Net service revenue

   $ 544,070   $ 494,631   $ 1,520,814   $ 1,454,955

Other operating income

     4,812     —         27,592     —    

Cost of service, excluding depreciation and amortization

     297,668     288,708     878,633     854,734

General and administrative expenses:

        

Salaries and benefits

     123,146     99,941     330,329     293,127

Non-cash compensation

     7,124     6,298     19,758     18,451

Other

     49,348     48,474     142,616     140,284

Depreciation and amortization

     8,283     4,366     19,955     12,440
  

 

 

   

 

 

   

 

 

   

 

 

 

Operating expenses

     485,569     447,787     1,391,291     1,319,036
  

 

 

   

 

 

   

 

 

   

 

 

 

Operating income

     63,313     46,844     157,115     135,919

Other income (expense):

        

Interest income

     31     15     258     59

Interest expense

     (2,692     (3,778     (8,675     (11,459

Equity in earnings from equity method investments

     1,435     (812     2,399     4,120

Miscellaneous, net

     122     1,975     (2,318     2,404
  

 

 

   

 

 

   

 

 

   

 

 

 

Total other expense, net

     (1,104     (2,600     (8,336     (4,876
  

 

 

   

 

 

   

 

 

   

 

 

 

Income before income taxes

     62,209     44,244     148,779     131,043

Income tax benefit (expense)

     10,202     (9,919     (9,175     (31,105
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income

     72,411     34,325     139,604     99,938

Net income attributable to noncontrolling interests

     (430     (193     (1,147     (760
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income attributable to Amedisys, Inc.

   $ 71,981   $ 34,132   $ 138,457   $ 99,178
  

 

 

   

 

 

   

 

 

   

 

 

 

Basic earnings per common share:

        

Net income attributable to Amedisys, Inc. common stockholders

   $ 2.20   $ 1.06   $ 4.26   $ 3.09

Weighted average shares outstanding

     32,662     32,211     32,469     32,096

Diluted earnings per common share:

        

Net income attributable to Amedisys, Inc. common stockholders

   $ 2.16   $ 1.03   $ 4.16   $ 3.01

Weighted average shares outstanding

     33,260     33,002     33,267     32,944

 

4


AMEDISYS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS

(Amounts in thousands, except share data)

 

     September 30,
2020
(unaudited)
    December 31,
2019
 
ASSETS     

Current assets:

    

Cash and cash equivalents

   $ 112,904   $ 30,294

Restricted cash

     2,549     66,196

Patient accounts receivable

     250,777     237,596

Prepaid expenses

     14,906     8,243

Other current assets

     30,114     8,225
  

 

 

   

 

 

 

Total current assets

     411,250     350,554

Property and equipment, net of accumulated depreciation of $101,512 and $96,137

     24,104     28,113

Operating lease right of use assets

     94,273     84,791

Goodwill

     931,483     658,500

Intangible assets, net of accumulated amortization of $17,165 and $7,044

     84,143     64,748

Deferred income taxes

     24,189     21,427

Other assets

     33,278     54,612
  

 

 

   

 

 

 

Total assets

   $ 1,602,720   $ 1,262,745
  

 

 

   

 

 

 
LIABILITIES AND EQUITY     

Current liabilities:

    

Accounts payable

   $ 39,037   $ 31,259

Payroll and employee benefits

     126,543     120,877

Accrued expenses

     170,743     137,111

Provider relief fund advance

     60,000     —    

Current portion of long-term obligations

     10,711     9,927

Current portion of operating lease liabilities

     30,462     27,769
  

 

 

   

 

 

 

Total current liabilities

     437,496     326,943

Long-term obligations, less current portion

     300,576     232,256

Operating lease liabilities, less current portion

     62,519     56,128

Other long-term obligations

     44,386     5,905
  

 

 

   

 

 

 

Total liabilities

     844,977     621,232
  

 

 

   

 

 

 

Equity:

    

Preferred stock, $0.001 par value, 5,000,000 shares authorized; none issued or outstanding

     —         —    

Common stock, $0.001 par value, 60,000,000 shares authorized; 37,457,444 and 36,638,021 shares issued; and 32,802,785 and 32,284,051 shares outstanding

     37     37

Additional paid-in capital

     690,099     645,256

Treasury stock, at cost 4,654,659 and 4,353,970 shares of common stock

     (318,771     (251,241

Accumulated other comprehensive income

     —         15

Retained earnings

     384,840     246,383
  

 

 

   

 

 

 

Total Amedisys, Inc. stockholders’ equity

     756,205     640,450

Noncontrolling interests

     1,538     1,063
  

 

 

   

 

 

 

Total equity

     757,743     641,513
  

 

 

   

 

 

 

Total liabilities and equity

   $ 1,602,720   $ 1,262,745
  

 

 

   

 

 

 

 

5


AMEDISYS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS AND DAYS REVENUE OUTSTANDING

(Amounts in thousands, except statistical information)

(Unaudited)

 

     For the Three-Month
Periods Ended September 30,
    For the Nine-Month
Periods Ended September 30,
 
     2020     2019     2020     2019  

Cash Flows from Operating Activities:

        

Net income

   $ 72,411   $ 34,325   $ 139,604   $ 99,938

Adjustments to reconcile net income to net cash provided by operating activities:

        

Depreciation and amortization

     8,283     4,366     19,955     12,440

Non-cash compensation

     7,124     6,298     19,758     18,451

Non-cash 401(k) employer match

     —         2,859     —         7,545

Amortization and impairment of operating lease right of use assets

     10,591     9,519     29,149     27,014

Loss (gain) on disposal of property and equipment

     17     8     (77     6

Loss on sale of equity method investment

     —         —         2,980       —    

Write-off of other comprehensive income

     —         —         (15     —    

Deferred income taxes

     1,274     11,923     (2,762     17,798

Equity in earnings from equity method investments

     (1,435     812     (2,399     (4,120

Amortization of deferred debt issuance costs/debt discount

     216     220     653     653

Return on equity investment

     1,175     2,885     3,919     3,727

Changes in operating assets and liabilities, net of impact of acquisitions:

        

Patient accounts receivable

     (2,511     (15,304     6,486     (39,469

Other current assets

     (24,748     (1,851     (28,217     (10,194

Other assets

     584     258     (91     202

Accounts payable

     4,825     1,330     (1,627     (8,145

Accrued expenses

     (2,396     (1,359     25,594     27,903

Other long-term obligations

     17,735     (50     38,481     (231

Operating lease liabilities

     (9,211     (7,916     (25,576     (24,116

Operating lease right of use assets

     (851     (868     (2,775     (2,622
  

 

 

   

 

 

   

 

 

   

 

 

 

Net cash provided by operating activities

     83,083     47,455     223,040     126,780
  

 

 

   

 

 

   

 

 

   

 

 

 

Cash Flows from Investing Activities:

        

Proceeds from sale of deferred compensation plan assets

     73     74     94     287

Proceeds from the sale of property and equipment

     —         12     80     158

Purchases of property and equipment

     (1,294     (3,644     (2,995     (6,337

Investments in equity method investees

     —         —         (875     (210

Proceeds from sale of equity method investment

     —         —         17,876     —    

Acquisitions of businesses, net of cash acquired

     —         (46     (299,723     (345,460
  

 

 

   

 

 

   

 

 

   

 

 

 

Net cash used in investing activities

     (1,221     (3,604     (285,543     (351,562
  

 

 

   

 

 

   

 

 

   

 

 

 

Cash Flows from Financing Activities:

        

Proceeds from issuance of stock upon exercise of stock options

     3,123     2,045     6,070     3,388

Proceeds from issuance of stock to employee stock purchase plan

     914     850     2,600     2,384

Shares withheld to pay taxes on non-cash compensation

     (47,788     (4,895     (54,172     (9,385

Noncontrolling interest distribution

     (300     (453     (672     (910

Proceeds from borrowings under term loan

     —         —         —         175,000

Proceeds from borrowings under revolving line of credit

     7,500     8,000     432,000     192,500

Repayments of borrowings under revolving line of credit

     (97,500     (41,000     (357,000     (133,000

Principal payments of long-term obligations

     (2,685     (1,543     (7,360     (3,820

Debt issuance costs

     —         —         —         (847

Provider relief fund advance

     (10,000     —         60,000     —    
  

 

 

   

 

 

   

 

 

   

 

 

 

Net cash provided by (used in) financing activities

     (146,736     (36,996     81,466     225,310

Net (decrease) increase in cash, cash equivalents and restricted cash

     (64,874     6,855     18,963     528

Cash, cash equivalents and restricted cash at beginning of period

     180,327     13,902     96,490     20,229
  

 

 

   

 

 

   

 

 

   

 

 

 

Cash, cash equivalents and restricted cash at end of period

   $ 115,453   $ 20,757   $ 115,453   $ 20,757
  

 

 

   

 

 

   

 

 

   

 

 

 

 

6


Supplemental Disclosures of Cash Flow Information:

           

Cash paid for interest

   $ 1,610    $ 3,569    $ 4,902    $ 7,756
  

 

 

    

 

 

    

 

 

    

 

 

 

Cash paid for income taxes, net of refunds received

   $ 22,137    $ 9,807    $ 30,290    $ 17,656
  

 

 

    

 

 

    

 

 

    

 

 

 

Cash paid for operating lease liabilities

   $ 10,062    $ 8,784    $ 28,351    $ 26,738
  

 

 

    

 

 

    

 

 

    

 

 

 

Cash paid for finance lease liabilities

   $ 497    $ —      $ 1,483    $ 792
  

 

 

    

 

 

    

 

 

    

 

 

 

Supplemental Disclosures of Non-Cash Activity:

           

Right of use assets obtained in exchange for operating lease liabilities

   $ 10,982    $ 4,635    $ 29,876    $ 110,304
  

 

 

    

 

 

    

 

 

    

 

 

 

Right of use assets obtained in exchange for finance lease liabilities

   $ 335    $ 845    $ 822    $ 1,806
  

 

 

    

 

 

    

 

 

    

 

 

 

Reductions to right of use assets resulting from reductions to operating lease liabilities

   $ 360    $ 324    $ 767    $ 1,235
  

 

 

    

 

 

    

 

 

    

 

 

 

Days revenue outstanding (1)

     40.0      44.5      40.0      44.5

 

  (1)

Our calculation of days revenue outstanding at September 30, 2020 and 2019 is derived by dividing our ending patient accounts receivable by our average daily patient revenue for the three-month periods ended September 30, 2020 and 2019, respectively.

 

7


AMEDISYS, INC. AND SUBSIDIARIES

SEGMENT INFORMATION

(Amounts in millions, except statistical information)

(Unaudited)

Segment Information - Home Health

 

     For the Three-Month Periods
Ended September 30,
 
     2020     2019  

Financial Information (in millions):

    

Medicare

   $ 222.2   $ 211.5

Non-Medicare

     103.8     100.0
  

 

 

   

 

 

 

Net service revenue

     326.0     311.5

Other operating income

     2.6     —    

Cost of service

     180.0     188.9
  

 

 

   

 

 

 

Gross margin

     148.6     122.6

Other operating expenses

     79.8     76.5
  

 

 

   

 

 

 

Operating income

   $ 68.8   $ 46.1
  

 

 

   

 

 

 

Same Store Growth (1):

    

Medicare revenue

     5     2

Non-Medicare revenue

     4     16

Total admissions

     5     9

Total volume (2)

     6     6

Key Statistical Data - Total (3):

    

Admissions

     85,578     81,937

Recertifications

     47,094     43,340
  

 

 

   

 

 

 

Total volume

     132,672     125,277

Medicare completed episodes (6)

     77,552     75,807

Average Medicare revenue per completed episode (4) (6)

   $ 2,886   $ 2,836

Medicare visits per completed episode (5) (6)

     14.4     16.9

Visiting Clinician Cost per Visit

   $ 89.10   $ 83.68

Clinical Manager Cost per Visit

   $ 8.91   $ 8.09
  

 

 

   

 

 

 

Total Cost per Visit

   $ 98.01   $ 91.77

Visits

     1,836,895     2,057,184

 

8


     For the Nine-Month Periods
Ended September 30,
 
     2020     2019  

Financial Information (in millions):

    

Medicare

   $ 619.0   $ 644.0

Non-Medicare

     300.8     296.2
  

 

 

   

 

 

 

Net service revenue

     919.8     940.2

Other operating income

     17.7     —    

Cost of service

     543.8     562.4
  

 

 

   

 

 

 

Gross margin

     393.7     377.8

Other operating expenses

     229.6     224.0
  

 

 

   

 

 

 

Operating income

   $ 164.1   $ 153.8
  

 

 

   

 

 

 

Same Store Growth (1):

    

Medicare revenue

     (4 %)      4

Non-Medicare revenue

     2     18

Total admissions

     (1 %)      7

Total volume (2)

     2     6

Key Statistical Data - Total (3):

    

Admissions

     245,880     247,669

Recertifications

     135,263     128,496
  

 

 

   

 

 

 

Total volume

     381,143     376,165

Medicare completed episodes (6)

     221,848     229,229

Average Medicare revenue per completed episode (4) (6)

   $ 2,811   $ 2,853

Medicare visits per completed episode (5) (6)

     15.2     17.1

Visiting Clinician Cost per Visit

   $ 88.64   $ 82.23

Clinical Manager Cost per Visit

   $ 9.10   $ 7.91
  

 

 

   

 

 

 

Total Cost per Visit

   $ 97.74   $ 90.14

Visits

     5,563,992     6,238,758

 

(1)

Same store information represents the percent change in our Medicare, Non-Medicare and Total revenue, admissions or volume for the period as a percent of the Medicare, Non-Medicare and Total revenue, admissions or volume of the prior period. Effective July 1, 2019, same store is defined as care centers that we have operated for at least the last twelve months and startups that are an expansion of a same store care center.

(2)

Total volume includes all admissions and recertifications.

(3)

Total includes acquisitions and denovos.

(4)

Average Medicare revenue per completed episode is the average Medicare revenue earned for each Medicare completed episode of care. Average Medicare revenue per completed episode for the three and nine-month periods ended September 30, 2020 reflects the suspension of sequestration effective May 1, 2020. Additionally average Medicare revenue per completed episode for the nine-month period ended September 30, 2020 reflects the transition to PDGM during the year and therefore includes reimbursement under both the 60-day episode of care (pre-PDGM) payment rate and the 30-day period of care (PDGM) payment rate.

(5)

Medicare visits per completed episode are the home health Medicare visits on completed episodes divided by the home health Medicare episodes completed during the period.

(6)

Prior year amounts have been recast to conform to the current year calculation.

 

9


Segment Information - Hospice

 

     For the Three-Month Periods
Ended September 30,
 
     2020     2019  

Financial Information (in millions):

    

Medicare

   $ 189.0   $ 153.5

Non-Medicare

     10.7     8.9
  

 

 

   

 

 

 

Net service revenue

     199.7     162.4

Other operating income

     1.7     —    

Cost of service

     104.1     84.5
  

 

 

   

 

 

 

Gross margin

     97.3     77.9

Other operating expenses

     48.4     36.2
  

 

 

   

 

 

 

Operating income

   $ 48.9   $ 41.7
  

 

 

   

 

 

 

Same Store Growth (1):

    

Medicare revenue

     3     10

Hospice admissions

     9     4

Average daily census

         5

Key Statistical Data - Total (2):

    

Hospice admissions

     13,026     9,914

Average daily census

     13,953     11,565

Revenue per day, net

   $ 155.57   $ 152.67

Cost of service per day

   $ 81.05   $ 79.51

Average discharge length of stay

     101     98

 

     For the Nine-Month Periods
Ended September 30,
 
     2020     2019  

Financial Information (in millions):

    

Medicare

   $ 516.5   $ 430.0

Non-Medicare

     29.7     22.6
  

 

 

   

 

 

 

Net service revenue

     546.2     452.6

Other operating income

     8.9     —    

Cost of service

     293.1     245.9
  

 

 

   

 

 

 

Gross margin

     262.0     206.7

Other operating expenses

     129.1     100.9
  

 

 

   

 

 

 

Operating income

   $ 132.9   $ 105.8
  

 

 

   

 

 

 

Same Store Growth (1):

    

Medicare revenue

     4     6

Hospice admissions

     3     5

Average daily census

     1     6

Key Statistical Data - Total (2):

    

Hospice admissions

     35,755     30,055

Average daily census

     12,841     10,997

Revenue per day, net

   $ 155.23   $ 150.77

Cost of service per day

   $ 83.29   $ 81.92

Average discharge length of stay

     98     98

 

  (1)

Same store information represents the percent change in our Medicare revenue, Hospice admissions or average daily census for the period as a percent of the Medicare revenue, Hospice admissions or average daily census of the prior period. Effective July 1, 2019, same store is defined as care centers that we have operated for at least the last twelve months and startups that are an expansion of a same store care center.

  (2)

Total includes acquisitions and denovos.

 

10


Segment Information - Personal Care

 

     For the Three-Month Periods
Ended September 30,
 
     2020      2019  

Financial Information (in millions):

     

Medicare

   $ —      $ —  

Non-Medicare

     18.4      20.7
  

 

 

    

 

 

 

Net service revenue

     18.4      20.7

Other operating income

     0.5       

Cost of service

     13.5      15.3
  

 

 

    

 

 

 

Gross margin

     5.4      5.4

Other operating expenses

     3.2      3.1
  

 

 

    

 

 

 

Operating income

   $ 2.2    $ 2.3
  

 

 

    

 

 

 

Key Statistical Data - Total (1):

     

Billable hours

     673,161      824,251

Clients served

     10,153      12,687

Shifts

     280,470      370,451

Revenue per hour

   $ 27.33    $ 25.12

Revenue per shift

   $ 65.59    $ 55.90

Hours per shift

     2.4      2.2

 

     For the Nine-Month Periods
Ended September 30,
 
     2020      2019  

Financial Information (in millions):

     

Medicare

   $ —      $ —  

Non-Medicare

     54.8      62.1
  

 

 

    

 

 

 

Net service revenue

     54.8      62.1

Other operating income

     1.0      —    

Cost of service

     41.7      46.4
  

 

 

    

 

 

 

Gross margin

     14.1      15.7

Other operating expenses

     9.6      9.5
  

 

 

    

 

 

 

Operating income

   $ 4.5    $ 6.2
  

 

 

    

 

 

 

Key Statistical Data - Total (1):

     

Billable hours

     2,067,958      2,506,113

Clients served

     14,057      16,134

Shifts

     896,141      1,128,920

Revenue per hour

   $ 26.51    $ 24.77

Revenue per shift

   $ 61.18    $ 55.00

Hours per shift

     2.3      2.2

 

  (1)

Total includes acquisitions.

 

11


Segment Information - Corporate

 

     For the Three-Month Periods
Ended September 30,
 
     2020      2019  

Financial Information (in millions):

     

Other operating expenses

   $ 49.9    $ 40.4

Depreciation and amortization

     6.7      2.9
  

 

 

    

 

 

 

Total operating expenses

   $ 56.6    $ 43.3
  

 

 

    

 

 

 

 

     For the Nine-Month Periods
Ended September 30,
 
     2020      2019  

Financial Information (in millions):

     

Other operating expenses

   $ 129.2    $ 122.0

Depreciation and amortization

     15.2      7.9
  

 

 

    

 

 

 

Total operating expenses

   $ 144.4    $ 129.9
  

 

 

    

 

 

 

 

12


AMEDISYS, INC. AND SUBSIDIARIES

RECONCILIATION OF NON-GAAP FINANCIAL MEASURES TO GAAP MEASURES

(Amounts in thousands)

(Unaudited)

Adjusted Earnings Before Interest, Taxes, Depreciation and Amortization (“Adjusted EBITDA”) Reconciliation:

 

     For the Three-
Month Periods
Ended September 30,
     For the Nine-
Month Periods
Ended September 30,
 
     2020      2019      2020      2019  

Net income attributable to Amedisys, Inc.

   $ 71,981    $ 34,132    $ 138,457    $ 99,178

Add:

           

Income tax (benefit) expense

     (10,202      9,919      9,175      31,105

Interest expense, net

     2,661      3,763      8,417      11,400

Depreciation and amortization

     8,283      4,366      19,955      12,440

Certain items (1)

     3,494      5,088      20,843      20,259

Interest component of certain items (1)

     (558      (451      (1,450      (1,338
  

 

 

    

 

 

    

 

 

    

 

 

 

Adjusted EBITDA (2) (7)

   $ 75,659    $ 56,817    $ 195,397    $ 173,044
  

 

 

    

 

 

    

 

 

    

 

 

 

Adjusted Net Service Revenue Reconciliation:

 

     For the Three-
Month Periods
Ended September 30,
     For the Nine-
Month Periods
Ended September 30,
 
     2020      2019      2020      2019  

Net service revenue

   $ 544,070    $ 494,631    $ 1,520,814    $ 1,454,955

Add:

           

Certain items (1)

     —          —          —          5,993
  

 

 

    

 

 

    

 

 

    

 

 

 

Adjusted net service revenue (3) (7)

   $ 544,070    $ 494,631    $ 1,520,814    $ 1,460,948
  

 

 

    

 

 

    

 

 

    

 

 

 

Adjusted Other Operating Income Reconciliation:

 

     For the Three-
Month Periods
Ended September 30,
     For the Nine-
Month Periods
Ended September 30,
 
     2020      2019      2020      2019  

Other operating income

   $ 4,812    $ —      $ 27,592    $ —  

Add:

           

Certain items (1)

     (4,812      —          (27,592      —    
  

 

 

    

 

 

    

 

 

    

 

 

 

Adjusted other operating income (4) (7)

   $ —         $ —      $ —        $ —  
  

 

 

    

 

 

    

 

 

    

 

 

 

Adjusted Net Income Attributable to Amedisys, Inc Reconciliation:

 

     For the Three-
Month Periods
Ended September 30,
     For the Nine-
Month Periods
Ended September 30,
 
     2020      2019      2020      2019  

Net income attributable to Amedisys, Inc.

   $ 71,981    $ 34,132    $ 138,457    $ 99,178

Add:

           

Certain items (1)

     2,585      3,765      15,424      14,992
  

 

 

    

 

 

    

 

 

    

 

 

 

Adjusted net income attributable to Amedisys, Inc. (5) (7)

   $ 74,566    $ 37,897    $ 153,881    $ 114,170
  

 

 

    

 

 

    

 

 

    

 

 

 

 

13


Adjusted Net Income Attributable to Amedisys, Inc. per Diluted Share Reconciliation:

 

     For the Three-
Month Periods
Ended September 30,
     For the Nine-
Month Periods
Ended September 30,
 
     2020      2019      2020      2019  

Net income attributable to Amedisys, Inc. common stockholders per diluted share

   $ 2.16    $ 1.03    $ 4.16    $ 3.01

Add:

           

Certain items (1)

     0.08      0.11      0.46      0.46
  

 

 

    

 

 

    

 

 

    

 

 

 

Adjusted net income attributable to Amedisys, Inc. common stockholders per diluted share (6) (7)

   $ 2.24    $ 1.15    $ 4.63    $ 3.47
  

 

 

    

 

 

    

 

 

    

 

 

 

 

(1)

The following details the certain items for the three and nine-month periods ended September 30, 2020 and 2019:

Certain Items:

 

     For the Three-Month Period
Ended September 30, 2020
     For the Nine-Month Period
Ended September 30, 2020
 
     (Income) Expense      (Income) Expense  

Certain Items Impacting Other Operating Income:

     

CARES Act & State COVID-19 grants

   $ (4,812    $ (27,592

Certain Items Impacting Cost of Service:

     

COVID-19 costs

     4,389      27,399

Severance - reductions in staffing levels

     (550      4,633

Certain Items Impacting Operating Expenses:

     

Acquisition and integration costs

     3,626      9,561

COVID-19 costs

     322      1,385

Severance - reductions in staffing levels

     —          271

Certain Items Impacting Total Other Income (Expense):

     

Interest component of certain items

     558      1,450

Other (income) expense, net

     (39      3,736
  

 

 

    

 

 

 

Total

   $ 3,494    $ 20,843
  

 

 

    

 

 

 

Net of tax

     2,585      15,424
  

 

 

    

 

 

 

Diluted EPS

   $ 0.08    $ 0.46
  

 

 

    

 

 

 

 

     For the Three-Month Period
Ended September 30, 2019
     For the Nine-Month Period
Ended September 30, 2019
 
     (Income) Expense      (Income) Expense  

Certain Items Impacting Net Service Revenue:

     

Contingency accrual

   $ —        $ 6,541

Planned closures (8)

     —          (548

Certain Items Impacting Cost of Service:

     

Planned closures (8)

     15      1,172

Certain Items Impacting Operating Expenses:

     

Planned closures (8)

     28      185

Acquisition and integration costs

     4,141      14,393

Legal fees - non-routine

     397      373

Certain Items Impacting Total Other Income (Expense):

     

Interest component of certain items

     451      1,338

Other (income) expense, net

     56      (3,195
  

 

 

    

 

 

 

Total

   $ 5,088    $ 20,259
  

 

 

    

 

 

 

Net of tax

     3,765      14,992
  

 

 

    

 

 

 

Diluted EPS

   $ 0.11    $ 0.46
  

 

 

    

 

 

 

 

14


(2)

Adjusted EBITDA is defined as net income attributable to Amedisys, Inc. before provision for income taxes, net interest expense and depreciation and amortization, excluding certain items as described in footnote 1.

(3)

Adjusted net service revenue is defined as net service revenue excluding certain items as described in footnote 1.

(4)

Adjusted other operating income is defined as other operating income excluding certain items as described in footnote 1.

(5)

Adjusted net income attributable to Amedisys, Inc. is defined as net income attributable to Amedisys, Inc. calculated in accordance with GAAP excluding certain items as described in footnote 1.

(6)

Adjusted net income attributable to Amedisys, Inc. common stockholders per diluted share is defined as diluted income per share calculated in accordance with GAAP excluding the earnings per share effect of certain items as described in footnote 1.

(7)

Adjusted EBITDA, adjusted net service revenue, adjusted other operating income, adjusted net income attributable to Amedisys, Inc. and adjusted net income attributable to Amedisys, Inc. common stockholders per diluted share should not be considered as an alternative to, or more meaningful than, income before income taxes or other measures calculated in accordance with GAAP. These calculations may not be comparable to a similarly titled measure reported by other companies, since not all companies calculate these non-GAAP financial measures in the same manner.

(8)

Planned closures consist of in-patient units acquired from Compassionate Care Hospice whose operations ceased in April 2019.

 

15