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Exhibit 99.1

 

LOGO

AMEDISYS REPORTS FOURTH QUARTER AND YEAR END 2020 FINANCIAL RESULTS

ISSUES 2021 GUIDANCE

ANNOUNCES EXECUTIVE PROMOTIONS

BATON ROUGE, Louisiana (February 24, 2021) — Amedisys, Inc. (NASDAQ: AMED) today reported its financial results for the three-month period and year ended December 31, 2020.

Three-Month Periods Ended December 31, 2020 and 2019

 

   

Net service revenue increased $50.0 million to $550.7 million compared to $500.7 million in 2019.

 

   

Net income attributable to Amedisys, Inc. of $45.2 million compared to $27.7 million in 2019.

 

   

Net income attributable to Amedisys, Inc. per diluted share of $1.36 compared to $0.83 in 2019.

Adjusted Quarterly Results*

 

   

Adjusted EBITDA of $78.1 million compared to $52.2 million in 2019.

 

   

Adjusted net service revenue of $550.7 million compared to $500.7 million in 2019.

 

   

Adjusted net income attributable to Amedisys, Inc. of $49.5 million compared to $31.1 million in 2019.

 

   

Adjusted net income attributable to Amedisys, Inc. per diluted share of $1.49 compared to $0.94 in 2019.

Years Ended December 31, 2020 and 2019

 

   

Net service revenue increased $115.9 million to $2,071.5 million compared to $1,955.6 million in 2019.

 

   

Net income attributable to Amedisys, Inc. of $183.6 million compared to $126.8 million in 2019.

 

   

Net income attributable to Amedisys, Inc. per diluted share of $5.52 compared to $3.84 in 2019.

Adjusted Year End Results*

 

   

Adjusted EBITDA of $273.5 million compared to $225.3 million in 2019.

 

   

Adjusted net service revenue of $2,071.5 million compared to $1,961.6 million in 2019.

 

   

Adjusted net income attributable to Amedisys, Inc. of $203.3 million compared to $145.2 million in 2019.

 

   

Adjusted net income attributable to Amedisys, Inc. per diluted share of $6.11 compared to $4.40 in 2019.

 

*

See pages 13-16 for the definition and reconciliations of non-GAAP financial measures to GAAP measures.

2021 Guidance

 

   

Net service revenue is anticipated to be in the range of $2.275 billion to $2.315 billion.

 

   

Adjusted EBITDA is anticipated to be in the range of $315 million to $325 million.

 

   

Adjusted diluted earnings per share is anticipated to be in the range of $6.25 to $6.47 based on an estimated 33.4 million shares outstanding.

 

1


This guidance excludes the effects of any future acquisitions and potential share repurchases, if any are made.

Executive Promotions

On February 18, 2021, the Board of Directors (the “Board”) of the Company promoted Christopher T. Gerard, currently the Company’s Chief Operating Officer, to President and Chief Operating Officer and Scott G. Ginn, currently the Company’s Chief Financial Officer, to Executive Vice President and Chief Financial Officer, effective immediately.

Paul B. Kusserow, Chairman and Chief Executive Officer stated, “I am very proud of our fourth quarter and full year 2020 results. This was an incredible year under normal circumstances, throw in PDGM and a pandemic and I really could not be more proud of the team for all we accomplished. 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. I would also like to congratulate Chris Gerard on his promotion to President and COO and Scott Ginn on his promotion to Executive Vice President and CFO. Chris and Scott have been integral to both the company’s operational success as well as in setting our strategic direction. This is a fitting reward for their great work!”

We urge caution in considering the current trends and 2021 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, 2020, and subsequent Quarterly Reports on Form 10-Q, and current reports on Form 8-K which can be found on the SEC’s internet website, http://www.sec.gov, and our internet website, http://www.amedisys.com.

Earnings Call and Webcast Information

Amedisys will host a conference call on Thursday, February 25, 2021, at 11:00 a.m. ET to discuss its fourth quarter and year end 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 March 25, 2021 by dialing (877) 660-6853 (Toll-Free) or (201) 612-7415 (Toll) and entering conference ID #13715337.

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 net interest expense, provision for income taxes 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.

 

2


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 2,900 hospitals and 78,000 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 approximately 21,000 employees in 514 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 418,000 patients and clients in need every year. For more information about the Company, please visit: www.amedisys.com.

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

Forward-Looking Statements

When included in this press release, words like “believes,” “belief,” “expects,” “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 disasters or 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

CONSOLIDATED STATEMENTS OF OPERATIONS

(Amounts in thousands, except per share data)

 

     For the Three-Month
Periods Ended December 31,
    For the Years Ended
December 31,
 
     2020     2019     2020     2019  
     (Unaudited)              

Net service revenue

   $ 550,705   $ 500,678   $ 2,071,519   $ 1,955,633

Other operating income

     6,780     —         34,372     —    

Cost of service, excluding depreciation and amortization

     306,736     295,603     1,185,369     1,150,337

General and administrative expenses:

        

Salaries and benefits

     119,119     101,325     449,448     394,452

Non-cash compensation

     6,972     6,589     26,730     25,040

Other

     49,506     48,150     192,122     188,434

Depreciation and amortization

     8,847     5,988     28,802     18,428

Asset impairment charge

     4,152     1,470     4,152     1,470
  

 

 

   

 

 

   

 

 

   

 

 

 

Operating expenses

     495,332     459,125     1,886,623     1,778,161
  

 

 

   

 

 

   

 

 

   

 

 

 

Operating income

     62,153     41,553     219,268     177,472

Other income (expense):

        

Interest income

     34     19     292     78

Interest expense

     (2,363     (3,056     (11,038     (14,515

Equity in earnings from equity method investments

     1,567     1,218     3,966     5,338

Miscellaneous, net

     649     (367     (1,669     2,037
  

 

 

   

 

 

   

 

 

   

 

 

 

Total other expense, net

     (113     (2,186     (8,449     (7,062
  

 

 

   

 

 

   

 

 

   

 

 

 

Income before income taxes

     62,040     39,367     210,819     170,410

Income tax expense

     (16,460     (11,398     (25,635     (42,503
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income

     45,580     27,969     185,184     127,907

Net income attributable to noncontrolling interests

     (429     (314     (1,576     (1,074
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income attributable to Amedisys, Inc.

   $ 45,151   $ 27,655   $ 183,608   $ 126,833
  

 

 

   

 

 

   

 

 

   

 

 

 

Basic earnings per common share:

        

Net income attributable to Amedisys, Inc. common stockholders

   $ 1.38   $ 0.86   $ 5.64   $ 3.95

Weighted average shares outstanding

     32,825     32,278     32,559     32,142

Diluted earnings per common share:

        

Net income attributable to Amedisys, Inc. common stockholders

   $ 1.36   $ 0.83   $ 5.52   $ 3.84

Weighted average shares outstanding

     33,243     33,123     33,268     32,990

 

4


AMEDISYS, INC. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS

(Amounts in thousands, except share data)

 

     As of December 31,  
   2020     2019  
ASSETS     

Current assets:

    

Cash and cash equivalents

   $ 81,808   $ 30,294

Restricted cash

     1,549     66,196

Patient accounts receivable

     255,145     237,596

Prepaid expenses

     10,217     8,243

Other current assets

     13,265     8,225
  

 

 

   

 

 

 

Total current assets

     361,984     350,554

Property and equipment, net of accumulated depreciation of $95,024 and $96,137

     23,719     28,113

Operating lease right of use assets

     93,440     84,791

Goodwill

     932,685     658,500

Intangible assets, net of accumulated amortization of $22,973 and $7,044

     74,183     64,748

Deferred income taxes

     47,987     21,427

Other assets

     33,200     54,612
  

 

 

   

 

 

 

Total assets

   $ 1,567,198   $ 1,262,745
  

 

 

   

 

 

 
LIABILITIES AND EQUITY     

Current liabilities:

    

Accounts payable

   $ 42,674   $ 31,259

Payroll and employee benefits

     146,929     120,877

Accrued expenses

     166,192     137,111

Provider relief fund advance

     60,000     —    

Current portion of long-term obligations

     10,496     9,927

Current portion of operating lease liabilities

     30,046     27,769
  

 

 

   

 

 

 

Total current liabilities

     456,337     326,943

Long-term obligations, less current portion

     204,511     232,256

Operating lease liabilities, less current portion

     61,987     56,128

Other long-term obligations

     33,622     5,905
  

 

 

   

 

 

 

Total liabilities

     756,457     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; 37,470,212 and 36,638,021 shares issued; and 32,814,278 and 32,284,051 shares outstanding

     38     37

Additional paid-in capital

     698,287     645,256

Treasury stock at cost, 4,655,934 and 4,353,970 shares of common stock

     (319,092     (251,241

Accumulated other comprehensive income

     —         15

Retained earnings

     429,991     246,383
  

 

 

   

 

 

 

Total Amedisys, Inc. stockholders’ equity

     809,224     640,450

Noncontrolling interests

     1,517     1,063
  

 

 

   

 

 

 

Total equity

     810,741     641,513
  

 

 

   

 

 

 

Total liabilities and equity

   $ 1,567,198   $ 1,262,745
  

 

 

   

 

 

 

 

5


AMEDISYS, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS AND DAYS REVENUE OUTSTANDING

(Amounts in thousands, except statistical information)

 

     For the Three-Month
Periods Ended December 31,
    For the Years Ended
December 31,
 
     2020     2019     2020     2019  
     (Unaudited)              

Cash Flows from Operating Activities:

        

Net income

   $ 45,580   $ 27,969   $ 185,184   $ 127,907

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

        

Depreciation and amortization

     8,847     5,988     28,802     18,428

Non-cash compensation

     6,972     6,589     26,730     25,040

Non-cash 401(k) employer match

     —         2,964     —         10,509

Amortization and impairment of operating lease right of use assets

     9,991     8,891     39,140     35,905

Loss (gain) on disposal of property and equipment

     47     135     (30     141

Loss on sale of equity method investment

     —         —         2,980     —    

Write-off of other comprehensive income

     —         —         (15     —    

Deferred income taxes

     (23,798     (4,332     (26,560     13,466

Equity in earnings from equity method investments

     (1,567     (1,218     (3,966     (5,338

Amortization of deferred debt issuance costs/debt discount

     216     220     869     873

Return on equity investment

     1,525     1,228     5,444     4,955

Asset impairment charge

     4,152     1,470     4,152     1,470

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

        

Patient accounts receivable

     (4,372     15,323     2,114     (24,146

Other current assets

     21,036     7,512     (7,181     (2,682

Other assets

     122     630     31     832

Accounts payable

     3,568     (3,184     1,941     (11,329

Accrued expenses

     14,245     14,193     39,839     42,096

Other long-term obligations

     (10,764     (98     27,717     (329

Operating lease liabilities

     (9,119     (8,179     (34,695     (32,295

Operating lease right of use assets

     (769     (881     (3,544     (3,503
  

 

 

   

 

 

   

 

 

   

 

 

 

Net cash provided by operating activities

     65,912     75,220     288,952     202,000
  

 

 

   

 

 

   

 

 

   

 

 

 

Cash Flows from Investing Activities:

        

Proceeds from sale of deferred compensation plan assets

     7     161     101     448

Proceeds from the sale of property and equipment

     —         4     80     162

Purchases of property and equipment

     (2,337     (1,551     (5,332     (7,888

Investments in equity method investees

     —         —         (875     (210

Proceeds from sale of equity method investment

     —         —         17,876     —    

Acquisitions of businesses, net of cash acquired

     765     —         (298,958     (345,460
  

 

 

   

 

 

   

 

 

   

 

 

 

Net cash used in investing activities

     (1,565     (1,386     (287,108     (352,948
  

 

 

   

 

 

   

 

 

   

 

 

 

Cash Flows from Financing Activities:

        

Proceeds from issuance of stock upon exercise of stock options

     255     223     6,325     3,611

Proceeds from issuance of stock to employee stock purchase plan

     962     803     3,562     3,187

Shares withheld to pay taxes on non-cash compensation

     (321     (171     (54,493     (9,556

Non-controlling interest distribution

     (450     (152     (1,122     (1,062

Proceeds from borrowings under term loan

     —         —         —         175,000

Proceeds from borrowings under revolving line of credit

     252,200     70,000     684,200     262,500

Repayments of borrowings under revolving line of credit

     (346,200     (67,000     (703,200     (200,000

Principal payments of long-term obligations

     (2,889     (1,804     (10,249     (5,624

Debt issuance costs

     —         —         —         (847

Provider relief fund advance

     —         —         60,000     —    
  

 

 

   

 

 

   

 

 

   

 

 

 

Net cash (used in) provided by financing activities

     (96,443     1,899     (14,977     227,209

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

     (32,096     75,733     (13,133     76,261

Cash, cash equivalents and restricted cash at beginning of period

     115,453     20,757     96,490     20,229
  

 

 

   

 

 

   

 

 

   

 

 

 

Cash, cash equivalents and restricted cash at end of period

   $ 83,357   $ 96,490   $ 83,357   $ 96,490
  

 

 

   

 

 

   

 

 

   

 

 

 

Supplemental Disclosures of Cash Flow Information:

        

Cash paid for interest

   $ 1,305   $ 1,872   $ 6,207   $ 9,628
  

 

 

   

 

 

   

 

 

   

 

 

 

Cash paid for income taxes, net of refunds received

   $ 20,431   $ 11,866   $ 50,721   $ 29,522
  

 

 

   

 

 

   

 

 

   

 

 

 

Days revenue outstanding (1)

     40.2     40.9     40.2     40.9

 

6


(1)

Our calculation of days revenue outstanding, net is derived by dividing our ending net patient accounts receivable at December 31, 2020 and 2019 by our average daily net patient service revenue for the three-month periods ended December 31, 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 December 31,
 
     2020     2019  

Financial Information (in millions):

    

Medicare

   $ 228.3   $ 215.2

Non-Medicare

     101.1     101.0
  

 

 

   

 

 

 

Net service revenue

     329.4     316.2

Other operating income

     2.5     —    

Cost of service

     186.1     191.7
  

 

 

   

 

 

 

Gross margin

     145.8     124.5

Asset impairment charge

     3.4     1.5

Other operating expenses

     81.5     77.4
  

 

 

   

 

 

 

Operating income

   $ 60.9   $ 45.6
  

 

 

   

 

 

 

Same Store Growth (1):

    

Medicare revenue

     6     2

Non-Medicare revenue

         10

Total admissions

     6     4

Total volume (2)

     5     4

Key Statistical Data - Total (3):

    

Admissions

     85,474     81,024

Recertifications

     45,932     44,072
  

 

 

   

 

 

 

Total volume

     131,406     125,096

Medicare completed episodes (6)

     80,008     77,291

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

   $ 2,906   $ 2,852

Medicare visits per completed episode (5) (6)

     14.0     16.8

Visiting Clinician Cost per Visit

   $ 92.62   $ 85.82

Clinical Manager Cost per Visit

   $ 9.38   $ 8.44
  

 

 

   

 

 

 

Total Cost per Visit

   $ 102.00   $ 94.26
  

 

 

   

 

 

 

Visits

     1,824,557     2,034,550

 

8


     For the Years Ended
December 31,
 
     2020     2019  

Financial Information (in millions):

    

Medicare

   $ 847.3   $ 859.2

Non-Medicare

     401.9     397.2
  

 

 

   

 

 

 

Net service revenue

     1,249.2     1,256.4

Other operating income

     20.2     —    

Cost of service

     729.9     754.1
  

 

 

   

 

 

 

Gross margin

     539.5     502.3

Asset impairment charge

     3.4     1.5

Other operating expenses

     311.1     301.4
  

 

 

   

 

 

 

Operating income

   $ 225.0   $ 199.4
  

 

 

   

 

 

 

Same Store Growth (1):

    

Medicare revenue

     (1 %)      4

Non-Medicare revenue

     1     16

Total admissions

     1     7

Total volume (2)

     2     5

Key Statistical Data - Total (3):

    

Admissions

     331,354     328,693

Recertifications

     181,195     172,568
  

 

 

   

 

 

 

Total volume

     512,549     501,261

Medicare completed episodes (6)

     301,856     306,520

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

   $ 2,836   $ 2,853

Medicare visits per completed episode (5) (6)

     14.9     17.0

Visiting Clinician Cost per Visit

   $ 89.62   $ 83.11

Clinical Manager Cost per Visit

   $ 9.17   $ 8.04
  

 

 

   

 

 

 

Total Cost per Visit

   $ 98.79   $ 91.15
  

 

 

   

 

 

 

Visits

     7,388,549     8,273,308

 

(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-month period and year ended December 31, 2020 reflects the the transition to PDGM effective January 1, 2020 and the suspension of sequestration effective May 1, 2020.

(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 December 31,
 
     2020     2019  

Financial Information (in millions):

    

Medicare

   $ 193.5   $ 156.6

Non-Medicare

     10.4     8.0
  

 

 

   

 

 

 

Net service revenue

     203.9     164.6

Other operating income

     4.2     —    

Cost of service

     107.5     89.2
  

 

 

   

 

 

 

Gross margin

     100.6     75.4

Asset impairment charge

     0.8     —    

Other operating expenses

     48.5     38.2
  

 

 

   

 

 

 

Operating income

   $ 51.3   $ 37.2
  

 

 

   

 

 

 

Same Store Growth (1):

    

Medicare revenue

     4     9

Hospice admissions

     15     1

Average daily census

         8

Key Statistical Data - Total (2):

    

Hospice admissions

     13,939     10,139

Average daily census

     13,793     11,660

Revenue per day, net

   $ 160.72   $ 153.42

Cost of service per day

   $ 84.72   $ 83.13

Average discharge length of stay

     102     100
     For the Years Ended
December 31,
 
     2020     2019  

Financial Information (in millions):

    

Medicare

   $ 710.0   $ 586.6

Non-Medicare

     40.1     30.6
  

 

 

   

 

 

 

Net service revenue

     750.1     617.2

Other operating income

     13.1     —    

Cost of service

     400.6     335.1
  

 

 

   

 

 

 

Gross margin

     362.6     282.1

Asset impairment charge

     0.8     —    

Other operating expenses

     177.6     139.1
  

 

 

   

 

 

 

Operating income

   $ 184.2   $ 143.0
  

 

 

   

 

 

 

Same Store Growth (1):

    

Medicare revenue

     4     7

Hospice admissions

     6     4

Average daily census

     1     7

Key Statistical Data - Total (2):

    

Hospice admissions

     49,694     40,194

Average daily census

     13,081     11,164

Revenue per day, net

   $ 156.69   $ 151.47

Cost of service per day

   $ 83.67   $ 82.24

Average discharge length of stay

     99     98

 

10


(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.

Segment Information - Personal Care

 

     For the Three-Month Periods
Ended December 31,
 
     2020      2019  

Financial Information (in millions):

     

Medicare

   $ —      $ —  

Non-Medicare

     17.4      19.9
  

 

 

    

 

 

 

Net service revenue

     17.4      19.9

Other operating income

     0.1      —    

Cost of service

     13.2      14.7
  

 

 

    

 

 

 

Gross margin

     4.3      5.2

Other operating expenses

     3.0      3.0
  

 

 

    

 

 

 

Operating income

   $ 1.3    $ 2.2
  

 

 

    

 

 

 

Key Statistical Data - Total (1):

     

Billable hours

     662,163      802,225

Clients served

     10,057      12,300

Shifts

     281,445      359,255

Revenue per hour

   $ 26.24    $ 24.88

Revenue per shift

   $ 61.74    $ 55.56

Hours per shift

     2.4      2.2

 

     For the Years Ended
December 31,
 
     2020      2019  

Financial Information (in millions):

     

Medicare

   $ —      $ —  

Non-Medicare

     72.2      82.0
  

 

 

    

 

 

 

Net service revenue

     72.2      82.0

Other operating income

     1.1      —    

Cost of service

     54.9      61.1
  

 

 

    

 

 

 

Gross margin

     18.4      20.9

Other operating expenses

     12.6      12.5
  

 

 

    

 

 

 

Operating income

   $ 5.8    $ 8.4
  

 

 

    

 

 

 

Key Statistical Data - Total (1):

     

Billable hours

     2,730,121      3,308,338

Clients served

     15,019      17,364

Shifts

     1,177,586      1,488,175

Revenue per hour

   $ 26.45    $ 24.80

Revenue per shift

   $ 61.31      $ 55.13

Hours per shift

     2.3      2.2

 

(1)

Total includes acquisitions.

 

11


Segment Information - Corporate

 

     For the Three-Month Periods
Ended December 31,
 
     2020      2019  

Financial Information (in millions):

     

Other operating expenses

   $ 44.0    $ 38.9

Depreciation and amortization

     7.3      4.5
  

 

 

    

 

 

 

Total operating expenses

   $ 51.3    $ 43.4
  

 

 

    

 

 

 
     For the Years Ended
December 31,
 
     2020      2019  

Financial Information (in millions):

     

Other operating expenses

   $ 173.2    $ 160.9

Depreciation and amortization

     22.5      12.4
  

 

 

    

 

 

 

Total operating expenses

   $ 195.7    $ 173.3
  

 

 

    

 

 

 

 

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 December 31,
     For the Years Ended
December 31,
 
     2020      2019      2020      2019  

Net income attributable to Amedisys, Inc.

   $ 45,151    $ 27,655    $ 183,608    $ 126,833

Add:

           

Income tax expense

     16,460      11,398      25,635      42,503

Interest expense, net

     2,329      3,037      10,746      14,437

Depreciation and amortization

     8,847      5,988      28,802      18,428

Certain items (1)

     5,815      4,618      26,658      24,877

Interest component of certain items (1)

     (464      (451      (1,914      (1,789
  

 

 

    

 

 

    

 

 

    

 

 

 

Adjusted EBITDA (2) (7)

   $ 78,138    $ 52,245    $ 273,535    $ 225,289
  

 

 

    

 

 

    

 

 

    

 

 

 

Adjusted Net Service Revenue Reconciliation:

 

     For the Three-Month Periods
Ended December 31,
     For the Years Ended
December 31,
 
     2020      2019      2020      2019  

Net service revenue

   $ 550,705    $ 500,678    $ 2,071,519    $ 1,955,633

Add:

           

Certain items (1)

     —          6      —          5,999
  

 

 

    

 

 

    

 

 

    

 

 

 

Adjusted net service revenue (3) (7)

   $ 550,705    $ 500,684    $ 2,071,519    $ 1,961,632
  

 

 

    

 

 

    

 

 

    

 

 

 

Adjusted Other Operating Income Reconciliation:

 

     For the Three-Month Periods
Ended December 31,
     For the Years Ended
December 31,
 
     2020      2019      2020            2019        

Other operating income

   $ 6,780    $ —      $ 34,372    $ —  

Add:

           

Certain items (1)

     (6,780      —          (34,372      —    
  

 

 

    

 

 

    

 

 

    

 

 

 

Adjusted other operating income (4) (7)

   $ —      $ —      $ —      $ —  
  

 

 

    

 

 

    

 

 

    

 

 

 

Adjusted Net Income Attributable to Amedisys, Inc Reconciliation:

 

     For the Three-Month Periods
Ended December 31,
     For the Years Ended
December 31,
 
     2020      2019      2020      2019  

Net income attributable to Amedisys, Inc.

   $ 45,151    $ 27,655    $ 183,608    $ 126,833

Add:

           

Certain items (1)

     4,303      3,417      19,727      18,409
  

 

 

    

 

 

    

 

 

    

 

 

 

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

   $ 49,454    $ 31,072    $ 203,335    $ 145,242
  

 

 

    

 

 

    

 

 

    

 

 

 

 

13


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

 

     For the Three-Month Periods
Ended December 31,
     For the Years Ended
December 31,
 
     2020      2019      2020      2019  

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

   $ 1.36    $ 0.83    $ 5.52    $ 3.84

Add:

           

Certain items (1)

     0.13      0.10      0.59      0.56
  

 

 

    

 

 

    

 

 

    

 

 

 

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

   $ 1.49    $ 0.94    $ 6.11    $ 4.40
  

 

 

    

 

 

    

 

 

    

 

 

 

 

(1)

The following details the certain items for the three-month periods and years ended December 31, 2020 and 2019:

Certain Items:

 

     For the Three-Month Period
Ended December 31, 2020
     For the Year Ended
December 31, 2020
 
     (Income) Expense      (Income) Expense  

Certain Items Impacting Other Operating Income:

     

CARES Act & State COVID-19 grants

     (6,780      (34,372

Certain Items Impacting Cost of Service:

     

COVID-19 costs

     6,568      33,967

Severance - reductions in staffing levels

     —          4,633

Certain Items Impacting Operating Expenses:

     

Acquisition and integration costs

     1,234      10,795

COVID-19 costs

     177      1,562

Severance - reductions in staffing levels

     —          271

Asset impairment

     4,152      4,152

Certain Items Impacting Total Other Income (Expense):

     

Interest component of certain items

     464      1,914

Other (income) expense, net

     —          3,736
  

 

 

    

 

 

 

Total

   $ 5,815    $ 26,658
  

 

 

    

 

 

 

Net of tax

   $ 4,303    $ 19,727
  

 

 

    

 

 

 

Diluted EPS

   $ 0.13    $ 0.59
  

 

 

    

 

 

 

 

14


     For the Three-Month Period
Ended December 31, 2019
     For the Year Ended
December 31, 2019
 
     (Income) Expense      (Income) Expense  

Certain Items Impacting Net Service Revenue:

     

Contingency accrual

   $ —      $ 6,541

Planned closures (8)

     6      (542

Certain Items Impacting Cost of Service:

     

Planned closures (8)

     2      1,174

Certain Items Impacting Operating Expenses:

     

Planned closures (8)

     2      187

Acquisition and integration costs

     1,718      16,111

Legal fees - non-routine

     604      977

Asset impairment

     1,470      1,470

Certain Items Impacting Total Other Income (Expense):

     

Legal settlements

     —          (1,437

Interest component of certain items

     451      1,789

Other (income) expense, net

     365      (1,393
  

 

 

    

 

 

 

Total

   $ 4,618    $ 24,877
  

 

 

    

 

 

 

Net of tax

   $ 3,417    $ 18,409
  

 

 

    

 

 

 

Diluted EPS

   $ 0.10    $ 0.56
  

 

 

    

 

 

 

 

15


(2)

Adjusted EBITDA is defined as net income attributable to Amedisys, Inc. before net interest expense, provision for income taxes 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.

 

16