EX-99.1 2 a20223112_991exhibit.htm EX-99.1 Document

Exhibit 99.1
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AMEDISYS REPORTS FOURTH QUARTER AND YEAR-END 2022 FINANCIAL RESULTS,
ISSUES 2023 GUIDANCE, ANNOUNCES SALE OF ITS PERSONAL CARE LINE OF BUSINESS AND SIGNS INNOVATIVE PALLIATIVE CARE AT HOME PARTNERSHIP WITH BLUECROSS BLUESHIELD OF TENNESSEE

BATON ROUGE, Louisiana (February 15, 2023) — Amedisys, Inc. (NASDAQ: AMED) today reported its financial results for the three-month period and year ended December 31, 2022.
Three-Month Periods Ended December 31, 2022 and 2021

Net service revenue increased $2.7 million to $562.0 million compared to $559.3 million in 2021.
Net income attributable to Amedisys, Inc. of $31.7 million compared to $34.0 million in 2021.
Net income attributable to Amedisys, Inc. per diluted share of $0.97 compared to $1.04 in 2021.

Adjusted Quarterly Results*

Adjusted EBITDA of $59.9 million compared to $64.8 million in 2021.
Adjusted net service revenue of $562.0 million compared to $559.3 million in 2021.
Adjusted net income attributable to Amedisys, Inc. of $38.0 million compared to $38.8 million in 2021.
Adjusted net income attributable to Amedisys, Inc. per diluted share of $1.16 compared to $1.18 in 2021.

Years Ended December 31, 2022 and 2021

Net service revenue increased $9.1 million to $2,223.2 million compared to $2,214.1 million in 2021.
Net income attributable to Amedisys, Inc. of $118.6 million compared to $209.1 million in 2021.
Net income attributable to Amedisys, Inc. per diluted share of $3.63 compared to $6.34 in 2021.

Adjusted Year End Results*

Adjusted EBITDA of $262.1 million compared to $299.6 million in 2021.
Adjusted net service revenue of $2,232.5 million compared to $2,207.6 million in 2021.
Adjusted net income attributable to Amedisys, Inc. of $163.4 million compared to $196.1 million in 2021.
Adjusted net income attributable to Amedisys, Inc. per diluted share of $5.01 compared to $5.95 in 2021.



* See pages 2 and 14-16 for the definition and reconciliations of non-GAAP financial measures to GAAP measures.
2023 Guidance
Adjusted net service revenue is anticipated to be in the range of $2.244 billion to $2.274 billion.
Adjusted EBITDA is anticipated to be in the range of $230 million to $240 million.
Adjusted diluted earnings per share is anticipated to be in the range of $4.13 to $4.36 based on an estimated 32.9 million shares outstanding.
This guidance excludes the effects of any future acquisitions and potential share repurchases, if any are made.
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Personal Care Divestiture
On February 10, 2023, we signed a definitive agreement to sell our personal care line of business (excluding the Florida operations). The divestment is expected to close during the second quarter of 2023.
BlueCross BlueShield of Tennessee Palliative Care Partnership
We also announced a new agreement between Contessa Health Management, LLC, an Amedisys subsidiary, and BlueCross BlueShield of Tennessee to provide members in Middle Tennessee with palliative care in the comfort of their home.

Paul B. Kusserow, Chairman and Chief Executive Officer stated, "I am very pleased with the way we closed out 2022 and thankful for the efforts of our nearly 20,000 associates who helped to deliver a strong quarter of performance. 2022 was a tumultuous year, but we are building momentum and have started 2023 off on the right foot. Our focus on people, growth, clinical optimization and Contessa will pay dividends as we progress throughout 2023, and our commitment to our patients and the highest quality care will help to further differentiate Amedisys. I am also thrilled to announce that we have signed an innovative partnership with BlueCross BlueShield of Tennessee to provide palliative care at home. This partnership is the first true example of the power of a combined Amedisys and Contessa platform, and we are excited to be able to expand our care continuum to best serve BlueCross BlueShield’s membership. Finally, we announced that we will be divesting our personal care line of business. We are committed to building personal care networks and look forward to the continued engagement with our network partners. 2023 will be an exciting year for Amedisys, and we look forward to consistency in our performance, continued innovation across all our lines of business and expanding our reach so that more patients can receive care where they want it most, their homes."
We urge caution in considering the current trends and 2023 guidance disclosed in this press release. The home health, hospice, personal care and high acuity 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, 2022, 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 16, 2023, 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 16, 2022 by dialing (877) 660-6853 (Toll-Free) or (201) 612-7415 (Toll) and entering conference ID #13735891.
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.
Additional information
Amedisys, Inc. (the “Company”) is a leading healthcare at home company delivering personalized home health, hospice, personal care and high acuity care services. 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. Over 3,000 hospitals and 102,000 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
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publicly held company. With approximately 20,000 employees in 532 care centers within 37 states and the District of Columbia, Amedisys is dedicated to delivering the highest quality of care to the doorsteps of more than 465,000 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: changes in Medicare and other medical payment levels; changes in payments and covered services by federal and state governments; future cost containment initiatives undertaken by third-party payors; changes in the episodic versus non-episodic mix of our payors or payment methodologies; changes in the case mix of our patients; staffing shortages driven by the competitive labor market; our ability to attract and retain qualified personnel; competition in the healthcare industry; our ability to maintain or establish new patient referral sources; 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; 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 estimates and judgments associated with critical accounting policies; our ability to consistently provide high-quality care; our ability to keep our patients and employees safe; our access to financing; our ability to meet debt service requirements and comply with covenants in debt agreements; business disruptions due to natural or man-made disasters, climate change or acts of terrorism, widespread protests or civil unrest; our ability to open care centers, acquire additional care centers and integrate and operate these care centers effectively; our ability to realize the anticipated benefits of acquisitions, investments and joint ventures; our ability to integrate, manage and keep our information systems secure; the impact of inflation; and changes in laws 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
Chief Strategy Officer             Vice President, Marketing & Communications
(615) 928-5452             (225) 299-3720
IR@amedisys.com             kendra.kimmons@amedisys.com

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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,
2022202120222021
(Unaudited)
Net service revenue$562,064 $559,317 $2,223,199 $2,214,112 
Other operating income— — — 13,300 
Cost of service, excluding depreciation and amortization317,167 317,168 1,260,425 1,233,356 
General and administrative expenses:
Salaries and benefits132,003 125,185 508,791 474,718 
         Non-cash compensation570 5,949 16,560 23,809 
Other60,856 53,718 228,707 212,713 
Depreciation and amortization5,230 9,138 24,935 30,901 
Impairment charge— — 3,009 — 
Operating expenses515,826 511,158 2,042,427 1,975,497 
Operating income46,238 48,159 180,772 251,915 
Other income (expense):
Interest income70 — 178 49 
Interest expense(5,781)(2,791)(22,228)(9,525)
Equity in earnings (loss) from equity method investments397 1,017 (45)4,949 
Gain on equity method investments— — 31,098 
Miscellaneous, net412 492 1,567 1,745 
Total other (expense) income, net(4,902)(1,276)(20,528)28,316 
Income before income taxes41,336 46,883 160,244 280,231 
Income tax expense(9,790)(12,873)(42,545)(70,065)
Net income31,546 34,010 117,699 210,166 
Net loss (income) attributable to noncontrolling interests171 37 910 (1,094)
Net income attributable to Amedisys, Inc.$31,717 $34,047 $118,609 $209,072 
Basic earnings per common share:
Net income attributable to Amedisys, Inc. common stockholders$0.98 $1.04 $3.65 $6.41 
Weighted average shares outstanding32,511 32,594 32,517 32,642 
Diluted earnings per common share:
Net income attributable to Amedisys, Inc. common stockholders$0.97 $1.04 $3.63 $6.34 
Weighted average shares outstanding32,602 32,823 32,653 32,972 

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AMEDISYS, INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
(Amounts in thousands, except share data)
As of December 31,
20222021
ASSETS
Current assets:
Cash and cash equivalents$40,540 $42,694 
Restricted cash13,593 3,075 
Patient accounts receivable296,785 274,961 
Prepaid expenses11,628 10,356 
Other current assets26,415 25,598 
Total current assets388,961 356,684 
Property and equipment, net of accumulated depreciation of $101,364 and $96,93716,026 18,435 
Operating lease right of use assets102,856 101,257 
Goodwill1,287,399 1,196,090 
Intangible assets, net of accumulated amortization of $14,604 and $19,900101,167 111,190 
Deferred income tax assets— 289 
Other assets79,836 73,023 
Total assets$1,976,245 $1,856,968 
LIABILITIES AND EQUITY
Current liabilities:
Accounts payable$43,735 $38,217 
Payroll and employee benefits125,387 141,001 
Accrued expenses137,390 150,836 
Current portion of long-term obligations15,496 12,995 
Current portion of operating lease liabilities33,521 31,233 
Total current liabilities355,529 374,282 
Long-term obligations, less current portion419,420 432,075 
Operating lease liabilities, less current portion69,504 69,309 
Deferred income tax liabilities20,411 — 
Other long-term obligations4,808 4,979 
Total liabilities869,672 880,645 
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; 37,891,186 and 37,674,868 shares issued; and 32,518,278 and 32,509,969 shares outstanding38 38 
Additional paid-in capital755,063 728,118 
Treasury stock at cost, 5,372,908 and 5,164,899 shares of common stock(461,200)(435,868)
Retained earnings757,672 639,063 
Total Amedisys, Inc. stockholders’ equity1,051,573 931,351 
Noncontrolling interests55,000 44,972 
Total equity1,106,573 976,323 
Total liabilities and equity$1,976,245 $1,856,968 


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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,
 2022202120222021
(Unaudited)
Cash Flows from Operating Activities:
Net income$31,546 $34,010 $117,699 $210,166 
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization5,230 9,138 24,935 30,901 
Non-cash compensation
570 5,949 16,560 23,809 
Amortization and impairment of operating lease right of use assets
11,247 10,183 46,029 40,364 
Loss (gain) on disposal of property and equipment12 (60)519 (124)
Gain on equity method investments— (6)— (31,098)
Deferred income taxes4,346 9,853 23,377 44,582 
Equity in (earnings) loss from equity method investments(397)(1,017)45 (4,949)
Amortization of deferred debt issuance costs/debt discount248 248 991 917 
Return on equity method investments1,365 1,075 5,163 5,343 
Impairment charge— — 3,009 — 
Changes in operating assets and liabilities, net of impact of acquisitions:
Patient accounts receivable4,036 (392)(14,230)(18,030)
Other current assets16,404 (5,983)(3,525)(12,202)
Other assets155 (79)438 (1,017)
Accounts payable(992)(3,161)4,894 (4,353)
Accrued expenses(12,592)(17,552)(39,382)(26,915)
Other long-term obligations(9,065)(27,011)(8,822)(28,796)
Operating lease liabilities(10,311)(9,273)(41,175)(36,645)
Operating lease right of use assets(919)(756)(3,242)(3,060)
Net cash provided by operating activities40,883 5,166 133,283 188,893 
Cash Flows from Investing Activities:
Proceeds from the sale of deferred compensation plan assets163 252 135 
Proceeds from the sale of property and equipment— 66 144 
Purchases of property and equipment(1,827)(1,115)(6,165)(6,302)
Investments in technology assets(202)(272)(1,050)(419)
Investment in equity method investee— (200)(637)(200)
Purchase of cost method investment— (5,000)(15,000)(5,000)
Acquisitions of businesses, net of cash acquired— (5,093)(71,952)(269,965)
Net cash used in investing activities(1,866)(11,667)(94,486)(281,607)
Cash Flows from Financing Activities:
Proceeds from issuance of stock upon exercise of stock options1,226 348 2,304 2,054 
Proceeds from issuance of stock to employee stock purchase plan991 946 3,848 3,968 
Shares withheld to pay taxes on non-cash compensation(32)(204)(7,981)(16,898)
Noncontrolling interest contributions1,401 250 3,501 250 
Noncontrolling interest distributions(136)(494)(1,561)(1,747)
Proceeds from sale of noncontrolling interest1,876 — 5,817 — 
Proceeds from borrowings under term loan— — — 290,312 
Proceeds from borrowings under revolving line of credit50,500 — 534,500 500,700 
Repayments of borrowings under revolving line of credit(69,000)— (534,500)(551,700)
Principal payments of long-term obligations(3,170)(3,250)(13,296)(9,143)
Debt issuance costs— — — (2,792)
Provider relief fund advance— (58,535)— (60,000)
Purchase of company stock— (14,999)(17,351)(99,878)
Payment of accrued contingent consideration— — (5,714)— 
Net cash (used in) provided by financing activities(16,344)(75,938)(30,433)55,126 
Net increase (decrease) in cash, cash equivalents and restricted cash22,673 (82,439)8,364 (37,588)
Cash, cash equivalents and restricted cash at beginning of period31,460 128,208 45,769 83,357 
Cash, cash equivalents and restricted cash at end of period$54,133 $45,769 $54,133 $45,769 
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For the Three-Month 
Periods Ended December 31,
For the Years Ended
December 31,
2022202120222021
(Unaudited)
Supplemental Disclosures of Cash Flow Information:
Cash paid for interest$5,786 $1,812 $14,939 $5,291 
Cash paid for Infinity ZPIC interest$1,211 $— $12,755 $— 
Cash paid for income taxes, net of refunds received$431 $8,615 $24,013 $34,097 
Supplemental Disclosures of Non-Cash Activity:
Accrued contingent consideration$— $— $19,195 $— 
Noncontrolling interest contribution$— $— $8,900 $— 
Days revenue outstanding (1)46.1 43.2 46.1 43.2 

(1) Our calculation of days revenue outstanding at December 31, 2022 and 2021 is derived by dividing our ending patient accounts receivable by our average daily patient revenue for the three-month periods ended December 31, 2022 and 2021, respectively.
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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,
 20222021
Financial Information (in millions):
Medicare$222.8 $230.1 
Non-Medicare119.8 107.2 
Net service revenue342.6 337.3 
Cost of service195.7 193.1 
Gross margin146.9 144.2 
Depreciation and amortization0.7 1.0 
Other general and administrative expenses89.1 84.7 
Operating income$57.1 $58.5 
Same Store Growth (1):
Medicare revenue(6 %)%
Non-Medicare revenue%%
Total admissions%%
Total volume (2)%%
Key Statistical Data - Total (3):
Admissions94,365 87,142 
Recertifications44,546 46,390 
Total volume138,911 133,532 
Medicare completed episodes75,835 78,693 
Average Medicare revenue per completed episode (4)$2,989 $2,951 
Medicare visits per completed episode (5)12.5 13.7 
Visiting clinician cost per visit$103.83 $98.16 
Clinical manager cost per visit11.73 10.39 
Total cost per visit$115.56 $108.55 
Visits1,693,215 1,778,512 







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 For the Years Ended
December 31,
 20222021
Financial Information (in millions):
Medicare$891.3 $914.5 
Non-Medicare464.2 439.3 
Net service revenue1,355.5 1,353.8 
Other operating income— 7.3 
Cost of service769.0 756.6 
Gross margin586.5 604.5 
Depreciation and amortization4.0 4.3 
Other general and administrative expenses348.5 328.5 
Operating income$234.0 $271.7 
Same Store Growth (1):
Medicare revenue(5 %)%
Non-Medicare revenue%%
Total admissions%%
Total volume (2)— %%
Key Statistical Data - Total (3):
Admissions374,631 353,075 
Recertifications178,101 183,134 
Total volume552,732 536,209 
Medicare completed episodes304,012 311,531 
Average Medicare revenue per completed episode (4)$3,010 $2,959 
Medicare visits per completed episode (5)12.9 13.9 
Visiting clinician cost per visit$99.90 $93.44 
Clinical manager cost per visit11.08 9.75 
Total cost per visit$110.98 $103.19 
Visits6,929,137 7,331,935 
(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. 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, start-ups 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 reflects the suspension of sequestration for the period January 1, 2021 through March 31, 2022 and the reinstatement of sequestration at 1% effective April 1, 2022 and at 2% effective July 1, 2022.
(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.





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Segment Information - Hospice
 For the Three-Month Periods
Ended December 31,
 20222021
Financial Information (in millions):
Medicare$186.3 $193.9 
Non-Medicare11.3 11.0 
Net service revenue197.6 204.9 
Cost of service103.3 110.8 
Gross margin94.3 94.1 
Depreciation and amortization0.6 0.7 
Other general and administrative expenses51.3 54.0 
Operating income$42.4 $39.4 
Same Store Growth (1):
Medicare revenue(4 %)— %
Hospice admissions(8 %)(1 %)
Average daily census(2 %)(4 %)
Key Statistical Data - Total (2):
Hospice admissions12,629 13,857 
Average daily census12,878 13,237 
Revenue per day, net$166.82 $168.24 
Cost of service per day$87.21 $91.01 
Average discharge length of stay94 90 
 For the Years Ended
December 31,
 20222021
Financial Information (in millions):
Medicare$744.1 $750.1 
Non-Medicare43.7 41.7 
Net service revenue787.8 791.8 
Other operating income — 6.0 
Cost of service426.5 425.2 
Gross margin361.3 372.6 
Depreciation and amortization2.3 2.7 
Other general and administrative expenses203.3 198.4 
Operating income$155.7 $171.5 
Same Store Growth (1):
Medicare revenue(1 %)— %
Hospice admissions(1 %)%
Average daily census(1 %)(4 %)
Key Statistical Data - Total (2):
Hospice admissions52,656 53,507 
Average daily census13,091 13,271 
Revenue per day, net$164.88 $163.47 
Cost of service per day$89.26 $87.77 
Average discharge length of stay91 94 
(1)Same store information represents the percent change in our Medicare revenue, Hospice admissions or average daily census for the period as a percent of the Medicare revenue, Hospice admissions or average daily census of the prior period. Same store is defined as care centers that we have operated for at least the last twelve months and startups that are an expansion of a same store care center.
(2)Total includes acquisitions and denovos.
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Segment Information - Personal Care
 For the Three-Month Periods
Ended December 31,
 20222021
Financial Information (in millions):
Medicare$— $— 
Non-Medicare15.9 15.1 
Net service revenue15.9 15.1 
Cost of service12.3 11.7 
Gross margin3.6 3.4 
Depreciation and amortization— — 
Other general and administrative expenses2.3 2.4 
Operating income$1.3 $1.0 
Key Statistical Data - Total:
Billable hours453,644 500,546 
Clients served7,720 7,867 
Shifts193,220 215,167 
Revenue per hour$35.07 $30.09 
Revenue per shift$82.34 $69.99 
Hours per shift2.3 2.3 
 For the Years Ended
December 31,
 20222021
Financial Information (in millions):
Medicare$— $— 
Non-Medicare61.4 65.0 
Net service revenue61.4 65.0 
Cost of service46.7 49.1 
Gross margin14.7 15.9 
Depreciation and amortization0.1 0.2 
Other general and administrative expenses9.2 11.2 
Operating income$5.4 $4.5 
Key Statistical Data - Total:
Billable hours1,851,563 2,275,511 
Clients served10,448 12,074 
Shifts791,596 974,409 
Revenue per hour$33.15 $28.54 
Revenue per shift$77.55 $66.66 
Hours per shift2.3 2.3 












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Segment Information - High Acuity Care


For the Three-Month Periods
Ended December 31,
20222021
Financial Information (in millions):
Medicare$1.9 $— 
Non-Medicare4.0 2.0 
Net service revenue5.9 2.0 
Cost of service5.9 1.6 
Gross margin— 0.4 
Depreciation and amortization0.9 0.8 
Other general and administrative expenses8.3 6.1 
Operating loss$(9.2)$(6.5)
Key Statistical Data - Total:
Full risk admissions108 61 
Limited risk admissions374 225 
Total admissions482 286 
Full risk revenue per episode$12,282 $11,565 
Limited risk revenue per episode$5,545 $5,740 
Number of admitting joint ventures (1)
For the Years Ended December 31,
20222021
Financial Information (in millions):
Medicare$5.2 $— 
Non-Medicare13.3 3.5 
Net service revenue18.5 3.5 
Cost of service18.2 2.5 
Gross margin0.3 1.0 
Depreciation and amortization3.3 1.3 
Impairment charge3.0 — 
Other general and administrative expenses33.1 10.0 
Operating loss$(39.1)$(10.3)
Key Statistical Data - Total:
Full risk admissions448 107 
Limited risk admissions1,142 413 
Total admissions1,590 520 
Full risk revenue per episode$11,273 $10,457 
Limited risk revenue per episode$5,553 $5,693 
Number of admitting joint ventures (1)
(1)Prior year count has been recast to include admitting joint ventures only.







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Segment Information - Corporate

 For the Three-Month Periods
Ended December 31,
 20222021
Financial Information (in millions):
Other general and administrative expenses$42.3 $37.6 
Depreciation and amortization3.0 6.6 
Total operating expenses$45.3 $44.2 


 For the Years Ended
December 31,
 20222021
Financial Information (in millions):
Other general and administrative expenses$160.0 $163.1 
Depreciation and amortization15.2 22.4 
Total operating expenses$175.2 $185.5 

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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,
2022202120222021
Net income attributable to Amedisys, Inc.$31,717 $34,047 $118,609 $209,072 
Add:
        Income tax expense9,790 12,873 42,545 70,065 
        Interest expense, net5,711 2,791 22,050 9,476 
        Depreciation and amortization5,230 9,138 24,935 30,901 
        Certain items (1)7,441 6,412 58,361 (18,028)
        Interest component of certain items (1)— (451)(4,445)(1,888)
Adjusted EBITDA (2) (7)$59,889 $64,810 $262,055 $299,598 

Adjusted Net Service Revenue Reconciliation:
For the Three-Month Periods
Ended December 31,
For the Years Ended
December 31,
2022202120222021
Net service revenue$562,064 $559,317 $2,223,199 $2,214,112 
Add:
        Certain items (1)— — 9,305 (6,541)
Adjusted net service revenue (3) (7)$562,064 $559,317 $2,232,504 $2,207,571 

Adjusted Other Operating Income Reconciliation:
For the Three-Month Periods
Ended December 31,
For the Years Ended
December 31,
2022202120222021
Other operating income$— $— $— $13,300 
Add:
        Certain items (1)— — — (13,300)
Adjusted other operating income (4) (7)$— $— $— $— 

Adjusted Net Income Attributable to Amedisys, Inc Reconciliation:
For the Three-Month Periods
Ended December 31,
For the Years Ended
December 31,
2022202120222021
Net income attributable to Amedisys, Inc.$31,717 $34,047 $118,609 $209,072 
Add:
        Certain items (1)6,251 4,764 44,838 (12,923)
Adjusted net income attributable to Amedisys, Inc. (5) (7)$37,968 $38,811 $163,447 $196,149 

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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,
2022202120222021
Net income attributable to Amedisys, Inc. common stockholders per diluted share$0.97 $1.04 $3.63 $6.34 
Add:
        Certain items (1)0.19 0.15 1.37 (0.39)
Adjusted net income attributable to Amedisys, Inc. common stockholders per diluted share (6) (7)$1.16 $1.18 $5.01 $5.95 

(1) The following details the certain items for the three-month periods and years ended December 31, 2022 and 2021:

Certain Items:
For the Three-Month Period
Ended December 31, 2022
For the Year Ended
December 31, 2022
(Income) Expense(Income) Expense
Certain Items Impacting Net Service Revenue:
Contingency accrual$— $9,305 
Certain Items Impacting Cost of Service:
COVID-19 costs1,510 8,747 
Clinical optimization and reorganization costs33 1,382 
Fuel supplement261 3,576 
Integration costs— 1,712 
Certain Items Impacting General and Administrative Expenses:
Acquisition and integration costs1,443 11,298 
COVID-19 costs107 503 
Executive Board of Directors transition award— 3,500 
Severance993 993 
Legal fees - non-routine— 241 
Clinical optimization and reorganization costs2,247 5,792 
Legal settlement— (1,058)
Fuel supplement33 251 
Investment impairment— 3,009 
Certain Items Impacting Total Other Income (Expense):
Interest component of certain items— 4,445 
Other (income) expense, net814 4,665 
Total$7,441 $58,361 
Net of tax$6,251 $44,838 
Diluted EPS$0.19 $1.37 

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For the Three-Month Period
Ended December 31, 2021
For the Year Ended
December 31, 2021
(Income) Expense(Income) Expense
Certain Items Impacting Net Service Revenue:
Contingency accrual$— $(6,541)
Certain Items Impacting Other Operating Income:
CARES Act funds— (13,300)
Certain Items Impacting Cost of Service:
COVID-19 costs4,323 20,780 
Certain Items Impacting General and Administrative Expenses:
Acquisition and integration costs1,310 7,559 
COVID-19 costs140 716 
Pre-acquisition legal settlement— 1,825 
Certain Items Impacting Total Other Income (Expense):
Interest component of certain items451 1,888 
Other (income) expense, net188 (30,955)
Total$6,412 $(18,028)
Net of tax$4,764 $(12,923)
Diluted EPS$0.15 $(0.39)


(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.

16