UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM
CURRENT REPORT
PURSUANT TO SECTION 13 OR 15(D)
OF THE SECURITIES EXCHANGE ACT OF 1934
DATE OF REPORT (DATE OF EARLIEST EVENT REPORTED):
Commission File Number:
(Exact Name of Registrant as specified in its Charter)
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Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425) |
Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12) |
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b)) |
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c)) |
Securities registered pursuant to Section 12(b) of the Act:
Title of each class |
Trading Symbol(s) |
Name of each exchange on which registered | ||
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).
Emerging growth company
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐
SECTION 2 — FINANCIAL INFORMATION
ITEM 2.02. | RESULTS OF OPERATIONS AND FINANCIAL CONDITION |
On October 28, 2020, Amedisys, Inc. (“we,” “us,” “our” or the “Company”) issued a press release announcing its financial results for the three and nine-month periods ended September 30, 2020. A copy of the press release is attached hereto as Exhibit 99.1 and is incorporated herein by reference.
The information presented in Item 2.02 of this Current Report on Form 8-K and Exhibit 99.1 attached hereto shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that section, unless we specifically state that the information is to be considered “filed” under the Exchange Act or specifically incorporate it by reference in any filing under the Securities Act of 1933, as amended (the “Securities Act”), or the Exchange Act.
SECTION 7 – REGULATION FD
ITEM 7.01. | REGULATION FD DISCLOSURE |
Item 2.02 of this Current Report on Form 8-K is incorporated herein by reference.
In addition, a copy of the supplemental slides which will be discussed during the Company’s earnings call at 11:00 a.m. ET on Thursday, October 29, 2020 is attached to this report as Exhibit 99.2 and incorporated herein by reference.
The information presented in Item 7.01 of this Current Report on Form 8-K and Exhibit 99.2 attached hereto shall not be deemed “filed” for purposes of Section 18 of the Exchange Act, or otherwise subject to the liabilities of that section, unless we specifically state that the information is to be considered “filed” under the Exchange Act or specifically incorporate it by reference in any filing under the Securities Act or the Exchange Act.
SECTION 9 – FINANCIAL STATEMENTS AND EXHIBITS
ITEM 9.01. | FINANCIAL STATEMENTS AND EXHIBITS |
(d) Exhibits.
99.1 | Press release dated October 28, 2020 announcing the Company’s financial results for the three and nine-month periods ended September 30, 2020 (furnished only) | |
99.2 | Supplemental slides provided in connection with the third quarter 2020 earnings call of the Company (furnished only) | |
104 | Cover Page Interactive Date File (embedded within the Inline XBRL document) |
Signatures
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
AMEDISYS, INC. (Registrant) | ||
By: | /s/ Scott G. Ginn | |
Scott G. Ginn | ||
Chief Financial Officer | ||
(Principal Financial Officer) |
DATE: October 28, 2020
Exhibit 99.1
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 SECs 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 companys 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 | ||||||||||||
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|
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Operating expenses |
485,569 | 447,787 | 1,391,291 | 1,319,036 | ||||||||||||
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|
|
|
|||||||||
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 | |||||||||||
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Total other expense, net |
(1,104 | ) | (2,600 | ) | (8,336 | ) | (4,876 | ) | ||||||||
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|
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Income before income taxes |
62,209 | 44,244 | 148,779 | 131,043 | ||||||||||||
Income tax benefit (expense) |
10,202 | (9,919 | ) | (9,175 | ) | (31,105 | ) | |||||||||
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|
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Net income |
72,411 | 34,325 | 139,604 | 99,938 | ||||||||||||
Net income attributable to noncontrolling interests |
(430 | ) | (193 | ) | (1,147 | ) | (760 | ) | ||||||||
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Net income attributable to Amedisys, Inc. |
$ | 71,981 | $ | 34,132 | $ | 138,457 | $ | 99,178 | ||||||||
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Basic earnings per common share: |
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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 |
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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 | ||||||
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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 | ||||||
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Total assets |
$ | 1,602,720 | $ | 1,262,745 | ||||
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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 | ||||||
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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 | ||||||
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Total liabilities |
844,977 | 621,232 | ||||||
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Equity: |
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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 | ||||||
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Total Amedisys, Inc. stockholders equity |
756,205 | 640,450 | ||||||
Noncontrolling interests |
1,538 | 1,063 | ||||||
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Total equity |
757,743 | 641,513 | ||||||
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Total liabilities and equity |
$ | 1,602,720 | $ | 1,262,745 | ||||
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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, |
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2020 | 2019 | 2020 | 2019 | |||||||||||||
Cash Flows from Operating Activities: |
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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 | ) | ||||||||
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Net cash provided by operating activities |
83,083 | 47,455 | 223,040 | 126,780 | ||||||||||||
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Cash Flows from Investing Activities: |
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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 | ) | |||||||||
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Net cash used in investing activities |
(1,221 | ) | (3,604 | ) | (285,543 | ) | (351,562 | ) | ||||||||
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Cash Flows from Financing Activities: |
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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 | | |||||||||||
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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 | ||||||||||||
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Cash, cash equivalents and restricted cash at end of period |
$ | 115,453 | $ | 20,757 | $ | 115,453 | $ | 20,757 | ||||||||
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6
Supplemental Disclosures of Cash Flow Information: |
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Cash paid for interest |
$ | 1,610 | $ | 3,569 | $ | 4,902 | $ | 7,756 | ||||||||
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Cash paid for income taxes, net of refunds received |
$ | 22,137 | $ | 9,807 | $ | 30,290 | $ | 17,656 | ||||||||
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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
Amedisys Third Quarter 2020 Earnings Call Supplemental Slides October 29, 2020 Exhibit 99.2
This presentation may include forward-looking statements as defined by the Private Securities Litigation Reform Act of 1995. These forward-looking statements are based upon current expectations and assumptions about our business that are subject to a variety of risks and uncertainties that could cause actual results to differ materially from those described in this presentation. You should not rely on forward-looking statements as a prediction of future events. Additional information regarding factors that could cause actual results to differ materially from those discussed in any forward-looking statements are described in reports and registration statements we file with the SEC, including our Annual Report on Form 10-K and subsequent Quarterly Reports on Form 10-Q and Current Reports on Form 8-K, copies of which are available on the Amedisys internet website http://www.amedisys.com or by contacting the Amedisys Investor Relations department at (225) 292-2031. We disclaim any obligation to update any 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. www.amedisys.com NASDAQ: AMED We encourage everyone to visit the Investors Section of our website at www.amedisys.com, where we have posted additional important information such as press releases, profiles concerning our business and clinical operations and control processes, and SEC filings. Forward-looking statements
Q3 2020 Results
Our Key Areas of Focus Strategic areas of focus and progress made during Q3’20 Home Health*: Total same store admissions +5%, Total same store volume +6% Hospice: Admissions +9%, Personal Care: Billable hours / quarter -18% driven by impact of COVID-19 - turnover dropping into Q3 which will result in better ability to grow moving forward 1 Organic Growth Quality: Amedisys Oct’20 preview STARS score of 4.33 (SHP: 4.5 STARS) 95% of care centers at 4+ Stars in the Oct’20 Preview 45 Amedisys care centers rated at 5-Stars in the Oct’20 Preview Hospice quality – outperforming industry average in all hospice item set (HIS) categories 3 Clinical Initiatives Focusing on optimizing RN / LPN & PT / PTA staffing ratios. Current LPN Ratio: 46.7% (vs. 40.6% in 3Q’19) Current PTA Ratio: 49.6% (vs. 43.7% in 3Q’19) 100% of care centers on Medalogix Care as of Aug. 2020 Adjusted staffing levels in June to reflect clinician mix shift and utilization 4 Capacity and Productivity Aseracare acquisition closed 6/1 $235M purchase price ($203M net of tax asset) 44 care centers 14 states $117M annual revenue Technical integration near complete $659 million invested in Hospice segment since Feb. 2019 4 acquisitions ~6,000 ADC 106 care centers ~5,000 employees 5 M&A 2 Recruiting / Retention Targeting industry leading employee retention amongst all employee categories Current total voluntary turnover ~19% Focus on reduction of clinical turnover with emphasis on “early exits” *Note: Home Health same store volume is defined as admissions plus recertifications 2021 proposed Home Health industry rule net +2.6% increase – final rule expected soon 2021 Final Hospice industry rule net +2.4% increase (effective 10/1/20) 6 Regulatory
Highlights and Summary Financial Results (Adjusted): 3Q 2020(1) Home Health total same store volume +6%, total same store admissions +5%; Hospice same store admissions +9% Amedisys Consolidated Revenue Growth: +10% EBITDA: $76M (+33%) EBITDA Margin: 14% (+240 bps) EPS: $2.24 (+95%) - non-cash compensation tax benefit = $0.72 3Q’20 Net debt: $261.3M Net Leverage ratio: 1.1x CFFO: $83.1M Free cash flow (4): $79.2M DSO: 40.0 (vs. Q4’19 of 40.9 and down 2.0 days since Q2) Balance Sheet & Cash Flow 3Q’20 Same Store (2)(3) : Total Volume: +6% Total Admissions: +5% Other Statistics: Revenue per Episode(6): $2,886 (+1.8%) Total Cost per Visit: $96.85 (+5.5%) Medicare Recert Rate: 36.9% Home Health Growth Metrics (5): Billable hours/quarter: -18% Clients served: -20% Personal Care Same Store Volume (3): Admissions: +9% ADC: flat (ADC lags admits) Other Statistics: Revenue per Day: $155.57 (+1.9%) Cost per day: $79.96 (+0.6%) Hospice 3Q’20 3Q’20 3Q’20 Adjusted Financial Results(1) 3Q’20 The financial results for the three-month periods ended September 30, 2019 and September 30, 2020 are adjusted for certain items and should be considered a non-GAAP financial measure. A reconciliation of these non-GAAP financial measures is included in the corresponding 8-K detailing quarterly results for each respective reporting period. Same Store volume – Includes admissions and recertifications. Effective July 1, 2019, same store is defined as care centers that we have operated for at least the last 12 months and startups that are an expansion of a same store care center. Free cash flow defined as cash flow from operations less routine capital expenditures and required debt repayments. Includes acquisitions. Medicare sequestration suspended 5/1/20
Our revenue sources: 3Q’20 Medicare FFS: Reimbursed over a 30-day period of care Private Episodic: MA and Commercial plans who reimburse us over a 30-day period of care. Generally at rates ~90% – 100% of Medicare Per Visit: Managed care, Medicaid and private payors reimbursing us per visit performed Hospice Per Day Reimbursement: Routine Care: Patient at home with symptoms controlled ~97% of the Hospice care AMED provides, in line with overall hospice industry provision of care Continuous Care: Patient at home with uncontrolled symptoms Inpatient Care: Patient in facility with uncontrolled symptoms Respite Care: Patient at facility with symptoms controlled Home Health: 320 care centers; 33 states & DC Hospice: 182 care centers; 35 states Personal Care: 14 care centers; 3 states Total AMED: 516 care centers; 39 states and D.C.
Home Health and Hospice Segment (Adjusted) – 3Q 2020(1) Revenue per Episode up 1.8% (sequestration suspension benefit $5M) Y/Y CPV up +$5.08 (+5.5%, raises effective 8/1, health insurance, increase in use of contractors, change in visit mix and lower visit volumes) Visits per Episode decreased 2.5 Home Health Highlights Same store admit growth +9% Net revenue per day +1.9% (sequestration suspension benefit $3M, excluding acquisitions) ~$1.1M cap expense for 3Q Q3’20 Acquisition Contribution: Revenue: $33M Segment EBITDA: $4.2M ($2.1M net of corporate) Hospice Highlights The financial results for the three-month periods ended September 30, 2019 and September 30, 2020 are adjusted for certain items and should be considered a non-GAAP financial measure. A reconciliation of these non-GAAP financial measures is included in the corresponding 8-K detailing quarterly results for each respective reporting period. Pre-Corporate EBITDA does not include any corporate G&A expenses. Same store information represents the percent change in volume or admissions for the period as a percent of the volume or admissions of the prior period. Effective July 1, 2019, same store is defined as care centers that we have operated for at least the last 12 months and startups that are an expansion of a same store care center. Average Medicare revenue per completed episode for the three-month period ended September 30, 2020 reflects the suspension of sequestration effective May 1, 2020. Home Health total volume growth +6%; Hospice Admit Growth +9%
General & Administrative Expenses – Adjusted (1,2) Notes: Year over year total G&A as a percentage of revenue increased 200 basis points ($26 million) Year over year G&A increase due to our acquisitions (~$11M), raises, incentive accruals, higher health insurance costs, and investments related to PDGM, partially offset by lower travel and training spend G&A for our Hospice and Corporate segments include $9.3M and $2.1M, respectively, from acquisitions Total G&A as a percentage of revenue increased 110 bps sequentially The financial results for the three-month periods ended September 30, 2019, December 31, 2019, March 31, 2020, June 30, 2020 and September 30, 2020 are adjusted for certain items and should be considered a non-GAAP financial measure. A reconciliation of these non-GAAP financial measures is included in the corresponding 8-K detailing quarterly results for each respective reporting period. Adjusted G&A expenses do not include depreciation and amortization. Impacted by COVID-19, acquisitions, incentive compensation costs, and investments to drive volume growth
Components 3Q19 2Q’20 3Q’20 YoY Variance Detail Initiatives Salaries $63.24 $63.03 $64.81 $1.57 YoY increase due to planned wage increases, shift in visit mix and fixed costs (training, PTO, etc.) on lower visits, partially offset by optimization of discipline mix. Sequential increase due to the same drivers, partially offset by a lesser impact of planned wage increases and an additional holiday in Q3. Staffing mix optimization, productivity and scheduling improvement initiatives in place to help overcome salary increases Contractors $2.83 $3.05 $3.69 $0.86 YOY and Sequential increase driven by additional staffing needs due to COVID-19 Focused efforts on filling positions with full-time clinicians Benefits $11.14 $10.20 $12.59 $1.45 YoY and Sequential increase primarily due to health insurance with COVID related cost shift to Q3 Focus on cost containment and spend optimization with specific focus on high cost claims Transportation & Supplies $6.47 $6.89 $6.85 $0.38 *Visiting Clinician CPV $83.68 $83.17 $87.94 $4.26 Clinical Managers $8.09 $9.27 $8.91 $0.82 Fixed cost associated with non-visiting clinicians and planned wage increases: YOY increase driven by lower visit volumes Unit cost reduced as volume increases Total CPV $91.77 $92.44 $96.85 $5.08 Operational Excellence: Home Health Cost Per Visit (CPV)-Adjusted YOY Total CPV impacted by planned wage increases and lower volumes resulting from COVID-19 *Note: Direct comparison with industry competitors CPV calculation $83.68 $83.17 $87.94
Driving Top Line Growth Growth in all three lines of business impacted by COVID-19 but recovering Home Health Total Volume Hospice ADC Personal Care Total Hours / Quarter
Industry Leading Quality Scores Note: Top Competitor Avg weighted by CCN count and includes LHC, Kindred, AFAM, EHC and BKD Metric OCT 19 Release JAN 20 Release APR 20 Release Oct 20 PREVIEW Quality of Patient Care 4.28 4.27 4.26 4.33 Entities at 4+ Stars 88% 86% 86% 92% Metric JUL 19 Release OCT 19 Release JAN 20 Release APR 20 Release Patient Satisfaction Star 3.87 3.97 3.71 3.80 Performance Over Industry +6% +6% +6% +6% Quality of Patient Care (QPC) Patient Satisfaction (PS) Amedisys maintains a 4-Star average in the Oct 2020 HHC preview with 92% of our providers (representing 95% of care centers) at 4+ Stars and 61% of our providers (representing 65% of care centers) at 4.5+ Stars 26 Amedisys providers (representing 45 care centers) rated at 5-Stars in the Oct 2020 HHC preview. CMS will provide an Oct 2020 HHC release. After this, CMS will hold the data constant (i.e., freeze the data) until the Jan 2022 HHC release.
Hospice Quality: Amedisys Hospice Continues to Move Towards Best-in-Class Hospice Quality Hospice Compare HIS and CAHPS reporting currently “frozen” and will resume reporting in Feb 2022
Debt and Liquidity Metrics ~Net leverage ~1.1x Net debt defined as total debt outstanding ($314.2M) less cash ($52.9M). Leverage ratio (net) is defined as net debt divided by last twelve months adjusted EBITDA ($247.6M). Liquidity defined as the sum of cash balance and available revolving line of credit. Cash per 9/30/20 10-Q less Provider relief fund advance (~$60M)
Cash Flow Statement Highlights (1) Q2 and Q3 include benefit of payroll tax deferral (COVID-19 relief) of approximately $20 and $18M Free cash flow defined as cash flow from operations less routine capital expenditures and required debt repayments.
Income Statement Adjustments (1) The financial results for the three-month periods ended September 30, 2019, December 31, 2019, March 31, 2020, June 30, 2020 and September 30, 2020 are adjusted for certain items and should be considered a non-GAAP financial measure. A reconciliation of these non-GAAP financial measures is included in the corresponding 8-K detailing quarterly results for each respective reporting period. Planned closures consist of in-patient units acquired from Compassionate Care Hospice whose operations ceased in April 2019.
2020 Guidance Update
Amedisys 2020 Updated Guidance Ranges Note: Adjusted numbers are ex-CARES Act funds *EPS: Inclusive of $0.72 income tax benefit related to executive stock option exercise Increased Revenue, EBITDA and EPS guidance ranges for FY 2020 2020 Original Guidance 2020 Reinstated Guidance Revenue $2,115M – $2,160M $2,040M - $2,070M Adjusted EBITDA $250M – $260M $245M - $255M Adjusted Earnings per Share $4.90 – $5.13 $4.84 - $5.06 2020 Updated Guidance $2,067M - $2,072M $269M - $272M $6.02 - $6.08*
Reimbursement Outlook Reimbursement Impact for Home Health and Hospice Home Health Hospice 2020 Final Rule (PDGM – Behavioral Assumptions) (4.36%) Estimated AMED-Specific Impact (2.8%) 2020* Market Basket Update 3.0% Productivity / Other Adjustment (0.4) Estimated Industry Impact +2.6% Estimated AMED-Specific Impact +~0.5% Note: AMED impact differs from industry due to patient mix, referral mix and footprint *Hospice rate increase effective October 1, 2019 – majority of rate increase will be passed through to general inpatient & respite facilities resulting in a ~(0.5%) reduction in gross margin percentage Proposed FY’21 Home Health Rule 2021 Estimated Industry Impact +2.6% Final FY’21 Hospice Rule 2021 Estimated Industry Impact (Effective 10/1/2020) +2.4%
Our Path Forward: 2021 & Beyond 2021 & Beyond – The Future Is Very Bright for AMED Entering 2021 with all PDGM cost levers in place Continued strategic acquisitions of Home Health and Hospice assets – Home Health market share absorption strategy delayed until early 2021 due to CARES Act funds FY 2021 Proposed Home Health rule: +2.6% FY 2021 Final Hospice rule: +2.4% FY 2021 – EBITDA contribution from CCH and AseraCare Integration and optimization of AseraCare asset Previously acquired Hospice assets performing near legacy AMED growth and profitability Continued industry consolidation New referral sources and market share opportunities from SNF@Home Continued expansion of Medicare Advantage “gain share” arrangements
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