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Amedisys Reports Second Quarter 2023 Financial Results

Amedisys, Inc.
Amedisys, Inc.

BATON ROUGE, La., July 26, 2023 (GLOBE NEWSWIRE) -- Amedisys, Inc. (NASDAQ: AMED) today reported its financial results for the three and six-month periods ended June 30, 2023.

Three-Month Periods Ended June 30, 2023 and 2022

  • Net service revenue decreased $4.9 million to $553.0 million compared to $557.9 million in 2022.

  • Net loss attributable to Amedisys, Inc. of $80.3 million, which is inclusive of $125.5 million in costs associated with our merger transactions, compared to net income attributable to Amedisys, Inc. of $29.6 million in 2022.

  • Net loss attributable to Amedisys, Inc. per diluted share of $2.46 compared to net income attributable to Amedisys, Inc. per diluted share of $0.91 in 2022.

ANNUNCIO PUBBLICITARIO

Adjusted Quarterly Results*

  • Adjusted EBITDA of $74.6 million compared to $74.4 million in 2022.

  • Adjusted net service revenue of $553.0 million compared to $566.3 million in 2022.

  • Adjusted net income attributable to Amedisys, Inc. of $44.9 million compared to $48.0 million in 2022.

  • Adjusted net income attributable to Amedisys, Inc. per diluted share of $1.37 compared to $1.47 in 2022.

Six-Month Periods Ended June 30, 2023 and 2022

  • Net service revenue increased $6.3 million to $1,109.4 million compared to $1,103.1 million in 2022.

  • Net loss attributable to Amedisys, Inc. of $55.0 million, which is inclusive of $126.2 million in costs associated with our merger transactions, compared to net income attributable to Amedisys, Inc. of $61.3 million in 2022.

  • Net loss attributable to Amedisys, Inc. per diluted share of $1.69 compared to net income attributable to Amedisys, Inc. of $1.87 in 2022.

Adjusted Year to Date Results*

  • Adjusted EBITDA of $132.5 million compared to $140.7 million in 2022.

  • Adjusted net service revenue of $1,109.4 million compared to $1,111.5 million in 2022.

  • Adjusted net income attributable to Amedisys, Inc. of $77.6 million compared to $88.1 million in 2022.

  • Adjusted net income attributable to Amedisys, Inc. per diluted share of $2.38 compared to $2.69 in 2022.

* See pages 2 and 14 - 16 for the definition and reconciliations of non-GAAP financial measures to GAAP measures.

The supplemental slides provided in connection with the second quarter 2023 earnings release can be found on the Investor Relations page of our website. In light of the pending merger of the Company with UnitedHealth Group Incorporated, Amedisys will not conduct a quarterly earnings call to discuss the second quarter results and has decided to suspend guidance on 2023 financial performance.

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 (loss) 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 net income attributable to Amedisys, Inc., defined as net (loss) income attributable to Amedisys, Inc. excluding certain items; and (4) adjusted net income attributable to Amedisys, Inc. per diluted share, defined as net (loss) income attributable to Amedisys, Inc. common stockholders per diluted share excluding certain items. Management believes that these non-GAAP financial measures, when reviewed in conjunction with GAAP financial measures, are useful gauges of our current performance and are also included in internal management reporting. These non-GAAP financial measures should be considered in addition to, and not more meaningful than or as an alternative to the GAAP financial measures presented in this earnings release and the company’s financial statements. Non-GAAP measures as presented herein may not be comparable to similarly titled measures reported by other companies since not all companies calculate these non-GAAP measures consistently.

Additional Information

Amedisys, Inc. (the “Company”) is a leading healthcare at home company delivering personalized home health, hospice and high acuity care services. Amedisys is focused on delivering the care that is best for our patients, whether that is in-patient hospital, palliative and skilled nursing facility ("SNF") care in their homes, home-based 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 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 publicly held company. With approximately 18,500 employees in 522 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 455,000 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,” “will,” “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: disruption from the proposed merger with UnitedHealth Group with patient, payor, provider, referral source, supplier or management and employee relationships; the occurrence of any event, change or other circumstances that could give rise to the termination of the merger agreement with UnitedHealth Group or the inability to complete the proposed transaction on the anticipated terms and timetable; the risk that necessary regulatory approvals for the proposed merger with UnitedHealth Group are delayed, are not obtained or are obtained subject to conditions that are not anticipated; the failure of the conditions to the proposed merger to be satisfied; the inability to complete the proposed transaction due to the failure to obtain approval of the stockholders of Amedisys or to satisfy any other condition in a timely manner or at all; the costs related to the proposed transaction; the diversion of management time on merger-related issues; the risk that termination fees may be payable by the Company in the event that the merger agreement is terminated under certain circumstances; reputational risk related to the proposed merger; the risk of litigation or regulatory action related to the proposed merger; 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, the case mix of our patients and payment methodologies; 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") 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:
Amedisys, Inc.
Nick Muscato
Chief Strategy Officer
(615) 928- 5452
IR@amedisys.com 

Media Contact:
Amedisys, Inc.
Kendra Kimmons
Vice President, Marketing & Communications
(225) 299-3720
kendra.kimmons@amedisys.com 

 

 

 


 

AMEDISYS, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(Amounts in thousands, except per share data)
(Unaudited)

 

 

For the Three-Month 
Periods Ended June 30,

 

For the Six-Month
Periods Ended June 30,

 

 

2023

 

 

 

2022

 

 

 

2023

 

 

 

2022

 

Net service revenue

$

552,968

 

 

$

557,890

 

 

$

1,109,357

 

 

$

1,103,147

 

Operating expenses:

 

 

 

 

 

 

 

Cost of service, inclusive of depreciation

 

297,455

 

 

 

316,211

 

 

 

612,465

 

 

 

621,031

 

General and administrative expenses:

 

 

 

 

 

 

 

Salaries and benefits

 

125,504

 

 

 

127,758

 

 

 

251,843

 

 

 

251,238

 

Non-cash compensation

 

9,108

 

 

 

5,148

 

 

 

12,381

 

 

 

12,495

 

Depreciation and amortization

 

4,725

 

 

 

6,220

 

 

 

9,168

 

 

 

14,228

 

Other

 

78,381

 

 

 

54,912

 

 

 

143,326

 

 

 

108,552

 

Total operating expenses

 

515,173

 

 

 

510,249

 

 

 

1,029,183

 

 

 

1,007,544

 

Operating income

 

37,795

 

 

 

47,641

 

 

 

80,174

 

 

 

95,603

 

Other income (expense):

 

 

 

 

 

 

 

Interest income

 

742

 

 

 

36

 

 

 

1,148

 

 

 

49

 

Interest expense

 

(7,502

)

 

 

(8,311

)

 

 

(15,019

)

 

 

(11,484

)

Equity in earnings (loss) from equity method investments

 

7,991

 

 

 

659

 

 

 

8,114

 

 

 

(744

)

Merger termination fee

 

(106,000

)

 

 

 

 

 

(106,000

)

 

 

 

Miscellaneous, net

 

4,743

 

 

 

331

 

 

 

4,061

 

 

 

664

 

Total other expense, net

 

(100,026

)

 

 

(7,285

)

 

 

(107,696

)

 

 

(11,515

)

(Loss) income before income taxes

 

(62,231

)

 

 

40,356

 

 

 

(27,522

)

 

 

84,088

 

Income tax expense

 

(18,250

)

 

 

(11,319

)

 

 

(28,050

)

 

 

(23,338

)

Net (loss) income

 

(80,481

)

 

 

29,037

 

 

 

(55,572

)

 

 

60,750

 

Net loss attributable to noncontrolling interests

 

206

 

 

 

542

 

 

 

543

 

 

 

500

 

Net (loss) income attributable to Amedisys, Inc.

$

(80,275

)

 

$

29,579

 

 

$

(55,029

)

 

$

61,250

 

Basic earnings per common share:

 

 

 

 

 

 

 

Net (loss) income attributable to Amedisys, Inc. common stockholders

$

(2.46

)

 

$

0.91

 

 

$

(1.69

)

 

$

1.88

 

Weighted average shares outstanding

 

32,579

 

 

 

32,522

 

 

 

32,568

 

 

 

32,538

 

Diluted earnings per common share:

 

 

 

 

 

 

 

Net (loss) income attributable to Amedisys, Inc. common stockholders

$

(2.46

)

 

$

0.91

 

 

$

(1.69

)

 

$

1.87

 

Weighted average shares outstanding

 

32,579

 

 

 

32,681

 

 

 

32,568

 

 

 

32,722

 


 

AMEDISYS, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS
(Amounts in thousands, except share data)

 

 

June 30, 2023
(unaudited)

 

December 31,
2022

ASSETS

 

 

 

Current assets:

 

 

 

Cash and cash equivalents

$

95,377

 

 

$

40,540

 

Restricted cash

 

15,784

 

 

 

13,593

 

Patient accounts receivable

 

278,785

 

 

 

296,785

 

Prepaid expenses

 

13,774

 

 

 

11,628

 

Other current assets

 

22,824

 

 

 

26,415

 

Total current assets

 

426,544

 

 

 

388,961

 

Property and equipment, net of accumulated depreciation of $90,523 and $101,364

 

36,399

 

 

 

16,026

 

Operating lease right of use assets

 

85,142

 

 

 

102,856

 

Goodwill

 

1,244,679

 

 

 

1,287,399

 

Intangible assets, net of accumulated amortization of $17,714 and $14,604

 

104,744

 

 

 

101,167

 

Other assets

 

84,894

 

 

 

79,836

 

Total assets

$

1,982,402

 

 

$

1,976,245

 

LIABILITIES AND EQUITY

 

 

 

Current liabilities:

 

 

 

Accounts payable

$

38,557

 

 

$

43,735

 

Payroll and employee benefits

 

123,234

 

 

 

125,387

 

Accrued expenses

 

137,359

 

 

 

137,390

 

Termination fee paid by UnitedHealth Group

 

106,000

 

 

 

 

Current portion of long-term obligations

 

31,465

 

 

 

15,496

 

Current portion of operating lease liabilities

 

25,786

 

 

 

33,521

 

Total current liabilities

 

462,401

 

 

 

355,529

 

Long-term obligations, less current portion

 

369,896

 

 

 

419,420

 

Operating lease liabilities, less current portion

 

59,634

 

 

 

69,504

 

Deferred income tax liabilities

 

28,085

 

 

 

20,411

 

Other long-term obligations

 

1,629

 

 

 

4,808

 

Total liabilities

 

921,645

 

 

 

869,672

 

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; 38,030,397 and 37,891,186 shares issued; 32,608,325 and 32,511,465 shares outstanding

 

38

 

 

 

38

 

Additional paid-in capital

 

768,789

 

 

 

755,063

 

Treasury stock, at cost, 5,422,072 and 5,379,721 shares of common stock

 

(464,688

)

 

 

(461,200

)

Retained earnings

 

702,643

 

 

 

757,672

 

Total Amedisys, Inc. stockholders’ equity

 

1,006,782

 

 

 

1,051,573

 

Noncontrolling interests

 

53,975

 

 

 

55,000

 

Total equity

 

1,060,757

 

 

 

1,106,573

 

Total liabilities and equity

$

1,982,402

 

 

$

1,976,245

 


 

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 June 30,

 

For the Six-Month
Periods Ended June 30,

 

 

2023

 

 

 

2022

 

 

 

2023

 

 

 

2022

 

Cash Flows from Operating Activities:

 

 

 

 

 

 

 

Net (loss) income

$

(80,481

)

 

$

29,037

 

 

$

(55,572

)

 

$

60,750

 

Adjustments to reconcile net (loss) income to net cash provided by operating activities:

 

 

 

 

 

 

 

Depreciation and amortization (inclusive of depreciation included in cost of service)

 

6,199

 

 

 

6,220

 

 

 

11,893

 

 

 

14,228

 

Non-cash compensation

 

9,108

 

 

 

5,148

 

 

 

12,381

 

 

 

12,495

 

Amortization and impairment of operating lease right of use assets

 

8,349

 

 

 

12,367

 

 

 

16,971

 

 

 

22,463

 

Loss on disposal of property and equipment

 

426

 

 

 

526

 

 

 

356

 

 

 

531

 

Loss on personal care divestiture

 

 

 

 

 

 

 

2,186

 

 

 

 

Merger termination fee

 

106,000

 

 

 

 

 

 

106,000

 

 

 

 

Deferred income taxes

 

5,332

 

 

 

2,798

 

 

 

8,104

 

 

 

6,003

 

Equity in (earnings) loss from equity method investments

 

(7,991

)

 

 

(659

)

 

 

(8,114

)

 

 

744

 

Amortization of deferred debt issuance costs

 

247

 

 

 

247

 

 

 

495

 

 

 

495

 

Return on equity method investments

 

966

 

 

 

718

 

 

 

2,753

 

 

 

2,428

 

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

 

 

 

 

 

 

 

Patient accounts receivable

 

15,338

 

 

 

(2,726

)

 

 

7,862

 

 

 

(21,344

)

Other current assets

 

5,817

 

 

 

(12,350

)

 

 

1,689

 

 

 

(4,468

)

Operating lease right of use assets

 

(1,019

)

 

 

(913

)

 

 

(1,937

)

 

 

(1,662

)

Other assets

 

355

 

 

 

(27

)

 

 

244

 

 

 

220

 

Accounts payable

 

(1,274

)

 

 

6,613

 

 

 

(4,731

)

 

 

4,498

 

Accrued expenses

 

4,034

 

 

 

22,046

 

 

 

4,775

 

 

 

29,529

 

Other long-term obligations

 

(3,151

)

 

 

(166

)

 

 

(3,179

)

 

 

(223

)

Operating lease liabilities

 

(7,496

)

 

 

(11,470

)

 

 

(15,456

)

 

 

(20,657

)

Net cash provided by operating activities

 

60,759

 

 

 

57,409

 

 

 

86,720

 

 

 

106,030

 

Cash Flows from Investing Activities:

 

 

 

 

 

 

 

Proceeds from the sale of deferred compensation plan assets

 

6

 

 

 

6

 

 

 

25

 

 

 

28

 

Proceeds from the sale of property and equipment

 

100

 

 

 

 

 

 

100

 

 

 

37

 

Purchases of property and equipment

 

(1,394

)

 

 

(1,880

)

 

 

(2,744

)

 

 

(2,782

)

Investments in technology assets

 

(6,457

)

 

 

(323

)

 

 

(6,667

)

 

 

(559

)

Purchase of cost method investment

 

 

 

 

 

 

 

 

 

 

(15,000

)

Proceeds from personal care divestiture

 

 

 

 

 

 

 

47,787

 

 

 

 

Acquisitions of businesses, net of cash acquired

 

 

 

 

(73,311

)

 

 

(350

)

 

 

(73,311

)

Net cash (used in) provided by investing activities

 

(7,745

)

 

 

(75,508

)

 

 

38,151

 

 

 

(91,587

)

Cash Flows from Financing Activities:

 

 

 

 

 

 

 

Proceeds from issuance of stock upon exercise of stock options

 

75

 

 

 

686

 

 

 

75

 

 

 

772

 

Proceeds from issuance of stock under employee stock purchase plan

 

938

 

 

 

906

 

 

 

1,754

 

 

 

1,891

 

Shares withheld to pay taxes on non-cash compensation

 

(2,180

)

 

 

(80

)

 

 

(3,488

)

 

 

(4,762

)

Noncontrolling interest contributions

 

376

 

 

 

300

 

 

 

376

 

 

 

952

 

Noncontrolling interest distributions

 

(427

)

 

 

(303

)

 

 

(712

)

 

 

(975

)

Proceeds from borrowings under revolving line of credit

 

15,000

 

 

 

298,500

 

 

 

23,000

 

 

 

298,500

 

Repayments of borrowings under revolving line of credit

 

(15,000

)

 

 

(283,500

)

 

 

(23,000

)

 

 

(283,500

)

Principal payments of long-term obligations

 

(5,680

)

 

 

(3,204

)

 

 

(60,993

)

 

 

(6,975

)

Purchase of company stock

 

 

 

 

(17,351

)

 

 

 

 

 

(17,351

)

Payment of accrued contingent consideration

 

(4,055

)

 

 

 

 

 

(4,055

)

 

 

 

Purchase of noncontrolling interest

 

 

 

 

 

 

 

(800

)

 

 

 

Net cash used in financing activities

 

(10,953

)

 

 

(4,046

)

 

 

(67,843

)

 

 

(11,448

)

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

 

42,061

 

 

 

(22,145

)

 

 

57,028

 

 

 

2,995

 

Cash, cash equivalents and restricted cash at beginning of period

 

69,100

 

 

 

70,909

 

 

 

54,133

 

 

 

45,769

 

Cash, cash equivalents and restricted cash at end of period

$

111,161

 

 

$

48,764

 

 

$

111,161

 

 

$

48,764

 

 

 

 

 

 

 

 

 

 

For the Three-Month 
Periods Ended June 30,

 

For the Six-Month 
Periods Ended June 30,

 

 

2023

 

 

 

2022

 

 

 

2023

 

 

 

2022

 

Supplemental Disclosures of Cash Flow Information:

 

 

 

 

 

 

 

Cash paid for interest

$

6,377

 

 

$

2,625

 

 

$

13,031

 

 

$

4,489

 

Cash paid for income taxes, net of refunds received

$

15,468

 

 

$

22,426

 

 

$

15,820

 

 

$

22,977

 

Cash paid for operating lease liabilities

$

8,516

 

 

$

12,383

 

 

$

17,394

 

 

$

22,319

 

Cash paid for finance lease liabilities

$

2,864

 

 

$

378

 

 

$

5,321

 

 

$

735

 

Supplemental Disclosures of Non-Cash Activity:

 

 

 

 

 

 

 

Right of use assets obtained in exchange for operating lease liabilities

$

7,719

 

 

$

15,387

 

 

$

14,802

 

 

$

26,590

 

Right of use assets obtained in exchange for finance lease liabilities

$

7,154

 

 

$

1,100

 

 

$

27,944

 

 

$

1,316

 

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

$

14,994

 

 

$

2,464

 

 

$

15,135

 

 

$

2,763

 

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

$

525

 

 

$

 

 

$

894

 

 

$

 

Accrued contingent consideration

$

 

 

$

19,195

 

 

$

 

 

$

19,195

 

Noncontrolling interest contribution

$

 

 

$

 

 

$

 

 

$

8,900

 

Days revenue outstanding (1)

 

43.4

 

 

 

46.8

 

 

 

43.4

 

 

 

46.8

 


(1) Our calculation of days revenue outstanding at June 30, 2023 and 2022 is derived by dividing our ending patient accounts receivable by our average daily patient revenue for the three-month periods ended June 30, 2023 and 2022, respectively.


 

AMEDISYS, INC. AND SUBSIDIARIES
SEGMENT INFORMATION
(Amounts in millions, except statistical information)
(Unaudited)

Segment Information - Home Health

 

For the Three-Month Periods
Ended June 30,

 

 

2023

 

 

 

2022

 

Financial Information (in millions) (6):

 

 

 

Medicare

$

219.8

 

 

$

222.0

 

Non-Medicare

 

130.0

 

 

 

119.9

 

Net service revenue

 

349.8

 

 

 

341.9

 

Cost of service, inclusive of depreciation

 

194.5

 

 

 

194.7

 

Gross margin

 

155.3

 

 

 

147.2

 

General and administrative expenses

 

90.2

 

 

 

88.8

 

Depreciation and amortization

 

1.2

 

 

 

1.5

 

Operating income

$

63.9

 

 

$

56.9

 

Same Store Growth(1):

 

 

 

Medicare revenue

 

(1

%)

 

 

(9

%)

Non-Medicare revenue

 

10

%

 

 

(3

%)

Total admissions

 

4

%

 

 

%

Total volume(2)

 

3

%

 

 

(2

%)

Key Statistical Data - Total(3)(6):

 

 

 

Admissions

 

97,453

 

 

 

94,063

 

Recertifications

 

45,808

 

 

 

45,821

 

Total volume

 

143,261

 

 

 

139,884

 

 

 

 

 

Medicare completed episodes

 

74,848

 

 

 

78,321

 

Average Medicare revenue per completed episode(4)

$

3,005

 

 

$

3,051

 

Medicare visits per completed episode(5)

 

12.5

 

 

 

13.2

 

 

 

 

 

Visiting clinician cost per visit

$

99.81

 

 

$

97.68

 

Clinical manager cost per visit

 

11.14

 

 

 

10.77

 

Total cost per visit

$

110.95

 

 

$

108.45

 

Visits

 

1,752,449

 

 

 

1,795,611

 


 

For the Six-Month Periods
Ended June 30,

 

 

2023

 

 

 

2022

 

Financial Information (in millions) (6):

 

 

 

Medicare

$

435.2

 

 

$

446.1

 

Non-Medicare

 

257.9

 

 

 

231.5

 

Net service revenue

 

693.1

 

 

 

677.6

 

Cost of service, inclusive of depreciation

 

391.5

 

 

 

379.9

 

Gross margin

 

301.6

 

 

 

297.7

 

General and administrative expenses

 

179.3

 

 

 

172.0

 

Depreciation and amortization

 

2.3

 

 

 

2.4

 

Operating income

$

120.0

 

 

$

123.3

 

Same Store Growth(1):

 

 

 

Medicare revenue

 

(4

%)

 

 

(4

%)

Non-Medicare revenue

 

11

%

 

 

%

Total admissions

 

6

%

 

 

1

%

Total volume(2)

 

4

%

 

 

(1

%)

Key Statistical Data - Total(3)(6):

 

 

 

Admissions

 

199,416

 

 

 

185,827

 

Recertifications

 

89,133

 

 

 

88,677

 

Total volume

 

288,549

 

 

 

274,504

 

 

 

 

 

Medicare completed episodes

 

148,411

 

 

 

152,764

 

Average Medicare revenue per completed episode(4)

$

2,990

 

 

$

3,032

 

Medicare visits per completed episode(5)

 

12.4

 

 

 

13.1

 

 

 

 

 

Visiting clinician cost per visit

$

99.83

 

 

$

97.41

 

Clinical manager cost per visit

 

11.13

 

 

 

10.77

 

Total cost per visit

$

110.96

 

 

$

108.18

 

Visits

 

3,527,655

 

 

 

3,511,822

 


(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 at 2% and 1% for the three-month periods ended March 31, 2022 and June 30, 2022, respectively, and the reinstatement of sequestration at 2% for the three and six-month period ended June 30, 2023.
(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 has been recast to conform to the current year presentation.


Segment Information - Hospice

 

For the Three-Month Periods
Ended June 30,

 

 

2023

 

 

 

2022

 

Financial Information (in millions):

 

 

 

Medicare

$

188.2

 

 

$

187.5

 

Non-Medicare

 

11.0

 

 

 

10.9

 

Net service revenue

 

199.2

 

 

 

198.4

 

Cost of service, inclusive of depreciation

 

98.8

 

 

 

107.4

 

Gross margin

 

100.4

 

 

 

91.0

 

General and administrative expenses

 

47.9

 

 

 

51.6

 

Depreciation and amortization

 

0.7

 

 

 

0.6

 

Operating income

$

51.8

 

 

$

38.8

 

Same Store Growth(1):

 

 

 

Medicare revenue

 

%

 

 

%

Hospice admissions

 

(6

%)

 

 

6

%

Average daily census

 

(2

%)

 

 

%

Key Statistical Data - Total(2):

 

 

 

Hospice admissions

 

12,395

 

 

 

13,359

 

Average daily census

 

12,918

 

 

 

13,249

 

Revenue per day, net

$

169.47

 

 

$

164.55

 

Cost of service per day

$

84.03

 

 

$

89.05

 

Average discharge length of stay

 

90

 

 

 

87

 


 

For the Six-Month Periods
Ended June 30,

 

 

2023

 

 

 

2022

 

Financial Information (in millions):

 

 

 

Medicare

$

370.9

 

 

$

370.0

 

Non-Medicare

 

21.7

 

 

 

21.4

 

Net service revenue

 

392.6

 

 

 

391.4

 

Cost of service, inclusive of depreciation

 

200.2

 

 

 

213.8

 

Gross margin

 

192.4

 

 

 

177.6

 

General and administrative expenses

 

95.8

 

 

 

102.9

 

Depreciation and amortization

 

1.3

 

 

 

1.3

 

Operating income

$

95.3

 

 

$

73.4

 

Same Store Growth(1):

 

 

 

Medicare revenue

 

%

 

 

%

Hospice admissions

 

(6

%)

 

 

4

%

Average daily census

 

(1

%)

 

 

(1

%)

Key Statistical Data - Total(2):

 

 

 

Hospice admissions

 

25,393

 

 

 

27,245

 

Average daily census

 

12,825

 

 

 

13,086

 

Revenue per day, net

$

169.15

 

 

$

165.28

 

Cost of service per day

$

86.24

 

 

$

90.24

 

Average discharge length of stay

 

90

 

 

 

88

 


(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.



Segment Information - Personal Care (1)

 

For the Three-Month Periods
Ended June 30,

 

 

2023

 

 

 

2022

 

Financial Information (in millions):

 

 

 

Medicare

$

 

 

$

 

Non-Medicare

 

 

 

 

14.9

 

Net service revenue

 

 

 

 

14.9

 

Cost of service, inclusive of depreciation

 

 

 

 

11.4

 

Gross margin

 

 

 

 

3.5

 

General and administrative expenses

 

 

 

 

2.3

 

Depreciation and amortization

 

 

 

 

 

Operating income

$

 

 

$

1.2

 

Key Statistical Data - Total:

 

 

 

Billable hours

 

 

 

 

472,523

 

Clients served

 

 

 

 

7,759

 

Shifts

 

 

 

 

201,996

 

Revenue per hour

$

 

 

$

31.59

 

Revenue per shift

$

 

 

$

73.89

 

Hours per shift

 

 

 

 

2.3

 


 

For the Six-Month Periods
Ended June 30,

 

 

2023

 

 

 

2022

 

Financial Information (in millions):

 

 

 

Medicare

$

 

 

$

 

Non-Medicare

 

15.0

 

 

 

28.9

 

Net service revenue

 

15.0

 

 

 

28.9

 

Cost of service, inclusive of depreciation

 

11.1

 

 

 

22.2

 

Gross margin

 

3.9

 

 

 

6.7

 

General and administrative expenses

 

2.3

 

 

 

4.5

 

Depreciation and amortization

 

 

 

 

0.1

 

Operating income

$

1.6

 

 

$

2.1

 

Key Statistical Data - Total:

 

 

 

Billable hours

 

440,464

 

 

 

923,555

 

Clients served

 

7,892

 

 

 

8,591

 

Shifts

 

191,379

 

 

 

395,738

 

Revenue per hour

$

33.97

 

 

$

31.27

 

Revenue per shift

$

78.19

 

 

$

72.99

 

Hours per shift

 

2.3

 

 

 

2.3

 


(1) We completed the sale of our personal care business on March 31, 2023.


Segment Information - High Acuity Care

 

For the Three-Month Periods
Ended June 30,

 

 

2023

 

 

 

2022

 

Financial Information (in millions) (1):

 

 

 

Medicare

$

 

 

$

 

Non-Medicare

 

4.0

 

 

 

2.7

 

Net service revenue

 

4.0

 

 

 

2.7

 

Cost of service, inclusive of depreciation

 

4.2

 

 

 

2.7

 

Gross margin

 

(0.2

)

 

 

 

General and administrative expenses

 

5.3

 

 

 

5.2

 

Depreciation and amortization

 

0.8

 

 

 

0.8

 

Operating loss

$

(6.3

)

 

$

(6.0

)

Key Statistical Data - Total:

 

 

 

Full risk admissions

 

186

 

 

 

104

 

Limited risk admissions

 

348

 

 

 

241

 

Total admissions

 

534

 

 

 

345

 

 

 

 

 

Full risk revenue per episode

$

9,303

 

 

$

11,278

 

Limited risk revenue per episode

$

6,098

 

 

$

5,316

 

 

 

 

 

Number of admitting joint venture markets

 

11

 

 

 

9

 


 

For the Six-Month Periods
Ended June 30,

 

 

2023

 

 

 

2022

 

Financial Information (in millions) (1):

 

 

 

Medicare

$

 

 

$

 

Non-Medicare

 

8.7

 

 

 

5.2

 

Net service revenue

 

8.7

 

 

 

5.2

 

Cost of service, inclusive of depreciation

 

9.7

 

 

 

5.1

 

Gross margin

 

(1.0

)

 

 

0.1

 

General and administrative expenses

 

9.7

 

 

 

9.5

 

Depreciation and amortization

 

1.6

 

 

 

1.6

 

Operating loss

$

(12.3

)

 

$

(11.0

)

Key Statistical Data - Total:

 

 

 

Full risk admissions

 

344

 

 

 

210

 

Limited risk admissions

 

807

 

 

 

468

 

Total admissions

 

1,151

 

 

 

678

 

 

 

 

 

Full risk revenue per episode

$

10,236

 

 

$

10,672

 

Limited risk revenue per episode

$

5,878

 

 

$

5,541

 

 

 

 

 

Number of admitting joint venture markets

 

11

 

 

 

9

 


(1)  Prior year has been recast to conform to the current year presentation.

Segment Information - Corporate

 

For the Three-Month Periods
Ended June 30,

 

 

2023

 

 

 

2022

 

Financial Information (in millions) (1):

 

 

 

General and administrative expenses

$

69.6

 

 

$

40.0

 

Depreciation and amortization

 

2.0

 

 

 

3.3

 

Total operating expenses

$

71.6

 

 

$

43.3

 


 

For the Six-Month Periods
Ended June 30,

 

 

2023

 

 

 

2022

 

Financial Information (in millions) (1):

 

 

 

General and administrative expenses

$

120.4

 

 

$

83.4

 

Depreciation and amortization

 

4.0

 

 

 

8.8

 

Total operating expenses

$

124.4

 

 

$

92.2

 


(1)  Prior year has been recast to conform to the current year presentation.


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 June 30,

 

For the Six-Month Periods
Ended June 30,

 

 

2023

 

 

 

2022

 

 

 

2023

 

 

 

2022

 

Net (loss) income attributable to Amedisys, Inc.

$

(80,275

)

 

$

29,579

 

 

$

(55,029

)

 

$

61,250

 

Add:

 

 

 

 

 

 

 

Income tax expense

 

18,250

 

 

 

11,319

 

 

 

28,050

 

 

 

23,338

 

Interest expense, net

 

6,760

 

 

 

8,275

 

 

 

13,871

 

 

 

11,435

 

Depreciation and amortization

 

6,199

 

 

 

6,220

 

 

 

11,893

 

 

 

14,228

 

Certain items(1)

 

123,704

 

 

 

23,609

 

 

 

133,691

 

 

 

35,059

 

Interest component of certain items(1)

 

 

 

 

(4,652

)

 

 

 

 

 

(4,652

)

Adjusted EBITDA(2)(6)

$

74,638

 

 

$

74,350

 

 

$

132,476

 

 

$

140,658

 


Adjusted Net Service Revenue Reconciliation:

 

For the Three-Month Periods
Ended June 30,

 

For the Six-Month Periods
Ended June 30,

 

 

2023

 

 

 

2022

 

 

 

2023

 

 

 

2022

 

Net service revenue

$

552,968

 

 

$

557,890

 

 

$

1,109,357

 

 

$

1,103,147

 

Add:

 

 

 

 

 

 

 

Certain items(1)

 

 

 

 

8,374

 

 

 

 

 

 

8,374

 

Adjusted net service revenue(3) (6)

$

552,968

 

 

$

566,264

 

 

$

1,109,357

 

 

$

1,111,521

 


Adjusted Net Income Attributable to Amedisys, Inc Reconciliation:

 

For the Three-Month Periods
Ended June 30,

 

For the Six-Month Periods
Ended June 30,

 

 

2023

 

 

 

2022

 

 

2023

 

 

 

2022

Net (loss) income attributable to Amedisys, Inc.

$

(80,275

)

 

$

29,579

 

$

(55,029

)

 

$

61,250

Add:

 

 

 

 

 

 

 

Certain items(1)

 

125,153

 

 

 

18,373

 

 

132,642

 

 

 

26,847

Adjusted net income attributable to Amedisys, Inc.(4)(6)

$

44,878

 

 

$

47,952

 

$

77,613

 

 

$

88,097


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

 

For the Three-Month Periods
Ended June 30,

 

For the Six-Month Periods
Ended June 30,

 

 

2023

 

 

 

2022

 

 

 

2023

 

 

 

2022

 

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

$

(2.46

)

 

$

0.91

 

 

$

(1.69

)

 

$

1.87

 

Add:

 

 

 

 

 

 

 

Certain items(1)

 

3.83

 

 

 

0.56

 

 

 

4.06

 

 

 

0.82

 

Adjusted net income attributable to Amedisys, Inc. common stockholders per diluted share(5)(6)

$

1.37

 

 

$

1.47

 

 

$

2.38

 

 

$

2.69

 


(1)   The following details the certain items for the three and six-month periods ended June 30, 2023 and 2022:

Certain Items (in thousands):

 

For the Three-Month Periods
Ended June 30, 2023

 

For the Six-Month Periods
Ended June 30, 2023

 

(Income) Expense

 

(Income) Expense

Certain Items Impacting Cost of Service, Inclusive of Depreciation:

 

 

 

Clinical optimization and reorganization costs

$

 

 

$

114

 

Certain Items Impacting General and Administrative Expenses:

 

 

 

Acquisition and integration costs

 

1,101

 

 

 

2,768

 

Executive Board of Directors/CEO transition award

 

3,435

 

 

 

4,185

 

Merger-related legal and professional fees

 

19,451

 

 

 

20,171

 

Clinical optimization and reorganization costs

 

567

 

 

 

3,737

 

Personal care divestiture

 

11

 

 

 

525

 

Certain Items Impacting Total Other Income (Expense):

 

 

 

Other (income) expense, net (includes $106,000 merger termination fee)

 

99,139

 

 

 

102,191

 

Total

$

123,704

 

 

$

133,691

 

Net of tax

$

125,153

 

 

$

132,642

 

Diluted EPS

$

3.83

 

 

$

4.06

 


 

For the Three-Month Periods
Ended June 30, 2022

 

For the Six-Month Periods
Ended June 30, 2022

 

(Income) Expense

 

(Income) Expense

Certain Items Impacting Net Service Revenue:

 

 

 

Contingency accrual

$

8,374

 

 

$

8,374

 

Certain Items Impacting Cost of Service:

 

 

 

COVID-19 costs

 

1,803

 

 

 

5,536

 

Clinical optimization and reorganization costs

 

195

 

 

 

195

 

Fuel supplement

 

1,016

 

 

 

1,353

 

Integration costs

 

1,401

 

 

 

1,401

 

Certain Items Impacting General and Administrative Expenses:

 

 

 

Acquisition and integration costs

 

5,323

 

 

 

6,701

 

COVID-19 costs

 

84

 

 

 

237

 

Executive Board of Directors/CEO transition award

 

 

 

 

3,500

 

Legal fees - non-routine

 

190

 

 

 

241

 

Clinical optimization and reorganization costs

 

869

 

 

 

869

 

Legal settlement

 

(1,058

)

 

 

(1,058

)

Certain Items Impacting Total Other Income (Expense):

 

 

 

Interest component of certain items

 

4,652

 

 

 

4,652

 

Other (income) expense, net

 

760

 

 

 

3,058

 

Total

$

23,609

 

 

$

35,059

 

Net of tax

$

18,373

 

 

$

26,847

 

Diluted EPS

$

0.56

 

 

$

0.82

 


(2) Adjusted EBITDA is defined as net (loss) 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 net income attributable to Amedisys, Inc. is defined as net (loss) income attributable to Amedisys, Inc. calculated in accordance with GAAP excluding certain items as described in footnote 1.
(5)   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.
(6)   Adjusted EBITDA, adjusted net service revenue, 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.