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Amedisys Reports Fourth Quarter Financial Results; Issues 2012 Guidance

Date : 02/28/2012 @ 7:00AM
Source : Business Wire
Stock : Amedisys (MM) (AMED)
Quote : 11.43  0.34 (3.07%) @ 4:41PM
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Amedisys Reports Fourth Quarter Financial Results; Issues 2012 Guidance

Amedisys (NASDAQ:AMED)
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Amedisys, Inc. (NASDAQ: AMED), a leading home health and hospice company, today reported its financial results for the fourth quarter and year ended December 31, 2011 and issued 2012 guidance.

Three-Month Periods Ended December 31, 2011 and 2010

• After adding back $11.3 million and $7.9 million ($7.1 million and $4.8 million, net of income tax) or $0.24 and $0.17 per diluted share in certain items* for 2011 and 2010, respectively, the following are our adjusted results**:

• Net service revenue of $370.7 million compared to $388.7 million in 2010, a decrease of $18.0 million or 4.6%

• Net income from continuing operations attributable to Amedisys, Inc. of $14.4 million compared to $29.4 million in 2010, a decrease of 51.2% (net income from continuing operations attributable to Amedisys Inc. of $7.3 million in 2011 compared to $24.6 million in 2010, on a GAAP basis).

• Net income from continuing operations attributable to Amedisys, Inc. per diluted share of $0.49 compared to $1.03 per diluted share in 2010, a decrease of 52.4% (net income from continuing operations attributable to Amedisys, Inc. per diluted share of $0.25 in 2011 compared to $0.86 in 2010, on a GAAP basis).

• Adjusted earnings before interest, taxes, depreciation and amortization attributable to continuing operations (“Adjusted EBITDA”) of $35.6 million compared to $58.1 million in 2010, a decrease of 38.7% (unadjusted EBITDA of $25.0 million in 2011 and $51.5 million in 2010).

Twelve-Month Periods Ended December 31, 2011 and 2010

• After adding back $588.7 million and $13.8 million ($441.7 million and $8.4 million, net of income tax) or $15.36 and $0.29 per diluted share in certain items*, the following are our adjusted results**:

• Net service revenue of $1.5 billion compared to $1.6 billion in 2010, a decrease of $131.0 million or 8.2% (a decrease of $133.5 million on a GAAP basis).

• Net income from continuing operations attributable to Amedisys, Inc. of $66.2 million compared to $131.3 million in 2010, a decrease of 49.6% (net loss from continuing operations attributable to Amedisys Inc. of $375.5 million in 2011 and net income from continuing operations attributable to Amedisys, Inc. of $122.9 million in 2010, on a GAAP basis).

• Net income from continuing operations attributable to Amedisys, Inc. per diluted share of $2.27 compared to $4.61 per diluted share in 2010, a decrease of 50.8% (net loss from continuing operations attributable to Amedisys, Inc. per diluted share of $13.09 in 2011 and net income from continuing operations attributable to Amedisys, Inc. per diluted share of $4.32 in 2010, on a GAAP basis).

• Adjusted EBITDA of $156.3 million compared to $256.0 million in 2010, a decrease of 39.0% (unadjusted EBITDA of negative $431.7 million in 2011 and $244.1 million in 2010).

William F. Borne, Amedisys Chief Executive Officer commented on the results: “Home health reimbursement cuts and new regulatory requirements led to a challenging year for the sector, resulting in declining revenue and margins for the company on a year-over-year basis. However, our adjusted fourth quarter results exceeded our expectations, with volume and cost better than expected.

As we move into 2012, we are focused on the business fundamentals of clinical excellence, operational efficiency and differentiated growth to position the company for the industry’s favorable long term trends.”

* See footnote 2 on page 10 for explanation of these certain items.

** See page 9 for the reconciliations of non-GAAP financial measures.

2012 Guidance

• Net service revenue is anticipated to be in the range of $1.475 billion to $1.525 billion.

• Diluted earnings per share is expected to be in the range of $0.95 to $1.10 based on an estimated 30.2 million shares outstanding.

This guidance excludes the effects of any future acquisitions, if any are made; effects of any share repurchases; any non-recurring costs or charges that may be incurred during the year or the impact of any future Medicare rate changes.

We urge caution in considering the current trends and 2012 guidance disclosed in this press release. The home health and hospice industry is highly competitive and subject to intensive regulations, and trends and guidance 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, 2011, and subsequent Quarterly Reports on Form 10-Q, and current reports on Form 8-K which can be found on the SEC’s internet website, http://www.sec.gov, and our internet website, http://www.amedisys.com. We disclaim any obligations to update disclosed information on trends.

Earnings Call and Webcast Information

To participate in the conference call, please dial (877) 856-1960 (Toll free) or (719) 325-4893 (Toll) a few minutes before 10:00 a.m. ET on Tuesday, February 28, 2012. A replay of the conference call will be available through March 6, 2012. The replay dial in number is (888) 203-1112 (Toll free) or (719) 457-0820 (Toll). The replay pin number is 1164258.

The call will also be available through our website and for seven days thereafter at the following web address: http://www.amedisys.com/investors.

We are headquartered in Baton Rouge, Louisiana. Our common stock trades on the NASDAQ Global Select Market under the symbol “AMED.”

Additional information

Our company website address is www.amedisys.com. We use our website as a channel of distribution for important company information. Important information, including press releases, analyst 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. We also use our website to expedite public access to time-critical information regarding our company in advance of or in lieu of distributing a press release or a filing with the SEC disclosing the same information. Therefore, investors should look to the Investor Relations subpage of our website for important and time-critical information. 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,” “plans,” “anticipates,” “intends,” “projects,” “estimates,” “may,” “might,” “would,” “should” and similar expressions are intended to identify forward-looking statements as defined by the Private Securities Litigation Reform Act of 1995. These forward-looking statements involve a variety of risks and uncertainties that could cause actual results to differ materially from those described therein. These risks and uncertainties include, but are not limited to the following: changes in Medicare and other medical payment levels, our ability to open care centers, acquire additional care centers and integrate and operate these care centers effectively, 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, competition in the home health 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 attract and retain qualified personnel, changes in payments and covered services due to the economic downturn and deficit spending by Federal and State governments, future cost containment initiatives undertaken by third-party payors, our access to financing due to the volatility and disruption of the capital and credit markets, our ability to meet debt service requirements and comply with covenants in debt agreements, business disruptions due to natural disasters or acts of terrorism, our ability to integrate and manage our information systems, changes in or developments with respect to any litigation or investigations relating to the Company, including the SEC investigation and the U.S. Department of Justice Civil Investigative Demand and 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.

Non-GAAP Financial Measures

This press release includes the following non-GAAP financial measures as defined under SEC rules: EBITDA, defined as net (loss) income attributable to Amedisys, Inc. before provision for income taxes, net interest expense and depreciation and amortization, adjusted EBITDA, defined as EBITDA plus certain items, adjusted net service revenue, defined as net service revenue plus certain items, adjusted net income attributable to Amedisys, Inc., defined as net (loss) income attributable to Amedisys, Inc. plus certain items and adjusted diluted earnings per share, defined as diluted (loss) earnings per share plus the earnings per share effect of certain items. In accordance with SEC rules, we have provided herein a reconciliation of these non-GAAP financial measures to the most directly comparable measures under GAAP. Management believes that these are useful gauges of our performance and are common measures used in our industry to assess relative financial performance among companies.

 

AMEDISYS, INC. AND SUBSIDIARIES

SELECT CONSOLIDATED FINANCIAL STATEMENT DATA AND SUPPLEMENTAL INFORMATION

(Amounts in thousands, except share, per share data and statistical information)

(Unaudited)

 

Balance Sheet Information

  As of December 31, 2011   2010 ASSETS Current assets: Cash and cash equivalents $ 48,004 $ 120,295 Patient accounts receivable, net of allowance for doubtful accounts of $17,438 and $20,977 148,061 141,549 Prepaid expenses 11,321 9,947 Other current assets   24,630     22,259     Total current assets 232,016 294,050  

Property and equipment, net of accumulated deprecation of $94,266, and $78,074

148,536 138,554 Goodwill 334,695 791,412 Intangible assets, net of accumulated amortization of $20,611 and $17,135 50,067 53,393 Deferred tax asset 68,649 — Other assets, net   24,322     22,454     Total assets $ 858,285   $ 1,299,863     LIABILITIES AND EQUITY Current Liabilities: Accounts payable $ 25,475 $ 20,663 Payroll and employee benefits 82,130 82,961 Accrued expenses 68,493 61,254 Current portion of long-term obligations 33,888 37,178 Current portion of deferred income taxes   11,748     14,285     Total current liabilities 221,734 216,341 Long-term obligations, less current portion 111,551 144,688 Deferred income taxes — 52,286 Other long-term obligations   4,852     6,833     Total liabilities   338,137     420,148       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; 31,017,363 and 29,867,701 share issued; and 30,328,549 and 29,232,807 share outstanding 30 29 Additional paid-in capital 432,390 407,156 Treasury stock at cost, 688,814 and 634,894 shares of common stock (15,770 ) (14,022 ) Accumulated other comprehensive income 13 25 Retained earnings   102,205     484,669     Total Amedisys, Inc. stockholders’ equity 518,868 877,857 Noncontrolling interests   1,280     1,858     Total equity   520,148     879,715     Total liabilities and equity $ 858,285   $ 1,299,863      

Statement of Operations Information

    For the three-month periods ended December 31,   For the Year Ended December 31, 2011   2010 2011   2010 Net service revenue $ 370,746 $ 388,718 $ 1,470,358 $ 1,603,849 Cost of service, excluding depreciation and amortization 202,191 195,972 782,348 796,389 General and administrative expenses: Salaries and benefits 85,539 87,000 333,190 341,720 Non-cash compensation 28 2,317 8,292 10,634 Other 48,710 46,668 185,297 192,245 Provision for doubtful accounts 3,785 5,027 13,531 18,750 Depreciation and amortization 10,181 9,101 38,611 33,523 Goodwill and other intangibles impairment charge   5,841     —     579,955     —     Operating expenses   356,275     346,085     1,941,224     1,393,261     Operating (loss) income 14,471 42,633 (470,866 ) 210,588 Other (expense) income Interest income 6 61 231 435 Interest expense (2,129 ) (2,163 ) (8,822 ) (9,201 ) Equity in earnings from equity investments 380 706 1,494 3,016 Miscellaneous, net   4     (724 )   (840 )   (2,297 )   Total other expense, net   (1,739 )   (2,120 )   (7,937 )   (8,047 )   (Loss) income before income taxes 12,732 40,513 (478,803 ) 202,541 Income tax benefit (expense)   (5,455 )   (15,750 )   103,426     (78,923 )   (Loss) income from continuing operations 7,277 24,763 (375,377 ) 123,618 Discontinued operations, net of tax   (2,959 )   (2,494 )   (6,965 )   (10,345 )   Net (loss) income 4,318 22,269 (382,342 ) 113,273 Net (income) attributable to noncontrolling interests   (4 )   (171 )   (122 )   (693 )   Net (loss) income attributable to Amedisys, Inc. $ 4,314   $ 22,098   $ (382,464 ) $ 112,580       Basic earnings per common share: (Loss) income from continuing operations attributable to Amedisys, Inc. common stockholders $ 0.25 $ 0.88 $ (13.09 ) $ 4.39 Discontinued operations, net of tax   (0.10 )   (0.09 )   (0.24 )   (0.37 )   Net (loss) income attributable to Amedisys, Inc. common stockholders $ 0.15   $ 0.79   $ (13.33 ) $ 4.02     Weighted average shares outstanding   29,011     28,105     28,693     28,032       Diluted earnings per common share: (Loss) income from continuing operations attributable to Amedisys, Inc. common stockholders $ 0.25 $ 0.86 $ (13.09 ) $ 4.32 Discontinued operations, net of tax   (0.10 )   (0.09 )   (0.24 )   (0.37 )  

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

$ 0.15   $ 0.77   $ (13.33 ) $ 3.95     Weighted average shares outstanding   29,415     28,528     28,693     28,484       Amounts attributable to Amedisys, Inc. common stockholders: (Loss) income from continuing operations $ 7,273 $ 24,592 $ (375,499 ) $ 122,925 Discontinued operations, net of tax   (2,959 )   (2,494 )   (6,965 )   (10,345 )   Net (loss) income $ 4,314   $ 22,098   $ (382,464 ) $ 112,580      

Cash Flow Information

    For the three-month periods ended December 31,   For the Year Ended December 31, 2011   2010 2011   2010   Net cash provided by operating activities $ 37,370 $ 33,665 $ 141,663 $ 206,273 Net cash used in investing activities (12,047 ) (31,956 ) (180,710 ) (73,616 ) Net cash used in financing activities   (6,781 )   (9,451 )   (33,244 )   (46,847 )   Net increase (decrease) in cash and cash equivalents 18,542 (7,742 ) (72,291 ) 85,810 Cash and cash equivalents at beginning of period   29,462     128,037     120,295     34,485     Cash and cash equivalents at end of period $ 48,004   $ 120,295   $ 48,004   $ 120,295      

Supplemental Information - Home Health

    For the Three-Month Periods Ended December 31, 2011   2010 Same Store   Start-ups/Acquisitions   Total Same Store   Other (1)   Total Financial Information (in millions): Episodic-based revenue $ 280.7 $ 3.3 $ 284.0 $ 327.6 $ 5.7 $ 333.3 Non-episodic revenue   18.1     0.4     18.5   17.4   0.5     17.9   Net service revenue 298.8 3.7 302.5 345.0 6.2 351.2 Same store episodic-based revenue growth (2)   (14 %)   Cost of service   163.6     2.2     165.8   170.5   5.7     176.2   Gross margin 135.2 1.5 136.7 174.5 0.5 175.0 Other operating expenses excluding impairment charge (5)   79.5     1.4     80.9   81.2   9.3     90.5   Operating income before impairment charge (5) $ 55.7  

$

0.1  

$

55.8

$

93.3

$

(8.8 )

$

84.5     Key Statistical Data: Admissions: Episodic-based 56,304 655 56,959 59,573 1,203 60,776 Non-episodic   10,924     237     11,161   9,775   241     10,016   Total admissions   67,228     892     68,120   69,348   1,444     70,792   Same store episodic-based admission growth (2)   (5 %)     Recertifications Episodic-based 42,258 399 42,657 44,296 797 45,093 Non-episodic   4,491     47     4,538   4,353   45     4,398   Total recertifications   46,749     446     47,195   48,649   842     49,491   Same store episodic-based recertification growth (2)   (5 %)     Completed Episodes Episodic-based   95,916     998     96,914   100,571   3,046     103,617     Visits: Episodic-based 1,805,216 20,269 1,825,485 1,929,016 32,676 1,961,692 Non-episodic   198,325     3,689     202,014   188,422   3,384     191,806   Total visits   2,003,541     23,958     2,027,499   2,117,438   36,060     2,153,498     Cost per Visit $ 81.68  

$

93.33  

$

81.81

$

80.52

$

157.38  

$

81.81    

Average episodic-based revenue per completed episode (3)

$ 2,980  

$

3,288  

$

2,984

$

3,297

$

3,210  

$

3,294     Episodic-based visits per completed episode (4)   18.9     19.7     18.9   19.3   18.3     19.2     For the Years Ended December 31, 2011 2010 Same Store Start-ups/Acquisitions Total Same Store Other (1) Total Financial Information (in millions): Episodic-based revenue $ 1,161.2 $ 17.3 $ 1,178.5 $ 1,354.0 $ 37.5 $ 1,391.5 Non-episodic revenue   72.8     1.3     74.1   70.8   2.9     73.7   Net service revenue 1,234.0 18.6 1,252.6 1,424.8 40.4 1,465.2 Same store episodic-based revenue growth (2)   (14 %)   Cost of service   654.9     10.8     665.7   692.3   30.0     722.3   Gross margin 579.1 7.8 586.9 732.5 10.4 742.9 Other operating expenses excluding impairment charge (5)   308.6     8.3     316.9   326.9   41.0     367.9   Operating income before impairment charge (5) $ 270.5   $ (0.5 ) $ 270.0 $ 405.6 $ (30.6 ) $ 375.0     Key Statistical Data: Admissions: Episodic-based 230,183 3,538 233,721 240,115 7,674 247,789 Non-episodic   42,354     761     43,115   38,276   1,610     39,886   Total admissions   272,537     4,299     276,836   278,391   9,284     287,675   Same store episodic-based admission growth (2)   (4 %)     Recertifications Episodic-based 171,690 1,645 173,335 181,481 4,563 186,044 Non-episodic   17,282     158     17,440   18,117   333     18,450   Total recertifications   188,972     1,803     190,775   199,598   4,896     204,494   Same store episodic-based recertification growth (2)   (5 %)     Completed Episodes Episodic-based   386,959     4,815     391,774   402,910   13,269     416,179     Visits: Episodic-based 7,436,394 94,225 7,530,619 7,877,580 211,168 8,088,748 Non-episodic   791,823     13,051     804,874   780,284   30,074     810,358   Total visits   8,228,217     107,276     8,335,493   8,657,864   241,242     8,899,106     Cost per Visit $ 79.59   $ 100.98   $ 79.87 $ 79.97 $ 124.20   $ 81.17     Average episodic-based revenue per completed episode (3) $ 3,003   $ 3,126   $ 3,005 $ 3,315 $ 3,216   $ 3,312     Episodic-based visits per completed episode (4)   18.8     18.0     18.8   19.2   17.7     19.1  

(1) Care centers for the prior period which are not considered same store care centers (i.e., care centers consolidated in current or prior period or unopened startups).(2) Same store episodic-based revenue, admissions or recertifications growth is the percent increase (decrease) in our same store episodic-based revenue, admissions or recertifications for the period as a percent of the same store episodic-based revenue, admissions or recertifications of the prior period.(3) Average episodic-based revenue per completed episode is the average episodic-based revenue earned for each episodic-based completed episode of care.(4) Episodic-based visits per completed episode are the home health episodic-based visits on completed episodes divided by the home health episodic-based episodes completed during the period.(5) Other operating expenses and operating income totaled $86.7 million and $50.0 million, respectively, including the $5.8 million impairment charge of goodwill for the quarter ended December 31, 2011. Other operating expenses and operating loss totaled $896.8 million and $309.9 million, respectively, including the $579.9 million impairment charge of goodwill and other intangibles for the year ended December 31, 2011.

 

Supplemental Information - Hospice

  For the Three-Month Periods Ended December 31, 2011   2010 Same Store   Start-ups/Acquisitions   Total Same Store   Other (1)   Total Financial Information (in millions): Medicare revenue $ 41.1 $ 23.2 $ 64.3 $ 35.1 $ 0.4 $ 35.5 Non-Medicare   2.6     1.3   3.9   2.0   —     2.0   Net service revenue 43.7 24.5 68.2 37.1 0.4 37.5 Same store Medicare revenue growth (2)   17 %   Cost of service   22.0     14.3   36.3   19.1   0.7     19.8   Gross margin 21.7 10.2 31.9 18.0 (0.3 ) 17.7 Other operating expenses   8.5     5.6   14.1   6.8   0.8     7.6   Operating income $ 13.2   $ 4.6 $ 17.8 $ 11.2 $ (1.1 ) $ 10.1     Key Statistical Data: Hospice admits 2,996 1,439 4,435 2,994 43 3,037 Hospice days 317,922 142,968 460,890 276,145 3,109 279,254 Average daily census 3,456 1,554 5,010 3,001 34 3,035 Revenue per day $ 137.33 $ 171.43 $ 147.91 $ 134.43 $ 140.57 $ 134.50 Cost of service per day $ 68.51 $ 99.82 $ 78.20 $ 69.12 $ 227.94 $ 70.89 Average length of stay 95 89 93 87 112 88       For the Years Ended December 31, 2011   2010 Same Store   Start-ups/Acquisitions   Total Same Store   Other (1)   Total Financial Information (in millions): Medicare revenue $ 151.6 $ 52.9 $ 204.5 $ 127.6 $ 3.4 $ 131.0 Non-Medicare   10.0     3.2   13.2   7.4   0.2     7.6   Net service revenue 161.6 56.1 217.7 135.0 3.6 138.6 Same store Medicare revenue growth (2)   19 %   Cost of service   83.5     33.1   116.6   70.2   3.9     74.1   Gross margin 78.1 23.0 101.1 64.8 (0.3 ) 64.5 Other operating expenses   30.9     13.9   44.8   28.3   4.0     32.3   Operating income $ 47.2   $ 9.1 $ 56.3 $ 36.5 $ (4.3 ) $ 32.2     Key Statistical Data: Hospice admits 12,203 3,686 15,889 10,903 372 11,275 Hospice days 1,200,201 331,764 1,531,965 1,007,364 26,196 1,033,560 Average daily census 3,288 909 4,197 2,760 72 2,832 Revenue per day $ 134.66 $ 169.20 $ 142.14 $ 133.99 $ 137.61 $ 134.09 Cost of service per day $ 69.36 $ 99.35 $ 75.85 $ 69.69 $ 147.04 $ 71.65 Average length of stay 91 78 88 88 80 88  

(1) Care centers for the prior period which are not considered same store care centers (i.e., care centers consolidated in current or prior period or unopened startups).(2) Same store Medicare revenue growth is the percent increase in our same store Medicare revenue for the period as a percent of the same store Medicare revenue of the prior period.

 

AMEDISYS, INC. AND SUBSIDIARIES

SELECT CONSOLIDATED KEY STATISTICAL DATA AND

RECONCILIATION OF NON-GAAP FINANCIAL MEASURES TO GAAP FINANCIAL STATEMENTS

(Amounts in thousands, except per share data)

(Unaudited)

    For the three-month periods ended December 31,   For the Year Ended December 31, 2011   2010 2011   2010   Key Statistical Data: General Number of home health care centers 440 486 440 486 Number of hospice care centers 87 67 87 67 Number of care centers acquired (1) 1 1 23 4 Number of care centers opened as start-up locations (1) 2 6 12 48 Days revenue outstanding, net (2) 35.3 32.8 35.3 32.8  

(1) Includes both home health and hospice care centers.(2) Our calculation of days revenue outstanding, net at December 31, 2011 and 2010 is derived by dividing our ending patient accounts receivable (i.e., net of estimated revenue adjustments and allowance for doubtful accounts) by our average daily net patient revenue for the three month-period ended December 31, 2011 and 2010, respectively.

 

Earnings from continuing operations before interest, taxes, depreciation and amortization (“EBITDA”) and Adjusted EBITDA

    For the three-month periods ended December 31,   For the Year Ended December 31, 2011   2010 2011   2010 Net (loss) income from continuing operations attributable to Amedisys, Inc. $ 7,273 $ 24,592 $ (375,499 ) $ 122,925 Add: Provision for income taxes 5,455 15,750 (103,426 ) 78,923 Interest expense, net 2,123 2,102 8,591 8,766 Depreciation and amortization   10,181     9,101     38,611     33,523     EBITDA (1) $ 25,032   $ 51,545   $ (431,723 ) $ 244,137     Add: Certain items (2) 11,314 7,933 588,734 13,784 Intangible write-off (2)   (737 )   (1,343 )   (737 )   (1,916 )   Adjusted EBITDA (3) $ 35,609   $ 58,135   $ 156,274   $ 256,005      

Adjusted Net Service Revenue Reconciliation

    For the three-month periods ended December 31,   For the Year Ended December 31, 2011   2010 2011   2010 Net service revenue $ 370,746 $ 388,718 $ 1,470,358 $ 1,603,849 Add: Certain items (2)   —   —   (4,733 )   (7,263 )   Adjusted net service revenue (4) $ 370,746 $ 388,718 $ 1,465,625   $ 1,596,586    

Adjusted Net Income From Continuing Operations Attributable to Amedisys, Inc. Reconciliation:

    For the three-month periods ended December 31,   For the Year Ended December 31, 2011   2010 2011   2010 Net (loss) income from continuing operations attributable to Amedisys, Inc. $ 7,273 $ 24,592 $ (375,499 ) $ 122,925 Add: Certain items (2)   7,097   4,839   441,739     8,408   Adjusted net (loss) income from continuing operations attributable to Amedisys, Inc. (5) $ 14,370 $ 29,431 $ 66,240   $ 131,333  

Adjusted Net Loss (Income) From Continuing Operations Attributable to Amedisys, Inc. per Diluted Share:

    For the three-month periods ended December 31,   For the Year Ended December 31, 2011   2010 2011   2010 Net (loss) income from continuing operations attributable to Amedisys, Inc. common stockholders per diluted share $ 0.25 $ 0.86 $ (13.09 ) $ 4.32 Add: Certain items (2)   0.24   0.17   15.36     0.29   Adjusted net (loss) income from continuing operations attributable to Amedisys, Inc. common stockholders per diluted share (6) $ 0.49 $ 1.03 $ 2.27   $ 4.61

(1) EBITDA is defined as net (loss) income from continuing operations attributable to Amedisys, Inc. before provision for income taxes, net interest expense, and depreciation and amortization. EBITDA should not be considered as an alternative to, or more meaningful than, income before income taxes, cash flow from operating activities, or other traditional indicators of operating performance. This calculation of EBITDA may not be comparable to a similarly titled measure reported by other companies, since not all companies calculate this non-GAAP financial measure in the same manner.

(2) During the three and twelve-month periods ended December 31, 2011, we recorded charges for the impairment of goodwill and other intangibles and incurred certain costs associated with acquisitions and related integrations costs and legal expenses related to the United States Senate Committee on Finance inquiry and the SEC and Department of Justice investigations discussed in Note 10 to the consolidated financial statements. We also incurred costs associated with our exit activities for those care centers which were consolidated or for which the startup process was discontinued during the three and twelve-month periods ended December 31, 2011, which includes $0.7 million for the write-off of intangibles. For the twelve-month period ended December 31, 2011, these charges were offset, in part, by the release of a valuation allowance related to specific deferred tax assets and a Centers for Medicare and Medicaid Services (“CMS”) bonus payment as the result of the pay for performance demonstration. The following details these items (amounts in thousands, except per share data):

      For the Three-Month Periods Ended December 31,2011   For the Twelve-Month Periods Ended December 31,2011 (Income)Expense   Net   Diluted EPS (Income)Expense   Net   Diluted EPS CMS Bonus $ — $ — $ — $ (4,733 ) $ (2,864 ) $ (0.10 ) Goodwill and other intangibles impairment charge 5,841 3,897 0.13 579,955 438,464 15.25 Valuation allowance adjustment — — — — (1,924 ) (0.07 ) Exit activities related to continuing operations 2,502 1,489 0.05 3,370 2,014 0.07 Certain costs   2,971   1,711   0.06   10,142     6,049     0.21     Total $ 11,314 $ 7,097 $ 0.24 $ 588,734   $ 441,739   $ 15.36    

During the three-month period ended December 31, 2010, we incurred certain costs associated with the realignment of operations including severance and legal expenses related to the United States Committee on Finance inquiry and SEC investigation. We also incurred costs associated with our exit activities for those care centers which were consolidated or for which the startup process was discontinued during the three and twelve-month periods ended December 31, 2010, which includes $1.3 million and $1.9 million respectively, for the write-off of intangibles. During the twelve-month period ended December 31, 2010, these charges were offset, in part, when we settled our Georgia indigent care liability and received a CMS bonus payment as the result of the pay for performance demonstration. The following details these items (amounts in thousands, except per share data):

    For the Three-Month Periods Ended December 31,2010   For the Twelve-Month Periods Ended December 31,2010 (Income)Expense   Net   Diluted EPS Income(Expense)   Net   Diluted EPS Georgia indigent care liability $ — $ — $ — $ (3,676 ) (2,242 ) (0.08 ) CMS Bonus — — — (3,587 ) (2,188 ) (0.08 ) Exit activities related to continuing operations 4,727 2,884 0.10 11,438 6,977 0.24 Certain costs   3,206   1,955   0.07   9,609     5,861     0.21     Total $ 7,933 $ 4,839 $ 0.17 $ 13,784   $ 8,408   $ 0.29    

(3) Adjusted EBITDA is defined as net (loss) income attributable to Amedisys, Inc. from continuing operations before provision for income taxes, net interest expense, depreciation and amortization plus certain items as described in footnote 2. Adjusted EBITDA should not be considered as an alternative to, or more meaningful than, income before income taxes, cash flow from operating activities, or other traditional indicators of operating performance. This calculation of adjusted EBITDA may not be comparable to a similarly titled measure reported by other companies, since not all companies calculate this non-GAAP financial measure in the same manner.

(4) Adjusted net service revenue is defined as net service revenue plus certain items as described in footnote 2. Adjusted net service revenue should not be considered as an alternative to, or more meaningful than, income before income taxes, cash flow from operating activities, or other traditional indicators of operating performance. This calculation of adjusted net service revenue may not be comparable to a similarly titled measure reported by other companies, since not all companies calculate this non-GAAP measure in the same manner.

(5) Adjusted net income attributable to Amedisys, Inc. from continuing operations is defined as net (loss) income attributable to Amedisys, Inc. from continuing operations plus certain items as described in footnote 2. Adjusted net income attributable to Amedisys, Inc. from continuing operations should not be considered as an alternative to, or more meaningful than, income before income taxes, cash flow from operating activities, or other traditional indicators of operating performance. This calculation of adjusted net income attributable to Amedisys, Inc. from continuing operations may not be comparable to a similarly titled measure reported by other companies, since not all companies calculate this non-GAAP measure in the same manner.

(6) Adjusted net (loss) income from continuing operations attributable to Amedisys, Inc. common stockholders per diluted share is defined as diluted (loss) earnings from continuing operations per share plus the earnings per share effect of certain items as described in footnote 2. Adjusted net (loss) income from continuing operations 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, cash flow from operating activities, or other traditional indicators or operating performance. This calculation of adjusted net (loss) income from continuing operations attributable to Amedisys, Inc. common stockholders per diluted share may not be comparable to a similarly titled measure reported by other companies, since not all companies calculate this non-GAAP financial measure in the same manner.



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