Amedisys Reports Third Quarter 2024 Financial Results

GlobeNewswire Inc.

November 06, 2024 9:30PM GMT

BATON ROUGE, La., Nov. 06, 2024 (GLOBE NEWSWIRE) -- Amedisys, Inc. (NASDAQ: AMED) today reported its financial results for the three and nine-month periods ended September 30, 2024.

Three-Month Periods Ended September 30, 2024 and 2023

  • Net service revenue increased $31.5 million to $587.7 million compared to $556.2 million in 2023.
  • Net income attributable to Amedisys, Inc. of $16.9 million, which is inclusive of merger-related expenses totaling $16.7 million ($16.7 million, net of tax) compared to net income attributable to Amedisys, Inc. of $26.0 million, which is inclusive of merger-related expenses totaling $5.0 million ($4.7 million, net of tax) in 2023.
  • Net income attributable to Amedisys, Inc. per diluted share of $0.51 compared to $0.79 in 2023.

Adjusted Quarterly Results*

  • Adjusted EBITDA of $58.1 million compared to $57.9 million in 2023.
  • Adjusted net income attributable to Amedisys, Inc. of $33.2 million compared to $32.2 million in 2023.
  • Adjusted net income attributable to Amedisys, Inc. per diluted share of $1.00 compared to $0.98 in 2023.

Nine-Month Periods Ended September 30, 2024 and 2023

  • Net service revenue increased $84.7 million to $1,750.3 million compared to $1,665.6 million in 2023.
  • Net income attributable to Amedisys, Inc. of $63.6 million, which is inclusive of merger-related expenses totaling $49.2 million ($48.0 million, net of tax) compared to net loss attributable to Amedisys, Inc. of $29.1 million, which is inclusive of merger-related expenses totaling $131.2 million ($130.9 million, net of tax) in 2023.
  • Net income attributable to Amedisys, Inc. per diluted share of $1.93 compared to net loss attributable to Amedisys, Inc. per diluted share of $0.89 in 2023.

Adjusted Year to Date Results*

  • Adjusted EBITDA of $191.1 million compared to $190.4 million in 2023.
  • Adjusted net income attributable to Amedisys, Inc. of $110.7 million compared to $109.8 million in 2023.
  • Adjusted net income attributable to Amedisys, Inc. per diluted share of $3.35 compared to $3.36 in 2023.

* See pages 2 and 13 - 14 for the definition and reconciliations of non-GAAP financial measures to GAAP measures.

The supplemental slides provided in connection with the third quarter 2024 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 third quarter results.

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 (loss) attributable to Amedisys, Inc. before net interest expense, provision for income taxes and depreciation and amortization, excluding certain items; (2) adjusted net income attributable to Amedisys, Inc., defined as net income (loss) attributable to Amedisys, Inc. calculated in accordance with GAAP excluding certain items; and (3) adjusted net income attributable to Amedisys, Inc. per diluted share, defined as net income (loss) attributable to Amedisys, Inc. common stockholders per diluted share calculated in accordance with GAAP 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 110,000 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 19,000 employees in 519 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 469,000 patients 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 costs related to the proposed merger; 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; 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 KimmonsVice 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-MonthPeriods Ended September 30,

 

For the Nine-MonthPeriods Ended September 30,

 

 

2024

 

 

 

2023

 

 

 

2024

 

 

 

2023

 

Net service revenue

$

587,671

 

 

$

556,237

 

 

$

1,750,272

 

 

$

1,665,594

 

Operating expenses:

 

 

 

 

 

 

 

Cost of service, inclusive of depreciation

 

337,563

 

 

 

311,628

 

 

 

986,033

 

 

 

924,093

 

General and administrative expenses:

 

 

 

 

 

 

 

Salaries and benefits

 

134,833

 

 

 

129,083

 

 

 

392,102

 

 

 

380,926

 

Non-cash compensation

 

6,726

 

 

 

6,612

 

 

 

21,987

 

 

 

18,968

 

Merger-related expenses

 

16,669

 

 

 

4,980

 

 

 

49,237

 

 

 

25,151

 

Depreciation and amortization

 

4,774

 

 

 

4,436

 

 

 

13,431

 

 

 

13,604

 

Other

 

56,777

 

 

 

57,287

 

 

 

173,320

 

 

 

180,467

 

Total operating expenses

 

557,342

 

 

 

514,026

 

 

 

1,636,110

 

 

 

1,543,209

 

Operating income

 

30,329

 

 

 

42,211

 

 

 

114,162

 

 

 

122,385

 

Other income (expense):

 

 

 

 

 

 

 

Interest income

 

2,017

 

 

 

1,304

 

 

 

5,361

 

 

 

2,452

 

Interest expense

 

(7,772

)

 

 

(8,021

)

 

 

(23,786

)

 

 

(23,040

)

Equity in earnings from equity method investments

 

1,891

 

 

 

1,252

 

 

 

4,316

 

 

 

9,366

 

Merger termination fee

 

 

 

 

 

 

 

 

 

 

(106,000

)

Miscellaneous, net

 

2,522

 

 

 

1,201

 

 

 

5,391

 

 

 

5,262

 

Total other expense, net

 

(1,342

)

 

 

(4,264

)

 

 

(8,718

)

 

 

(111,960

)

Income before income taxes

 

28,987

 

 

 

37,947

 

 

 

105,444

 

 

 

10,425

 

Income tax expense

 

(12,473

)

 

 

(12,331

)

 

 

(41,763

)

 

 

(40,381

)

Net income (loss)

 

16,514

 

 

 

25,616

 

 

 

63,681

 

 

 

(29,956

)

Net (income) loss attributable to noncontrolling interests

 

397

 

 

 

344

 

 

 

(69

)

 

 

887

 

Net income (loss) attributable to Amedisys, Inc.

$

16,911

 

 

$

25,960

 

 

$

63,612

 

 

$

(29,069

)

Basic earnings per common share:

 

 

 

 

 

 

 

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

$

0.52

 

 

$

0.80

 

 

$

1.94

 

 

$

(0.89

)

Weighted average shares outstanding

 

32,745

 

 

 

32,624

 

 

 

32,707

 

 

 

32,587

 

Diluted earnings per common share:

 

 

 

 

 

 

 

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

$

0.51

 

 

$

0.79

 

 

$

1.93

 

 

$

(0.89

)

Weighted average shares outstanding

 

33,135

 

 

 

32,831

 

 

 

33,020

 

 

 

32,587

 


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

 

September 30,
2024(unaudited)

 

December 31,
2023

ASSETS

 

 

 

Current assets:

 

 

 

Cash and cash equivalents

$

245,450

 

 

$

126,450

 

Restricted cash

 

 

 

 

12,413

 

Patient accounts receivable

 

301,050

 

 

 

313,373

 

Prepaid expenses

 

20,485

 

 

 

14,639

 

Other current assets

 

12,962

 

 

 

30,060

 

Total current assets

 

579,947

 

 

 

496,935

 

Property and equipment, net of accumulated depreciation of $101,003 and $92,422

 

42,000

 

 

 

41,845

 

Operating lease right of use assets

 

85,110

 

 

 

88,939

 

Goodwill

 

1,244,679

 

 

 

1,244,679

 

Intangible assets, net of accumulated amortization of $17,603 and $14,008

 

99,698

 

 

 

102,675

 

Other assets

 

87,680

 

 

 

85,097

 

Total assets

$

2,139,114

 

 

$

2,060,170

 

LIABILITIES AND EQUITY

 

 

 

Current liabilities:

 

 

 

Accounts payable

$

32,117

 

 

$

28,237

 

Payroll and employee benefits

 

138,374

 

 

 

136,835

 

Accrued expenses

 

145,611

 

 

 

140,049

 

Termination fee paid by UnitedHealth Group

 

106,000

 

 

 

106,000

 

Current portion of long-term obligations

 

37,478

 

 

 

36,314

 

Current portion of operating lease liabilities

 

26,441

 

 

 

26,286

 

Total current liabilities

 

486,021

 

 

 

473,721

 

Long-term obligations, less current portion

 

344,428

 

 

 

361,862

 

Operating lease liabilities, less current portion

 

59,323

 

 

 

62,751

 

Deferred income tax liabilities

 

48,017

 

 

 

40,635

 

Other long-term obligations

 

886

 

 

 

1,418

 

Total liabilities

 

938,675

 

 

 

940,387

 

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; 38,267,133 and 38,131,478 shares issued; 32,751,131 and 32,667,631 shares outstanding

 

38

 

 

 

38

 

Additional paid-in capital

 

809,655

 

 

 

787,177

 

Treasury stock, at cost, 5,516,002 and 5,463,847 shares of common stock

 

(473,466

)

 

 

(468,626

)

Retained earnings

 

811,537

 

 

 

747,925

 

Total Amedisys, Inc. stockholders’ equity

 

1,147,764

 

 

 

1,066,514

 

Noncontrolling interests

 

52,675

 

 

 

53,269

 

Total equity

 

1,200,439

 

 

 

1,119,783

 

Total liabilities and equity

$

2,139,114

 

 

$

2,060,170

 



AMEDISYS, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS AND DAYS REVENUE OUTSTANDING
(Amounts in thousands, except statistical information)
(Unaudited)

 

For the Three-MonthPeriods Ended September 30,

 

For the Nine-MonthPeriods Ended September 30,

 

 

2024

 

 

 

2023

 

 

 

2024

 

 

 

2023

 

Cash Flows from Operating Activities:

 

 

 

 

 

 

 

Net income (loss)

$

16,514

 

 

$

25,616

 

 

$

63,681

 

 

$

(29,956

)

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

 

 

 

 

 

 

 

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

 

6,835

 

 

 

6,063

 

 

 

19,331

 

 

 

17,956

 

Non-cash compensation

 

6,206

 

 

 

7,243

 

 

 

22,390

 

 

 

19,624

 

Amortization and impairment of operating lease right of use assets

 

8,620

 

 

 

8,456

 

 

 

25,720

 

 

 

25,427

 

(Gain) loss on disposal of property and equipment

 

(3

)

 

 

(10

)

 

 

(22

)

 

 

346

 

Loss on personal care divestiture

 

 

 

 

 

 

 

 

 

 

2,186

 

Merger termination fee

 

 

 

 

 

 

 

 

 

 

106,000

 

Deferred income taxes

 

805

 

 

 

7,313

 

 

 

7,382

 

 

 

15,417

 

Equity in earnings from equity method investments

 

(1,891

)

 

 

(1,252

)

 

 

(4,316

)

 

 

(9,366

)

Amortization of deferred debt issuance costs

 

248

 

 

 

248

 

 

 

743

 

 

 

743

 

Return on equity method investments

 

1,442

 

 

 

1,556

 

 

 

2,160

 

 

 

4,309

 

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

 

 

 

 

 

 

 

Patient accounts receivable

 

55,860

 

 

 

(40,796

)

 

 

11,503

 

 

 

(32,934

)

Other current assets

 

8,115

 

 

 

(17,123

)

 

 

11,242

 

 

 

(15,434

)

Operating lease right of use assets

 

(1,066

)

 

 

(866

)

 

 

(3,135

)

 

 

(2,803

)

Other assets

 

228

 

 

 

29

 

 

 

598

 

 

 

273

 

Accounts payable

 

5,860

 

 

 

(4,108

)

 

 

4,167

 

 

 

(8,839

)

Accrued expenses

 

5,400

 

 

 

5,565

 

 

 

12,495

 

 

 

10,340

 

Other long-term obligations

 

41

 

 

 

23

 

 

 

(532

)

 

 

(3,156

)

Operating lease liabilities

 

(7,590

)

 

 

(7,800

)

 

 

(22,019

)

 

 

(23,256

)

Net cash provided by (used in) operating activities

 

105,624

 

 

 

(9,843

)

 

 

151,388

 

 

 

76,877

 

Cash Flows from Investing Activities:

 

 

 

 

 

 

 

Proceeds from the sale of deferred compensation plan assets

 

 

 

 

 

 

 

21

 

 

 

25

 

Proceeds from the sale of property and equipment

 

 

 

 

 

 

 

 

 

 

100

 

Purchases of property and equipment

 

(1,385

)

 

 

(984

)

 

 

(5,440

)

 

 

(3,728

)

Investments in technology assets

 

(210

)

 

 

(214

)

 

 

(619

)

 

 

(6,881

)

Investments in equity method investees

 

(850

)

 

 

 

 

 

(1,046

)

 

 

 

Return of investment

 

 

 

 

150

 

 

 

 

 

 

150

 

Proceeds from personal care divestiture

 

 

 

 

 

 

 

 

 

 

47,787

 

Acquisitions of businesses, net of cash acquired

 

 

 

 

 

 

 

 

 

 

(350

)

Net cash (used in) provided by investing activities

 

(2,445

)

 

 

(1,048

)

 

 

(7,084

)

 

 

37,103

 

Cash Flows from Financing Activities:

 

 

 

 

 

 

 

Proceeds from issuance of stock upon exercise of stock options

 

88

 

 

 

25

 

 

 

88

 

 

 

100

 

Proceeds from issuance of stock under employee stock purchase plan

 

 

 

 

848

 

 

 

 

 

 

2,602

 

Shares withheld to pay taxes on non-cash compensation

 

(645

)

 

 

(925

)

 

 

(4,840

)

 

 

(4,413

)

Noncontrolling interest contributions

 

 

 

 

856

 

 

 

1,911

 

 

 

1,232

 

Noncontrolling interest distributions

 

(610

)

 

 

(902

)

 

 

(2,574

)

 

 

(1,614

)

Purchase of noncontrolling interest

 

 

 

 

 

 

 

 

 

 

(800

)

Proceeds from borrowings under revolving line of credit

 

 

 

 

 

 

 

 

 

 

23,000

 

Repayments of borrowings under revolving line of credit

 

 

 

 

 

 

 

 

 

 

(23,000

)

Principal payments of long-term obligations

 

(9,348

)

 

 

(6,120

)

 

 

(27,730

)

 

 

(67,113

)

Payment of accrued contingent consideration

 

(4,572

)

 

 

(36

)

 

 

(4,572

)

 

 

(4,091

)

Net cash used in financing activities

 

(15,087

)

 

 

(6,254

)

 

 

(37,717

)

 

 

(74,097

)

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

 

88,092

 

 

 

(17,145

)

 

 

106,587

 

 

 

39,883

 

Cash, cash equivalents and restricted cash at beginning of period

 

157,358

 

 

 

111,161

 

 

 

138,863

 

 

 

54,133

 

Cash, cash equivalents and restricted cash at end of period

$

245,450

 

 

$

94,016

 

 

$

245,450

 

 

$

94,016

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For the Three-MonthPeriods Ended September 30,

 

For the Nine-MonthPeriods Ended September 30,

 

 

2024

 

 

 

2023

 

 

 

2024

 

 

 

2023

 

Supplemental Disclosures of Cash Flow Information:

 

 

 

 

 

 

 

Cash paid for interest

$

7,313

 

 

$

6,756

 

 

$

23,220

 

 

$

19,787

 

Cash paid for income taxes, net of refunds received

$

9,600

 

 

$

8,498

 

 

$

27,993

 

 

$

24,318

 

Cash paid for operating lease liabilities

$

8,656

 

 

$

8,665

 

 

$

25,154

 

 

$

26,059

 

Cash paid for finance lease liabilities

$

3,723

 

 

$

3,141

 

 

$

10,834

 

 

$

8,462

 

Supplemental Disclosures of Non-Cash Activity:

 

 

 

 

 

 

 

Right of use assets obtained in exchange for operating lease liabilities

$

8,003

 

 

$

10,459

 

 

$

18,950

 

 

$

25,261

 

Right of use assets obtained in exchange for finance lease liabilities

$

2,211

 

 

$

7,020

 

 

$

12,228

 

 

$

34,964

 

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

$

32

 

 

$

 

 

$

200

 

 

$

15,135

 

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

$

393

 

 

$

315

 

 

$

1,512

 

 

$

1,209

 

Days revenue outstanding (1)

 

44.4

 

 

 

49.8

 

 

 

44.4

 

 

 

49.8

 

(1) Our calculation of days revenue outstanding at September 30, 2024 and 2023 is derived by dividing our ending patient accounts receivable by our average daily patient revenue for the three-month periods ended September 30, 2024 and 2023, respectively.


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

Segment Information - Home Health

 

For the Three-Month PeriodsEnded September 30,

 

 

2024

 

 

 

2023

 

Financial Information(in millions):

 

 

 

Medicare

$

212.1

 

 

$

217.9

 

Non-Medicare

 

160.0

 

 

 

133.7

 

Net service revenue

 

372.1

 

 

 

351.6

 

Cost of service, inclusive of depreciation

 

222.2

 

 

 

201.6

 

Gross margin

 

149.9

 

 

 

150.0

 

General and administrative expenses

 

93.3

 

 

 

91.4

 

Depreciation and amortization

 

2.1

 

 

 

1.8

 

Operating income

$

54.5

 

 

$

56.8

 

Same Store Growth(1):

 

 

 

Medicare revenue

 

(3

%)

 

 

(2

%)

Non-Medicare revenue

 

20

%

 

 

17

%

Total admissions

 

12

%

 

 

4

%

Total volume

(2)

 

9

%

 

 

3

%

Key Statistical Data - Total(3):

 

 

 

Admissions

 

109,856

 

 

 

98,527

 

Recertifications

 

47,431

 

 

 

45,693

 

Total volume

 

157,287

 

 

 

144,220

 

 

 

 

 

Medicare completed episodes

 

71,118

 

 

 

72,714

 

Average Medicare revenue per completed episode

(4)

$

3,021

 

 

$

3,015

 

Medicare visits per completed episode

(5)

 

12.0

 

 

 

12.4

 

 

 

 

 

Visiting clinician cost per visit

$

108.87

 

 

$

105.06

 

Clinical manager cost per visit

 

12.65

 

 

 

11.98

 

Total cost per visit

$

121.52

 

 

$

117.04

 

Visits

 

1,829,075

 

 

 

1,723,289

 

 

For the Nine-Month PeriodsEnded September 30,

 

 

2024

 

 

 

2023

 

Financial Information(in millions):

 

 

 

Medicare

$

644.0

 

 

$

653.1

 

Non-Medicare

 

469.5

 

 

 

391.6

 

Net service revenue

 

1,113.5

 

 

 

1,044.7

 

Cost of service, inclusive of depreciation

 

648.6

 

 

 

593.1

 

Gross margin

 

464.9

 

 

 

451.6

 

General and administrative expenses

 

276.8

 

 

 

270.5

 

Depreciation and amortization

 

5.7

 

 

 

4.3

 

Operating income

$

182.4

 

 

$

176.8

 

Same Store Growth(1):

 

 

 

Medicare revenue

 

(1

%)

 

 

(3

%)

Non-Medicare revenue

 

20

%

 

 

13

%

Total admissions

 

12

%

 

 

5

%

Total volume

(2)

 

9

%

 

 

3

%

Key Statistical Data - Total(3):

 

 

 

Admissions

 

332,259

 

 

 

297,943

 

Recertifications

 

137,562

 

 

 

134,826

 

Total volume

 

469,821

 

 

 

432,769

 

 

 

 

 

Medicare completed episodes

 

217,116

 

 

 

221,125

 

Average Medicare revenue per completed episode

(4)

$

3,018

 

 

$

2,998

 

Medicare visits per completed episode

(5)

 

12.0

 

 

 

12.4

 

 

 

 

 

Visiting clinician cost per visit

$

106.76

 

 

$

101.55

 

Clinical manager cost per visit

 

12.18

 

 

 

11.41

 

Total cost per visit

$

118.94

 

 

$

112.96

 

Visits

 

5,453,694

 

 

 

5,250,944

 

(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 de novos.
(4) Average Medicare revenue per completed episode is the average Medicare revenue earned for each Medicare completed episode of care.
(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.

Segment Information - Hospice

 

For the Three-Month PeriodsEnded September 30,

 

 

2024

 

 

 

2023

 

Financial Information(in millions):

 

 

 

Medicare

$

197.8

 

 

$

188.9

 

Non-Medicare

 

10.1

 

 

 

11.3

 

Net service revenue

 

207.9

 

 

 

200.2

 

Cost of service, inclusive of depreciation

 

107.7

 

 

 

104.2

 

Gross margin

 

100.2

 

 

 

96.0

 

General and administrative expenses

 

49.7

 

 

 

48.4

 

Depreciation and amortization

 

0.8

 

 

 

0.8

 

Operating income

$

49.7

 

 

$

46.8

 

Same Store Growth(1):

 

 

 

Medicare revenue

 

5

%

 

 

1

%

Hospice admissions

 

(4

%)

 

 

(6

%)

Average daily census

 

1

%

 

 

(2

%)

Key Statistical Data - Total(2):

 

 

 

Hospice admissions

 

11,488

 

 

 

11,968

 

Average daily census

 

13,004

 

 

 

12,943

 

Revenue per day, net

$

173.74

 

 

$

168.11

 

Cost of service per day

$

89.92

 

 

$

87.48

 

Average discharge length of stay

 

98

 

 

 

94

 

 

For the None-Month PeriodsEnded September 30,

 

 

2024

 

 

 

2023

 

Financial Information(in millions):

 

 

 

Medicare

$

581.5

 

 

$

559.8

 

Non-Medicare

 

31.4

 

 

 

33.0

 

Net service revenue

 

612.9

 

 

 

592.8

 

Cost of service, inclusive of depreciation

 

317.6

 

 

 

304.4

 

Gross margin

 

295.3

 

 

 

288.4

 

General and administrative expenses

 

146.5

 

 

 

144.1

 

Depreciation and amortization

 

2.3

 

 

 

2.2

 

Operating income

$

146.5

 

 

$

142.1

 

Same Store Growth(1):

 

 

 

Medicare revenue

 

4

%

 

 

%

Hospice admissions

 

(3

%)

 

 

(6

%)

Average daily census

 

%

 

 

(2

%)

Key Statistical Data - Total(2):

 

 

 

Hospice admissions

 

36,269

 

 

 

37,361

 

Average daily census

 

12,913

 

 

 

12,864

 

Revenue per day, net

$

173.22

 

 

$

168.80

 

Cost of service per day

$

89.73

 

 

$

86.66

 

Average discharge length of stay

 

93

 

 

 

91

 

(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 de novos.

Segment Information - Personal Care(1)

 

For the Nine-Month PeriodsEnded September 30,

 

 

2024

 

 

2023

Financial Information(in millions):

 

 

 

Medicare

$

 

$

Non-Medicare

 

 

 

15.0

Net service revenue

 

 

 

15.0

Cost of service, inclusive of depreciation

 

 

 

11.1

Gross margin

 

 

 

3.9

General and administrative expenses

 

 

 

2.3

Depreciation and amortization

 

 

 

Operating income

$

 

$

1.6

Key Statistical Data - Total:

 

 

 

Billable hours

 

 

 

440,464

Clients served

 

 

 

7,892

Shifts

 

 

 

191,379

Revenue per hour

$

 

$

33.97

Revenue per shift

$

 

$

78.19

Hours per shift

 

 

 

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 PeriodsEnded September 30,

 

 

2024

 

 

 

2023

 

Financial Information(in millions):

 

 

 

Medicare

$

 

 

$

 

Non-Medicare

 

7.7

 

 

 

4.4

 

Net service revenue

 

7.7

 

 

 

4.4

 

Cost of service, inclusive of depreciation

 

7.7

 

 

 

5.8

 

Gross margin

 

 

 

 

(1.4

)

General and administrative expenses

 

5.7

 

 

 

5.3

 

Depreciation and amortization

 

0.8

 

 

 

0.7

 

Operating loss

$

(6.5

)

 

$

(7.4

)

Key Statistical Data - Total:

 

 

 

Full risk admissions

 

217

 

 

 

150

 

Limited risk admissions

 

656

 

 

 

430

 

Total admissions

 

873

 

 

 

580

 

Total admissions growth

 

51

%

 

 

35

%

 

 

 

 

Full risk revenue per episode

$

9,997

 

 

$

10,168

 

Limited risk revenue per episode

$

6,623

 

 

$

6,242

 

Number of admitting joint ventures

 

9

 

 

 

10

 

 

For the Nine-Month PeriodsEnded September 30,

 

 

2024

 

 

 

2023

 

Financial Information(in millions):

 

 

 

Medicare

$

 

 

$

 

Non-Medicare

 

23.9

 

 

 

13.1

 

Net service revenue

 

23.9

 

 

 

13.1

 

Cost of service, inclusive of depreciation

 

19.9

 

 

 

15.5

 

Gross margin

 

4.0

 

 

 

(2.4

)

General and administrative expenses

 

17.0

 

 

 

15.0

 

Depreciation and amortization

 

2.5

 

 

 

2.3

 

Operating loss

$

(15.5

)

 

$

(19.7

)

Key Statistical Data - Total:

 

 

 

Full risk admissions

 

513

 

 

 

468

 

Limited risk admissions

 

1,953

 

 

 

1,263

 

Total admissions

 

2,466

 

 

 

1,731

 

Total admissions growth

 

42

%

 

 

56

%

 

 

 

 

Full risk revenue per episode

$

10,056

 

 

$

10,783

 

Limited risk revenue per episode

$

6,740

 

 

$

5,881

 

Number of admitting joint ventures

 

9

 

 

 

10

 

Segment Information - Corporate

 

For the Three-Month PeriodsEnded September 30,

 

 

2024

 

 

2023

Financial Information(in millions):

 

 

 

General and administrative expenses

$

66.3

 

$

52.9

Depreciation and amortization

 

1.1

 

 

1.1

Total operating expenses

$

67.4

 

$

54.0

 

For the Nine-Month PeriodsEnded September 30,

 

 

2024

 

 

2023

Financial Information(in millions):

 

 

 

General and administrative expenses

$

196.3

 

$

173.6

Depreciation and amortization

 

2.9

 

 

4.8

Total operating expenses

$

199.2

 

$

178.4


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 PeriodsEnded September 30,

 

For the Nine-Month PeriodsEnded September 30,

 

 

2024

 

 

2023

 

 

2024

 

 

2023

 

Net income (loss) attributable to Amedisys, Inc.

$

16,911

 

$

25,960

 

$

63,612

 

$

(29,069

)

Add:

 

 

 

 

 

 

 

Income tax expense

 

12,473

 

 

12,331

 

 

41,763

 

 

40,381

 

Interest expense, net

 

5,755

 

 

6,717

 

 

18,425

 

 

20,588

 

Depreciation and amortization

 

6,835

 

 

6,063

 

 

19,331

 

 

17,956

 

Certain items

(1)

 

16,131

 

 

6,807

 

 

47,993

 

 

140,498

 

Adjusted EBITDA

(2)(5)

$

58,105

 

$

57,878

 

$

191,124

 

$

190,354

 

Adjusted Net Income Attributable to Amedisys, Inc Reconciliation:

 

For the Three-Month PeriodsEnded September 30,

 

For the Nine-Month PeriodsEnded September 30,

 

 

2024

 

 

2023

 

 

2024

 

 

2023

 

Net income (loss) attributable to Amedisys, Inc.

$

16,911

 

$

25,960

 

$

63,612

 

$

(29,069

)

Add:

 

 

 

 

 

 

 

Certain items

(1)

 

16,333

 

 

6,242

 

 

47,122

 

 

138,884

 

Adjusted net income attributable to Amedisys, Inc.

(3)(5)

$

33,244

 

$

32,202

 

$

110,734

 

$

109,815

 

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

 

For the Three-Month PeriodsEnded September 30,

 

For the Nine-Month PeriodsEnded September 30,

 

 

2024

 

 

2023

 

 

2024

 

 

2023

 

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

$

0.51

 

$

0.79

 

$

1.93

 

$

(0.89

)

Add:

 

 

 

 

 

 

 

Certain items

(1)

 

0.49

 

 

0.19

 

 

1.43

 

 

4.25

 

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

(4)(5)

$

1.00

 

$

0.98

 

$

3.35

 

$

3.36

 

(1)   The following details the certain items for the three and nine-month periods ended September 30, 2024 and 2023:


Certain Items (in thousands):

 

For the Three-Month PeriodsEnded September 30, 2024

 

For the Nine-Month PeriodsEnded September 30, 2024

 

(Income) Expense

 

(Income) Expense

Certain Items Impacting General and Administrative Expenses:

 

 

 

Merger-related expenses

$

16,669

 

 

$

49,237

 

Certain Items Impacting Total Other Income (Expense):

 

 

 

Other (income) expense, net

 

(538

)

 

 

(1,244

)

Total

$

16,131

 

 

$

47,993

 

Net of tax

$

16,333

 

 

$

47,122

 

Diluted EPS

$

0.49

 

 

$

1.43

 

 

For the Three-Month PeriodsEnded September 30, 2023

 

For the Nine-Month PeriodsEnded September 30, 2023

 

(Income) Expense

 

(Income) Expense

Certain Items Impacting Cost of Service, Inclusive of Depreciation:

 

 

 

Clinical optimization and reorganization costs

$

282

 

 

 

396

Certain Items Impacting General and Administrative Expenses:

 

 

 

Acquisition and integration costs

 

338

 

 

 

3,106

CEO transition

 

1,094

 

 

 

5,279

Merger-related expenses

 

4,980

 

 

 

25,151

Clinical optimization and reorganization costs

 

466

 

 

 

4,203

Personal care divestiture

 

 

 

 

525

Certain Items Impacting Total Other Income (Expense):

 

 

 

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

 

(353

)

 

 

101,838

Total

$

6,807

 

 

$

140,498

Net of tax

$

6,242

 

 

$

138,884

Diluted EPS

$

0.19

 

 

$

4.25

(2) Adjusted EBITDA is defined as net income (loss) 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 income attributable to Amedisys, Inc. is defined as net income (loss) attributable to Amedisys, Inc. calculated in accordance with GAAP excluding certain items as described in footnote 1.
(4) Adjusted net income attributable to Amedisys, Inc. common stockholders per diluted share is defined as diluted income (loss) per share calculated in accordance with GAAP excluding the earnings per share effect of certain items as described in footnote 1.
(5) Adjusted EBITDA, 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.