8-K
AMEDISYS INC false 0000896262 0000896262 2020-07-28 2020-07-28

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

FORM 8-K

 

 

CURRENT REPORT

PURSUANT TO SECTION 13 OR 15(D)

OF THE SECURITIES EXCHANGE ACT OF 1934

DATE OF REPORT (DATE OF EARLIEST EVENT REPORTED): July 28, 2020

Commission File Number: 0-24260

 

 

 

LOGO

AMEDISYS, INC.

(Exact Name of Registrant as specified in its Charter)

 

 

 

Delaware   11-3131700

(State or other jurisdiction of

incorporation or organization)

 

(I.R.S. Employer

Identification No.)

3854 American Way, Suite A, Baton Rouge, LA 70816

(Address of principal executive offices, including zip code)

(225) 292-2031 or (800) 467-2662

(Registrant’s telephone number, including area code)

 

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

 

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Act:

 

Title of each class

 

Trading

Symbol(s)

 

Name of each exchange

on which registered

Common Stock, par value $0.001 per share   AMED   The NASDAQ Global Select Market

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

Emerging growth company  

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.  ☐

 

 

 


SECTION 2 — FINANCIAL INFORMATION

 

ITEM 2.02.

RESULTS OF OPERATIONS AND FINANCIAL CONDITION

On July 28, 2020, Amedisys, Inc. (“we,” “us,” “our” or the “Company”) issued a press release announcing its financial results for the three and six-month periods ended June 30, 2020. A copy of the press release is attached hereto as Exhibit 99.1 and is incorporated herein by reference.

The information presented in Item 2.02 of this Current Report on Form 8-K and Exhibit 99.1 attached hereto shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that section, unless we specifically state that the information is to be considered “filed” under the Exchange Act or specifically incorporate it by reference in any filing under the Securities Act of 1933, as amended (the “Securities Act”), or the Exchange Act.

SECTION 7 – REGULATION FD

 

ITEM 7.01.

REGULATION FD DISCLOSURE

Item 2.02 of this Current Report on Form 8-K is incorporated herein by reference.

In addition, a copy of the supplemental slides which will be discussed during the Company’s earnings call at 11:00 a.m. ET on Wednesday, July 29, 2020 is attached to this report as Exhibit 99.2 and incorporated herein by reference.

The information presented in Item 7.01 of this Current Report on Form 8-K and Exhibit 99.2 attached hereto shall not be deemed “filed” for purposes of Section 18 of the Exchange Act, or otherwise subject to the liabilities of that section, unless we specifically state that the information is to be considered “filed” under the Exchange Act or specifically incorporate it by reference in any filing under the Securities Act or the Exchange Act.


SECTION 9 – FINANCIAL STATEMENTS AND EXHIBITS

 

ITEM 9.01.

FINANCIAL STATEMENTS AND EXHIBITS

(d) Exhibits.

 

99.1    Press release dated July 28, 2020 announcing the Company’s financial results for the three and six-month periods ended June 30, 2020 (furnished only)
99.2    Supplemental slides provided in connection with the second quarter 2020 earnings call of the Company (furnished only)
104    Cover Page Interactive Date File (embedded within the Inline XBRL document)


Signatures

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 

AMEDISYS, INC.

(Registrant)

By:

 

/s/ Scott G. Ginn

 

Scott G. Ginn

 

Chief Financial Officer

 

(Principal Financial Officer)

DATE: July 28, 2020

EX-99.1

Exhibit 99.1

 

LOGO

AMEDISYS REPORTS SECOND QUARTER 2020 FINANCIAL RESULTS

REISSUES 2020 GUIDANCE

BATON ROUGE, Louisiana (July 28, 2020) — Amedisys, Inc. (NASDAQ: AMED) today reported its financial results for the three and six-month period ended June 30, 2020.

Three-Month Periods Ended June 30, 2020 and 2019

 

   

Net service revenue decreased $8.0 million to $485.0 million compared to $493.0 million in 2019.

 

   

Net income attributable to Amedisys, Inc. of $34.7 million compared to $33.7 million in 2019.

 

   

Net income attributable to Amedisys, Inc. per diluted share of $1.04 compared to $1.02 in 2019.

Adjusted Quarterly Results*

 

   

Adjusted EBITDA of $66.4 million compared to $61.4 million in 2019.

 

   

Adjusted net service revenue of $485.0 million compared to $498.5 million in 2019.

 

   

Adjusted net income attributable to Amedisys, Inc. of $44.5 million compared to $39.9 million in 2019.

 

   

Adjusted net income attributable to Amedisys, Inc. per diluted share of $1.34 compared to $1.21 in 2019.

Six-Month Periods Ended June 30, 2020 and 2019

 

   

Net service revenue increased $16.4 million to $976.7 million compared to $960.3 million in 2019.

 

   

Net income attributable to Amedisys, Inc. of $66.5 million compared to $65.0 million in 2019.

 

   

Net income attributable to Amedisys, Inc. per diluted share of $2.00 compared to $1.98 in 2019.

Adjusted Year to Date Results*

 

   

Adjusted EBITDA of $119.7 million compared to $116.2 million in 2019.

 

   

Adjusted net service revenue of $976.7 million compared to $966.3 million in 2019.

 

   

Adjusted net income attributable to Amedisys, Inc. of $79.3 million compared to $76.3 million in 2019.

 

   

Adjusted net income attributable to Amedisys, Inc. per diluted share of $2.39 compared to $2.32 in 2019.

* See pages 13-15 for the definition and reconciliations of non-GAAP financial measures to GAAP measures.

Paul B. Kusserow, President and Chief Executive Officer stated, “I am very proud of our second quarter results which have allowed us to reissue our full year 2020 guidance ranges, but once again, more proud of our employees that delivered these results during such a momentous and unprecedented time in our nation’s history. Our front-line heroes continue to provide the highest quality care to our patients, wherever they call home even in the face of this Public Health Emergency. They have adapted to our COVID-19 policies and procedures, utilized PPE to protect both themselves and our patients, quickly implemented telehealth for additional patient touch points and have gone above and beyond to be great partners to our referral sources. The pandemic continues to highlight the importance of caring for people in their homes, wherever they call home, and as such has positioned Amedisys for continued growth in the future. A special thank you to all our essential healthcare workers - you are true heroes and none of this would be possible without you.”

 

1


2020 Guidance

 

   

Net service revenue is anticipated to be in the range of $2.040 billion to $2.070 billion.

 

   

Adjusted EBITDA is anticipated to be in the range of $245 million to $255 million.

 

   

Adjusted diluted earnings per share is anticipated to be in the range of $4.84 to $5.06 based on an estimated 33.4 million shares outstanding.

This guidance excludes the effects of any future acquisitions, if any are made.

We urge caution in considering the current trends and 2020 guidance disclosed in this press release. The home health, hospice and personal care industries are highly competitive and subject to intensive regulations, and trends are subject to numerous factors, risks, and uncertainties, some of which are referenced in the cautionary language below and others that are described more fully in our reports filed with the Securities and Exchange Commission (“SEC”) including our Annual Report on Form 10-K for the fiscal year ended December 31, 2019, subsequent Quarterly Reports on Form 10-Q, and current reports on Form 8-K which can be found on the SEC’s internet website, http://www.sec.gov, and our internet website, http://www.amedisys.com.

Earnings Call and Webcast Information

Amedisys will host a conference call on Wednesday, July 29, 2020, at 11:00 a.m. ET to discuss its second quarter results. To participate on the conference call, please call before 11:00 a.m. ET to either (877) 524-8416 (Toll-Free) or (412) 902-1028 (Toll). A replay of the conference call will be available through August 29, 2020 by dialing (877) 660-6853 (Toll-Free) or (201) 612-7415 (Toll) and entering conference ID #13706583.

A live webcast of the call will be accessible through our website on our Investor Relations section at the following web address: http://investors.amedisys.com.

Non-GAAP Financial Measures

This press release includes reconciliations of the most comparable financial measures calculated and presented in accordance with accounting principles generally accepted in the U.S. (“GAAP”) to non-GAAP financial measures. The non-GAAP financial measures as defined under SEC rules are as follows: (1) adjusted EBITDA, defined as net income attributable to Amedisys, Inc. before provision for income taxes, net interest expense and depreciation and amortization, excluding certain items; (2) adjusted net service revenue, defined as net service revenue excluding certain items; (3) adjusted other operating income, defined as other operating income excluding certain items; (4) adjusted net income attributable to Amedisys, Inc., defined as net income attributable to Amedisys, Inc. excluding certain items; and (5) adjusted net income attributable to Amedisys, Inc. per diluted share, defined as net income attributable to Amedisys, Inc. common stockholders per diluted share excluding certain items. Management believes that these non-GAAP financial measures, when reviewed in conjunction with GAAP financial measures, are useful gauges of our current performance and are also included in internal management reporting. These non-GAAP financial measures should be considered in addition to, and not more meaningful than or as an alternative to the GAAP financial measures presented in this earnings release and the 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 personal care. Amedisys is focused on delivering the care that is best for our patients, whether that is home-based personal care; recovery and rehabilitation after an operation or injury; care focused on empowering our patients to manage a chronic disease; or hospice care at the end of life. More than 2,600 hospitals and 67,000 physicians nationwide have chosen Amedisys as a partner in post-acute care. Founded in 1982, headquartered in Baton Rouge, LA with an executive office in Nashville, TN, Amedisys is a publicly held company. With more than 21,000 employees in 526 care centers within 39 states and the District of Columbia, Amedisys is dedicated to delivering the highest quality of care to the doorsteps of more than 415,000 patients and clients in need every year. For more information about the Company, please visit: www.amedisys.com.

We use our website as a channel of distribution for important company information. Important information, including press releases, investor presentations and financial information regarding our company, is routinely posted on and accessible on the Investor Relations subpage of our website, which is accessible by clicking on the tab labeled “Investors” on our website home page. Visitors to our website can also register to receive automatic e-mail and other notifications alerting them when new information is made available on the Investor Relations subpage of our website.

 

2


Forward-Looking Statements

When included in this press release, words like “believes,” “belief,” “expects,” “strategy,” “plans,” “anticipates,” “intends,” “projects,” “estimates,” “may,” “might,” “could,” “would,” “should” and similar expressions are intended to identify forward-looking statements as defined by the Private Securities Litigation Reform Act of 1995. These forward-looking statements involve a variety of risks and uncertainties that could cause actual results to differ materially from those described therein. These risks and uncertainties include, but are not limited to the following: the impact of the novel coronavirus pandemic (“COVID-19”), including the measures that have been and may be taken by governmental authorities to mitigate it, on our business, financial condition and results of operations, changes in or our failure to comply with existing federal and state laws or regulations or the inability to comply with new government regulations on a timely basis, changes in Medicare and other medical payment levels, our ability to open care centers, acquire additional care centers and integrate and operate these care centers effectively, competition in the healthcare industry, changes in the case mix of patients and payment methodologies, changes in estimates and judgments associated with critical accounting policies, our ability to maintain or establish new patient referral sources, our ability to consistently provide high-quality care, our ability to attract and retain qualified personnel, our ability to keep our patients and employees safe, changes in payments and covered services by federal and state governments, future cost containment initiatives undertaken by third-party payors, our access to financing, our ability to meet debt service requirements and comply with covenants in debt agreements, business disruptions due to natural disaster, acts of terrorism, widespread protest or civil unrest, our ability to integrate, manage and keep our information systems secure, our ability to realize the anticipated benefits of acquisitions and changes in law or developments with respect to any litigation relating to the Company, including various other matters, many of which are beyond our control.

Because forward-looking statements are inherently subject to risks and uncertainties, some of which cannot be predicted or quantified, you should not rely on any forward-looking statement as a prediction of future events. We expressly disclaim any obligation or undertaking and we do not intend to release publicly any updates or changes in our expectations concerning the forward-looking statements or any changes in events, conditions or circumstances upon which any forward-looking statement may be based, except as required by law.

 

Contact:

  

Investor Contact:

     

Media Contact:

  
  

Amedisys, Inc.

     

Amedisys, Inc.

  
  

Nick Muscato

     

Kendra Kimmons

  
  

Vice President, Strategic Finance

     

Vice President, Marketing & Communications

  
  

(855) 259-2046

     

(225) 299-3720

  
  

IR@amedisys.com

     

kendra.kimmons@amedisys.com

  

 

3


AMEDISYS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(Amounts in thousands, except per share data)

(Unaudited)

 

     For the Three-Month
Periods Ended June 30,
    For the Six-Month
Periods Ended June 30,
 
     2020     2019     2020     2019  

Net service revenue

   $ 485,059   $ 492,984   $ 976,744   $ 960,324

Other operating income

     22,780     —         22,780     —    

Cost of service, excluding depreciation and amortization

     295,228     290,752     580,965     566,026

General and administrative expenses:

        

Salaries and benefits

     105,617     98,356     207,183     193,186

Non-cash compensation

     6,725     5,538     12,634     12,153

Other

     44,003     48,408     93,268     91,810

Depreciation and amortization

     6,334     5,179     11,672     8,074
  

 

 

   

 

 

   

 

 

   

 

 

 

Operating expenses

     457,907     448,233     905,722     871,249
  

 

 

   

 

 

   

 

 

   

 

 

 

Operating income

     49,932     44,751     93,802     89,075

Other income (expense):

        

Interest income

     214     20     227     44

Interest expense

     (2,752     (4,332     (5,983     (7,681

Equity in earnings from equity method investments

     487     3,716     964     4,932

Miscellaneous, net

     (2,703     193     (2,440     429
  

 

 

   

 

 

   

 

 

   

 

 

 

Total other expense, net

     (4,754     (403     (7,232     (2,276
  

 

 

   

 

 

   

 

 

   

 

 

 

Income before income taxes

     45,178     44,348     86,570     86,799

Income tax expense

     (10,031     (10,308     (19,377     (21,186
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income

     35,147     34,040     67,193     65,613

Net income attributable to noncontrolling interests

     (473     (298     (717     (567
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income attributable to Amedisys, Inc.

   $ 34,674   $ 33,742   $ 66,476   $ 65,046
  

 

 

   

 

 

   

 

 

   

 

 

 

Basic earnings per common share:

        

Net income attributable to Amedisys, Inc. common stockholders

   $ 1.07   $ 1.05   $ 2.05   $ 2.03

Weighted average shares outstanding

     32,412     32,075     32,371     32,038

Diluted earnings per common share:

        

Net income attributable to Amedisys, Inc. common stockholders

   $ 1.04   $ 1.02   $ 2.00   $ 1.98

Weighted average shares outstanding

     33,285     32,933     33,259     32,913

 

4


AMEDISYS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS

(Amounts in thousands, except share data)

 

     June 30, 2020
(unaudited)
    December 31,
2019
 
ASSETS             

Current assets:

    

Cash and cash equivalents

   $ 177,278   $ 30,294

Restricted cash

     3,049     66,196

Patient accounts receivable

     249,030     237,596

Prepaid expenses

     10,788     8,243

Other current assets

     9,395     8,225
  

 

 

   

 

 

 

Total current assets

     449,540     350,554

Property and equipment, net of accumulated depreciation of $100,963 and $96,137

     25,007     28,113

Operating lease right of use assets

     92,904     84,791

Goodwill

     937,088     658,500

Intangible assets, net of accumulated amortization of $12,649 and $7,044

     81,813     64,748

Deferred income taxes

     25,463     21,427

Other assets

     33,673     54,612
  

 

 

   

 

 

 

Total assets

   $ 1,645,488   $ 1,262,745
  

 

 

   

 

 

 
LIABILITIES AND EQUITY             

Current liabilities:

    

Accounts payable

   $ 33,383   $ 31,259

Payroll and employee benefits

     128,275     120,877

Accrued expenses

     169,722     137,111

Provider relief fund advance

     70,000     —    

Current portion of long-term obligations

     10,718     9,927

Current portion of operating lease liabilities

     29,950     27,769
  

 

 

   

 

 

 

Total current liabilities

     442,048     326,943

Long-term obligations, less current portion

     392,713     232,256

Operating lease liabilities, less current portion

     61,611     56,128

Other long-term obligations

     26,857     5,905
  

 

 

   

 

 

 

Total liabilities

     923,229     621,232
  

 

 

   

 

 

 

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; 36,831,298 and 36,638,021 shares issued; and 32,442,719 and 32,284,051 shares outstanding

     37     37

Additional paid-in capital

     665,580     645,256

Treasury stock, at cost 4,388,579 and 4,353,970 shares of common stock

     (257,625     (251,241

Accumulated other comprehensive income

     —         15

Retained earnings

     312,859     246,383
  

 

 

   

 

 

 

Total Amedisys, Inc. stockholders’ equity

     720,851     640,450

Noncontrolling interests

     1,408     1,063
  

 

 

   

 

 

 

Total equity

     722,259     641,513
  

 

 

   

 

 

 

Total liabilities and equity

   $ 1,645,488   $ 1,262,745
  

 

 

   

 

 

 

 

5


AMEDISYS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS AND DAYS REVENUE OUTSTANDING

(Amounts in thousands, except statistical information)

(Unaudited)

 

     For the Three-Month
Periods Ended June 30,
    For the Six-Month
Periods Ended June 30,
 
     2020     2019     2020     2019  

Cash Flows from Operating Activities:

        

Net income

   $ 35,147   $ 34,040   $ 67,193   $ 65,613

Adjustments to reconcile net income to net cash provided by operating activities:

        

Depreciation and amortization

     6,334     5,179     11,672     8,074

Non-cash compensation

     6,725     5,538     12,634     12,153

Non-cash 401(k) employer match

     —         2,307     —         4,686

Amortization and impairment of operating lease right of use assets

     9,500     9,150     18,558     17,495

(Gain) loss on disposal of property and equipment

     (149     2     (94     (2

Loss on sale of equity method investment

     2,980     —         2,980     —    

Write-off of other comprehensive income

     —         —         (15     —    

Deferred income taxes

     (5,264     2,606     (4,036     5,875

Equity in earnings from equity method investments

     (487     (3,716     (964     (4,932

Amortization of deferred debt issuance costs/debt discount

     217     220     437     433

Return on equity investment

     375     117     2,744     842

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

        

Patient accounts receivable

     34,456     (1,832     8,997     (24,165

Other current assets

     2,287     2,292     (3,469     (8,343

Other assets

     (1,092     282     (675     (56

Accounts payable

     (3,779     1,665     (6,452     (9,475

Accrued expenses

     38,326     10,424     27,990     29,262

Other long-term obligations

     17,686     (37     20,746     (181

Operating lease liabilities

     (8,233     (8,061     (16,365     (16,200

Operating lease right of use assets

     (1,107     (910     (1,924     (1,754
  

 

 

   

 

 

   

 

 

   

 

 

 

Net cash provided by operating activities

     133,922     59,266     139,957     79,325
  

 

 

   

 

 

   

 

 

   

 

 

 

Cash Flows from Investing Activities:

        

Proceeds from sale of deferred compensation plan assets

     5     5     21     213

Proceeds from the sale of property and equipment

     68     81     80     146

Purchases of property and equipment

     (267     (1,495     (1,701     (2,693

Investments in equity method investees

     (875     (90     (875     (210

Proceeds from sale of equity method investment

     17,876     —         17,876     —    

Acquisitions of businesses, net of cash acquired

     (230,374     (17,547     (299,723     (345,414
  

 

 

   

 

 

   

 

 

   

 

 

 

Net cash used in investing activities

     (213,567     (19,046     (284,322     (347,958
  

 

 

   

 

 

   

 

 

   

 

 

 

Cash Flows from Financing Activities:

        

Proceeds from issuance of stock upon exercise of stock options

     1,763     987     2,947     1,343

Proceeds from issuance of stock to employee stock purchase plan

     826     752     1,686     1,534

Shares withheld to pay taxes on non-cash compensation

     (2,334     (1,802     (6,384     (4,490

Noncontrolling interest distribution

     (12     (91     (372     (457

Proceeds from borrowings under term loan

     —         —         —         175,000

Proceeds from borrowings under revolving line of credit

     237,000     23,000     424,500     184,500

Repayments of borrowings under revolving line of credit

     (222,000     (58,000     (259,500     (92,000

Principal payments of long-term obligations

     (3,083     (1,718     (4,675     (2,277

Debt issuance costs

     —         —         —         (847

Provider relief fund advance

     70,000     —         70,000     —    
  

 

 

   

 

 

   

 

 

   

 

 

 

Net cash provided by (used in) financing activities

     82,160     (36,872     228,202     262,306

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

     2,515     3,348     83,837     (6,327

Cash, cash equivalents and restricted cash at beginning of period

     177,812     10,554     96,490     20,229
  

 

 

   

 

 

   

 

 

   

 

 

 

Cash, cash equivalents and restricted cash at end of period

   $ 180,327   $ 13,902   $ 180,327   $ 13,902
  

 

 

   

 

 

   

 

 

   

 

 

 

 

6


Supplemental Disclosures of Cash Flow Information:

           

Cash paid for interest

   $ 1,537    $ 3,462    $ 3,292    $ 4,187
  

 

 

    

 

 

    

 

 

    

 

 

 

Cash paid for income taxes, net of refunds received

   $ 2,881    $ 7,445    $ 8,153    $ 7,849
  

 

 

    

 

 

    

 

 

    

 

 

 

Cash paid for operating lease liabilities

   $ 9,340    $ 8,971    $ 18,289    $ 17,954
  

 

 

    

 

 

    

 

 

    

 

 

 

Cash paid for finance lease liabilities

   $ 487    $ 408    $ 986    $ 792
  

 

 

    

 

 

    

 

 

    

 

 

 

Supplemental Disclosures of Non-Cash Activity:

           

Right of use assets obtained in exchange for operating lease liabilities

   $ 12,454    $ 10,488    $ 18,891    $ 102,231
  

 

 

    

 

 

    

 

 

    

 

 

 

Right of use assets obtained in exchange for finance lease liabilities

   $ 233    $ 998    $ 487    $ 1,806
  

 

 

    

 

 

    

 

 

    

 

 

 

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

   $ 248    $ 286    $ 407    $ 911
  

 

 

    

 

 

    

 

 

    

 

 

 

Days revenue outstanding (1)

     42.0      41.1      42.0      41.1

 

(1)

Our calculation of days revenue outstanding at June 30, 2020 and 2019 is derived by dividing our ending patient accounts receivable by our average daily patient revenue for the three-month periods ended June 30, 2020 and 2019, respectively.

 

7


AMEDISYS, INC. AND SUBSIDIARIES

SEGMENT INFORMATION

(Amounts in millions, except statistical information)

(Unaudited)

Segment Information - Home Health

 

     For the Three-Month Periods
Ended June 30,
 
     2020      2019  

Financial Information (in millions):

     

Medicare

   $ 192.9    $ 219.1

Non-Medicare

     97.3      99.5
  

 

 

    

 

 

 

Net service revenue

     290.2      318.6

Other operating income

     15.1      —    

Cost of service

     184.0      187.8
  

 

 

    

 

 

 

Gross margin

     121.3      130.8

Other operating expenses

     73.1      75.1
  

 

 

    

 

 

 

Operating income

   $ 48.2    $ 55.7
  

 

 

    

 

 

 

Same Store Growth (1):

     

Medicare revenue

     (12%)        6%  

Non-Medicare revenue

     (2%)        17%  

Total admissions

     (9%)        7%  

Total volume (2)

     (2%)        6%  

Key Statistical Data - Total (3):

     

Admissions

     74,327      81,763

Recertifications

     47,628      43,361
  

 

 

    

 

 

 

Total volume

     121,955      125,124

Medicare completed episodes (6)

     68,660      77,939

Average Medicare revenue per completed episode (4) (6)

   $ 2,818    $ 2,885

Medicare visits per completed episode (5) (6)

     15.4      17.3

Visiting Clinician Cost per Visit

   $ 93.17    $ 81.97

Clinical Manager Cost per Visit

   $ 9.42    $ 7.65
  

 

 

    

 

 

 

Total Cost per Visit

   $ 102.59    $ 89.62

Visits

     1,793,652      2,096,486

 

8


     For the Six-Month Periods
Ended June 30,
 
     2020      2019  

Financial Information (in millions):

     

Medicare

   $ 396.8    $ 432.5

Non-Medicare

     197.0      196.2
  

 

 

    

 

 

 

Net service revenue

     593.8      628.7

Other operating income

     15.1      —    

Cost of service

     363.8      373.5
  

 

 

    

 

 

 

Gross margin

     245.1      255.2

Other operating expenses

     149.8      147.5
  

 

 

    

 

 

 

Operating income

   $ 95.3    $ 107.7
  

 

 

    

 

 

 

Same Store Growth (1):

     

Medicare revenue

     (8%)        5%  

Non-Medicare revenue

     —%        20%  

Total admissions

     (3%)        7%  

Total volume (2)

     (1%)        6%  

Key Statistical Data - Total (3):

     

Admissions

     160,302      165,732

Recertifications

     88,169      85,156
  

 

 

    

 

 

 

Total volume

     248,471      250,888

Medicare completed episodes (6)

     144,296      153,422

Average Medicare revenue per completed episode (4) (6)

   $ 2,774    $ 2,862

Medicare visits per completed episode (5) (6)

     15.6      17.2

Visiting Clinician Cost per Visit

   $ 88.41    $ 81.51

Clinical Manager Cost per Visit

   $ 9.19    $ 7.83
  

 

 

    

 

 

 

Total Cost per Visit

   $ 97.60    $ 89.34

Visits

     3,727,097      4,181,574

 

(1)

Same store information represents the percent change in our Medicare, Non-Medicare and Total revenue, admissions or volume for the period as a percent of the Medicare, Non-Medicare and Total revenue, admissions or volume of the prior period. Effective July 1, 2019, same store is defined as care centers that we have operated for at least the last twelve months and startups that are an expansion of a same store care center.

(2)

Total volume includes all admissions and recertifications.

(3)

Total includes acquisitions and denovos.

(4)

Average Medicare revenue per completed episode is the average Medicare revenue earned for each Medicare completed episode of care. Average Medicare revenue per completed episode for the three and six-month periods ended June 30, 2020 reflects the suspension of sequestration effective May 1, 2020. Additionally, average Medicare revenue per completed episode for the six-month period ended June 30, 2020 reflects the transition to PDGM during the year and therefore includes reimbursement under both the 60-day episode of care (pre-PDGM) payment rate and the 30-day period of care (PDGM) payment rate.

(5)

Medicare visits per completed episode are the home health Medicare visits on completed episodes divided by the home health Medicare episodes completed during the period.

(6)

Prior year amounts have been recast to conform to the current year calculation.

 

9


Segment Information - Hospice

 

     For the Three-Month Periods
Ended June 30,
 
     2020      2019  

Financial Information (in millions):

     

Medicare

   $ 167.0    $ 145.8

Non-Medicare

     10.1      7.4
  

 

 

    

 

 

 

Net service revenue

     177.1      153.2

Other operating income

     7.2      —    

Cost of service

     97.2      87.3
  

 

 

    

 

 

 

Gross margin

     87.1      65.9

Other operating expenses

     41.4      35.3
  

 

 

    

 

 

 

Operating income

   $ 45.7    $ 30.6
  

 

 

    

 

 

 

Same Store Growth (1):

     

Medicare revenue

     4%        1%  

Hospice admissions

     (1%)        7%  

Average daily census

     —%        5%  

Key Statistical Data - Total (2):

     

Hospice admissions

     11,411      10,430

Average daily census

     12,513      11,427

Revenue per day, net

   $ 155.51    $ 147.27

Cost of service per day

   $ 85.34    $ 83.96

Average discharge length of stay

     94      98

 

     For the Six-Month Periods
Ended June 30,
 
     2020      2019  

Financial Information (in millions):

     

Medicare

   $ 327.5    $ 276.5

Non-Medicare

     19.0      13.7
  

 

 

    

 

 

 

Net service revenue

     346.5      290.2

Other operating income

     7.2      —    

Cost of service

     189.0      161.4
  

 

 

    

 

 

 

Gross margin

     164.7      128.8

Other operating expenses

     80.7      64.7
  

 

 

    

 

 

 

Operating income

   $ 84.0    $ 64.1
  

 

 

    

 

 

 

Same Store Growth (1):

     

Medicare revenue

     5%        5%  

Hospice admissions

     —%        6%  

Average daily census

     2%        7%  

Key Statistical Data - Total (2):

     

Hospice admissions

     22,729      20,141

Average daily census

     12,279      10,709

Revenue per day, net

   $ 155.04    $ 149.72

Cost of service per day

   $ 84.58    $ 83.25

Average discharge length of stay

     96      98

 

10


(1)

Same store information represents the percent change in our Medicare revenue, Hospice admissions or average daily census for the period as a percent of the Medicare revenue, Hospice admissions or average daily census of the prior period. Effective July 1, 2019, same store is defined as care centers that we have operated for at least the last twelve months and startups that are an expansion of a same store care center.

(2)

Total includes acquisitions and denovos.

Segment Information - Personal Care

 

     For the Three-Month Periods
Ended June 30,
 
     2020      2019  

Financial Information (in millions):

     

Medicare

   $ —      $ —  

Non-Medicare

     17.7      21.2
  

 

 

    

 

 

 

Net service revenue

     17.7      21.2

Other operating income

     0.5      —    

Cost of service

     14.1      15.6
  

 

 

    

 

 

 

Gross margin

     4.1      5.6

Other operating expenses

     3.0      3.2
  

 

 

    

 

 

 

Operating income

   $ 1.1    $ 2.4
  

 

 

    

 

 

 

Key Statistical Data - Total (1):

     

Billable hours

     642,720      848,245

Clients served

     9,956      12,962

Shifts

     282,207      382,287

Revenue per hour

   $ 27.58    $ 25.01

Revenue per shift

   $ 62.80    $ 55.49

Hours per shift

     2.3      2.2

 

     For the Six-Month Periods
Ended June 30,
 
     2020      2019  

Financial Information (in millions):

     

Medicare

   $ —      $ —  

Non-Medicare

     36.4      41.4
  

 

 

    

 

 

 

Net service revenue

     36.4      41.4

Other operating income

     0.5      —    

Cost of service

     28.2      31.1
  

 

 

    

 

 

 

Gross margin

     8.7      10.3

Other operating expenses

     6.4      6.4
  

 

 

    

 

 

 

Operating income

   $ 2.3    $ 3.9
  

 

 

    

 

 

 

Key Statistical Data - Total (1):

     

Billable hours

     1,394,797      1,681,862

Clients served

     12,936      14,687

Shifts

     615,671      758,469

Revenue per hour

   $ 26.12    $ 24.60

Revenue per shift

   $ 59.17    $ 54.56

Hours per shift

     2.3      2.2

 

(1)

Total includes acquisitions.

 

11


Segment Information - Corporate

 

     For the Three-Month Periods
Ended June 30,
 
     2020      2019  

Financial Information (in millions):

     

Other operating expenses

   $ 40.3    $ 40.2

Depreciation and amortization

     4.8      3.7
  

 

 

    

 

 

 

Total operating expenses

   $ 45.1    $ 43.9
  

 

 

    

 

 

 

 

     For the Six-Month Periods
Ended June 30,
 
     2020      2019  

Financial Information (in millions):

     

Other operating expenses

   $ 79.2    $ 81.5

Depreciation and amortization

     8.6      5.1
  

 

 

    

 

 

 

Total operating expenses

   $ 87.8    $ 86.6
  

 

 

    

 

 

 

 

12


AMEDISYS, INC. AND SUBSIDIARIES

RECONCILIATION OF NON-GAAP FINANCIAL MEASURES TO GAAP MEASURES

(Amounts in thousands)

(Unaudited)

Adjusted Earnings Before Interest, Taxes, Depreciation and Amortization (“Adjusted EBITDA”) Reconciliation:

 

     For the Three-
Month Periods
Ended June 30,
     For the Six-
Month Periods
Ended June 30,
 
     2020      2019      2020      2019  

Net income attributable to Amedisys, Inc.

   $ 34,674    $ 33,742    $ 66,476    $ 65,046

Add:

           

Income tax expense

     10,031      10,308      19,377      21,186

Interest expense, net

     2,538      4,312      5,756      7,637

Depreciation and amortization

     6,334      5,179      11,672      8,074

Certain items (1)

     13,313      8,257      17,349      15,171

Interest component of certain items (1)

     (446      (446      (892      (887
  

 

 

    

 

 

    

 

 

    

 

 

 

Adjusted EBITDA (2) (7)

   $ 66,444    $ 61,352    $ 119,738    $ 116,227
  

 

 

    

 

 

    

 

 

    

 

 

 

Adjusted Net Service Revenue Reconciliation:

 

     For the Three-
Month Periods
Ended June 30,
     For the Six-
Month Periods
Ended June 30,
 
     2020      2019      2020      2019  

Net service revenue

   $ 485,059    $ 492,984    $ 976,744    $ 960,324

Add:

           

Certain items (1)

     —          5,515      —          5,993
  

 

 

    

 

 

    

 

 

    

 

 

 

Adjusted net service revenue (3) (7)

   $ 485,059    $ 498,499    $ 976,744    $ 966,317
  

 

 

    

 

 

    

 

 

    

 

 

 

Adjusted Other Operating Income Reconciliation:

 

     For the Three-
Month Periods
Ended June 30,
     For the Six-
Month Periods
Ended June 30,
 
     2020      2019      2020      2019  

Other operating income

   $ 22,780    $ —      $ 22,780    $ —  

Add:

           

Certain items (1)

     (22,780      —          (22,780      —    
  

 

 

    

 

 

    

 

 

    

 

 

 

Adjusted other operating income (4) (7)

   $ —      $        —      $ —      $        —  
  

 

 

    

 

 

    

 

 

    

 

 

 

Adjusted Net Income Attributable to Amedisys, Inc Reconciliation:

 

     For the Three-
Month Periods
Ended June 30,
     For the Six-
Month Periods
Ended June 30,
 
     2020      2019      2020      2019  

Net income attributable to Amedisys, Inc.

   $ 34,674    $ 33,742    $ 66,476    $ 65,046

Add:

           

Certain items (1)

     9,852      6,110      12,839      11,226
  

 

 

    

 

 

    

 

 

    

 

 

 

Adjusted net income attributable to Amedisys, Inc. (5) (7)

   $ 44,526    $ 39,852    $ 79,315    $ 76,272
  

 

 

    

 

 

    

 

 

    

 

 

 

 

13


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,
 
     2020      2019      2020      2019  

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

   $ 1.04    $ 1.02    $ 2.00    $ 1.98

Add:

           

Certain items (1)

     0.30      0.19      0.39      0.34
  

 

 

    

 

 

    

 

 

    

 

 

 

Adjusted net income attributable to Amedisys, Inc. common stockholders per diluted share (6) (7)

   $ 1.34    $ 1.21    $ 2.39    $ 2.32
  

 

 

    

 

 

    

 

 

    

 

 

 

 

(1)

The following details the certain items for the three and six-month periods ended June 30, 2020 and 2019:

Certain Items:

 

     For the Three -Month Period
Ended June 30, 2020
     For the Six-Month Period
Ended June 30, 2020
 
     (Income) Expense      (Income) Expense  

Certain Items Impacting Other Operating Income:

     

CARES Act & State COVID-19 grants

   $ (22,780    $ (22,780

Certain Items Impacting Cost of Service:

     

COVID-19 costs

     21,993      23,010

Severance-reductions in staffing levels

     5,183      5,183

Certain Items Impacting Operating Expenses:

     

Acquisition and integration costs

     3,599      5,935

COVID-19 costs

     1,051      1,063

Severance-reductions in staffing levels

     271      271

Certain Items Impacting Total Other Income (Expense):

     

Interest component of certain items

     446      892

Other (income) expense, net

     3,550      3,775
  

 

 

    

 

 

 

Total

   $ 13,313    $ 17,349
  

 

 

    

 

 

 

Net of tax

     9,852      12,839
  

 

 

    

 

 

 

Diluted EPS

   $ 0.30    $ 0.39
  

 

 

    

 

 

 

 

     For the Three-Month Period
Ended June 30, 2019
     For the Six-Month Period
Ended June 30, 2019
 
     (Income) Expense      (Income) Expense  

Certain Items Impacting Net Service Revenue:

     

Contingency accrual

   $ 5,523    $ 6,541

Planned closures (8)

     (8      (548

Certain Items Impacting Cost of Service:

     

Planned closures (8)

     313      1,157

Certain Items Impacting Operating Expenses:

     

Planned closures (8)

     69      157

Acquisition and integration costs

     4,494      10,252

Legal fees - non-routine

     108      (24

Certain Items Impacting Total Other Income (Expense):

     

Interest component of certain items

     446      887

Other (income) expense, net

     (2,688      (3,251
  

 

 

    

 

 

 

Total

   $ 8,257    $ 15,171
  

 

 

    

 

 

 

Net of tax

     6,110      11,226
  

 

 

    

 

 

 

Diluted EPS

   $ 0.19    $ 0.34
  

 

 

    

 

 

 

 

14


(2)

Adjusted EBITDA is defined as net income attributable to Amedisys, Inc. before provision for income taxes, net interest expense and depreciation and amortization, excluding certain items as described in footnote 1.

(3)

Adjusted net service revenue is defined as net service revenue excluding certain items as described in footnote 1.

(4)

Adjusted other operating income is defined as other operating income excluding certain items as described in footnote 1.

(5)

Adjusted net income attributable to Amedisys, Inc. is defined as net income attributable to Amedisys, Inc. calculated in accordance with GAAP excluding certain items as described in footnote 1.

(6)

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

(7)

Adjusted EBITDA, adjusted net service revenue, adjusted other operating income, adjusted net income attributable to Amedisys, Inc. and adjusted net income attributable to Amedisys, Inc. common stockholders per diluted share should not be considered as an alternative to, or more meaningful than, income before income taxes or other measures calculated in accordance with GAAP. These calculations may not be comparable to a similarly titled measure reported by other companies, since not all companies calculate these non-GAAP financial measures in the same manner.

(8)

Planned closures consist of in-patient units acquired from Compassionate Care Hospice whose operations ceased in April 2019.

 

15

EX-99.2

Slide 1

Amedisys Second Quarter 2020 Earnings Call Supplemental Slides July 29th, 2020 Exhibit 99.2


Slide 2

This presentation may include forward-looking statements as defined by the Private Securities Litigation Reform Act of 1995. These forward-looking statements are based upon current expectations and assumptions about our business that are subject to a variety of risks and uncertainties that could cause actual results to differ materially from those described in this presentation. You should not rely on forward-looking statements as a prediction of future events. Additional information regarding factors that could cause actual results to differ materially from those discussed in any forward-looking statements are described in reports and registration statements we file with the SEC, including our Annual Report on Form 10-K and subsequent Quarterly Reports on Form 10-Q and Current Reports on Form 8-K, copies of which are available on the Amedisys internet website http://www.amedisys.com or by contacting the Amedisys Investor Relations department at (225) 292-2031. We disclaim any obligation to update any forward-looking statements or any changes in events, conditions or circumstances upon which any forward-looking statement may be based except as required by law. www.amedisys.com NASDAQ: AMED We encourage everyone to visit the Investors Section of our website at www.amedisys.com, where we have posted additional important information such as press releases, profiles concerning our business and clinical operations and control processes, and SEC filings. Forward-looking statements


Slide 3

Q2 2020 Results


Slide 4

Our Key Areas of Focus Strategic areas of focus and progress made during Q2’20 Home Health*: Total same store admissions -9%, Total same store volume -2% June Results: Same Store Admissions: +5%, Same Store Volume: +8% Hospice: Admissions -1%, ADC: flat June Results: Same Store Admissions: +8% Personal Care: Billable hours / quarter -24% 1 Organic Growth Quality: Amedisys Oct’20 preview STARS score of 4.41 66 Amedisys care centers rated at 5-Stars in the Oct’20 Preview (94% of care centers at 4+ Stars) Hospice quality – outperforming industry average in all hospice item set (HIS) categories 3 Clinical Initiatives Focusing on optimizing RN / LPN & PT / PTA staffing ratios. Current LPN Ratio: 45.4% (vs. 40.1% in 2Q’19) Current PTA Ratio: 47.9% (vs. 42.6% in 2Q’19) Adjusted staffing levels in June to reflect clinician mix shift and utilization 4 Capacity and Productivity Aseracare deal closed 6/1 $235M purchase price ($203M net of tax asset) 44 care centers 14 states $117M annual revenue Integration underway $659 million invested in Hospice segment since Feb. 2019 4 acquisitions ~6,000 ADC 105 care centers ~5,000 employees 5 M&A 2 Recruiting / Retention Targeting industry leading employee retention amongst all employee categories Current total voluntary turnover ~16.8% Focus on reduction of clinical turnover with heavy focus on clinicians and “early exits” *Note: Home Health same store volume is defined as admissions plus recertifications 2021 proposed Home Health industry rule net +2.6% increase 2021 proposed Hospice industry rule net +2.6% increase 2021 CAP amount will increase by 2.6% to $30,744 6 Regulatory


Slide 5

Highlights and Summary Financial Results (Adjusted): 2Q 2020(1) Home Health total same store volume -2%, total same store admissions -9%; Hospice same store ADC flat Amedisys Consolidated Revenue Growth: -3% EBITDA: $66M (+8%) EBITDA Margin: 14% (+140 bps) EPS: $1.34 (+11%) 2Q’20 Net debt: $299.2M Net Leverage ratio: 1.3x CFFO: $133.9M Free cash flow (4): $130.5M DSO: 42.0 (vs. Q4’19 of 40.9 and down 4.6 days since Q1) Balance Sheet & Cash Flow 2Q’20 Same Store (2)(3) : Total Volume: -2% Total Admissions: -9% Other Statistics: Revenue per Episode(6): $2,818 (-2.3%) Total Cost per Visit: $92.44 (+3.1%) Medicare Recert Rate: 42.5% Home Health Growth Metrics (5): Billable hours/quarter: -24% Clients served: -23% Personal Care Same Store Volume (3): Admissions: -1% ADC: flat Other Statistics: Revenue per Day: $155.51 (+1.9%) Cost per day: $79.18 (-5.4%) Hospice 2Q’20 2Q’20 2Q’20 Adjusted Financial Results(1) 2Q’20 The financial results for the three-month periods ended June 30, 2019 and June 30, 2020 are adjusted for certain items and should be considered a non-GAAP financial measure. A reconciliation of these non-GAAP financial measures is included in the corresponding 8-K detailing quarterly results for each respective reporting period. Same Store volume – Includes admissions and recertifications. Effective July 1, 2019, same store is defined as care centers that we have operated for at least the last 12 months and startups that are an expansion of a same store care center. Free cash flow defined as cash flow from operations less routine capital expenditures and required debt repayments. Includes acquisitions. Medicare sequestration suspended 5/1/20


Slide 6

Our revenue sources: 2Q’20 Medicare FFS: Reimbursed over a 30-day period of care Private Episodic: MA and Commercial plans who reimburse us over a 30-day period of care. Generally at rates ~90% – 100% of Medicare Per Visit: Managed care, Medicaid and private payors reimbursing us per visit performed Hospice Per Day Reimbursement: Routine Care: Patient at home with symptoms controlled ~98% of the Hospice care AMED provides, in line with overall hospice industry provision of care Continuous Care: Patient at home with uncontrolled symptoms Inpatient Care: Patient in facility with uncontrolled symptoms Respite Care: Patient at facility with symptoms controlled Home Health: 322 care centers; 33 states & DC Hospice: 190 care centers; 35 states Personal Care: 14 care centers; 3 states Total AMED: 526 care centers; 39 states and D.C.


Slide 7

Home Health and Hospice Segment (Adjusted) – 2Q 2020(1) Revenue per Episode down 2.3% Sequestration suspension benefit $3M Y/Y CPV up +$2.82 (+3.1%, raises effective 8/1) Visits per Episode decreased 1.9 Home Health Highlights Same store average daily census (ADC) flat Net revenue per day +1.9% Sequestration suspension benefit $2M ~$0.6M cap expense for 2Q Q2’20 Acquisition Contribution: Revenue: $16M Segment EBITDA: $2.4M ($1.1M net of corporate) Hospice Highlights The financial results for the three-month periods ended June 30, 2019 and June 30, 2020 are adjusted for certain items and should be considered a non-GAAP financial measure. A reconciliation of these non-GAAP financial measures is included in the corresponding 8-K detailing quarterly results for each respective reporting period. Pre-Corporate EBITDA does not include any corporate G&A expenses. Same store information represents the percent change in volume or admissions for the period as a percent of the volume or admissions of the prior period. Effective July 1, 2019, same store is defined as care centers that we have operated for at least the last 12 months and startups that are an expansion of a same store care center. Average Medicare revenue per completed episode for the three-month period ended June 30, 2020 reflects the suspension of sequestration effective May 1, 2020. Home health total volume growth (-2%); Hospice ADC growth (flat)


Slide 8

General & Administrative Expenses – Adjusted (1,2) Notes: Year over year total G&A as a percentage of revenue increased 160 basis points ($4 million) Year over year G&A increase as a percent of revenue due to the impact of COVID-19 on volumes/revenues (~$52M impact for the quarter net of sequestration); adjusting revenue results in a year over year decrease of 140 bps due to an overall reduction in spend during the pandemic partially offset by raises, the addition of approximately 100 BD resources and investments related to PDGM G&A for our Hospice and Corporate segments include $4.2M and $1.3M, respectively, from acquisitions Total G&A as a percentage of revenue decreased 20 bps sequentially The financial results for the three-month periods ended June 30, 2019, September 30, 2019, December 31, 2019, March 31, 2020 and June 30, 2020 are adjusted for certain items and should be considered a non-GAAP financial measure. A reconciliation of these non-GAAP financial measures is included in the corresponding 8-K detailing quarterly results for each respective reporting period. Adjusted G&A expenses do not include depreciation and amortization. Impacted by COVID-19, acquisitions and investments to drive volume growth


Slide 9

Components 2Q19 1Q’20 2Q’20 YoY Variance Detail Initiatives Salaries $61.69 $64.42 $63.03 $1.34 YoY increase due to planned wage increases partially offset by optimization of discipline mix. Also, YoY increase due to fixed costs (training, PTO, etc.) on lower visits Staffing mix optimization, productivity and scheduling improvement initiatives in place to help overcome planned salary increases Contractors $2.99 $2.47 $3.05 $0.06 Sequential increase driven by additional staffing needs due to COVID-19 Focused efforts on filling positions with full-time clinicians Benefits $10.98 $9.98 $10.20 ($0.78) YoY decrease primarily due to health insurance Focus on cost containment and spend optimization with specific focus on high cost claims Transportation & Supplies $6.31 $6.69 $6.89 $0.58 *Visiting Clinician CPV $81.97 $83.56 $83.17 $1.20 Clinical Managers $7.65 $8.97 $9.27 $1.62 Fixed cost associated with non-visiting clinicians and planned wage increases: increase driven by lower visit volumes Unit cost reduced as volume increases Total CPV $89.62 $92.53 $92.44 $2.82 Operational Excellence: Home Health Cost Per Visit (CPV)-Adjusted Total CPV impacted by planned wage increases and lower volumes resulting from COVID-19 *Note: Direct comparison with industry competitors CPV calculation $81.97 $83.56 $83.17


Slide 10

Driving Top Line Growth Growth in all three lines of business impacted by COVID-19 but recovering. Exited the quarter with growth in Home Health and Hospice segments Home Health Total Volume Hospice ADC Personal Care Total Hours / Quarter


Slide 11

Industry Leading Quality Scores Note: Top Competitor Avg weighted by CCN count and includes LHC, Kindred, AFAM, EHC and BKD Metric OCT 19 Release JAN 20 Release APR 20 Release Oct 20 PREVIEW Quality of Patient Care 4.28 4.27 4.26 4.41 Entities at 4+ Stars 88% 86% 86% 92% Metric JUL 19 Release OCT 19 Release JAN 20 Release APR 20 Release Patient Satisfaction Star 3.87 3.97 3.71 3.80 Performance Over Industry +6% +6% +6% +6% Quality of Patient Care (QPC) Patient Satisfaction (PS) Amedisys maintains a 4-Star average in the Oct 2020 HHC preview with 92% of our providers (representing 94% of care centers) at 4+ Stars and 69% of our providers (representing 74% of care centers) at 4.5+ Stars 41 Amedisys providers (representing 66 care centers) rated at 5-Stars in the Oct 2020 HHC preview.


Slide 12

Hospice Quality: Amedisys Hospice Continues to Move Towards Best-in-Class Hospice Quality


Slide 13

Debt and Liquidity Metrics ~Net leverage ~1.3x Net debt defined as total debt outstanding ($406.5M) less cash ($107.3M). Leverage ratio (net) is defined as net debt divided by last twelve months adjusted EBITDA ($228.8M). Liquidity defined as the sum of cash balance and available revolving line of credit. Cash per 6/30/20 10-Q less Provider relief fund advance (~$70M)


Slide 14

Cash Flow Statement Highlights (1) Free cash flow defined as cash flow from operations less routine capital expenditures and required debt repayments.


Slide 15

Income Statement Adjustments (1) The financial results for the three-month periods ended June 30, 2019, September 30, 2019, December 31, 2019, March 31, 2020 and June 30, 2020 are adjusted for certain items and should be considered a non-GAAP financial measure. A reconciliation of these non-GAAP financial measures is included in the corresponding 8-K detailing quarterly results for each respective reporting period. Planned closures consist of in-patient units acquired from Compassionate Care Hospice whose operations ceased in April 2019. $000s Income Statement Line Item Q414 2Q15 3Q15 4Q15 1Q16 2Q16 2Q17 3Q17 2Q18 2Q19 3Q19 4Q19 1Q20 2Q20 Revenue Contingency accrual Net Service Revenue $5,523 $0 $0 $0 $0 Planned closures (2) Net Service Revenue -8 0 6 0 0 Other Operating Income CARES Act & State COVID-19 grants Other Operating Income 0 0 0 0 -22780 Cost of Service Planned closures (2) Cost of Service, Excluding Depreciation & Amortization -1059 313 15 2 0 0 COVID-19 costs Cost of Service, Excluding Depreciation & Amortization 0 0 0 1017 21993 Severance - reduction in staffing levels Cost of Service, Excluding Depreciation & Amortization 0 0 0 5183 G&A Planned closures (2) G&A, Salaries and benefits 6 0 2 0 0 Acquisition and integration costs G&A, Salaries and benefits 1565 1105 273 662 2095 Severance - reduction in staffing levels G&A, Salaries and benefits 0 0 0 271 COVID-19 costs G&A, Salaries and benefits 0 0 0 0 224 Planned closures (2) G&A, Other 63 28 0 0 0 Acquisition and integration costs G&A, Other 1046 1202 183 294 440 2929 3036 1445 1674 1504 Legal fees - non-routine G&A, Other 8000 286 2824 616 459 1111 176 543 108 397 604 0 0 COVID-19 costs G&A, Other 0 0 0 12 827 Other Items Asset impairment Asset impairment 0 0 1470 0 0 Legal settlements Total other (expense) income, net -1,113 -307 -1014 -5314 -541 -265 -693 -647 0 -1437 0 0 0 Interest component of certain items Interest expense 446 451 451 446 446 Other (income) expense, net Total other (expense) income, net -3945 -1563 436 70 -1692 -115 -1635 -2688 1493 365 225 3550 Total -214 3748 2996 -3562 2614 447 27732 -586 1035 $8,257 $5,088 $4,618 $4,036 $13,313 EPS Impact -0.01 0.12 9.1387688013335661E-2 0.02 0.14000000000000001 0.1 0.49 0.13 $0.02 $0.19 $0.11 $0.1 $0.09 $0.3


Slide 16

2020 Guidance Update


Slide 1

Amedisys 2020 Reinstated Guidance 2020 Original Guidance 2020 Reinstated Guidance Revenue $2,115M - $2,160M $2,040M - $2,070M Adjusted EBITDA $250M - $260M $245M - $255M Adjusted Earnings per Share $4.90 - $5.13 $4.84 - $5.06 Note: Adjusted numbers are ex-Care’s Act funds Reinstated guidance does not take into account wave two of COVID-19 spread resulting in mandatory shelter in place orders and makes no assumptions regarding patient and referral source reactions to any future CVOID-19 spread


Slide 18

Reimbursement Outlook Reimbursement Impact for Home Health and Hospice Home Health Hospice 2020 Final Rule (PDGM – Behavioral Assumptions) (4.36%) Estimated AMED-Specific Impact (2.8%) 2020* Market Basket Update 3.0% Productivity / Other Adjustment (0.4) Estimated Industry Impact +2.6% Estimated AMED-Specific Impact +~0.5% Note: AMED impact differs from industry due to patient mix, referral mix and footprint *Hospice rate increase effective October 1, 2019 – majority of rate increase will be passed through to general inpatient & respite facilities resulting in a ~(0.5%) reduction in gross margin percentage Proposed FY’21 Home Health Rule 2021 Estimated Industry Impact +2.6% Proposed FY’21 Hospice Rule 2021 Estimated Industry Impact +2.6%


Slide 19

Our Path Forward: 2021 & Beyond 2021 & Beyond – The Future Is Very Bright for AMED Entering 2021 with all PDGM cost levers in place Continued strategic acquisitions of Home Health and Hospice assets – Home Health market share absorption strategy delayed until early 2021 due to Cares Act funds FY 2021 proposed Home Health rule: +2.6% FY 2021 proposed Hospice rule: +2.6% FY 2021 – CCH to deliver $50M+ EBITDA Integration and optimization of AseraCare asset Previously acquired Hospice assets performing near legacy AMED growth and profitability Continued industry consolidation New referral sources and market share opportunities from SNF diversion Continued expansion of Medicare Advantage “gain share” arrangements


Slide 20

COVID-19


Slide 21

*Baseline defined as referrals and admits from pre-Covid-19 timeframe of 1/5/20 – 3/14/20 HH: Consolidated Same Store HOSP: AMED + CCH (ex. Asana & Aseracare) *Baseline defined as referrals and admits from pre-Covid-19 timeframe of 1/5/20 – 3/14/20 Consolidated Same Store Consolidated Same Store (CCH included beginning Feb) COVID-19 Impact Q2’20 Home health and Hospice admits and referrals recovering faster than originally projected


Slide 22

*Baseline defined as total admits + recerts from pre-Covid-19 timeframe of 1/5/20 – 3/14/20 HH: Consolidated Same Store COVID-19 Impact on Q2’20 Home Health volume ~98% of pre-COVID levels, missed visits related to COVID-19 significantly down and robust PPE inventory on hand PPE Item Units (M) Cost ($M) Avg. Per Unit Normalized Avg. Per Unit Months on Hand N95 0.5 $2.6 $5.76 $0.60 4-6 Earloop Surgical Mask 1.5 $1.6 $1.01 $0.06 4-6 Isolation Gown 0.5 $2.6 $5.41 $0.48 4-6 Exam Glove 4.7 $0.4 $0.08 $0.04 2-3 Goggles / Face Shield 0.1 $0.5 $4.77 $2.52 4-6 Critical PPE Inventory


Slide 23

State Home Health Hospice Total Georgia 60 10 70 Tennessee 45 15 60 Alabama 30 13 43 Pennsylvania 7 25 32 South Carolina 21 8 29 Florida 18 5 23 Virginia 13 6 19 Kentucky 17 - 17 West Virginia 11 6 17 Louisiana 10 5 15 Massachusetts 5 10 15 Maryland 9 3 12 Texas 1 12 13 Indiana 5 6 11 Mississippi 9 1 10 Nebraska - 10 10 Missouri 6 3 9 New Jersey 2 7 9 North Carolina 8 7 15 California 4 4 8 State Home Health Hospice Total Oklahoma 6 1 7 New Hampshire 3 4 7 Maine 2 4 6 Ohio 1 5 6 Arkansas 5 - 5 Connecticut 4 1 5 New York 4 - 4 Oregon 3 1 4 Arizona 3 1 4 Illinois 3 1 4 Delaware 2 2 4 Kansas 0 3 3 Wisconsin 1 3 4 Rhode Island 1 2 3 South Dakota - 2 2 Minnesota - 2 2 Washington 2 - 2 Washington DC 1 - 1 Michigan - 1 1 Iowa - 1 1 Care Center Count by State Increased COVID-19 cases in states with larger care center presence could impact future outlook Personal Care: 14 total care centers (12 in Massachusetts, 1 in Florida and 1 in Tennessee)

v3.20.2
Document and Entity Information
Jul. 28, 2020
Cover [Abstract]  
Entity Registrant Name AMEDISYS INC
Amendment Flag false
Entity Central Index Key 0000896262
Document Type 8-K
Document Period End Date Jul. 28, 2020
Entity File Number 0-24260
Entity Incorporation State Country Code DE
Entity Tax Identification Number 11-3131700
Entity Address, Address Line One 3854 American Way
Entity Address, Address Line Two Suite A
Entity Address, City or Town Baton Rouge
Entity Address, State or Province LA
Entity Address, Postal Zip Code 70816
City Area Code (225) 292-2031 or (800)
Local Phone Number 467-2662
Written Communications false
Soliciting Material false
Pre Commencement Tender Offer false
Pre Commencement Issuer Tender Offer false
Security 12b Title Common Stock, par value $0.001 per share
Trading Symbol AMED
Security Exchange Name NASDAQ
Entity Emerging Growth Company false