Amedisys, Inc. (NASDAQ: AMED) today reported its financial results
for the three-month period and year ended December 31, 2024.
Three-Month Periods Ended December 31, 2024
and 2023
- Net service
revenue increased $27.3 million to $598.1 million compared to
$570.8 million in 2023.
- Net loss
attributable to Amedisys, Inc. of $20.4 million, which is inclusive
of merger-related expenses totaling $17.4 million ($15.9 million,
net of tax) and a non-cash goodwill and other intangibles
impairment charge totaling $48.4 million ($38.4 million, net of
noncontrolling interest and tax) compared to net income
attributable to Amedisys, Inc. of $19.3 million, which is inclusive
of merger-related expenses totaling $11.5 million ($9.6 million,
net of tax) in 2023.
- Net loss
attributable to Amedisys, Inc. per diluted share of $0.62 compared
to net income attributable to Amedisys, Inc. per diluted share of
$0.59 in 2023.
Adjusted Quarterly Results*
- Adjusted EBITDA
of $54.6 million compared to $56.7 million in 2023.
- Adjusted net
income attributable to Amedisys, Inc. of $32.0 million compared to
$30.8 million in 2023.
- Adjusted net income
attributable to Amedisys, Inc. per diluted share of $0.96 compared
to $0.94 in 2023.
Years Ended December 31, 2024 and 2023
- Net service
revenue increased $111.9 million to $2,348.3 million compared to
$2,236.4 million in 2023.
- Net income
attributable to Amedisys, Inc. of $43.2 million, which is inclusive
of merger-related expenses totaling $66.6 million ($64.0 million,
net of tax) and a non-cash goodwill and other intangibles
impairment charge totaling $48.4 million ($38.4 million, net of
noncontrolling interest and tax) compared to net loss attributable
to Amedisys, Inc. of $9.7 million, which is inclusive of
merger-related expenses totaling $142.7 million ($140.5 million,
net of tax) in 2023.
- Net income
attributable to Amedisys, Inc. per diluted share of $1.31 compared
to net loss attributable to Amedisys, Inc. per diluted share of
$0.30 in 2023.
Adjusted Year End Results*
- Adjusted EBITDA
of $245.8 million compared to $247.0 million in 2023.
- Adjusted net
income attributable to Amedisys, Inc. of $142.7 million compared to
$140.6 million in 2023.
- Adjusted net income
attributable to Amedisys, Inc. per diluted share of $4.32 compared
to $4.30 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 fourth quarter and year end 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 fourth quarter and year end 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 (loss) income 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 (loss) income 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 (loss) income attributable to Amedisys, Inc. common
stockholders per diluted share calculated in accordance with GAAP
excluding certain items. Certain items include merger-related
expenses, impairment charges, acquisition and integration costs,
unusual or non-recurring expenses and certain non-operational
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 services company, delivering personalized home health,
hospice and high acuity care services in the home. Amedisys is
focused on delivering the care that is best for our patients,
whether that is home-based recovery and rehabilitation after an
operation or injury, care focused on empowering our patients to
manage a chronic disease, hospice care at the end of life or
in-patient hospital, palliative and skilled nursing facility
("SNF") care in their homes. More than 3,300 hospitals and 114,000
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 38 states and the District of Columbia, Amedisys is
dedicated to delivering the highest quality of care to the
doorsteps of more than 499,000 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 or by the outside
date under the merger agreement; 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
transaction; the diversion of management time on merger-related
issues; the risk that termination fees may be payable by the
Company in the event that the merger agreement is terminated under
certain circumstances; reputational risk related to the proposed
merger; the risk of litigation or regulatory action related to the
proposed merger, including among other things, the action by the
Department of Justice to block the 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; the impact of new or increased
tariffs; uncertainty around, and disruption from, new and emerging
technologies, including the adoption and utilization of artificial
intelligence ("AI") and generative AI 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 SUBSIDIARIESCONDENSED
CONSOLIDATED STATEMENTS OF OPERATIONS(Amounts in thousands,
except per share data) |
|
|
For the Three-MonthPeriods Ended December
31, |
|
For the Years Ended December 31, |
|
|
2024 |
|
|
|
2023 |
|
|
|
2024 |
|
|
|
2023 |
|
Net service revenue |
$ |
598,052 |
|
|
$ |
570,788 |
|
|
$ |
2,348,324 |
|
|
$ |
2,236,382 |
|
Operating expenses: |
|
|
|
|
|
|
|
Cost of service, inclusive of depreciation |
|
344,614 |
|
|
|
321,416 |
|
|
|
1,330,647 |
|
|
|
1,245,509 |
|
General and administrative expenses: |
|
|
|
|
|
|
|
Salaries and benefits |
|
137,646 |
|
|
|
135,123 |
|
|
|
529,748 |
|
|
|
516,049 |
|
Non-cash compensation |
|
7,041 |
|
|
|
7,114 |
|
|
|
29,028 |
|
|
|
26,082 |
|
Merger-related expenses |
|
17,401 |
|
|
|
11,521 |
|
|
|
66,638 |
|
|
|
36,672 |
|
Depreciation and amortization |
|
4,566 |
|
|
|
4,143 |
|
|
|
17,997 |
|
|
|
17,747 |
|
Impairment |
|
48,391 |
|
|
|
— |
|
|
|
48,391 |
|
|
|
— |
|
Other |
|
58,017 |
|
|
|
57,462 |
|
|
|
231,337 |
|
|
|
237,929 |
|
Total operating expenses |
|
617,676 |
|
|
|
536,779 |
|
|
|
2,253,786 |
|
|
|
2,079,988 |
|
Operating (loss) income |
|
(19,624 |
) |
|
|
34,009 |
|
|
|
94,538 |
|
|
|
156,394 |
|
Other income (expense): |
|
|
|
|
|
|
|
Interest income |
|
2,749 |
|
|
|
818 |
|
|
|
8,110 |
|
|
|
3,270 |
|
Interest expense |
|
(6,978 |
) |
|
|
(8,234 |
) |
|
|
(30,764 |
) |
|
|
(31,274 |
) |
Equity in earnings from equity method investments |
|
1,951 |
|
|
|
1,394 |
|
|
|
6,267 |
|
|
|
10,760 |
|
Merger termination fee |
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
(106,000 |
) |
Miscellaneous, net |
|
2,674 |
|
|
|
1,211 |
|
|
|
8,065 |
|
|
|
6,473 |
|
Total other income (expense),
net |
|
396 |
|
|
|
(4,811 |
) |
|
|
(8,322 |
) |
|
|
(116,771 |
) |
(Loss) income before income
taxes |
|
(19,228 |
) |
|
|
29,198 |
|
|
|
86,216 |
|
|
|
39,623 |
|
Income tax expense |
|
(6,291 |
) |
|
|
(10,178 |
) |
|
|
(48,054 |
) |
|
|
(50,559 |
) |
Net (loss) income |
|
(25,519 |
) |
|
|
19,020 |
|
|
|
38,162 |
|
|
|
(10,936 |
) |
Net loss attributable to
noncontrolling interests |
|
5,138 |
|
|
|
302 |
|
|
|
5,069 |
|
|
|
1,189 |
|
Net (loss) income attributable to
Amedisys, Inc. |
$ |
(20,381 |
) |
|
$ |
19,322 |
|
|
$ |
43,231 |
|
|
$ |
(9,747 |
) |
Basic earnings per common
share: |
|
|
|
|
|
|
|
Net (loss) income attributable to Amedisys, Inc. common
stockholders |
$ |
(0.62 |
) |
|
$ |
0.59 |
|
|
$ |
1.32 |
|
|
$ |
(0.30 |
) |
Weighted average shares outstanding |
|
32,751 |
|
|
|
32,635 |
|
|
|
32,718 |
|
|
|
32,599 |
|
Diluted earnings per common
share: |
|
|
|
|
|
|
|
Net (loss) income attributable to Amedisys, Inc. common
stockholders |
$ |
(0.62 |
) |
|
$ |
0.59 |
|
|
$ |
1.31 |
|
|
$ |
(0.30 |
) |
Weighted average shares outstanding |
|
32,751 |
|
|
|
32,913 |
|
|
|
33,051 |
|
|
|
32,599 |
|
AMEDISYS, INC. AND SUBSIDIARIESCONDENSED
CONSOLIDATED BALANCE SHEETS(Amounts in thousands, except
share data) |
|
As of December 31, |
|
|
2024 |
|
|
|
2023 |
|
ASSETS |
|
|
|
Current assets: |
|
|
|
Cash and cash equivalents |
$ |
303,242 |
|
|
$ |
126,450 |
|
Restricted cash |
|
— |
|
|
|
12,413 |
|
Patient accounts receivable |
|
296,075 |
|
|
|
313,373 |
|
Prepaid expenses |
|
13,072 |
|
|
|
14,639 |
|
Other current assets |
|
19,694 |
|
|
|
30,060 |
|
Total current assets |
|
632,083 |
|
|
|
496,935 |
|
Property and equipment, net of
accumulated depreciation of $100,890 and $92,422 |
|
42,108 |
|
|
|
41,845 |
|
Operating lease right of use
assets |
|
81,500 |
|
|
|
88,939 |
|
Goodwill |
|
1,213,888 |
|
|
|
1,244,679 |
|
Intangible assets, net of
accumulated amortization of $18,787 and $14,008 |
|
81,155 |
|
|
|
102,675 |
|
Other assets |
|
87,980 |
|
|
|
85,097 |
|
Total assets |
$ |
2,138,714 |
|
|
$ |
2,060,170 |
|
LIABILITIES AND EQUITY |
|
|
|
Current liabilities: |
|
|
|
Accounts payable |
$ |
39,956 |
|
|
$ |
28,237 |
|
Payroll and employee benefits |
|
151,995 |
|
|
|
136,835 |
|
Accrued expenses |
|
152,564 |
|
|
|
140,049 |
|
Termination fee paid by UnitedHealth Group |
|
106,000 |
|
|
|
106,000 |
|
Current portion of long-term obligations |
|
37,968 |
|
|
|
36,314 |
|
Current portion of operating lease liabilities |
|
25,909 |
|
|
|
26,286 |
|
Total current liabilities |
|
514,392 |
|
|
|
473,721 |
|
Long-term obligations, less
current portion |
|
339,313 |
|
|
|
361,862 |
|
Operating lease liabilities, less
current portion |
|
56,111 |
|
|
|
62,751 |
|
Deferred income tax
liabilities |
|
48,051 |
|
|
|
40,635 |
|
Other long-term obligations |
|
882 |
|
|
|
1,418 |
|
Total liabilities |
|
958,749 |
|
|
|
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;
38,307,521 and 38,131,478 shares issued; and 32,776,148 and
32,667,631 shares outstanding |
|
38 |
|
|
|
38 |
|
Additional paid-in capital |
|
818,201 |
|
|
|
787,177 |
|
Treasury stock at cost, 5,531,373 and 5,463,847 shares of common
stock |
|
(474,854 |
) |
|
|
(468,626 |
) |
Retained earnings |
|
791,156 |
|
|
|
747,925 |
|
Total Amedisys, Inc. stockholders’ equity |
|
1,134,541 |
|
|
|
1,066,514 |
|
Noncontrolling interests |
|
45,424 |
|
|
|
53,269 |
|
Total equity |
|
1,179,965 |
|
|
|
1,119,783 |
|
Total liabilities and equity |
$ |
2,138,714 |
|
|
$ |
2,060,170 |
|
AMEDISYS, INC. AND SUBSIDIARIESCONDENSED
CONSOLIDATED STATEMENTS OF CASH FLOWS AND DAYS REVENUE
OUTSTANDING(Amounts in thousands, except statistical
information) |
|
|
For the Three-MonthPeriods Ended December
31, |
|
For the Years Ended December 31, |
|
|
2024 |
|
|
|
2023 |
|
|
|
2024 |
|
|
|
2023 |
|
Cash Flows from Operating
Activities: |
|
|
|
|
|
|
|
Net (loss) income |
$ |
(25,519 |
) |
|
$ |
19,020 |
|
|
$ |
38,162 |
|
|
$ |
(10,936 |
) |
Adjustments to reconcile net
(loss) income to net cash provided by operating activities: |
|
|
|
|
|
|
|
Depreciation and amortization (inclusive of depreciation included
in cost of service) |
|
6,708 |
|
|
|
5,891 |
|
|
|
26,039 |
|
|
|
23,847 |
|
Non-cash compensation |
|
8,249 |
|
|
|
9,400 |
|
|
|
30,639 |
|
|
|
29,024 |
|
Amortization and impairment of operating lease right of use
assets |
|
8,702 |
|
|
|
8,569 |
|
|
|
34,422 |
|
|
|
33,996 |
|
(Gain) loss on disposal of property and equipment |
|
(6 |
) |
|
|
(27 |
) |
|
|
(28 |
) |
|
|
319 |
|
Gain on deconsolidation of joint venture |
|
(1,626 |
) |
|
|
— |
|
|
|
(1,626 |
) |
|
|
— |
|
Deferred income taxes |
|
34 |
|
|
|
5,238 |
|
|
|
7,416 |
|
|
|
20,655 |
|
Loss on personal care divestiture |
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
2,186 |
|
Merger termination fee |
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
106,000 |
|
Equity in earnings from equity method investments |
|
(1,951 |
) |
|
|
(1,394 |
) |
|
|
(6,267 |
) |
|
|
(10,760 |
) |
Amortization of deferred debt issuance costs |
|
248 |
|
|
|
248 |
|
|
|
991 |
|
|
|
991 |
|
Return on equity method investments |
|
1,471 |
|
|
|
764 |
|
|
|
3,631 |
|
|
|
5,073 |
|
Impairment |
|
48,391 |
|
|
|
— |
|
|
|
48,391 |
|
|
|
— |
|
Changes in operating assets and
liabilities, net of impact of acquisitions: |
|
|
|
|
|
|
|
Patient accounts receivable |
|
4,974 |
|
|
|
6,207 |
|
|
|
16,477 |
|
|
|
(26,727 |
) |
Other current assets |
|
458 |
|
|
|
8,796 |
|
|
|
11,700 |
|
|
|
(6,638 |
) |
Operating lease right of use assets |
|
(1,061 |
) |
|
|
(983 |
) |
|
|
(4,196 |
) |
|
|
(3,786 |
) |
Other assets |
|
146 |
|
|
|
(84 |
) |
|
|
744 |
|
|
|
189 |
|
Accounts payable |
|
8,043 |
|
|
|
(6,977 |
) |
|
|
12,210 |
|
|
|
(15,816 |
) |
Accrued expenses |
|
20,571 |
|
|
|
13,354 |
|
|
|
33,066 |
|
|
|
23,694 |
|
Other long-term obligations |
|
(4 |
) |
|
|
(234 |
) |
|
|
(536 |
) |
|
|
(3,390 |
) |
Operating lease liabilities |
|
(7,551 |
) |
|
|
(7,477 |
) |
|
|
(29,570 |
) |
|
|
(30,733 |
) |
Net cash provided by operating
activities |
|
70,277 |
|
|
|
60,311 |
|
|
|
221,665 |
|
|
|
137,188 |
|
Cash Flows from Investing
Activities: |
|
|
|
|
|
|
|
Proceeds from the sale of
deferred compensation plan assets |
|
34 |
|
|
|
29 |
|
|
|
55 |
|
|
|
54 |
|
Proceeds from the sale of
property and equipment |
|
— |
|
|
|
36 |
|
|
|
— |
|
|
|
136 |
|
Purchases of property and
equipment |
|
(1,110 |
) |
|
|
(1,892 |
) |
|
|
(6,550 |
) |
|
|
(5,620 |
) |
Investments in technology
assets |
|
(204 |
) |
|
|
(212 |
) |
|
|
(823 |
) |
|
|
(7,093 |
) |
Investments in equity method
investees |
|
— |
|
|
|
— |
|
|
|
(1,046 |
) |
|
|
— |
|
Return of investment |
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
150 |
|
Proceeds from personal care
divestiture |
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
47,787 |
|
Acquisitions of businesses, net
of cash acquired |
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
(350 |
) |
Net cash (used in) provided by
investing activities |
|
(1,280 |
) |
|
|
(2,039 |
) |
|
|
(8,364 |
) |
|
|
35,064 |
|
Cash Flows from Financing
Activities: |
|
|
|
|
|
|
|
Proceeds from issuance of stock
upon exercise of stock options |
|
221 |
|
|
|
— |
|
|
|
309 |
|
|
|
100 |
|
Proceeds from issuance of stock
under employee stock purchase plan |
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
2,602 |
|
Shares withheld to pay taxes on
non-cash compensation |
|
(1,312 |
) |
|
|
(2,116 |
) |
|
|
(6,152 |
) |
|
|
(6,529 |
) |
Noncontrolling interest
contributions |
|
301 |
|
|
|
220 |
|
|
|
2,212 |
|
|
|
1,452 |
|
Noncontrolling interest
distributions |
|
(788 |
) |
|
|
(259 |
) |
|
|
(3,362 |
) |
|
|
(1,873 |
) |
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 |
|
(9,627 |
) |
|
|
(8,900 |
) |
|
|
(37,357 |
) |
|
|
(76,013 |
) |
Payment of accrued contingent
consideration |
|
— |
|
|
|
(2,370 |
) |
|
|
(4,572 |
) |
|
|
(6,461 |
) |
Net cash used in financing
activities |
|
(11,205 |
) |
|
|
(13,425 |
) |
|
|
(48,922 |
) |
|
|
(87,522 |
) |
Net increase in cash, cash
equivalents and restricted cash |
|
57,792 |
|
|
|
44,847 |
|
|
|
164,379 |
|
|
|
84,730 |
|
Cash, cash equivalents and
restricted cash at beginning of period |
|
245,450 |
|
|
|
94,016 |
|
|
|
138,863 |
|
|
|
54,133 |
|
Cash, cash equivalents and
restricted cash at end of period |
$ |
303,242 |
|
|
$ |
138,863 |
|
|
$ |
303,242 |
|
|
$ |
138,863 |
|
|
|
|
|
|
|
|
|
|
For the Three-MonthPeriods Ended December
31, |
|
For the Years Ended December 31, |
|
|
2024 |
|
|
|
2023 |
|
|
|
2024 |
|
|
|
2023 |
|
Supplemental Disclosures
of Cash Flow Information: |
|
|
|
|
|
|
|
Cash paid for interest |
$ |
6,769 |
|
|
$ |
7,888 |
|
|
$ |
29,989 |
|
|
$ |
29,766 |
|
Cash paid for income taxes, net
of refunds received |
$ |
12,102 |
|
|
$ |
4,809 |
|
|
$ |
40,095 |
|
|
$ |
29,127 |
|
Days revenue outstanding (1) |
|
43.0 |
|
|
|
47.7 |
|
|
|
43.0 |
|
|
|
47.7 |
|
(1) Our calculation of days revenue outstanding at December 31,
2024 and 2023 is derived by dividing our ending patient accounts
receivable by our average daily patient revenue for the three-month
periods ended December 31, 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 December
31, |
|
|
2024 |
|
|
|
2023 |
|
Financial
Information(in
millions): |
|
|
|
Medicare |
$ |
212.4 |
|
|
$ |
221.1 |
|
Non-Medicare |
|
164.6 |
|
|
|
137.8 |
|
Net service revenue |
|
377.0 |
|
|
|
358.9 |
|
Cost of service, inclusive of
depreciation |
|
226.3 |
|
|
|
208.0 |
|
Gross margin |
|
150.7 |
|
|
|
150.9 |
|
General and administrative
expenses |
|
95.5 |
|
|
|
92.8 |
|
Depreciation and
amortization |
|
2.0 |
|
|
|
1.9 |
|
Operating income |
$ |
53.2 |
|
|
$ |
56.2 |
|
Same Store
Growth(1): |
|
|
|
Medicare revenue |
|
(4 |
%) |
|
|
(1 |
%) |
Non-Medicare revenue |
|
19 |
% |
|
|
15 |
% |
Total admissions |
|
8 |
% |
|
|
7 |
% |
Total volume(2) |
|
7 |
% |
|
|
5 |
% |
Key Statistical Data -
Total(3): |
|
|
|
Admissions |
|
109,686 |
|
|
|
101,809 |
|
Recertifications |
|
47,051 |
|
|
|
44,893 |
|
Total volume |
|
156,737 |
|
|
|
146,702 |
|
|
|
|
|
Medicare completed
episodes |
|
72,173 |
|
|
|
73,892 |
|
Average Medicare revenue per
completed episode(4) |
$ |
3,030 |
|
|
$ |
2,997 |
|
Medicare visits per completed
episode(5) |
|
12.0 |
|
|
|
12.2 |
|
|
|
|
|
Visiting clinician cost per
visit |
$ |
111.75 |
|
|
$ |
108.64 |
|
Clinical manager cost per
visit |
|
13.13 |
|
|
|
12.12 |
|
Total cost per visit |
$ |
124.88 |
|
|
$ |
120.76 |
|
Visits |
|
1,812,048 |
|
|
|
1,721,985 |
|
|
For the YearsEnded December
31, |
|
|
2024 |
|
|
|
2023 |
|
Financial
Information(in
millions): |
|
|
|
Medicare |
$ |
856.4 |
|
|
$ |
874.2 |
|
Non-Medicare |
|
634.1 |
|
|
|
529.4 |
|
Net service revenue |
|
1,490.5 |
|
|
|
1,403.6 |
|
Cost of service, inclusive of
depreciation |
|
874.9 |
|
|
|
801.1 |
|
Gross margin |
|
615.6 |
|
|
|
602.5 |
|
General and administrative
expenses |
|
372.2 |
|
|
|
363.5 |
|
Depreciation and
amortization |
|
7.8 |
|
|
|
6.0 |
|
Operating income |
$ |
235.6 |
|
|
$ |
233.0 |
|
Same Store
Growth(1): |
|
|
|
Medicare revenue |
|
(2 |
%) |
|
|
(3 |
%) |
Non-Medicare revenue |
|
20 |
% |
|
|
13 |
% |
Total admissions |
|
11 |
% |
|
|
6 |
% |
Total volume(2) |
|
8 |
% |
|
|
4 |
% |
Key Statistical Data -
Total(3): |
|
|
|
Admissions |
|
441,945 |
|
|
|
399,752 |
|
Recertifications |
|
184,613 |
|
|
|
179,719 |
|
Total volume |
|
626,558 |
|
|
|
579,471 |
|
|
|
|
|
Medicare completed
episodes |
|
289,289 |
|
|
|
295,017 |
|
Average Medicare revenue per
completed episode(4) |
$ |
3,021 |
|
|
$ |
2,998 |
|
Medicare visits per completed
episode(5) |
|
12.0 |
|
|
|
12.4 |
|
|
|
|
|
Visiting clinician cost per
visit |
$ |
108.01 |
|
|
$ |
103.31 |
|
Clinical manager cost per
visit |
|
12.41 |
|
|
|
11.58 |
|
Total cost per visit |
$ |
120.42 |
|
|
$ |
114.89 |
|
Visits |
|
7,265,742 |
|
|
|
6,972,929 |
|
(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 December
31, |
|
|
2024 |
|
|
|
2023 |
|
Financial
Information(in millions): |
|
|
|
Medicare |
$ |
202.4 |
|
|
$ |
194.2 |
|
Non-Medicare |
|
10.5 |
|
|
|
11.8 |
|
Net service revenue |
|
212.9 |
|
|
|
206.0 |
|
Cost of service, inclusive of
depreciation |
|
112.2 |
|
|
|
107.8 |
|
Gross margin |
|
100.7 |
|
|
|
98.2 |
|
General and administrative
expenses |
|
50.6 |
|
|
|
48.9 |
|
Depreciation and
amortization |
|
0.8 |
|
|
|
0.9 |
|
Operating income |
$ |
49.3 |
|
|
$ |
48.4 |
|
Same Store
Growth(1): |
|
|
|
Medicare revenue |
|
4 |
% |
|
|
4 |
% |
Hospice admissions |
|
(1 |
%) |
|
|
(3 |
%) |
Average daily census |
|
1 |
% |
|
|
— |
% |
Key Statistical Data -
Total(2): |
|
|
|
Hospice admissions |
|
12,157 |
|
|
|
12,226 |
|
Average daily census |
|
12,925 |
|
|
|
12,859 |
|
Revenue per day, net |
$ |
179.02 |
|
|
$ |
174.10 |
|
Cost of service per day |
$ |
94.38 |
|
|
$ |
91.18 |
|
Average discharge length of
stay |
|
95 |
|
|
|
97 |
|
|
For the YearsEnded December
31, |
|
|
2024 |
|
|
|
2023 |
|
Financial
Information(in millions): |
|
|
|
Medicare |
$ |
783.9 |
|
|
$ |
754.0 |
|
Non-Medicare |
|
41.9 |
|
|
|
44.8 |
|
Net service revenue |
|
825.8 |
|
|
|
798.8 |
|
Cost of service, inclusive of
depreciation |
|
429.7 |
|
|
|
412.2 |
|
Gross margin |
|
396.1 |
|
|
|
386.6 |
|
General and administrative
expenses |
|
197.1 |
|
|
|
193.1 |
|
Depreciation and
amortization |
|
3.1 |
|
|
|
3.0 |
|
Operating income |
$ |
195.9 |
|
|
$ |
190.5 |
|
Same Store
Growth(1): |
|
|
|
Medicare revenue |
|
4 |
% |
|
|
1 |
% |
Hospice admissions |
|
(2 |
%) |
|
|
(5 |
%) |
Average daily census |
|
— |
% |
|
|
(1 |
%) |
Key Statistical Data -
Total(2): |
|
|
|
Hospice admissions |
|
48,426 |
|
|
|
49,587 |
|
Average daily census |
|
12,916 |
|
|
|
12,863 |
|
Revenue per day, net |
$ |
174.68 |
|
|
$ |
170.14 |
|
Cost of service per day |
$ |
90.90 |
|
|
$ |
87.80 |
|
Average discharge length of
stay |
|
94 |
|
|
|
93 |
|
(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 - High Acuity Care |
|
For the Three-Month PeriodsEnded December
31, |
|
|
2024 |
|
|
|
2023 |
|
Financial
Information(in millions): |
|
|
|
Medicare |
$ |
— |
|
|
$ |
— |
|
Non-Medicare |
|
8.1 |
|
|
|
5.9 |
|
Net service revenue |
|
8.1 |
|
|
|
5.9 |
|
Cost of service, inclusive of
depreciation |
|
6.1 |
|
|
|
5.6 |
|
Gross margin |
|
2.0 |
|
|
|
0.3 |
|
General and administrative
expenses |
|
5.7 |
|
|
|
5.4 |
|
Depreciation and
amortization |
|
0.9 |
|
|
|
0.8 |
|
Impairment |
|
48.4 |
|
|
|
— |
|
Operating loss |
$ |
(53.0 |
) |
|
$ |
(5.9 |
) |
Key Statistical Data -
Total: |
|
|
|
Full risk admissions |
|
248 |
|
|
|
105 |
|
Limited risk admissions |
|
659 |
|
|
|
600 |
|
Total admissions |
|
907 |
|
|
|
705 |
|
|
|
|
|
Full risk revenue per
episode |
$ |
11,327 |
|
|
$ |
10,919 |
|
Limited risk revenue per
episode |
$ |
6,525 |
|
|
$ |
6,901 |
|
|
|
|
|
Number of admitting joint
ventures |
|
8 |
|
|
|
10 |
|
|
For the YearsEnded December
31, |
|
|
2024 |
|
|
|
2023 |
|
Financial
Information(in millions): |
|
|
|
Medicare |
$ |
— |
|
|
$ |
— |
|
Non-Medicare |
|
32.0 |
|
|
|
19.0 |
|
Net service revenue |
|
32.0 |
|
|
|
19.0 |
|
Cost of service, inclusive of
depreciation |
|
26.0 |
|
|
|
21.1 |
|
Gross margin |
|
6.0 |
|
|
|
(2.1 |
) |
General and administrative
expenses |
|
22.7 |
|
|
|
20.4 |
|
Depreciation and
amortization |
|
3.4 |
|
|
|
3.1 |
|
Impairment |
|
48.4 |
|
|
|
— |
|
Operating loss |
$ |
(68.5 |
) |
|
$ |
(25.6 |
) |
Key Statistical Data -
Total: |
|
|
|
Full risk admissions |
|
761 |
|
|
|
648 |
|
Limited risk admissions |
|
2,612 |
|
|
|
1,804 |
|
Total admissions |
|
3,373 |
|
|
|
2,452 |
|
|
|
|
|
Full risk revenue per
episode |
$ |
10,470 |
|
|
$ |
10,565 |
|
Limited risk revenue per
episode |
$ |
6,685 |
|
|
$ |
6,187 |
|
|
|
|
|
Number of admitting joint
ventures |
|
8 |
|
|
|
10 |
|
Segment
Information - Personal Care(1) |
|
For the YearsEnded December
31, |
|
|
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 - Corporate |
|
For the Three-Month PeriodsEnded December
31, |
|
|
2024 |
|
|
2023 |
Financial
Information(in millions): |
|
|
|
General and administrative
expenses |
$ |
68.2 |
|
$ |
64.1 |
Depreciation and
amortization |
|
0.9 |
|
|
0.6 |
Total operating expenses |
$ |
69.1 |
|
$ |
64.7 |
|
For the YearsEnded December
31, |
|
|
2024 |
|
|
2023 |
Financial
Information(in millions): |
|
|
|
General and administrative
expenses |
$ |
264.8 |
|
$ |
237.5 |
Depreciation and
amortization |
|
3.7 |
|
|
5.6 |
Total operating expenses |
$ |
268.5 |
|
$ |
243.1 |
|
|
|
|
|
|
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 December
31, |
|
For the YearsEnded December
31, |
|
|
2024 |
|
|
|
2023 |
|
|
2024 |
|
|
2023 |
|
Net (loss) income attributable
to Amedisys, Inc. |
$ |
(20,381 |
) |
|
$ |
19,322 |
|
$ |
43,231 |
|
$ |
(9,747 |
) |
Add: |
|
|
|
|
|
|
|
Income tax expense |
|
6,291 |
|
|
|
10,178 |
|
|
48,054 |
|
|
50,559 |
|
Interest expense, net |
|
4,229 |
|
|
|
7,416 |
|
|
22,654 |
|
|
28,004 |
|
Depreciation and amortization |
|
6,708 |
|
|
|
5,891 |
|
|
26,039 |
|
|
23,847 |
|
Certain items(1) |
|
57,802 |
|
|
|
13,846 |
|
|
105,795 |
|
|
154,344 |
|
Adjusted EBITDA(2)(5) |
$ |
54,649 |
|
|
$ |
56,653 |
|
$ |
245,773 |
|
$ |
247,007 |
|
Adjusted
Net Income Attributable to Amedisys, Inc
Reconciliation: |
|
For the Three-Month PeriodsEnded December
31, |
|
For the YearsEnded December
31, |
|
|
2024 |
|
|
|
2023 |
|
|
2024 |
|
|
2023 |
|
Net (loss) income attributable
to Amedisys, Inc. |
$ |
(20,381 |
) |
|
$ |
19,322 |
|
$ |
43,231 |
|
$ |
(9,747 |
) |
Add: |
|
|
|
|
|
|
|
Certain items(1) |
|
52,337 |
|
|
|
11,500 |
|
|
99,458 |
|
|
150,384 |
|
Adjusted net income
attributable to Amedisys, Inc.(3)(5) |
$ |
31,956 |
|
|
$ |
30,822 |
|
$ |
142,689 |
|
$ |
140,637 |
|
Adjusted
Net Income Attributable to Amedisys, Inc. per Diluted Share
Reconciliation: |
|
|
|
|
|
For the Three-Month PeriodsEnded December
31, |
|
For the YearsEnded December
31, |
|
|
2024 |
|
|
|
2023 |
|
|
2024 |
|
|
2023 |
|
Net (loss) income attributable
to Amedisys, Inc. common stockholders per diluted share |
$ |
(0.62 |
) |
|
$ |
0.59 |
|
$ |
1.31 |
|
$ |
(0.30 |
) |
Add: |
|
|
|
|
|
|
|
Certain items(1) |
|
1.58 |
|
|
|
0.35 |
|
|
3.01 |
|
|
4.60 |
|
Adjusted net income
attributable to Amedisys, Inc. common stockholders per diluted
share(4)(5) |
$ |
0.96 |
|
|
$ |
0.94 |
|
$ |
4.32 |
|
$ |
4.30 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) The following details the certain items for
the three-month periods and years ended December 31, 2024 and
2023:
Certain
Items (in thousands): |
|
For the Three-Month PeriodEnded December
31, 2024 |
|
For the Year EndedDecember 31,
2024 |
|
(Income) Expense |
|
(Income) Expense |
Certain Items
Impacting General and Administrative Expenses: |
|
|
|
Merger-related expenses |
$ |
17,401 |
|
|
$ |
66,638 |
|
Impairment |
|
48,391 |
|
|
|
48,391 |
|
Certain Items
Impacting Other Income (Expense): |
|
|
|
Other (income) expense,
net |
|
(2,123 |
) |
|
|
(3,367 |
) |
Certain Items
Impacting Net Loss Attributable to Noncontrolling
Interests: |
|
|
|
Impairment |
|
(5,867 |
) |
|
|
(5,867 |
) |
Total |
$ |
57,802 |
|
|
$ |
105,795 |
|
Net of tax |
$ |
52,337 |
|
|
$ |
99,458 |
|
Diluted EPS |
$ |
1.58 |
|
|
$ |
3.01 |
|
|
For the Three-Month PeriodEnded December
31, 2023 |
|
For the Year EndedDecember 31,
2023 |
|
(Income) Expense |
|
(Income) Expense |
Certain Items
Impacting Cost of Service, Inclusive of Depreciation: |
|
|
|
Clinical optimization and
reorganization costs |
$ |
199 |
|
|
$ |
595 |
Certain Items
Impacting General and Administrative Expenses: |
|
|
|
Acquisition and integration
costs |
|
180 |
|
|
|
3,286 |
CEO transition |
|
661 |
|
|
|
5,940 |
Merger-related expenses |
|
11,521 |
|
|
|
36,672 |
Clinical optimization and
reorganization costs |
|
1,819 |
|
|
|
6,022 |
Personal care divestiture |
|
— |
|
|
|
525 |
Certain Items
Impacting Other Income (Expense): |
|
|
|
Other (income) expense,
net* |
|
(534 |
) |
|
|
101,304 |
Total |
$ |
13,846 |
|
|
$ |
154,344 |
Net of tax |
$ |
11,500 |
|
|
$ |
150,384 |
Diluted EPS |
$ |
0.35 |
|
|
$ |
4.60 |
*Includes $106,000 merger termination fee
recorded during the year ended December 31, 2023
(2) Adjusted EBITDA is defined as net (loss)
income attributable to Amedisys, Inc. before net interest expense,
provision for income taxes and depreciation and amortization,
excluding certain items as described in footnote 1.
(3) Adjusted net income attributable to
Amedisys, Inc. is defined as net (loss) income attributable to
Amedisys, Inc. calculated in accordance with GAAP excluding certain
items as described in footnote 1.
(4) Adjusted net income attributable to
Amedisys, Inc. common stockholders per diluted share is defined as
diluted (loss) income 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.
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