
Amedisys Reports Third Quarter 2024 Financial Results
Contact: | Investor Contact: Amedisys, Inc. Nick Muscato Chief Strategy Officer (615) 928- 5452 ... | Media Contact: Amedisys, Inc. Kendra Kimmons Vice President, Marketing & Communications (225) 299-3720 ... |
AMEDISYS, INC. AND SUBSIDIARIES CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (Amounts in thousands, except per share data) (Unaudited) | |||||||||||||||
For the Three-Month Periods Ended September 30, | For the Nine-Month Periods Ended September 30, | ||||||||||||||
2024 | 2023 | 2024 | 2023 | ||||||||||||
Net service revenue | $ | 587,671 | $ | 556,237 | $ | 1,750,272 | $ | 1,665,594 | |||||||
Operating expenses: | |||||||||||||||
Cost of service, inclusive of depreciation | 337,563 | 311,628 | 986,033 | 924,093 | |||||||||||
General and administrative expenses: | |||||||||||||||
Salaries and benefits | 134,833 | 129,083 | 392,102 | 380,926 | |||||||||||
Non-cash compensation | 6,726 | 6,612 | 21,987 | 18,968 | |||||||||||
Merger-related expenses | 16,669 | 4,980 | 49,237 | 25,151 | |||||||||||
Depreciation and amortization | 4,774 | 4,436 | 13,431 | 13,604 | |||||||||||
Other | 56,777 | 57,287 | 173,320 | 180,467 | |||||||||||
Total operating expenses | 557,342 | 514,026 | 1,636,110 | 1,543,209 | |||||||||||
Operating income | 30,329 | 42,211 | 114,162 | 122,385 | |||||||||||
Other income (expense): | |||||||||||||||
Interest income | 2,017 | 1,304 | 5,361 | 2,452 | |||||||||||
Interest expense | (7,772 | ) | (8,021 | ) | (23,786 | ) | (23,040 | ) | |||||||
Equity in earnings from equity method investments | 1,891 | 1,252 | 4,316 | 9,366 | |||||||||||
Merger termination fee | - | - | - | (106,000 | ) | ||||||||||
Miscellaneous, net | 2,522 | 1,201 | 5,391 | 5,262 | |||||||||||
Total other expense, net | (1,342 | ) | (4,264 | ) | (8,718 | ) | (111,960 | ) | |||||||
Income before income taxes | 28,987 | 37,947 | 105,444 | 10,425 | |||||||||||
Income tax expense | (12,473 | ) | (12,331 | ) | (41,763 | ) | (40,381 | ) | |||||||
Net income (loss) | 16,514 | 25,616 | 63,681 | (29,956 | ) | ||||||||||
Net (income) loss attributable to noncontrolling interests | 397 | 344 | (69 | ) | 887 | ||||||||||
Net income (loss) attributable to Amedisys, Inc. | $ | 16,911 | $ | 25,960 | $ | 63,612 | $ | (29,069 | ) | ||||||
Basic earnings per common share: | |||||||||||||||
Net income (loss) attributable to Amedisys, Inc. common stockholders | $ | 0.52 | $ | 0.80 | $ | 1.94 | $ | (0.89 | ) | ||||||
Weighted average shares outstanding | 32,745 | 32,624 | 32,707 | 32,587 | |||||||||||
Diluted earnings per common share: | |||||||||||||||
Net income (loss) attributable to Amedisys, Inc. common stockholders | $ | 0.51 | $ | 0.79 | $ | 1.93 | $ | (0.89 | ) | ||||||
Weighted average shares outstanding | 33,135 | 32,831 | 33,020 | 32,587 |
AMEDISYS, INC. AND SUBSIDIARIES CONDENSED CONSOLIDATED BALANCE SHEETS (Amounts in thousands, except share data) | |||||||
September 30, 2024 (unaudited) | December 31, 2023 | ||||||
ASSETS | |||||||
Current assets: | |||||||
Cash and cash equivalents | $ | 245,450 | $ | 126,450 | |||
Restricted cash | - | 12,413 | |||||
Patient accounts receivable | 301,050 | 313,373 | |||||
Prepaid expenses | 20,485 | 14,639 | |||||
Other current assets | 12,962 | 30,060 | |||||
Total current assets | 579,947 | 496,935 | |||||
Property and equipment, net of accumulated depreciation of $101,003 and $92,422 | 42,000 | 41,845 | |||||
Operating lease right of use assets | 85,110 | 88,939 | |||||
Goodwill | 1,244,679 | 1,244,679 | |||||
Intangible assets, net of accumulated amortization of $17,603 and $14,008 | 99,698 | 102,675 | |||||
Other assets | 87,680 | 85,097 | |||||
Total assets | $ | 2,139,114 | $ | 2,060,170 | |||
LIABILITIES AND EQUITY | |||||||
Current liabilities: | |||||||
Accounts payable | $ | 32,117 | $ | 28,237 | |||
Payroll and employee benefits | 138,374 | 136,835 | |||||
Accrued expenses | 145,611 | 140,049 | |||||
Termination fee paid by UnitedHealth Group | 106,000 | 106,000 | |||||
Current portion of long-term obligations | 37,478 | 36,314 | |||||
Current portion of operating lease liabilities | 26,441 | 26,286 | |||||
Total current liabilities | 486,021 | 473,721 | |||||
Long-term obligations, less current portion | 344,428 | 361,862 | |||||
Operating lease liabilities, less current portion | 59,323 | 62,751 | |||||
Deferred income tax liabilities | 48,017 | 40,635 | |||||
Other long-term obligations | 886 | 1,418 | |||||
Total liabilities | 938,675 | 940,387 | |||||
Equity: | |||||||
Preferred stock, $0.001 par value, 5,000,000 shares authorized; none issued or outstanding | - | - | |||||
Common stock, $0.001 par value, 60,000,000 shares authorized; 38,267,133 and 38,131,478 shares issued; 32,751,131 and 32,667,631 shares outstanding | 38 | 38 | |||||
Additional paid-in capital | 809,655 | 787,177 | |||||
Treasury stock, at cost, 5,516,002 and 5,463,847 shares of common stock | (473,466 | ) | (468,626 | ) | |||
Retained earnings | 811,537 | 747,925 | |||||
Total Amedisys, Inc. stockholders' equity | 1,147,764 | 1,066,514 | |||||
Noncontrolling interests | 52,675 | 53,269 | |||||
Total equity | 1,200,439 | 1,119,783 | |||||
Total liabilities and equity | $ | 2,139,114 | $ | 2,060,170 |
AMEDISYS, INC. AND SUBSIDIARIES CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS AND DAYS REVENUE OUTSTANDING (Amounts in thousands, except statistical information) (Unaudited) | |||||||||||||||
For the Three-Month Periods Ended September 30, | For the Nine-Month Periods Ended September 30, | ||||||||||||||
2024 | 2023 | 2024 | 2023 | ||||||||||||
Cash Flows from Operating Activities: | |||||||||||||||
Net income (loss) | $ | 16,514 | $ | 25,616 | $ | 63,681 | $ | (29,956 | ) | ||||||
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities: | |||||||||||||||
Depreciation and amortization (inclusive of depreciation included in cost of service) | 6,835 | 6,063 | 19,331 | 17,956 | |||||||||||
Non-cash compensation | 6,206 | 7,243 | 22,390 | 19,624 | |||||||||||
Amortization and impairment of operating lease right of use assets | 8,620 | 8,456 | 25,720 | 25,427 | |||||||||||
(Gain) loss on disposal of property and equipment | (3 | ) | (10 | ) | (22 | ) | 346 | ||||||||
Loss on personal care divestiture | - | - | - | 2,186 | |||||||||||
Merger termination fee | - | - | - | 106,000 | |||||||||||
Deferred income taxes | 805 | 7,313 | 7,382 | 15,417 | |||||||||||
Equity in earnings from equity method investments | (1,891 | ) | (1,252 | ) | (4,316 | ) | (9,366 | ) | |||||||
Amortization of deferred debt issuance costs | 248 | 248 | 743 | 743 | |||||||||||
Return on equity method investments | 1,442 | 1,556 | 2,160 | 4,309 | |||||||||||
Changes in operating assets and liabilities, net of impact of acquisitions: | |||||||||||||||
Patient accounts receivable | 55,860 | (40,796 | ) | 11,503 | (32,934 | ) | |||||||||
Other current assets | 8,115 | (17,123 | ) | 11,242 | (15,434 | ) | |||||||||
Operating lease right of use assets | (1,066 | ) | (866 | ) | (3,135 | ) | (2,803 | ) | |||||||
Other assets | 228 | 29 | 598 | 273 | |||||||||||
Accounts payable | 5,860 | (4,108 | ) | 4,167 | (8,839 | ) | |||||||||
Accrued expenses | 5,400 | 5,565 | 12,495 | 10,340 | |||||||||||
Other long-term obligations | 41 | 23 | (532 | ) | (3,156 | ) | |||||||||
Operating lease liabilities | (7,590 | ) | (7,800 | ) | (22,019 | ) | (23,256 | ) | |||||||
Net cash provided by (used in) operating activities | 105,624 | (9,843 | ) | 151,388 | 76,877 | ||||||||||
Cash Flows from Investing Activities: | |||||||||||||||
Proceeds from the sale of deferred compensation plan assets | - | - | 21 | 25 | |||||||||||
Proceeds from the sale of property and equipment | - | - | - | 100 | |||||||||||
Purchases of property and equipment | (1,385 | ) | (984 | ) | (5,440 | ) | (3,728 | ) | |||||||
Investments in technology assets | (210 | ) | (214 | ) | (619 | ) | (6,881 | ) | |||||||
Investments in equity method investees | (850 | ) | - | (1,046 | ) | - | |||||||||
Return of investment | - | 150 | - | 150 | |||||||||||
Proceeds from personal care divestiture | - | - | - | 47,787 | |||||||||||
Acquisitions of businesses, net of cash acquired | - | - | - | (350 | ) | ||||||||||
Net cash (used in) provided by investing activities | (2,445 | ) | (1,048 | ) | (7,084 | ) | 37,103 | ||||||||
Cash Flows from Financing Activities: | |||||||||||||||
Proceeds from issuance of stock upon exercise of stock options | 88 | 25 | 88 | 100 | |||||||||||
Proceeds from issuance of stock under employee stock purchase plan | - | 848 | - | 2,602 | |||||||||||
Shares withheld to pay taxes on non-cash compensation | (645 | ) | (925 | ) | (4,840 | ) | (4,413 | ) | |||||||
Noncontrolling interest contributions | - | 856 | 1,911 | 1,232 | |||||||||||
Noncontrolling interest distributions | (610 | ) | (902 | ) | (2,574 | ) | (1,614 | ) | |||||||
Purchase of noncontrolling interest | - | - | - | (800 | ) | ||||||||||
Proceeds from borrowings under revolving line of credit | - | - | - | 23,000 | |||||||||||
Repayments of borrowings under revolving line of credit | - | - | - | (23,000 | ) | ||||||||||
Principal payments of long-term obligations | (9,348 | ) | (6,120 | ) | (27,730 | ) | (67,113 | ) | |||||||
Payment of accrued contingent consideration | (4,572 | ) | (36 | ) | (4,572 | ) | (4,091 | ) | |||||||
Net cash used in financing activities | (15,087 | ) | (6,254 | ) | (37,717 | ) | (74,097 | ) | |||||||
Net increase (decrease) in cash, cash equivalents and restricted cash | 88,092 | (17,145 | ) | 106,587 | 39,883 | ||||||||||
Cash, cash equivalents and restricted cash at beginning of period | 157,358 | 111,161 | 138,863 | 54,133 | |||||||||||
Cash, cash equivalents and restricted cash at end of period | $ | 245,450 | $ | 94,016 | $ | 245,450 | $ | 94,016 | |||||||
For the Three-Month Periods Ended September 30, | For the Nine-Month Periods Ended September 30, | ||||||||||||||
2024 | 2023 | 2024 | 2023 | ||||||||||||
Supplemental Disclosures of Cash Flow Information: | |||||||||||||||
Cash paid for interest | $ | 7,313 | $ | 6,756 | $ | 23,220 | $ | 19,787 | |||||||
Cash paid for income taxes, net of refunds received | $ | 9,600 | $ | 8,498 | $ | 27,993 | $ | 24,318 | |||||||
Cash paid for operating lease liabilities | $ | 8,656 | $ | 8,665 | $ | 25,154 | $ | 26,059 | |||||||
Cash paid for finance lease liabilities | $ | 3,723 | $ | 3,141 | $ | 10,834 | $ | 8,462 | |||||||
Supplemental Disclosures of Non-Cash Activity: | |||||||||||||||
Right of use assets obtained in exchange for operating lease liabilities | $ | 8,003 | $ | 10,459 | $ | 18,950 | $ | 25,261 | |||||||
Right of use assets obtained in exchange for finance lease liabilities | $ | 2,211 | $ | 7,020 | $ | 12,228 | $ | 34,964 | |||||||
Reductions to right of use assets resulting from reductions to operating lease liabilities | $ | 32 | $ | - | $ | 200 | $ | 15,135 | |||||||
Reductions to right of use assets resulting from reductions to finance lease liabilities | $ | 393 | $ | 315 | $ | 1,512 | $ | 1,209 | |||||||
Days revenue outstanding (1) | 44.4 | 49.8 | 44.4 | 49.8 |
(1) Our calculation of days revenue outstanding at September 30, 2024 and 2023 is derived by dividing our ending patient accounts receivable by our average daily patient revenue for the three-month periods ended September 30, 2024 and 2023, respectively.
AMEDISYS, INC. AND SUBSIDIARIES SEGMENT INFORMATION (Amounts in millions, except statistical information) (Unaudited) | |||||||
Segment Information - Home Health | |||||||
For the Three-Month Periods Ended September 30, | |||||||
2024 | 2023 | ||||||
Financial Information (in millions) : | |||||||
Medicare | $ | 212.1 | $ | 217.9 | |||
Non-Medicare | 160.0 | 133.7 | |||||
Net service revenue | 372.1 | 351.6 | |||||
Cost of service, inclusive of depreciation | 222.2 | 201.6 | |||||
Gross margin | 149.9 | 150.0 | |||||
General and administrative expenses | 93.3 | 91.4 | |||||
Depreciation and amortization | 2.1 | 1.8 | |||||
Operating income | $ | 54.5 | $ | 56.8 | |||
Same Store Growth (1) : | |||||||
Medicare revenue | (3 | %) | (2 | %) | |||
Non-Medicare revenue | 20 | % | 17 | % | |||
Total admissions | 12 | % | 4 | % | |||
Total volume(2) | 9 | % | 3 | % | |||
Key Statistical Data - Total (3) : | |||||||
Admissions | 109,856 | 98,527 | |||||
Recertifications | 47,431 | 45,693 | |||||
Total volume | 157,287 | 144,220 | |||||
Medicare completed episodes | 71,118 | 72,714 | |||||
Average Medicare revenue per completed episode(4) | $ | 3,021 | $ | 3,015 | |||
Medicare visits per completed episode(5) | 12.0 | 12.4 | |||||
Visiting clinician cost per visit | $ | 108.87 | $ | 105.06 | |||
Clinical manager cost per visit | 12.65 | 11.98 | |||||
Total cost per visit | $ | 121.52 | $ | 117.04 | |||
Visits | 1,829,075 | 1,723,289 |
For the Nine-Month Periods Ended September 30, | |||||||
2024 | 2023 | ||||||
Financial Information (in millions) : | |||||||
Medicare | $ | 644.0 | $ | 653.1 | |||
Non-Medicare | 469.5 | 391.6 | |||||
Net service revenue | 1,113.5 | 1,044.7 | |||||
Cost of service, inclusive of depreciation | 648.6 | 593.1 | |||||
Gross margin | 464.9 | 451.6 | |||||
General and administrative expenses | 276.8 | 270.5 | |||||
Depreciation and amortization | 5.7 | 4.3 | |||||
Operating income | $ | 182.4 | $ | 176.8 | |||
Same Store Growth (1) : | |||||||
Medicare revenue | (1 | %) | (3 | %) | |||
Non-Medicare revenue | 20 | % | 13 | % | |||
Total admissions | 12 | % | 5 | % | |||
Total volume(2) | 9 | % | 3 | % | |||
Key Statistical Data - Total (3) : | |||||||
Admissions | 332,259 | 297,943 | |||||
Recertifications | 137,562 | 134,826 | |||||
Total volume | 469,821 | 432,769 | |||||
Medicare completed episodes | 217,116 | 221,125 | |||||
Average Medicare revenue per completed episode(4) | $ | 3,018 | $ | 2,998 | |||
Medicare visits per completed episode(5) | 12.0 | 12.4 | |||||
Visiting clinician cost per visit | $ | 106.76 | $ | 101.55 | |||
Clinical manager cost per visit | 12.18 | 11.41 | |||||
Total cost per visit | $ | 118.94 | $ | 112.96 | |||
Visits | 5,453,694 | 5,250,944 |
(1) Same store information represents the percent change in our Medicare, Non-Medicare and Total revenue, admissions or volume for the period as a percent of the Medicare, Non-Medicare and Total revenue, admissions or volume of the prior period. Same store is defined as care centers that we have operated for at least the last twelve months and startups that are an expansion of a same store care center.
(2) Total volume includes all admissions and recertifications.
(3) Total includes acquisitions, start-ups and de novos.
(4) Average Medicare revenue per completed episode is the average Medicare revenue earned for each Medicare completed episode of care.
(5) Medicare visits per completed episode are the home health Medicare visits on completed episodes divided by the home health Medicare episodes completed during the period.
Segment Information - Hospice | |||||||
For the Three-Month Periods Ended September 30, | |||||||
2024 | 2023 | ||||||
Financial Information (in millions): | |||||||
Medicare | $ | 197.8 | $ | 188.9 | |||
Non-Medicare | 10.1 | 11.3 | |||||
Net service revenue | 207.9 | 200.2 | |||||
Cost of service, inclusive of depreciation | 107.7 | 104.2 | |||||
Gross margin | 100.2 | 96.0 | |||||
General and administrative expenses | 49.7 | 48.4 | |||||
Depreciation and amortization | 0.8 | 0.8 | |||||
Operating income | $ | 49.7 | $ | 46.8 | |||
Same Store Growth (1) : | |||||||
Medicare revenue | 5 | % | 1 | % | |||
Hospice admissions | (4 | %) | (6 | %) | |||
Average daily census | 1 | % | (2 | %) | |||
Key Statistical Data - Total (2) : | |||||||
Hospice admissions | 11,488 | 11,968 | |||||
Average daily census | 13,004 | 12,943 | |||||
Revenue per day, net | $ | 173.74 | $ | 168.11 | |||
Cost of service per day | $ | 89.92 | $ | 87.48 | |||
Average discharge length of stay | 98 | 94 |
For the None-Month Periods Ended September 30, | |||||||
2024 | 2023 | ||||||
Financial Information (in millions): | |||||||
Medicare | $ | 581.5 | $ | 559.8 | |||
Non-Medicare | 31.4 | 33.0 | |||||
Net service revenue | 612.9 | 592.8 | |||||
Cost of service, inclusive of depreciation | 317.6 | 304.4 | |||||
Gross margin | 295.3 | 288.4 | |||||
General and administrative expenses | 146.5 | 144.1 | |||||
Depreciation and amortization | 2.3 | 2.2 | |||||
Operating income | $ | 146.5 | $ | 142.1 | |||
Same Store Growth (1) : | |||||||
Medicare revenue | 4 | % | - | % | |||
Hospice admissions | (3 | %) | (6 | %) | |||
Average daily census | - | % | (2 | %) | |||
Key Statistical Data - Total (2) : | |||||||
Hospice admissions | 36,269 | 37,361 | |||||
Average daily census | 12,913 | 12,864 | |||||
Revenue per day, net | $ | 173.22 | $ | 168.80 | |||
Cost of service per day | $ | 89.73 | $ | 86.66 | |||
Average discharge length of stay | 93 | 91 |
(1) Same store information represents the percent change in our Medicare revenue, Hospice admissions or average daily census for the period as a percent of the Medicare revenue, Hospice admissions or average daily census of the prior period. Same store is defined as care centers that we have operated for at least the last twelve months and startups that are an expansion of a same store care center.
(2) Total includes acquisitions and de novos.
Segment Information - Personal Care (1) | |||||
For the Nine-Month Periods Ended September 30, | |||||
2024 | 2023 | ||||
Financial Information (in millions): | |||||
Medicare | $ | - | $ | - | |
Non-Medicare | - | 15.0 | |||
Net service revenue | - | 15.0 | |||
Cost of service, inclusive of depreciation | - | 11.1 | |||
Gross margin | - | 3.9 | |||
General and administrative expenses | - | 2.3 | |||
Depreciation and amortization | - | - | |||
Operating income | $ | - | $ | 1.6 | |
Key Statistical Data - Total: | |||||
Billable hours | - | 440,464 | |||
Clients served | - | 7,892 | |||
Shifts | - | 191,379 | |||
Revenue per hour | $ | - | $ | 33.97 | |
Revenue per shift | $ | - | $ | 78.19 | |
Hours per shift | - | 2.3 |
(1) We completed the sale of our personal care business on March 31, 2023.
Segment Information - High Acuity Care | |||||||
For the Three-Month Periods Ended September 30, | |||||||
2024 | 2023 | ||||||
Financial Information (in millions): | |||||||
Medicare | $ | - | $ | - | |||
Non-Medicare | 7.7 | 4.4 | |||||
Net service revenue | 7.7 | 4.4 | |||||
Cost of service, inclusive of depreciation | 7.7 | 5.8 | |||||
Gross margin | - | (1.4 | ) | ||||
General and administrative expenses | 5.7 | 5.3 | |||||
Depreciation and amortization | 0.8 | 0.7 | |||||
Operating loss | $ | (6.5 | ) | $ | (7.4 | ) | |
Key Statistical Data - Total: | |||||||
Full risk admissions | 217 | 150 | |||||
Limited risk admissions | 656 | 430 | |||||
Total admissions | 873 | 580 | |||||
Total admissions growth | 51 | % | 35 | % | |||
Full risk revenue per episode | $ | 9,997 | $ | 10,168 | |||
Limited risk revenue per episode | $ | 6,623 | $ | 6,242 | |||
Number of admitting joint ventures | 9 | 10 |
For the Nine-Month Periods Ended September 30, | |||||||
2024 | 2023 | ||||||
Financial Information (in millions): | |||||||
Medicare | $ | - | $ | - | |||
Non-Medicare | 23.9 | 13.1 | |||||
Net service revenue | 23.9 | 13.1 | |||||
Cost of service, inclusive of depreciation | 19.9 | 15.5 | |||||
Gross margin | 4.0 | (2.4 | ) | ||||
General and administrative expenses | 17.0 | 15.0 | |||||
Depreciation and amortization | 2.5 | 2.3 | |||||
Operating loss | $ | (15.5 | ) | $ | (19.7 | ) | |
Key Statistical Data - Total: | |||||||
Full risk admissions | 513 | 468 | |||||
Limited risk admissions | 1,953 | 1,263 | |||||
Total admissions | 2,466 | 1,731 | |||||
Total admissions growth | 42 | % | 56 | % | |||
Full risk revenue per episode | $ | 10,056 | $ | 10,783 | |||
Limited risk revenue per episode | $ | 6,740 | $ | 5,881 | |||
Number of admitting joint ventures | 9 | 10 |
Segment Information - Corporate | |||||
For the Three-Month Periods Ended September 30, | |||||
2024 | 2023 | ||||
Financial Information (in millions): | |||||
General and administrative expenses | $ | 66.3 | $ | 52.9 | |
Depreciation and amortization | 1.1 | 1.1 | |||
Total operating expenses | $ | 67.4 | $ | 54.0 |
For the Nine-Month Periods Ended September 30, | |||||
2024 | 2023 | ||||
Financial Information (in millions): | |||||
General and administrative expenses | $ | 196.3 | $ | 173.6 | |
Depreciation and amortization | 2.9 | 4.8 | |||
Total operating expenses | $ | 199.2 | $ | 178.4 |
AMEDISYS, INC. AND SUBSIDIARIES RECONCILIATION OF NON-GAAP FINANCIAL MEASURES TO GAAP MEASURES (Amounts in thousands) (Unaudited) | ||||||||||||
Adjusted Earnings Before Interest, Taxes, Depreciation and Amortization ("Adjusted EBITDA") Reconciliation: | ||||||||||||
For the Three-Month Periods Ended September 30, | For the Nine-Month Periods Ended September 30, | |||||||||||
2024 | 2023 | 2024 | 2023 | |||||||||
Net income (loss) attributable to Amedisys, Inc. | $ | 16,911 | $ | 25,960 | $ | 63,612 | $ | (29,069 | ) | |||
Add: | ||||||||||||
Income tax expense | 12,473 | 12,331 | 41,763 | 40,381 | ||||||||
Interest expense, net | 5,755 | 6,717 | 18,425 | 20,588 | ||||||||
Depreciation and amortization | 6,835 | 6,063 | 19,331 | 17,956 | ||||||||
Certain items(1) | 16,131 | 6,807 | 47,993 | 140,498 | ||||||||
Adjusted EBITDA(2)(5) | $ | 58,105 | $ | 57,878 | $ | 191,124 | $ | 190,354 |
Adjusted Net Income Attributable to Amedisys, Inc Reconciliation: | ||||||||||||
For the Three-Month Periods Ended September 30, | For the Nine-Month Periods Ended September 30, | |||||||||||
2024 | 2023 | 2024 | 2023 | |||||||||
Net income (loss) attributable to Amedisys, Inc. | $ | 16,911 | $ | 25,960 | $ | 63,612 | $ | (29,069 | ) | |||
Add: | ||||||||||||
Certain items(1) | 16,333 | 6,242 | 47,122 | 138,884 | ||||||||
Adjusted net income attributable to Amedisys, Inc.(3)(5) | $ | 33,244 | $ | 32,202 | $ | 110,734 | $ | 109,815 |
Adjusted Net Income Attributable to Amedisys, Inc. per Diluted Share Reconciliation: | ||||||||||||
For the Three-Month Periods Ended September 30, | For the Nine-Month Periods Ended September 30, | |||||||||||
2024 | 2023 | 2024 | 2023 | |||||||||
Net income (loss) attributable to Amedisys, Inc. common stockholders per diluted share | $ | 0.51 | $ | 0.79 | $ | 1.93 | $ | (0.89 | ) | |||
Add: | ||||||||||||
Certain items(1) | 0.49 | 0.19 | 1.43 | 4.25 | ||||||||
Adjusted net income attributable to Amedisys, Inc. common stockholders per diluted share(4)(5) | $ | 1.00 | $ | 0.98 | $ | 3.35 | $ | 3.36 |
(1) The following details the certain items for the three and nine-month periods ended September 30, 2024 and 2023:
Certain Items (in thousands): | |||||||
For the Three-Month Periods Ended September 30, 2024 | For the Nine-Month Periods Ended September 30, 2024 | ||||||
(Income) Expense | (Income) Expense | ||||||
Certain Items Impacting General and Administrative Expenses: | |||||||
Merger-related expenses | $ | 16,669 | $ | 49,237 | |||
Certain Items Impacting Total Other Income (Expense): | |||||||
Other (income) expense, net | (538 | ) | (1,244 | ) | |||
Total | $ | 16,131 | $ | 47,993 | |||
Net of tax | $ | 16,333 | $ | 47,122 | |||
Diluted EPS | $ | 0.49 | $ | 1.43 |
For the Three-Month Periods Ended September 30, 2023 | For the Nine-Month Periods Ended September 30, 2023 | |||||
(Income) Expense | (Income) Expense | |||||
Certain Items Impacting Cost of Service, Inclusive of Depreciation: | ||||||
Clinical optimization and reorganization costs | $ | 282 | 396 | |||
Certain Items Impacting General and Administrative Expenses: | ||||||
Acquisition and integration costs | 338 | 3,106 | ||||
CEO transition | 1,094 | 5,279 | ||||
Merger-related expenses | 4,980 | 25,151 | ||||
Clinical optimization and reorganization costs | 466 | 4,203 | ||||
Personal care divestiture | - | 525 | ||||
Certain Items Impacting Total Other Income (Expense): | ||||||
Other (income) expense, net (includes $106,000 merger termination fee) | (353 | ) | 101,838 | |||
Total | $ | 6,807 | $ | 140,498 | ||
Net of tax | $ | 6,242 | $ | 138,884 | ||
Diluted EPS | $ | 0.19 | $ | 4.25 |
(2) Adjusted EBITDA is defined as net income (loss) attributable to Amedisys, Inc. before net interest expense, provision for income taxes and depreciation and amortization, excluding certain items as described in footnote 1.
(3) Adjusted net income attributable to Amedisys, Inc. is defined as net income (loss) attributable to Amedisys, Inc. calculated in accordance with GAAP excluding certain items as described in footnote 1.
(4) Adjusted net income attributable to Amedisys, Inc. common stockholders per diluted share is defined as diluted income (loss) per share calculated in accordance with GAAP excluding the earnings per share effect of certain items as described in footnote 1.
(5) Adjusted EBITDA, adjusted net income attributable to Amedisys, Inc. and adjusted net income attributable to Amedisys, Inc. common stockholders per diluted share should not be considered as an alternative to, or more meaningful than, income before income taxes or other measures calculated in accordance with GAAP. These calculations may not be comparable to a similarly titled measure reported by other companies, since not all companies calculate these non-GAAP financial measures in the same manner.


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