LOUISVILLE, Ky., March 07, 2017 (GLOBE NEWSWIRE) -- Almost Family, Inc. (Nasdaq:AFAM), a leading regional provider of home health nursing and personal care services, announced today its financial results for the quarter and full year ended December 30, 2016.
Twelve Month Accomplishments:
- Established the largest home health-hospital joint venture in the nation on December 31, 2016 with Community Health System Inc., increasing our annual revenue run rate to $800 million.
- Arranged a total financing package of one-half billion dollars with the completion of our $150 million equity offering in January of 2017 and the expansion of our existing Credit Facility to $350 million.
- Achieved the first year of profitable results in our HealthCare Innovations segment with annual revenues approaching $30 million.
- Formalized our commitment to implement point of care technology in our VN segment over the course of 2017.
- Completed the integration of our 2015 and 2016 acquisitions.
Fourth Quarter Highlights (1):
- Net service revenues of approximately $153.4 million
- GAAP EPS of $0.35(2) per diluted share
- Adjusted EPS of $0.59(2)
- GAAP net income of $3.6 million
- Adjusted net income of $6.1 million
- Adjusted EBITDA of $13.0 million
- Net cash from operating activities of $9.3 million
Fiscal Year Highlights (1):
- Record Net service revenues of approximately $623.5 million
- GAAP EPS of $1.71(2) per diluted share
- Adjusted EPS of $2.38(2)
- GAAP net income of $17.7 million
- Adjusted net income of $24.6 million
- Adjusted EBITDA of $53.5 million
- Net cash from operating activities of $24.4 million
(1) See Non-GAAP Financial Measures starting on page 12
(2) Note that comparability of EPS between years is partially impacted by changes in shares outstanding as explained further below
Management Comments
William Yarmuth, Chairman and Chief Executive Officer, commented: “In addition to reporting record revenues and continuing our growth trajectory, we are very pleased with the significant strides our Company has made over the last twelve months, foremost of which is our recent joint venture with Community Health Systems. I am exceptionally pleased to welcome all the employees of CHS Home Health and Hospice to our growing family of care providers. Additionally, we view the substantial expansion of capital through our new credit facility and recent public offering as validation of our strategic direction and recognition of the opportunities for the Company and our industry.”
Steve Guenthner, President added: “As a result of our financing activities and strong operating cash flows, we have $200 million of capital availability, positioning us to continue our trajectory as a consolidator. We are very optimistic about our ability to continue to source, negotiate, acquire and integrate quality providers. Additionally, we plan to continue the solid foundation of work we have built with Federal and State regulators and policy makers helping them to understand how home health can be a key part of their efforts to lower costs while improving quality and patient satisfaction.”
Yarmuth concluded: “I am particularly gratified by the progress we have made in our HealthCare Innovations segment achieving profitability in only its third full year of existence. Our Imperium ACO enablement subsidiary is not only one of the largest but also one of the most successful ACO management organizations in the U.S. As we move forward into 2017, we will continue our efforts to innovate and bring linkage between our HCI segment and our home health operations. In closing, I would like to thank our more than 18,000 employees who come to work every day, ensuring our success and making lives better through home care for the hundreds of thousands of patients we serve every year.”
Fourth Quarter Financial Results
VN segment net revenues increased $2.0 million to $107.5 million from $105.4 million in the prior year and total Medicare admissions grew by 2.0% to 23,516 from 23,062. On a same-store basis, Medicare episodic admissions outside of Florida grew by 4%, while Florida grew 1%. VN segment contribution increased $0.8 million, or 6.0%, to $13.7 million, from $12.9 million in the prior year period. Contribution margin as a percentage of revenue increased from 12.3% to 12.7%.
PC segment net revenues increased $1.7 million or 4.3% to $40.3 million in 2016 from $38.6 million in 2015 primarily due to acquisitions. PC segment contribution decreased $0.4 million as compared to the same period of last year, primarily due to rate cuts in Ohio and Connecticut’s Medicaid-sponsored behavioral health programs. The rates cuts more than offset the earnings from acquisitions.
Healthcare Innovations (HCI) segment net revenues increased $4.5 million to $5.7 million, in 2016 from $1.2 million in 2015. As a result, operating income for the HCI segment was $0.6 million.
Corporate expenses as a percentage of revenue increased to 4.8%, from 4.3% in the prior year period. Deal, transition and other costs were $4.4 million for 2016, primarily as a result of costs related to acquisitions and the commencement of our VN Segment’s company-wide clinical system conversion to HomeCare HomeBase. Such implementation, training and related costs began in the fourth quarter of 2016 and are expected to continue throughout 2017. Borrowings related to acquisitions increased interest expense to $1.4 million, from $0.8 million in the prior year period.
Net cash from operating activities of $9.3 million was generated in the fourth quarter of 2016. Home Health accounts receivable days sales outstanding were 53 at the end of the fourth quarter of 2016, as compared to 58 at the end of the fourth quarter of 2015.
The effective tax rate for the fourth quarter of 2016 and 2015 was 34.2% and 43.0%, respectively, primarily due to certain non-deductible deal and transaction costs in 2015. Increased shares outstanding reduced Adjusted EPS of $0.59 for the fourth quarter of 2016 by $0.02 without which it would have been $0.61.
Fiscal Financial Results
VN segment net revenues increased $35.1 million to a record $436.1 million from $401.1 million in the prior year period and total Medicare admissions grew by 4.0% to 95,487 from 91,823. On a same-store basis, Medicare episodic admissions outside of Florida grew organically by 4% while Florida was down 2%. VN segment contribution increased $6.7 million, or 13.4%, to $56.6 million, from $49.9 million in the same period last year. Contribution margin as a percentage of revenue increased to 13.0% from 12.4%.
PC segment net revenues increased $33.7 million or 26.4% to a record $161.4 million in 2016 from $127.7 million in 2015 primarily due to acquisitions. PC segment contribution decreased 4.7% or $0.7 million due to rate cuts in certain skilled elements of the Connecticut and Ohio Medicaid programs that more than offset earnings from acquisitions.
HCI segment net revenues increased $22.6 million to a record $26.0 million in 2016 from $3.5 million in 2015, as acquired LTS and Ingenios assessment business revenues were $20.6 million with the remainder due to higher shared savings revenue as multiple Imperium served ACOs received Medicare shared savings payments. LTS was acquired in January 2016 and Ingenios was acquired in July 2015. The HCI segment contribution thus improved $6.9 million, as the segment was profitable for fiscal 2016.
Corporate expenses as a percentage of revenue declined to 4.6%, from 4.9% in the prior year period. Deal, transition and other costs grew to $11.8 million for 2016, primarily as a result of costs related to acquisitions, while the prior year included a one-time $4.2 million benefit related to legal settlements. Borrowings related to acquisitions increased interest expense to $5.8 million, from $2.3 million 2015.
Net cash from operating activities of $24.4 million was generated in 2016, up $3.2 million from the $21.2 million generated in 2015.
The effective tax rate for 2016 and 2015 was 38.4% and 34.5%, respectively. Increased shares outstanding reduced Adjusted EPS of $2.38 for 2016 by $0.15 without which it would have been $2.53.
The Company noted that it will continue to pursue quality acquisitions of in-home health care service providers consistent with its stated strategy and the types of services its segments currently provide.
Acquisition of the Home Health and Hospice Assets of Community Health Systems, Inc.
On Saturday, December 31, 2016 (the first day of the Company’s 2017 fiscal year), the Company completed its acquisition of a controlling interest in the entity holding the home health and hospice assets of Community Health Systems, Inc. for $128.0 million, subject to a working capital adjustment. The Company expects the transaction will add approximately $200 million in revenue, all of which will be classified in the Company’s VN segment. The transaction expands the Company’s geographic service territory to a total of 26 states. The Company funded the acquisition purchase price in a deposit on Friday, December 30, 2016 (the last day of the Company’s 2016 fiscal year).
Financing Activities
On December 5, 2016 the Company announced the expansion of its credit facility from $175 million to $350 million. All of its existing bank group upsized their positions and Capital One was added to the group.
On January, 25, 2017, the Company completed a public offering of 3.5 million shares of its common stock for gross proceeds in excess of $150 million. The net proceeds of $144 million were applied to the Company’s revolving credit facility, which increased credit available under the Facility from approximately $78.6 million at December 30, 2016 to approximately $204.1 million after the offering.
| ALMOST FAMILY, INC. AND SUBSIDIARIES | ||||||||||||||||
| CONSOLIDATED STATEMENTS OF INCOME | ||||||||||||||||
| (In thousands, except per share data) | ||||||||||||||||
| (UNAUDITED) | ||||||||||||||||
| Three months ended | Fiscal Year | |||||||||||||||
| December 30, 2016 | January 1, 2016 | 2016 | 2015 | |||||||||||||
| Net service revenues | $ | 153,427 | $ | 145,217 | $ | 623,541 | $ | 532,214 | ||||||||
| Cost of service revenues (excluding depreciation & amortization) | 83,475 | 77,696 | 335,472 | 281,842 | ||||||||||||
| Gross margin | 69,952 | 67,521 | 288,069 | 250,372 | ||||||||||||
| General and administrative expenses: | ||||||||||||||||
| Salaries and benefits | 42,222 | 38,856 | 168,356 | 147,849 | ||||||||||||
| Other | 16,615 | 18,241 | 72,939 | 66,000 | ||||||||||||
| Deal, transition & other costs | 4,387 | 4,835 | 11,842 | 4,139 | ||||||||||||
| Total general and administrative expenses | 63,224 | 61,932 | 253,137 | 217,988 | ||||||||||||
| Operating income | 6,728 | 5,589 | 34,932 | 32,384 | ||||||||||||
| Interest expense, net | (1,442 | ) | (823 | ) | (5,776 | ) | (2,287 | ) | ||||||||
| Income before income taxes | 5,286 | 4,766 | 29,156 | 30,097 | ||||||||||||
| Income tax expense | (1,864 | ) | (2,097 | ) | (10,984 | ) | (10,556 | ) | ||||||||
| Net income | 3,422 | 2,669 | 18,172 | 19,541 | ||||||||||||
| Net loss (gain) - noncontrolling interests | 170 | 137 | (519 | ) | 468 | |||||||||||
| Net income attributable to Almost Family, Inc. | $ | 3,592 | $ | 2,806 | $ | 17,653 | $ | 20,009 | ||||||||
| Per share amounts-basic: | ||||||||||||||||
| Average shares outstanding | 10,162 | 9,775 | 10,153 | 9,505 | ||||||||||||
| Net income attributable to Almost Family, Inc. | $ | 0.35 | $ | 0.29 | $ | 1.74 | $ | 2.11 | ||||||||
| Per share amounts-diluted: | ||||||||||||||||
| Average shares outstanding | 10,330 | 10,000 | 10,346 | 9,745 | ||||||||||||
| Net income attributable to Almost Family, Inc. | $ | 0.35 | $ | 0.28 | $ | 1.71 | $ | 2.05 | ||||||||
| ALMOST FAMILY, INC. AND SUBSIDIARIES | ||||||||
| CONSOLIDATED BALANCE SHEETS | ||||||||
| (In thousands) | ||||||||
| December 30, 2016 | January 1, 2016 | |||||||
| ASSETS | ||||||||
| CURRENT ASSETS: | ||||||||
| Cash and cash equivalents | $ | 10,110 | $ | 7,522 | ||||
| Accounts receivable - net | 99,212 | 92,270 | ||||||
| Prepaid expenses and other current assets | 11,432 | 9,672 | ||||||
| TOTAL CURRENT ASSETS | 120,754 | 109,464 | ||||||
| PROPERTY AND EQUIPMENT - NET | 10,732 | 10,000 | ||||||
| GOODWILL | 305,476 | 277,061 | ||||||
| OTHER INTANGIBLE ASSETS - NET | 85,063 | 64,629 | ||||||
| TRANSACTION DEPOSIT | 128,930 | — | ||||||
| OTHER ASSETS | 7,757 | 3,615 | ||||||
| TOTAL ASSETS | $ | 658,712 | $ | 464,769 | ||||
| LIABILITIES AND STOCKHOLDERS’ EQUITY | ||||||||
| CURRENT LIABILITIES: | ||||||||
| Accounts payable | $ | 12,122 | $ | 12,297 | ||||
| Accrued other liabilities | 39,728 | 42,524 | ||||||
| TOTAL CURRENT LIABILITIES | 51,850 | 54,821 | ||||||
| LONG-TERM LIABILITIES: | ||||||||
| Revolving credit facility | 262,456 | 113,790 | ||||||
| Deferred tax liabilities | 21,145 | 13,094 | ||||||
| Seller notes | 12,500 | 6,556 | ||||||
| Other liabilities | 6,581 | 2,608 | ||||||
| TOTAL LONG-TERM LIABILITIES | 302,682 | 136,048 | ||||||
| TOTAL LIABILITIES | 354,532 | 190,869 | ||||||
| NONCONTROLLING INTEREST - REDEEMABLE - | ||||||||
| HEALTHCARE INNOVATIONS | 2,256 | 3,639 | ||||||
| STOCKHOLDERS’ EQUITY: | ||||||||
| Preferred stock, par value $0.05; authorized 2,000 shares; none issued or outstanding | — | — | ||||||
| Common stock, par value $0.10; authorized 25,000; 10,504 and 10,125 issued and outstanding | 1,051 | 1,013 | ||||||
| Treasury stock, at cost, 117 and 103 shares | (3,258 | ) | (2,731 | ) | ||||
| Additional paid-in capital | 141,233 | 127,253 | ||||||
| Retained earnings | 163,763 | 145,456 | ||||||
| Almost Family, Inc. stockholders' equity | 302,789 | 270,991 | ||||||
| Noncontrolling interest - nonredeemable | (865 | ) | (730 | ) | ||||
| TOTAL STOCKHOLDERS’ EQUITY | 301,924 | 270,261 | ||||||
| TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY | $ | 658,712 | $ | 464,769 | ||||
| ALMOST FAMILY, INC. AND SUBSIDIARIES | |||||||
| CONSOLIDATED STATEMENTS OF CASH FLOWS | |||||||
| (In thousands) | |||||||
| Fiscal Year | |||||||
| 2016 | 2015 | ||||||
| Cash flows from operating activities: | |||||||
| Net income | $ | 18,172 | $ | 19,541 | |||
| Adjustments to reconcile net income to net cash provided by operating activities: | |||||||
| Depreciation and amortization | 4,445 | 3,927 | |||||
| Provision for uncollectible accounts | 11,708 | 12,743 | |||||
| Stock-based compensation | 2,760 | 2,121 | |||||
| Loan costs amortization | 336 | 281 | |||||
| Deferred income taxes | 8,725 | 3,914 | |||||
| 46,146 | 42,527 | ||||||
| Change in certain net assets and liabilities, net of the effects of acquisitions: | |||||||
| Accounts receivable | (18,701 | ) | (17,393 | ) | |||
| Prepaid expenses and other current assets | (377 | ) | 2,402 | ||||
| Other assets | (1,215 | ) | (585 | ) | |||
| Accounts payable and accrued expenses | (1,410 | ) | (5,745 | ) | |||
| Net cash provided by operating activities | 24,443 | 21,206 | |||||
| Cash flows of investing activities: | |||||||
| Capital expenditures | (6,206 | ) | (3,117 | ) | |||
| Cost basis investment | - | (1,000 | ) | ||||
| Transaction deposit | (128,930 | ) | - | ||||
| Acquisitions, net of cash acquired | (31,486 | ) | (82,578 | ) | |||
| Net cash used in investing activities | (166,622 | ) | (86,695 | ) | |||
| Cash flows of financing activities: | |||||||
| Credit facility borrowings | 389,328 | 233,425 | |||||
| Credit facility repayments | (240,662 | ) | (166,082 | ) | |||
| Debt issuance fees | (3,900 | ) | (1,161 | ) | |||
| Proceeds from stock option exercises | 230 | 128 | |||||
| Purchase of common stock in connection with share awards | (527 | ) | (338 | ) | |||
| Tax impact of share awards | 353 | 215 | |||||
| Payment of special dividend in connection with share awards | - | (50 | ) | ||||
| Principal payments on notes payable and capital leases | (55 | ) | (12 | ) | |||
| Net cash provided by financing activities | 144,767 | 66,125 | |||||
| Net change in cash and cash equivalents | 2,588 | 636 | |||||
| Cash and cash equivalents at beginning of period | 7,522 | 6,886 | |||||
| Cash and cash equivalents at end of period | $ | 10,110 | $ | 7,522 | |||
| ALMOST FAMILY, INC. AND SUBSIDIARIES | ||||||||||||||||||||||
| RESULTS OF OPERATIONS | ||||||||||||||||||||||
| (UNAUDITED) | ||||||||||||||||||||||
| (In thousands) | ||||||||||||||||||||||
| Three Months Ended | ||||||||||||||||||||||
| December 30, 2016 | January 1, 2016 | Change | ||||||||||||||||||||
| Amount | % Rev | Amount | % Rev | Amount | % | |||||||||||||||||
| Home Health Operations | ||||||||||||||||||||||
| Net service revenues: | ||||||||||||||||||||||
| Visiting Nurse | $ | 107,450 | 72.7 | % | $ | 105,424 | 73.2 | % | $ | 2,026 | 1.9 | % | ||||||||||
| Personal Care | 40,293 | 27.3 | % | 38,626 | 26.8 | % | 1,667 | 4.3 | % | |||||||||||||
| 147,743 | 100.0 | % | 144,050 | 100.0 | % | 3,693 | 2.6 | % | ||||||||||||||
| Operating income before corporate expenses: | ||||||||||||||||||||||
| Visiting Nurse | 13,695 | 12.7 | % | 12,916 | 12.3 | % | 779 | 6.0 | % | |||||||||||||
| Personal Care | 4,239 | 10.5 | % | 4,600 | 11.9 | % | (361 | ) | -7.8 | % | ||||||||||||
| 17,934 | 12.1 | % | 17,516 | 12.2 | % | 418 | 2.4 | % | ||||||||||||||
| Healthcare Innovations Operations | ||||||||||||||||||||||
| Revenue | 5,684 | 100.0 | % | 1,167 | 100.0 | % | 4,517 | 387.1 | % | |||||||||||||
| Operating income (loss) | 559 | 9.8 | % | (783 | ) | -67.1 | % | 1,342 | -171.4 | % | ||||||||||||
| Corporate expenses | 7,378 | 4.8 | % | 6,309 | 4.3 | % | 1,069 | 16.9 | % | |||||||||||||
| Deal, transition and other costs | 4,387 | 2.9 | % | 4,835 | 3.3 | % | (448 | ) | -9.3 | % | ||||||||||||
| Operating income | 6,728 | 4.4 | % | 5,589 | 3.8 | % | 1,139 | 20.4 | % | |||||||||||||
| Interest expense, net | (1,442 | ) | -0.9 | % | (823 | ) | -0.6 | % | (619 | ) | 75.2 | % | ||||||||||
| Income tax expense | (1,864 | ) | -1.2 | % | (2,097 | ) | -1.4 | % | 233 | -11.1 | % | |||||||||||
| Net income | $ | 3,422 | 2.2 | % | $ | 2,669 | 1.8 | % | $ | 753 | 28.2 | % | ||||||||||
| Adjusted EBITDA (1) | $ | 13,029 | 8.5 | % | $ | 12,028 | 8.3 | % | $ | 1,001 | 8.3 | % | ||||||||||
| Adjusted net income (1) | $ | 6,115 | 4.0 | % | $ | 5,803 | 4.0 | % | $ | 311 | 5.4 | % | ||||||||||
(1) See Non-GAAP Financial Measures starting on page 12.
| Fiscal Year | ||||||||||||||||||||||
| 2016 | 2015 | Change | ||||||||||||||||||||
| Amount | % Rev | Amount | % Rev | Amount | % | |||||||||||||||||
| Home Health Operations | ||||||||||||||||||||||
| Net service revenues: | ||||||||||||||||||||||
| Visiting Nurse | $ | 436,147 | 73.0 | % | $ | 401,051 | 75.8 | % | $ | 35,096 | 8.8 | % | ||||||||||
| Personal Care | 161,367 | 27.0 | % | 127,712 | 24.2 | % | 33,655 | 26.4 | % | |||||||||||||
| 597,514 | 100.0 | % | 528,763 | 100.0 | % | 68,751 | 13.0 | % | ||||||||||||||
| Operating income before corporate expenses: | ||||||||||||||||||||||
| Visiting Nurse | 56,574 | 13.0 | % | 49,872 | 12.4 | % | 6,702 | 13.4 | % | |||||||||||||
| Personal Care | 13,509 | 8.4 | % | 14,170 | 11.1 | % | (661 | ) | -4.7 | % | ||||||||||||
| 70,083 | 11.7 | % | 64,042 | 12.1 | % | 6,041 | 9.4 | % | ||||||||||||||
| Healthcare Innovations Operations | ||||||||||||||||||||||
| Revenue | 26,027 | 100.0 | % | 3,451 | 100.0 | % | 22,576 | 654.2 | % | |||||||||||||
| Operating income (loss) | 5,657 | 21.7 | % | (1,217 | ) | -35.3 | % | 6,874 | 564.8 | % | ||||||||||||
| Corporate expenses | 28,966 | 4.6 | % | 26,302 | 4.9 | % | 2,664 | 10.1 | % | |||||||||||||
| Deal, transition and other costs | 11,842 | 1.9 | % | 4,139 | 0.8 | % | 7,703 | 186.1 | % | |||||||||||||
| Operating income | 34,932 | 5.6 | % | 32,384 | 6.1 | % | 2,548 | 7.9 | % | |||||||||||||
| Interest expense, net | (5,776 | ) | -0.9 | % | (2,287 | ) | -0.4 | % | (3,489 | ) | 152.6 | % | ||||||||||
| Income tax expense | (10,984 | ) | -1.8 | % | (10,556 | ) | -2.0 | % | (428 | ) | 4.1 | % | ||||||||||
| Net income | $ | 18,172 | 2.9 | % | $ | 19,541 | 3.7 | % | $ | (1,369 | ) | -7.0 | % | |||||||||
| Adjusted EBITDA (1) | $ | 53,515 | 8.6 | % | $ | 42,571 | 8.0 | % | $ | 10,944 | 25.7 | % | ||||||||||
| Adjusted net income (1) | $ | 24,640 | 4.0 | % | $ | 20,746 | 3.9 | % | $ | 3,894 | 18.8 | % | ||||||||||
(1) See Non-GAAP Financial Measures starting on page 12.
| VISITING NURSE SEGMENT OPERATING METRICS | ||||||||||||||||||||||
| Three Months Ended | ||||||||||||||||||||||
| December 30, 2016 | January 1, 2016 | Change | ||||||||||||||||||||
| Amount | % | Amount | % | Amount | % | |||||||||||||||||
| Average number of locations | 169 | 165 | 4 | 2.4 | % | |||||||||||||||||
| All payors: | ||||||||||||||||||||||
| Patient months | 87,091 | 90,354 | (3,263 | ) | -3.6 | % | ||||||||||||||||
| Admissions | 25,946 | 26,423 | (477 | ) | -1.8 | % | ||||||||||||||||
| Billable visits | 686,982 | 694,783 | (7,801 | ) | -1.1 | % | ||||||||||||||||
| Medicare: | ||||||||||||||||||||||
| Admissions | 23,516 | 91 | % | 23,062 | 87 | % | 454 | 2.0 | % | |||||||||||||
| Revenue (in thousands) | $ | 101,798 | 95 | % | $ | 96,897 | 92 | % | $ | 4,901 | 5.1 | % | ||||||||||
| Revenue per admission | $ | 4,329 | $ | 4,202 | $ | 127 | 3.0 | % | ||||||||||||||
| Billable visits | 616,077 | 90 | % | 614,182 | 88 | % | 1,895 | 0.3 | % | |||||||||||||
| Recertifications | 12,906 | 12,804 | 102 | 0.8 | % | |||||||||||||||||
| Payor mix % of Admissions | ||||||||||||||||||||||
| Traditional Medicare Episodic | 83.6 | % | 83.2 | % | 0.4 | % | ||||||||||||||||
| Replacement Plans Paid Episodically | 6.3 | % | 4.4 | % | 1.9 | % | ||||||||||||||||
| Replacement Plans Paid Per Visit | 10.1 | % | 12.4 | % | -2.3 | % | ||||||||||||||||
| Non-Medicare: | ||||||||||||||||||||||
| Admissions | 2,430 | 9 | % | 3,361 | 13 | % | (931 | ) | -27.7 | % | ||||||||||||
| Revenue (in thousands) | $ | 5,652 | 5 | % | $ | 8,527 | 8 | % | $ | (2,875 | ) | -33.7 | % | |||||||||
| Revenue per admission | $ | 2,326 | $ | 2,537 | $ | (211 | ) | -8.3 | % | |||||||||||||
| Billable visits | 70,905 | 10 | % | 80,601 | 12 | % | (9,696 | ) | -12.0 | % | ||||||||||||
| Recertifications | 1,594 | 1,310 | 284 | 21.7 | % | |||||||||||||||||
| Payor mix % of Admissions | ||||||||||||||||||||||
| Medicaid & other governmental | 22.3 | % | 30.1 | % | -7.8 | % | ||||||||||||||||
| Private payors | 77.7 | % | 69.9 | % | 7.8 | % | ||||||||||||||||
| PERSONAL CARE SEGMENT OPERATING METRICS | ||||||||||||||||||
| Three Months Ended | ||||||||||||||||||
| December 30, 2016 | January 1, 2016 | Change | ||||||||||||||||
| Amount | Amount | Amount | % | |||||||||||||||
| Average number of locations | 79 | 73 | 6 | 8.2 | % | |||||||||||||
| Admissions | 1,996 | 2,076 | (80 | ) | -3.9 | % | ||||||||||||
| Patient months of care | 43,615 | 36,605 | 7,010 | 19.2 | % | |||||||||||||
| Billable hours | 1,866,311 | 1,757,886 | 108,425 | 6.2 | % | |||||||||||||
| Revenue per billable hour | $ | 21.59 | $ | 21.97 | $ | (0.38 | ) | -1.7 | % | |||||||||
| VISITING NURSE SEGMENT OPERATING METRICS | ||||||||||||||||||||||
| Fiscal Year | ||||||||||||||||||||||
| 2016 | 2015 | Change | ||||||||||||||||||||
| Amount | % | Amount | % | Amount | % | |||||||||||||||||
| Average number of locations | 166 | 163 | 3 | 1.8 | % | |||||||||||||||||
| All payors: | ||||||||||||||||||||||
| Patient months | 357,971 | 333,343 | 24,628 | 7.4 | % | |||||||||||||||||
| Admissions | 107,520 | 102,381 | 5,139 | 5.0 | % | |||||||||||||||||
| Billable visits | 2,861,962 | 2,621,443 | 240,519 | 9.2 | % | |||||||||||||||||
| Medicare: | ||||||||||||||||||||||
| Admissions | 95,487 | 89 | % | 91,823 | 90 | % | 3,664 | 4.0 | % | |||||||||||||
| Revenue (in thousands) | $ | 414,814 | 95 | % | $ | 377,724 | 94 | % | $ | 37,090 | 9.8 | % | ||||||||||
| Revenue per admission | $ | 4,344 | $ | 4,114 | $ | 231 | 5.6 | % | ||||||||||||||
| Billable visits | 2,537,873 | 89 | % | 2,364,404 | 90 | % | 173,469 | 7.3 | % | |||||||||||||
| Recertifications | 51,731 | 48,743 | 2,988 | 6.1 | % | |||||||||||||||||
| Payor mix % of Admissions | ||||||||||||||||||||||
| Traditional Medicare Episodic | 82.8 | % | 83.3 | % | -0.5 | % | ||||||||||||||||
| Replacement Plans Paid Episodically | 5.5 | % | 4.1 | % | 1.4 | % | ||||||||||||||||
| Replacement Plans Paid Per Visit | 11.7 | % | 12.6 | % | -0.9 | % | ||||||||||||||||
| Non-Medicare: | ||||||||||||||||||||||
| Admissions | 12,033 | 11 | % | 10,558 | 10 | % | 1,475 | 14.0 | % | |||||||||||||
| Revenue (in thousands) | $ | 21,333 | 5 | % | $ | 23,327 | 6 | % | $ | (1,994 | ) | -8.5 | % | |||||||||
| Revenue per admission | $ | 1,773 | $ | 2,209 | $ | (437 | ) | -19.8 | % | |||||||||||||
| Billable visits | 324,089 | 11 | % | 257,039 | 10 | % | 67,050 | 26.1 | % | |||||||||||||
| Recertifications | 4,063 | 2,329 | 1,734 | 74.5 | % | |||||||||||||||||
| Payor mix % of Admissions | ||||||||||||||||||||||
| Medicaid & other governmental | 37.8 | % | 30.6 | % | 7.2 | % | ||||||||||||||||
| Private payors | 62.2 | % | 69.4 | % | -7.2 | % | ||||||||||||||||
| PERSONAL CARE OPERATING METRICS | ||||||||||||||||||
| Fiscal Year | ||||||||||||||||||
| 2016 | 2015 | Change | ||||||||||||||||
| Amount | Amount | Amount | % | |||||||||||||||
| Average number of locations | 75 | 65 | 10 | 15.4 | % | |||||||||||||
| Admissions | 9,671 | 6,879 | 2,792 | 40.6 | % | |||||||||||||
| Patient months of care | 165,995 | 108,512 | 57,483 | 53.0 | % | |||||||||||||
| Billable hours | 7,441,565 | 5,747,214 | 1,694,351 | 29.5 | % | |||||||||||||
| Revenue per billable hour | $ | 21.68 | $ | 22.22 | $ | (0.54 | ) | -2.4 | % | |||||||||
| HEALTHCARE INNOVATIONS SUPPLEMENTAL DATA | ||||||||||||||||
| Three Months Ended | ||||||||||||||||
| December 30, 2016 | January 1, 2016 | Change | ||||||||||||||
| Amount | Amount | Amount | % | |||||||||||||
| In-home Assessments | 19,641 | 3,432 | 16,209 | NM | ||||||||||||
| Medicare ACO enrollees under management | 121,881 | 83,133 | 38,748 | 46.6 | % | |||||||||||
| ACOs under contract | 15 | 11 | 4 | 36.4 | % | |||||||||||
| Assets | $ | 60,159 | $ | 22,024 | $ | 38,135 | 173.2 | % | ||||||||
| Liabilities | $ | 15,735 | $ | (1,525 | ) | $ | 17,260 | NM | ||||||||
| Non-controlling interest - redeemable | $ | 2,256 | $ | 3,639 | $ | (1,383 | ) | -38.0 | % | |||||||
| Non-controlling interest - nonredeemable | $ | (71 | ) | $ | (144 | ) | $ | 73 | -50.7 | % | ||||||
| Fiscal Year | |||||||||||||
| 2016 | 2015 | Change | |||||||||||
| Amount | Amount | Amount | % | ||||||||||
| In-home Assessments | 75,814 | 5,394 | 70,420 | NM | |||||||||
| Medicare enrollees under management | 121,881 | 83,133 | 38,748 | 46.6 | % | ||||||||
| ACOs under contract | 15 | 11 | 4 | 36.4 | % | ||||||||
Non-GAAP Financial Measures
The information provided in some of the tables in this release includes certain non-GAAP financial measures as defined under SEC rules. In accordance with SEC rules, the Company has provided, in the supplemental information, a reconciliation of those measures to the most directly comparable GAAP measures.
Adjusted Net Income and Adjusted Earnings Per Share
Adjusted net income and adjusted earnings per share is not a measure of financial performance under accounting principles generally accepted in the United States of America. It should not be considered in isolation or as a substitute for net income, operating income, cash flows from operating, investing or financing activities, or any other measure calculated in accordance with generally accepted accounting principles. The presentation of adjusted net income and adjusted earnings per share provides investors with pertinent information to enable comparison of financial performance between periods by excluding certain items that the Company believes are not representative of its ongoing operations due to the nature of the items.
The following table sets forth a reconciliation of net income attributable to Almost Family, Inc. to adjusted net income:
| ALMOST FAMILY, INC. AND SUBSIDIARIES | |||||||||||||
| RECONCILIATION OF ADJUSTED NET INCOME AND ADJUSTED EARNINGS PER SHARE | |||||||||||||
| (In thousands) | |||||||||||||
| Three Months Ended | Fiscal Year | ||||||||||||
| (in thousands) | December 30, 2016 | January 1, 2016 | 2016 | 2015 | |||||||||
| Net income attributable to Almost Family, Inc. | $ | 3,592 | $ | 2,806 | $ | 17,653 | $ | 20,009 | |||||
| Addbacks: | |||||||||||||
| Deal, transition and other, net of tax | 2,523 | 2,997 | 6,987 | 737 | |||||||||
| Adjusted net income attributable to Almost Family, Inc. | $ | 6,115 | $ | 5,803 | $ | 24,640 | $ | 20,746 | |||||
| Per share amounts-diluted: | |||||||||||||
| Average shares outstanding | 10,330 | 10,000 | 10,346 | 9,745 | |||||||||
| Net income attributable to Almost Family, Inc. | $ | 0.35 | $ | 0.28 | $ | 1.71 | $ | 2.05 | |||||
| Addbacks: | |||||||||||||
| Deal, transition and other, net of tax | 0.24 | 0.30 | 0.68 | 0.08 | |||||||||
| Adjusted net income attributable to Almost Family, Inc. | $ | 0.59 | $ | 0.58 | $ | 2.38 | $ | 2.13 | |||||
Adjusted EBITDA
Adjusted earnings before interest, income tax, depreciation and amortization, amortization of stock-based compensation, deal, transition and other (Adjusted EBTIDA) is not a measure of financial performance under accounting principles generally accepted in the United States of America. It should not be considered in isolation or as a substitute for net income, operating income, cash flows from operating, investing or financing activities, or any other measure calculated in accordance with generally accepted accounting principles. The items excluded from Adjusted EBITDA Operations are significant components in understanding and evaluating financial performance and liquidity. Management routinely calculates and communicates Adjusted EBITDA Operations and believes that it is useful to investors because it provides a common analytical indicator within our industry to evaluate performance, measure leverage capacity and debt service ability, and to estimate current or prospective enterprise value. Adjusted EBITDA is also used in certain covenants contained in our credit agreement.
The following table sets forth a reconciliation of net income to Adjusted EBITDA:
| ALMOST FAMILY, INC. AND SUBSIDIARIES | ||||||||||||||
| RECONCILIATION OF ADJUSTED EBITDA | ||||||||||||||
| (In thousands) | ||||||||||||||
| Three Months Ended | Fiscal Year | |||||||||||||
| (in thousands) | December 30, 2016 | January 1, 2016 | 2016 | 2015 | ||||||||||
| Net income | $ | 3,422 | $ | 2,669 | $ | 18,172 | $ | 19,541 | ||||||
| Add back: | ||||||||||||||
| Interest expense | 1,442 | 823 | 5,776 | 2,287 | ||||||||||
| Income tax expense | 1,864 | 2,097 | 10,984 | 10,556 | ||||||||||
| Depreciation and amortization | 1,167 | 938 | 3,981 | 3,927 | ||||||||||
| Stock-based compensation | 747 | 666 | 2,760 | 2,121 | ||||||||||
| Deal, transition and other costs | 4,387 | 4,835 | 11,842 | 4,139 | ||||||||||
| Adjusted EBITDA | $ | 13,029 | $ | 12,028 | $ | 53,515 | $ | 42,571 | ||||||
Forward Looking Statements
This press release contains forward-looking statements within the meaning of the federal securities laws, including statements related to the offering and the expected use of the net proceeds. These forward-looking statements are based on current plans, expectations, projections, forecasts and assumptions about future events that involve risks and uncertainties that could cause actual outcomes and results to differ materially. Forward-looking statements relate to expectations, beliefs, projections, future plans and strategies, anticipated events or trends and similar expressions concerning matters that are not historical facts. In some cases, you can identify forward-looking statements by the use of forward-looking terminology such as “may,” “will,” “should,” “could,” “would,” “estimate,” “project,” “forecast,” “intend,” “expect,” “plan,” “anticipate,” “believe,” “target,” or similar terms, variations of those terms or the negative of those terms. While forward-looking statements reflect good faith beliefs, assumptions and expectations, they are not guarantees of future performance, and the Company undertakes no obligation to update or revise its forward-looking statements. The forward-looking statements in this news release are based on a variety of assumptions that may not be realized and that are subject to significant risks and uncertainties, including that the offering may not be completed. For a more complete discussion regarding other factors which could affect the Company's financial performance, refer to the Company's various filings with the Securities and Exchange Commission, including its filing on Form 10-K for the year ended January 1, 2016, in particular information under the headings "Special Caution Regarding Forward-Looking Statements" and “Risk Factors.”
About Almost Family, Inc.
Almost Family, Inc., founded in 1976, is a leading national provider of home healthcare services, with 340 branch locations in 26 states, following the completion of its joint venture transaction with Community Health Systems, Inc. (CHS) (NYSE:CYH). Almost Family, Inc. and its subsidiaries operate a visiting nurse segment, a personal care segment and a HealthCare Innovations segment.