Almost Family Reports Third Quarter 2012 Results SEC Staff closes investigation with no actions; Court dismisses shareholder suit PR Newswire LOUISVILLE, Ky., Nov. 6, 2012 LOUISVILLE, Ky., Nov. 6, 2012 /PRNewswire/ --Almost Family, Inc. (Nasdaq: AFAM), a leading regional provider of home health nursing and personal care services, announced today its financial results for the three and nine month periods ended September 30, 2012. Highlights: oNet service revenues of $85 million for the quarter oNet income was $4.1 million, or $0.44 per diluted share oDiluted EPS includes $0.02 for transaction related costs, excluding which diluted EPS would have been $0.46 oVisiting Nurse segment net revenues were $66 million, on 2% admission growth overall, including 5% in Florida oPersonal Care segment net revenues grew to $19 million from a combination of the Cambridge acquisition and 5% organic volume growth oInvestors encouraged to consider possible implications of Hurricane Sandy on fourth quarter results Comments on Results William Yarmuth, Chief Executive Officer, commented on the results: "Our results for the third quarter reflect the impact of normal seasonality in our VN segment along with an apparent slowing in health care utilization nationwide. While external market conditions continue to be somewhat challenging, we are continuing to focus on improving the organic growth of our business. We have been extremely pleased with the success of our operators in tightly managing the efficiencies of their business units delivering meaningful year over year cost savings in the VN segment." With regard to the U.S. Securities and Exchange Commission (SEC) development described in more detail below, Yarmuth added: "We continue to be very proud of our track record of sound compliance and the absence of any findings of wrongdoing at Almost Family by any of the investigatory bodies that began probing us and others in the industry in mid-2010. I am extremely proud of the way our management team, and most importantly our caregivers, have refused to allow any of this to detract from our Senior Advocacy mission of providing the highest quality care to our patients." Third Quarter Financial Results Almost Family reported third quarter results that included the impact of the 2012 Medicare reimbursement rate cut in the Visiting Nurse (VN) segment. The Medicare rate cuts reduced revenue and operating income by $2.7 million and earnings per diluted share by $0.17, while a change in certain Medicare Advantage plans paying on a per visit versus episodic basis reduced revenue by $0.8 million and earnings per diluted share by $0.03. While total VN admissions increased approximately 2% and traditional Medicare episodic admissions increased approximately 1%, total Medicare episodic admissions declined 2.5% primarily as a result of certain Medicare Advantage plans switching from episodic to per visit payment models. The Company's earnings were favorably impacted by efforts to improve its operating efficiencies and the inclusion in the quarter of a full three months of the Cambridge Home Health Care Holdings, Inc. (Cambridge) acquisition, which closed in early August of 2011. Improvements in operating efficiencies, principally in the VN segment, improved earnings per diluted share by $0.17. Net service revenues for the third quarter were $85.1 million, a 1% decrease from $86.2 million reported in the third quarter of 2011, primarily as a result of the VN segment's Medicare rate cut, partially offset by the Cambridge acquisition. Net income for the third quarter of 2012 was $4.1 million, or $0.44 per diluted share, down from third quarter of 2011 net income of $4.8 million, or $0.52 per diluted share. The effective tax rate of 39.5% in the third quarter of 2012 was consistent with the 39.4% for the third quarter of 2011. SEC and Legal Developments Since our last quarterly report the Company has received two favorable determinations with respect to previously disclosed regulatory inquiries and litigation. On November 2, 2012, the Company and those affected executive officers and members of its board of directors were all notified by the SEC Staff that it has concluded its investigation and does not intend to recommend enforcement action to the Commission. Separately, on October 2, 2012 the judge in certain shareholder derivative actions in Kentucky state court granted the Company's motion for dismissal. Although the plaintiffs have appealed that ruling, the Company intends to vigorously defend the appeal of the ruling. As previously disclosed, an April 2010 newspaper article reporting on home health care delivery practices in the industry and at the Company triggered inquiries to the Company from the U.S. Senate Finance Committee (SFC), followed by theSEC. These were in turn followed by shareholder litigation making various claims related to the newspaper article against the Company, its board of directors and certain of its officers. As also previously disclosed, in its October 2011 report, the SFC found no wrongdoing with regard to Almost Family and, on February 10, 2012, the judge in certain shareholder actions in Federal court granted the Company's motion for dismissal. Refer to the Company's filings on Forms 10-K for 2011 and 10-Q for 2012 for a more complete background of the matters described in this section. Possible Impact of Hurricane Sandy Approximately 25% of our VN segment operations are located in the northeastern U.S. (New Jersey, Connecticut and Massachusetts), areas impacted by Hurricane Sandy which struck in late October 2012. While we are currently unable to predict to the extent, if any, it is reasonable to expect that this significant weather event may have a detrimental impact on our operating results for the quarter and thus the year ending December 31, 2012. Third Quarter Segment Results VN segment third quarter results include the unfavorable impact of the Medicare rate cuts as well as the change of certain Medicare Advantage payors to per visit reimbursement. As a result, VN segment third quarter net service revenues declined 6% to $65.9 million, from $69.9 million in the third quarter of 2011, while operating income before corporate expenses for the third quarter of 2012 declined to $8.9 million from $10.2 million reported for the third quarter of 2011. Total admissions grew 2%, substantially all organic. Organic VN admission growth in Florida was 5%. Primarily as a result of our Cambridge acquisition, Personal Care (PC) segment net service revenues grew 18% or $2.9 million in the third quarter of 2012 to $19.2 million from $16.3 million in the third quarter of 2011, while operating income before unallocated corporate expenses increased 5%, or $0.1 million to $2.8 million in the third quarter of 2012. Nine Month Period Ended September 30, 2012 Almost Family reported nine month results that included: i) the favorable impact of a full nine months of operations from our Cambridge acquisition, which closed in early August of 2011, ii) the unfavorable impact of the 2012 Medicare reimbursement rate cut and the shift of certainMedicare Advantage payors to per visit reimbursementin the VN segment, iii) the unfavorable impact of higher than normal health insurance and workers compensation costs which lowered EPS by $0.09 and iv) the unfavorable impact of higher bad debt provision which lowered EPS by $0.04. The Medicare rate cuts reduced revenue and operating income by $8.4 million and earnings per diluted share by $0.55. Net income for the nine month period of 2012 was $13.6 million, or $1.46 per diluted share, down from the nine month period of 2011 net income of $15.5 million, or $1.66 per diluted share. Fees and expenses related to governmental inquiries did not impact the 2012 nine month period, while lowering the 2011 nine month period EPS by approximately $0.07. Deal costs lowered year to date 2012 and 2011 EPS by approximately $0.03. Nine Month Period Segment Results Net service revenues in the VN segment for the nine month period declined to $204.2 million, a 4.5% decrease from $213.8 million in the nine month period of 2011, after the effect of the previously mentioned Medicare rate cut and lower Medicare volumes. Total admissions grew 3%, of which 2% was organic. Operating income before corporate expenses in the VN segment for the nine month period of 2012 was $30.7 million, a $4.3 million decrease from $35.0 million reported for the nine month period of 2011, primarily as a result of the impact of the Medicare rate cut and a $0.9 million increase in bad debt provision, both of which were partially offset by a focused effort to reduce labor costs relative to patients served. Primarily as a result of our Cambridge acquisition, net service revenues in the PC segment for the nine month period of 2012 grew 57% or $21.0 million to $57.8 million from $36.7 million in the nine month period of 2011. As a result, operating income before unallocated corporate expenses in the PC segment increased 40% to $7.6 million from $5.4 million in the nine month period of 2011. Conference Call A conference call to review the results will begin at 11:00 a.m. ET on November 6, 2012, and will be hosted by William Yarmuth, Chief Executive Officer, and Steve Guenthner, President and Principal Financial Officer. To participate in the conference call, please dial 1-877-407-4018 (USA) or 1-201-689-8471 (International). In addition, a dial-up replay of the conference call will be available beginning November 6, 2012 at 2:00 p.m. ET and ending on November 30, 2012. The replay telephone number is 1-877-870-5176 (USA) or 1-858-384-5517 (International). Passcode 403361. A live Web cast of the call will also be available from the Investor Relations section of the corporate Web site at http://www.almostfamily.com. A Web cast replay can be accessed on the corporate Web site beginning November 6, 2012 at approximately 2:00 p.m. ET and will remain available until November 30, 2012. ALMOST FAMILY, INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF INCOME (UNAUDITED) (In thousands, except per share data) Three Months Ended Nine months Ended September 30, September 30, 2012 2011 2012 2011 Net service revenues $ 85,128 $ 86,207 $ 261,970 $ 250,521 Cost of service revenues (excluding 44,518 43,345 135,573 121,940 depreciation & amortization) Gross margin 40,610 42,862 126,397 128,581 General and administrative expenses: Salaries and benefits 23,769 24,832 73,648 72,783 Other 10,049 9,993 30,409 29,831 Total general and administrative 33,818 34,825 104,057 102,614 expenses Operating income 6,792 8,037 22,340 25,967 Interest expense, net (17) (41) (87) (140) Income before income taxes 6,775 7,996 22,253 25,827 Income tax expense (2,676) (3,154) (8,674) (10,331) Net income $ 4,099 $ 4,842 $ 13,579 $ 15,496 Per share amounts-basic: Average shares outstanding 9,256 9,296 9,262 9,271 Net income $ 0.44 $ 0.52 $ $ 1.47 1.67 Per share amounts-diluted: Average shares outstanding 9,315 9,346 9,329 9,359 Net income $ 0.44 $ 0.52 $ $ 1.46 1.66 ALMOST FAMILY, INC. AND SUBSIDIARIES CONSOLIDATED BALANCE SHEETS (In thousands) September 30, 2012 ASSETS (UNAUDITED) December 31, 2011 CURRENT ASSETS: Cash and cash equivalents $ $ 42,716 33,693 Accounts receivable - net 48,135 45,166 Prepaid expenses and other 6,607 6,437 current assets Deferred tax assets 7,373 7,470 TOTAL CURRENT ASSETS 104,831 92,766 PROPERTY AND EQUIPMENT - NET 5,043 5,229 GOODWILL 133,416 132,653 OTHER INTANGIBLE ASSETS 19,987 19,709 OTHER ASSETS 419 465 $ $ 263,696 250,822 LIABILITIES AND STOCKHOLDERS' EQUITY CURRENT LIABILITIES: Accounts payable $ $ 6,096 6,489 Accrued other liabilities 20,686 21,129 Current portion - capital 500 1,200 leases and notes payable TOTAL CURRENT LIABILITIES 27,282 28,818 LONG-TERM LIABILITIES: Notes payable 625 1,125 Deferred tax liabilities 16,096 13,631 Other liabilities 613 951 TOTAL LONG-TERM LIABILITIES 17,334 15,707 TOTAL LIABILITIES 44,616 44,525 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; 9,420 and 9,381 issued and outstanding 942 938 Treasury stock, at cost, 89 and (2,283) (431) 13 shares Additional paid-in capital 101,730 100,678 Retained earnings 118,691 105,112 TOTAL STOCKHOLDERS' EQUITY 219,080 206,297 $ $ 263,696 250,822 ALMOST FAMILY, INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED) (In thousands) Nine Months Ended September 30, 2012 2011 Cash flows from operating activities: Net income $ 13,579 $ 15,496 Adjustments to reconcile income to net cash provided by operating activities: Depreciation and amortization 1,911 2,170 Provision for uncollectible accounts 2,022 1,394 Stock-based compensation 1,128 1,040 Deferred income taxes 2,817 2,464 21,457 22,564 Change in certain net assets and liabilities, net of the effects of acquisitions: Decrease (increase) in: Accounts receivable (5,589) (810) Prepaid expenses and other current assets (457) 250 Other assets 45 60 Decrease in: Accounts payable and accrued expenses (1,241) (2,718) Net cash provided by operating activities 14,215 19,346 Cash flows from investing activities: Capital expenditures (1,530) (1,860) Acquisitions, net of cash acquired (538) (35,689) Net cash used in investing activities (2,068) (37,549) Cash flows from financing activities: Proceeds from exercise of stock options 70 292 Purchase of common stock in connection with (1,852) (440) share awards Tax impact of share awards (142) 1,614 Principal payments on capital leases and (1,200) (1,595) notes payable Net cash used in financing activities (3,124) (129) Net change in cash and cash equivalents 9,023 (18,332) Cash and cash equivalents at beginning of 33,693 47,943 period Cash and cash equivalents at end of period $ 42,716 $ 29,611 Summary of non-cash investing and financing activities: Settlement of Directors Deferred $ - $ 501 Compensation Plan Acquisitions funded by notes payable $ - $ 1,000 ALMOST FAMILY, INC. AND SUBSIDIARIES RESULTS OF OPERATIONS (UNAUDITED) (In thousands) Three Months Ended September 30, 2012 2011 Change Amount % Rev Amount % Rev Amount % Net service revenues: Visiting Nurse $ 65,880 77.4% $ 69,897 81.1% $ (4,017) -5.7% Personal Care 19,248 22.6% 16,310 18.9% 2,938 18.0% 85,128 100.0% 86,207 100.0% (1,079) -1.3% Operating income before corporate expenses: Visiting Nurse 8,906 13.5% 10,192 14.6% (1,286) -12.6% Personal Care 2,822 14.7% 2,687 16.5% 135 5.0% 11,728 13.8% 12,879 14.9% (1,151) -8.9% Corporate expenses 4,936 5.8% 4,842 5.6% 94 1.9% Operating income 6,792 8.0% 8,037 9.3% (1,245) -15.5% Interest expense, (17) 0.0% (41) 0.0% 24 -58.5% net Income tax expense (2,676) -3.1% (3,154) -3.7% 478 -15.2% Net income $ 4,099 4.8% $ 4,842 5.6% $ -15.3% (743) EBITDA $ 7,825 9.2% $ 9,042 10.5% $ (1,217) -13.5% ALMOST FAMILY, INC. AND SUBSIDIARIES RESULTS OF OPERATIONS (UNAUDITED) (In thousands) Nine Months Ended September 30, 2012 2011 Change Amount % Rev Amount % Rev Amount % Net service revenues: Visiting Nurse $ 204,198 77.9% $ 213,794 85.3% $ (9,596) -4.5% Personal Care 57,772 22.1% 36,727 14.7% 21,045 57.3% 261,970 100.0% 250,521 100.0% 11,449 4.6% Operating income before corporate expenses: Visiting Nurse 30,698 15.0% 35,004 16.4% (4,306) -12.3% Personal Care 7,583 13.1% 5,418 14.8% 2,165 40.0% 38,281 14.6% 40,422 16.1% (2,141) -5.3% Corporate expenses 15,941 6.1% 14,455 5.8% 1,486 10.3% Operating income 22,340 8.5% 25,967 10.4% (3,627) -14.0% Interest expense, (87) 0.0% (140) -0.1% 53 -37.9% net Income tax expense (8,674) -3.3% (10,331) -4.1% 1,657 -16.0% Net income $ 13,579 5.2% $ 15,496 6.2% $ (1,917) -12.4% EBITDA $ 25,379 9.7% $ 29,177 11.6% $ (3,798) -13.0% ALMOST FAMILY, INC. AND SUBSIDIARIES VISITING NURSE SEGMENT OPERATING METRICS Three Months Ended September 30, 2012 2011 Change Amount % Rev Amount % Rev Amount % Average number of 107 100 7 7.0% locations All payors: Patients months 53,215 52,927 288 0.5% Admissions 15,285 15,047 238 1.6% Billable visits 432,110 448,377 (16,267) -3.6% Medicare Statistics (1): Revenue (in thousands) $ 59,713 90.6% $ 64,508 92.3% $ (4,795) -7.4% Billable visits 375,412 400,111 (24,699) -6.2% Admissions 13,316 13,662 (346) -2.5% Recertifications 7,952 8,143 (191) -2.3% Episodes completed 20,677 21,176 (499) -2.4% Revenue per completed $ 2,865 $ 3,008 $ (143) -4.8% episode Visits per episode 17.7 18.3 (0.6) -3.3% (1) Episodic data which includes Medicare Advantage plans that pay episodically PERSONAL CARE OPERATING METRICS Three Months Ended September 30, 2012 2011 Change Amount Amount Amount % Average number of 60 48 12 25.0% locations Admissions 1,055 904 151 16.7% Patient months of care 17,684 14,917 2,767 18.5% Patient days of care 263,703 215,359 48,344 22.4% Billable hours 1,053,652 904,213 149,439 16.5% Revenue per billable $ 18.27 $ 18.04 $ 0.23 1.3% hour ALMOST FAMILY, INC. AND SUBSIDIARIES VISITING NURSE SEGMENT OPERATING METRICS Nine Months Ended September 30, 2012 2011 Change Amount % Rev Amount % Rev Amount % Average number of 109 95 14 14.7% locations All payors: Patients months 163,313 161,017 2,296 1.4% Admissions 47,381 46,187 1,194 2.6% Billable visits 1,325,488 1,361,384 (35,896) -2.6% Medicare Statistics (1): Revenue (in thousands) $ 185,933 91.1% $ 197,567 92.4% $ (11,634) -5.9% Billable visits 1,160,603 1,215,570 (54,967) -4.5% Admissions 41,715 42,037 (322) -0.8% Recertifications 23,875 24,328 (453) -1.9% Episodes completed 65,136 65,630 (494) -0.8% Revenue per completed $ 2,841 $ $ -5.3% episode 3,000 (159) Visits per episode 17.5 18.1 (0.6) -3.3% (1) Episodic data which includes Medicare Advantage plans that pay episodically PERSONAL CARE OPERATING METRICS Nine Months Ended September 30, 2012 2011 Change Amount Amount Amount % Average number of 60 31 29 93.5% locations Admissions 3,256 2,243 1,013 45.2% Patient months of care 52,020 36,711 15,309 41.7% Patient days of care 748,675 499,270 249,405 50.0% Billable hours 3,193,973 2,027,307 1,166,666 57.5% Revenue per billable $ 18.09 $ $ -0.2% hour 18.12 (0.03) Non-GAAP Financial Measure 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 and the footnotes to the tables, a reconciliation of those measures to the most directly comparable GAAP measures. EBITDA Earnings before interest, income taxes, depreciation and amortization (EBITDA) 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 EBITDA are significant components in understanding and evaluating financial performance and liquidity. Management routinely calculates and communicates EBITDA and believes that it is useful to investors because it is commonly used as an analytical indicator within our industry to evaluate performance, measure leverage capacity and debt service ability, and to estimate current or prospective enterprise value. EBITDA is also used in certain covenants contained in our credit agreement. The following tables set forth a reconciliation of net income to EBITDA: ALMOST FAMILY, INC. AND SUBSIDIARIES RECONCILIATION OF EBITDA (In thousands) Three Months Ended Nine Months Ended September 30, September 30, 2012 2011 2012 2011 Net income $ 4,099 $ 4,842 $ 13,579 $ 15,496 Add back: Interest expense 17 41 87 140 Income tax expense 2,676 3,154 8,674 10,331 Depreciation and amortization 651 695 1,911 2,170 Amortization of stock-based 382 310 1,128 1,040 compensation Earnings before interest, income taxes, $ 7,825 $ 9,042 $ 25,379 $ 29,177 depreciation and amortization (EBITDA) About Almost Family Almost Family, Inc., founded in 1976, is a leading regional provider of home health nursing and personal care services in Florida, Ohio, Kentucky, Connecticut, New Jersey, Massachusetts, Missouri, Alabama, Illinois, Pennsylvania and Indiana (in order of revenue significance). Almost Family, Inc. and its subsidiaries operate a Medicare-certified segment and a personal care segment. Altogether, Almost Family operates over 160 branch locations in 11 U.S. states. Forward Looking Statements All statements, other than statements of historical facts, included in this news release are forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements may be identified by the use of forward-looking terminology such as "may," "will," "expect," "believe," "estimate," "project," "anticipate," "continue," or similar terms, variations of those terms or the negative of those terms. These forward-looking statements are based on the Company's current plans, expectations and projections about future events. Because forward-looking statements involve risks and uncertainties, the Company's actual results could differ materially from any future results, performance or achievements expressed or implied by such forward-looking statements. The potential risks and uncertainties which could cause actual results to differ materially include: regulatory approvals or third party consents may not be obtained; the impact of further changes in healthcare reimbursement systems, including the ultimate outcome of potential changes to Medicare reimbursement for home health services and to Medicaid reimbursement due to state budget shortfalls; the ability of the Company to maintain its level of operating performance and achieve its cost control objectives; changes in our relationships with referral sources; the ability of the Company to integrate acquired operations including obtaining synergies, integration objectives and anticipated timelines; government regulation; health care reform; pricing pressures from Medicare, Medicaid and other third-party payers; changes in laws and interpretations of laws relating to the healthcare industry; and the Company's self-insurance risks. For a more complete discussion regarding these and 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 December 31, 2011, in particular information under the headings "Special Caution Regarding Forward-Looking Statements" and "Risk Factors." The Company undertakes no obligation to update or revise its forward-looking statements. The Ruth Group Investor Relations Almost Family, Inc. Nick Laudico/Zack Kubow Steve Guenthner (646) 536-7030/7020 (502) 891-1000 firstname.lastname@example.org email@example.com SOURCE Almost Family, Inc. Website: http://www.almostfamily.com
Almost Family Reports Third Quarter 2012 Results
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