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Almost Family Reports First Quarter 2010 Results


News provided by

Almost Family, Inc.

Apr 28, 2010, 07:30 ET

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LOUISVILLE, Ky., April 28 /PRNewswire-FirstCall/ --

First Quarter Highlights:

  • Net service revenues increased 19% to $81.8 million
  • Visiting Nurse (VN) segment net revenues rose 22% to $71.5 million
  • Net income increased 33% to $7.4 million
  • Diluted EPS increased 19% to $0.80 per share on 13% more shares outstanding
  • Quarterly operating cash flow of $13.7 million – strongest in the Company's history
  • Approximately $100 million in cash plus credit facility available to fund acquisitions

Almost Family, Inc. (Nasdaq: AFAM), a leading regional provider of home health nursing services, announced today its financial results for the three months ended March 31, 2010.

William Yarmuth, Chief Executive Officer, commented, "We're very pleased to report our first quarter operating results which truly highlight the strength of our underlying core business.  Our VN segment generated 20% organic revenue growth over the same quarter last year."  Yarmuth added:  "The recent passage of health care reform legislation now provides us with reasonable reimbursement visibility for the next three years.  Combined with our strong financial condition and access to additional capital, this reimbursement clarity positions us to take advantage of our acquisition opportunities which have largely been on hold for the past year."

First Quarter Financial Results

Almost Family reported first quarter 2010 net service revenues of $81.8 million, an 18.6% increase from $68.9 million in the first quarter of 2009.

Net income for the first quarter of 2010 was $7.4 million, or $0.80 per diluted share, compared to $5.6 million, or $0.68 per diluted share, in the first quarter of 2009.  The weighted average shares outstanding for purposes of calculating diluted earnings per share increased 13% between periods.  

First Quarter Segment Results

Net revenues in the Visiting Nurse segment for the first quarter of 2010 were $71.5 million, a 22% increase from $58.7 million in the first quarter of 2009.  The total revenue growth of $12.8 million came from a 17% organic growth rate plus $1.0 million from acquired operations.  Organic Medicare admissions growth was 13% and organic Medicare Episodic growth was 16%.  Operating income before corporate expense in the VN segment for the first quarter of 2010 was $15.9 million, a 30% increase from $12.2 million in the first quarter of 2009.

Net revenues in the Personal Care (PC) segment for the first quarter of 2010 were flat at $10.2 million for the first quarter of 2010 and 2009.  Operating income before unallocated corporate expense in the PC segment for the first quarter of 2010 was $1.3 million, a 13% increase from $1.1 million in the first quarter of 2009.

Conference Call

A conference call to review the results will begin at 11:00 a.m. ET on April 28, 2010, and will be hosted by William Yarmuth, Chief Executive Officer, and Steve Guenthner, Chief Financial Officer. To participate in the conference call, please dial 1-877-407-0789 (USA) or 1-201-689-8562 (International).  In addition, a dial-up replay of the conference call will be available beginning April 28, 2010 at 2:00 p.m. ET and ending on May 12, 2010. The replay telephone number is 1-877-660-6853 (USA) or 1-201-612-7415 (International). Account Number: 3055 and Passcode: 349687.  

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 April 28, 2010 at approximately 2:00 p.m. ET and will remain available until May 28, 2010.

ALMOST FAMILY, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF INCOME

(UNAUDITED)

(In thousands, except per share data)






Three Months ended March 31,


2010


2009

Net service revenues

$ 81,778


$ 68,941

Cost of service revenues (excluding depreciation and amortization)

37,587


32,216

Gross margin

44,191


36,725

General and administrative expenses:




Salaries and benefits

22,314


19,002

Other

9,284


8,156

Total general and administrative expenses

31,598


27,158

Operating income

12,593


9,567

Interest expense, net

(89)


(313)

Income from continuing operations before income taxes

12,504


9,254

Income tax expense

(5,032)


(3,661)

Net income from continuing operations

7,472


5,593

Discontinued operations, net of tax benefits of $20 and ($1)

(29)


2

Net income

$   7,443


$   5,595









Per share amounts-basic:




Average shares outstanding

9,071


8,152

Income from continued operations

$     0.82


$     0.69

Loss from discontinued operations

-


-

Net income

$     0.82


$     0.69





Per share amounts-diluted:




Average shares outstanding

9,326


8,281

Income from continued operations

$     0.80


$     0.68

Loss from discontinued operations

-


-

Net income

$     0.80


$     0.68

ALMOST FAMILY, INC. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS

(In thousands)



March 31, 2010



ASSETS

(UNAUDITED)


December 31, 2009

CURRENT ASSETS:




Cash and cash equivalents  

$            31,000


$               19,389

Accounts receivable - net

36,189


35,121

Prepaid expenses and other current assets

2,204


2,544

Deferred tax assets

7,628


7,786

TOTAL CURRENT ASSETS

77,021


64,840





PROPERTY AND EQUIPMENT - NET

4,213


4,291





GOODWILL

99,134


99,133





OTHER INTANGIBLE ASSETS

14,463


14,538





OTHER ASSETS

581


587


$          195,412


$             183,389





LIABILITIES AND STOCKHOLDERS' EQUITY




CURRENT LIABILITIES:




Accounts payable

$              5,508


$                 3,360

Accrued other liabilities

22,754


20,076

Current portion - capital leases and notes payable

1,776


1,836

TOTAL CURRENT LIABILITIES

30,038


25,272





LONG-TERM LIABILITIES:




Revolving credit facility

-


-

Capital lease obligations

-


40

Notes payable

1,300


2,800

Deferred tax liabilities

6,161


5,258

Other liabilities

965


1,042

TOTAL LONG-TERM LIABILITIES

8,426


9,140

TOTAL LIABILITIES

38,464


34,412





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; 9,155 and 9,151




issued and outstanding

916


915

Additional paid-in capital

94,992


94,465

Retained earnings

61,040


53,597

TOTAL STOCKHOLDERS' EQUITY

156,948


148,977


$          195,412


$             183,389

ALMOST FAMILY, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS

(UNAUDITED)


Three Months ended March 31,


2010


2009

Cash flows from operating activities:




Net income  

$   7,443


$ 5,595

Loss from discontinued operations

(29)


2

Income from continuing operations

7,472


5,593

Adjustments to reconcile income from continuing operations to




net cash provided by operating activities:




Depreciation and amortization

669


574

Provision for uncollectible accounts

882


296

Stock-based compensation

430


329

Deferred income taxes

1,061


743


10,514


7,535

Change in certain net assets and liabilities, net of the effects of
    acquisitions:




(Increase) decrease in:  




Accounts receivable

(1,950)


(2,371)

Prepaid expenses and other current assets

339


732

Other assets

6


(16)

Increase (decrease) in:




Accounts payable and accrued expenses

4,751


(1,881)

Net cash provided by operating activities

13,660


3,999





Cash flows from investing activities:




Capital expenditures

(516)


(247)

Acquisitions, net of cash acquired

(1)


(2,852)

Net cash used in investing activities

(517)


(3,099)





Cash flows from financing activities:




   Net revolving credit facility (repayments) borrowings

-


(2,048)

Proceeds from stock option exercises

76


36

Tax benefit from non-qualified stock option exercises

21


205

Principal payments on capital leases and notes payable

(1,600)


(174)

Net cash used in financing activities

(1,503)


(1,981)





Cash flows from discontinued operations:




Operating activities

(29)


2

Investing activities

-


-

Financing activities

-


-

Net cash used in discontinued operations

(29)


2





Net increase (decrease) in cash and cash equivalents

11,611


(1,079)

Cash and cash equivalents at beginning of period

19,389


1,301

Cash and cash equivalents at end of period

$ 31,000


$    222

ALMOST FAMILY, INC. AND SUBSIDIARIES

RESULTS OF OPERATIONS

(UNAUDITED)

(In thousands)







Three Months ended March 31,


2010



2009



Change



Amount

% Rev


Amount

% Rev


Amount

%

Net service revenues:









Visiting Nurse

$   71,541

87.5%


$   58,748

85.2%


$   12,793

21.8%

Personal Care

10,237

12.5%


10,193

14.8%


44

0.4%


$   81,778

100.0%


$   68,941

100.0%


$   12,837

18.6%

Operating income before corporate expenses:









Visiting Nurse

$   15,862

22.2%


$   12,193

20.8%


$     3,669

30.1%

Personal Care

1,251

12.2%


1,103

10.8%


148

13.4%


17,113

20.9%


13,296

19.3%


3,817

28.7%

Corporate expenses

4,520

5.5%


3,729

5.4%


791

21.2%

Operating income

12,593

15.4%


9,567

13.9%


3,026

31.6%

Interest expense, net

89

0.1%


313

0.5%


(224)

-71.6%

Income tax expense

5,032

6.2%


3,661

5.3%


1,371

37.4%

Net income from continuing operations

$     7,472

9.1%


$     5,593

8.1%


$     1,879

33.6%










EBITDA from continuing operations

$   13,692

16.7%


$   10,470

15.2%


$     3,222

30.8%

ALMOST FAMILY, INC. AND SUBSIDIARIES

VISITING NURSE SEGMENT OPERATING METRICS











Three Months ended March 31,


2010


2009


Change


Amount

% Rev


Amount

% Rev


Amount

%

Average number of locations

84



74



10

13.5%










All payors:









Patients Months

50,528



43,121



7,407

17.2%

Admissions

14,664



12,672



1,992

15.7%

Billable Visits

460,223



395,774



64,449

16.3%










Medicare Statistics:









Revenue (in thousands)

$ 65,546

91.6%


$ 52,198

88.9%


$ 13,348

25.6%

Billable visits

381,958



314,737



67,221

21.4%

Admissions

13,268



11,483



1,785

15.5%

Episodes

21,218



18,051



3,167

17.5%










Revenue per completed episode

$   3,133



$   2,936



$      197

6.7%

Visits per episode

18.0



17.3



0.7

4.0%




























PERSONAL CARE

RESULTS OF OPERATION











Three Months ended March 31,


2010


2009


Change


Amount

% Rev


Amount

% Rev


Amount

%

Average number of locations

23



22



1

4.5%










Admissions

822



855



(33)

-3.9%

Patient months of care

11,799



11,693



106

0.9%

Patient days of care

148,659



145,461



3,198

2.2%

Billable hours

570,693



570,248



445

0.1%

Revenue per billable hour

$   17.94



$   17.87



$     0.07

0.4%

Non-GAAP Financial Measure

The information provided in the tables in this release includes certain non-GAAP financial measures as defined under Securities and Exchange Commission (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:

EBITDA is defined as income before depreciation and amortization, net interest expense and income taxes. 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 Continuing Operations Net Income to EBITDA:

ALMOST FAMILY, INC. AND SUBSIDIARIES

RECONCILIATION OF EBITDA

(In thousands)



Three Months ended March 31,


2010


2009

Net income from continuing operations

$   7,472


$   5,593

Add back:




Interest expense

89


313

Income tax expense

5,032


3,661

Depreciation and amortization

669


574

Amortization of stock-based compensation

430


329

Earnings before interest, income taxes,
   depreciation and amortization (EBITDA)
   from continuing operations

$ 13,692


$ 10,470

About Almost Family

Almost Family, Inc., founded in 1976, is a leading regional provider of home health nursing services, with branch locations in Florida, Kentucky, Connecticut, New Jersey, Ohio, Massachusetts, Alabama, Missouri, 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 100 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; 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; potential audits and investigations by governmental and regulatory agencies; 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, 2009, 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.

Almost Family, Inc.

The Ruth Group

Steve Guenthner

Investor Relations

(502) 891-1000

Nick Laudico/Zack Kubow


(646) 536-7030/7020


[email protected]


[email protected]

SOURCE Almost Family, Inc.

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