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Almost Family Reports Fourth Quarter and Full Year 2010 Results

Fourth Quarter Highlights:

- Net service revenues increased to approximately $85 million

- Net income and diluted EPS were $7.0 million and $0.75 per share after the costs of complying with governmental inquiries and the impact of a Medicare rate cut

- Diluted EPS includes $0.04 of expenses related to governmental inquiries, excluding which diluted EPS would have been $0.79

- A Medicare rate cut reduced diluted EPS in the fourth quarter by $0.08. Excluding the rate cut and the expenses related to governmental inquiries diluted EPS would have been $0.87

- Visiting Nurse (VN) segment net revenues grew organically 10% to $74 million

- Quarterly operating cash flow of $7.5 million

- Approximately $166 million in cash plus credit facility available to fund acquisitions

Full Year Highlights:

- Net service revenues increased 13% to $337 million

- Net income increased 25% to $30.7 million

- Diluted EPS increased 15% to $3.28 per share including $0.08 of expenses related to governmental inquiries, excluding which diluted EPS would have been $3.36

- Excluding the Medicare rate cut and governmental inquiry costs diluted EPS would have been $3.44

- Visiting Nurse (VN) segment net revenues rose 15% to $295 million

- Full Year net operating cash flow of approximately $35 million


News provided by

Almost Family, Inc.

Feb 28, 2011, 07:30 ET

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LOUISVILLE, Ky., Feb. 28, 2011 /PRNewswire/ -- Almost Family, Inc. (Nasdaq: AFAM), a leading regional provider of home health nursing services, announced today its financial results for the three-months and full year ended December 31, 2010.

William Yarmuth, Chief Executive Officer, commented, "Our full year operating performance marks another milestone year in our Company's development.  Our management team and over 6,000 caregivers continued their uncompromising focus on our Senior Advocacy Mission providing the highest quality home care to our patients throughout the communities we serve.  Our fourth quarter and full year results demonstrate our continued ability to generate quality returns for our shareholders with strong organic revenue, cash flow and earnings growth despite the challenges from health care reform and increased scrutiny in 2010.  Our strong balance sheet and operating excellence position us well for continued growth."  

Fourth Quarter Financial Results

Almost Family reported fourth quarter 2010 net service revenues of $84.6 million, an 8.5% increase from $78.0 million in the fourth quarter of 2009.

Net income for the fourth quarter of 2010 was $7.0 million, or $0.75 per diluted share, compared to $6.8 million, or $0.73 per diluted share, in the fourth quarter of 2009.  Results for the quarter included the unfavorable impact of the 5.2% Medicare reimbursement rate cut for 2011 which reduced revenue, operating income and net income for episodes started in the fourth quarter which did not complete until 2011.  This rate cut lowered revenues by approximately $1.2 million and lowered diluted EPS by approximately $0.08.  Additionally, fees and expenses related to regulatory investigations lowered EPS by approximately $0.04.  Without these two externally imposed items diluted EPS would have been $0.87.

Fourth Quarter Segment Results

Net revenues in the Visiting Nurse segment for the fourth quarter of 2010 were $74.3 million, a 10% increase from $67.6 million in the fourth quarter of 2009.  The total revenue growth of $6.7 million came from a 10% organic growth rate plus $0.2 million from acquired operations.  Organic Medicare admission and episode growth were both also 10%.  Operating income before corporate expenses in the VN segment for the fourth quarter of 2010 was $16.2 million, a 9% increase from $14.9 million in the fourth quarter of 2009.

Net revenues in the Personal Care (PC) segment for the fourth quarter of 2010 were flat at $10.4 million in the fourth quarter of 2010 and 2009.  Operating income before unallocated corporate expenses in the PC segment was also flat at $1.5 million in the fourth quarter of 2010 and 2009.

Full Year Financial Results

Almost Family reported net service revenues for the year ended December 31, 2010 of $336.9 million, a 13% increase from $297.8 million in the same period of 2009.  Full year net income for 2010 was $30.7 million, or $3.28 per diluted share, compared to $24.6 million, or $2.86 per diluted share, for 2009 on 9% more diluted shares outstanding.  The Medicare rate cut described above also lowered fiscal year revenues by approximately $1.2 million and lowered diluted EPS by approximately $0.08.  Additionally, fees and expenses related to regulatory investigations lowered EPS by approximately $0.08.  Without these two externally imposed items, diluted EPS would have been $3.44.

Full year net cash provided by operating activities increased 28% to $34.8 million in 2010 from $27.1 million in 2009.

Full Year Segment Results

Net revenues in the Visiting Nurse segment for 2010 were $294.9 million, a 15% increase from $256.1 million for the year ended December 31, 2009.  The total revenue growth of $38.9 million came from a 14% organic growth rate plus $2.3 million from acquired operations.  Operating income before corporate expenses in the VN segment for 2010 was $66.3 million, a 23% increase from $54.0 million in the same period of 2009.  

Full year net revenues in the Personal Care (PC) segment for 2010 were $42.0 million, a 0.5% increase from $41.8 million in 2009.  Operating income before unallocated corporate expenses in the PC segment for the twelve month period of 2010 was $5.7 million, an 11% increase from $5.2 million in the twelve month period of 2009.

Regulatory Inquiries and Shareholder Litigation

As previously announced, the Company is continuing to cooperate fully with investigators from the US Senate Finance Committee and the US Securities and Exchange Commission regarding their inquiries following an April 27, 2010 Wall Street Journal article related to Medicare home health therapy services.  Fees and expenses associated with these inquiries and their impact on the Company's financial results are described above.

Conference Call

A conference call to review the results will begin at 11:00 a.m. ET on February 28, 2011, 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 February 28, 2011 at 2:00 p.m. ET and ending on March 13, 2011. The replay telephone number is 1-877-870-5176 (USA) or 1-858-384-5517 (International). Pin number 367130.

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 February 28, 2011 at approximately 2:00 p.m. ET and will remain available until March 27, 2011.

ALMOST FAMILY, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF INCOME

(UNAUDITED)

(In thousands, except per share data)



Three months ended December 31,


2010


2009

Net service revenues

$             84,643


$             78,020

Cost of service revenues (excluding depreciation and amortization)

38,417


36,072

Gross margin

46,226


41,948

General and administrative expenses:




Salaries and benefits

23,388


21,118

Other

11,022


8,852

Total general and administrative expenses

34,410


29,970

Operating income

11,816


11,978

Interest expense, net

(56)


(129)

Income before income taxes

11,760


11,849

Income tax expense

(4,773)


(5,041)

Net income

$               6,987


$               6,808









Per share amounts-basic:




Average shares outstanding

9,149


9,057

Net income

$                 0.76


$                 0.75





Per share amounts-diluted:




Average shares outstanding

9,363


9,308

Net income

$                 0.75


$                 0.73

ALMOST FAMILY, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF INCOME

(In thousands, except per share data)



Year Ended December 31,


2010


2009

Net service revenues

$           336,924


$           297,849

Cost of service revenues (excluding depreciation and amortization)

153,763


138,565

Gross margin

183,161


159,284

General and administrative expenses:




Salaries and benefits

91,455


81,589

Other

40,049


35,826

Total general and administrative expenses

131,504


117,415

Operating income

51,657


41,869

Interest expense, net

(266)


(803)

Income before income taxes

51,391


41,066

Income tax expense

(20,678)


(16,502)

Net income

$             30,713


$             24,564









Per share amounts-basic:




Average shares outstanding

9,123


8,372

Net income

$                 3.37


$                 2.93





Per share amounts-diluted:




Average shares outstanding

9,352


8,589

Net income

$                 3.28


$                 2.86

ALMOST FAMILY, INC. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS

(In thousands)




As of December 31,



2010


2009

ASSETS





CURRENT ASSETS:





Cash and cash equivalents  


$             47,943


$             19,389

Accounts receivable - net


39,772


35,121

Prepaid expenses and other current assets


3,513


2,544

Deferred tax assets


8,521


7,786

TOTAL CURRENT ASSETS


99,749


64,840






PROPERTY AND EQUIPMENT - NET


4,514


4,291






GOODWILL


101,060


99,333






OTHER INTANGIBLE ASSETS


14,285


14,338






OTHER ASSETS


519


587



$           220,127


$           183,389






LIABILITIES AND STOCKHOLDERS' EQUITY





CURRENT LIABILITIES:





Accounts payable


$               5,424


$               3,360

Accrued other liabilities


20,529


20,076

Current portion - capital leases and notes payable                  


1,695


1,836

TOTAL CURRENT LIABILITIES


27,648


25,272






LONG-TERM LIABILITIES:





Revolving credit facility


-


-

Notes payable


1,325


2,800

Deferred tax liabilities


8,763


5,258

Other liabilities


223


1,082

TOTAL LONG-TERM LIABILITIES


10,311


9,140

TOTAL LIABILITIES


37,959


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; 9,239 and 9,151





issued and outstanding


924


915

Treasury stock, at cost, 4 and zero shares


(139)


-

Additional paid-in capital


97,073


94,465

Retained earnings


84,310


53,597

TOTAL STOCKHOLDERS' EQUITY


182,168


148,977



$           220,127


$           183,389

ALMOST FAMILY, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS

  (In thousands)


Year Ended December 31,


2010


2009

Cash flows from operating activities:




Net income  

$             30,713


$             24,564





Adjustments to reconcile income to net cash




 provided by operating activities:




Depreciation and amortization

2,913


2,385

Provision for uncollectible accounts

3,675


3,762

Stock-based compensation

1,505


1,371

Deferred income taxes

2,770


695


41,576


32,777

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




(Increase) decrease in:  




Accounts receivable

(8,239)


(3,958)

Prepaid expenses and other current assets

(1,184)


570

Other assets

68


(69)

Increase (decrease) in:




Accounts payable and accrued expenses

2,548


(2,220)

Net cash provided by operating activities

34,769


27,100





Cash flows from investing activities:




Capital expenditures

(2,607)


(2,134)

Acquisitions, net of cash acquired

(2,800)


(6,510)

Net cash used in investing activities

(5,407)


(8,644)





Cash flows from financing activities:




   Net revolving credit facility repayments

-


(23,998)

Proceeds from stock option exercises

380


113

Purchase of common stock in connection with stock options

(640)


(14)

Tax benefit from non-qualified stock option exercises

1,233


203

Proceeds from stock offering, net

-


27,957

Principal payments on capital leases and notes payable

(1,781)


(4,510)

Net cash used in financing activities

(808)


(249)





Net increase in cash and cash equivalents

28,554


18,207

Cash and cash equivalents at beginning of period

19,389


1,182

Cash and cash equivalents at end of period

$             47,943


$             19,389

ALMOST FAMILY, INC. AND SUBSIDIARIES

RESULTS OF OPERATIONS

(In thousands)







Three months ended December 31,


2010


2009


Change


Amount

% Rev


Amount

% Rev


Amount

%

Net service revenues:









Visiting Nurse

$        74,272

87.7%


$        67,616

86.7%


$          6,656

9.8%

Personal Care

10,371

12.3%


10,404

13.3%


(33)

-0.3%


84,643

100.0%


78,020

100.0%


6,623

8.5%

Operating income before corporate expenses:









Visiting Nurse

16,226

21.8%


14,899

22.0%


1,327

8.9%

Personal Care

1,494

14.4%


1,536

14.8%


(42)

-2.7%


17,720

20.9%


16,435

21.1%


1,285

7.8%

Corporate expenses

5,904

7.0%


4,457

5.7%


1,447

32.5%

Operating income

11,816

14.0%


11,978

15.4%


(162)

-1.4%

Interest expense, net

56

0.1%


129

0.2%


(73)

-56.6%

Income tax expense

4,773

5.6%


5,041

6.5%


(268)

-5.3%

Net income

$          6,987

8.3%


$          6,808

8.7%


$             179

2.6%










EBITDA

$        12,824

15.2%


$        12,762

16.4%


$               62

0.5%










ALMOST FAMILY, INC. AND SUBSIDIARIES

RESULTS OF OPERATIONS

(In thousands)







Year ended December 31,


2010


2009


Change


Amount

% Rev


Amount

% Rev


Amount

%

Net service revenues:









Visiting Nurse

$      294,915

87.5%


$      256,060

86.0%


$        38,855

15.2%

Personal Care

42,009

12.5%


41,789

14.0%


220

0.5%


336,924

100.0%


297,849

100.0%


39,075

13.1%

Operating income before corporate expenses:









Visiting Nurse

66,333

22.5%


53,955

21.1%


12,378

22.9%

Personal Care

5,715

13.6%


5,166

12.4%


549

10.6%


72,048

21.4%


59,121

19.8%


12,927

21.9%

Corporate expenses

20,391

6.1%


17,252

5.8%


3,139

18.2%

Operating income

51,657

15.3%


41,869

14.1%


9,788

23.4%

Interest expense, net

266

0.1%


803

0.3%


(537)

-66.9%

Income tax expense

20,678

6.1%


16,502

5.5%


4,176

25.3%

Net income

$        30,713

9.1%


$        24,564

8.2%


$          6,149

25.0%










EBITDA

$        56,075

16.6%


$        45,625

15.3%


$        10,450

22.9%










ALMOST FAMILY, INC. AND SUBSIDIARIES

VISITING NURSE SEGMENT OPERATING METRICS









Three months ended December 31,


2010


2009


Change

Average number of locations

89


85


4

4.7%








All payors:







Patients Months

51,928


48,154


3,774

7.8%

Admissions

14,855


13,518


1,337

9.9%

Billable Visits

479,118


449,979


29,139

6.5%








Medicare Statistics:







Revenue (in thousands)

$              68,521


$              61,284


$               7,237

11.8%

Percentage of total revenues

92.3%


90.6%




Billable visits

403,971


369,791


34,180

9.2%

Admissions

13,367


12,142


1,225

10.1%

Episodes

21,762


19,733


2,029

10.3%








Revenue per completed episode

$                3,161


$                3,077


$                    84

2.7%

Visits per episode

18.0


18.3


(0.3)

-1.6%








ALMOST FAMILY, INC. AND SUBSIDIARIES

PERSONAL CARE SEGMENT OPERATING METRICS









Three months ended December 31,


2010


2009


Change

Average number of locations                 

23


23


-

0.0%








Admissions

658


690


(32)

-4.6%

Patient months of care

11,287


11,814


(527)

-4.5%

Patient days of care

148,200


152,116


(3,916)

-2.6%

Billable hours

576,858


582,582


(5,724)

-1.0%

Revenue per billable hour

$                17.98


$                17.86


$                 0.12

0.7%

ALMOST FAMILY, INC. AND SUBSIDIARIES

VISITING NURSE SEGMENT OPERATING METRICS









Year ended December 31,


2010


2009


Change

Average number of locations

86


78


8

10.3%








All payors:







Patients Months

205,681


185,959


19,722

10.6%

Admissions

58,291


52,029


6,262

12.0%

Billable Visits

1,886,287


1,712,480


173,807

10.1%








Medicare Statistics:







Revenue (in thousands)

$            271,248


$            230,383


$             40,865

17.7%

Percentage of total revenues

92.0%


90.0%




Billable visits

1,581,360


1,395,001


186,359

13.4%

Admissions

52,757


47,110


5,647

12.0%

Episodes

85,901


76,436


9,465

12.4%








Revenue per completed episode

$                3,140


$                2,974


$                  166

5.6%

Visits per episode

18.2


17.7


0.5

2.8%








ALMOST FAMILY, INC. AND SUBSIDIARIES

PERSONAL CARE SEGMENT OPERATING METRICS









Year ended December 31,


2010


2009


Change

Average number of locations                 

23


22


1

4.5%








Admissions

2,953


3,135


(182)

-5.8%

Patient months of care

46,562


47,154


(592)

-1.3%

Patient days of care

604,388


600,447


3,941

0.7%

Billable hours

2,312,444


2,339,080


(26,636)

-1.1%

Revenue per billable hour

$                18.17


$                17.87


$                 0.30

1.7%

Non-GAAP Financial Measure

The information provided in some of 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 net 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 Net Income to EBITDA:

ALMOST FAMILY, INC. AND SUBSIDIARIES

RECONCILIATION OF EBITDA

(In thousands)








Three months ended December 31,



2010


2009

Net income


$                   6,987


$                   6,808

Add back:





Interest expense


56


129

Income tax expense


4,773


5,041

Depreciation and amortization


811


632

Amortization of stock-based compensation


197


152

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


$                 12,824


$                 12,762






ALMOST FAMILY, INC. AND SUBSIDIARIES

RECONCILIATION OF EBITDA

(In thousands)








Year ended December 31,



2010


2009

Net income


$                 30,713


$                 24,564

Add back:





Interest expense


266


803

Income tax expense


20,678


16,502

Depreciation and amortization


2,913


2,385

Amortization of stock-based compensation


1,505


1,371

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


$                 56,075


$                 45,625

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, New Jersey, Connecticut, Ohio, 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 110 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; 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, 2010, 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.

Steve Guenthner

(502) 891-1000





The Ruth Group

Investor Relations

Nick Laudico/Zack Kubow

(646) 536-7030/7020

[email protected]

[email protected]



SOURCE Almost Family, Inc.

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