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Almost Family Reports Record First Quarter 2008 Revenues and Earnings


LOUISVILLE, Ky., May 6 /PRNewswire-FirstCall/ -- Almost Family, Inc. (Nasdaq: AFAM), a leading regional provider of home health nursing services, announced today its financial results for its first quarter 2008 ended March 31, 2008.

William B. Yarmuth, Chairman and CEO, commented, "Our record first quarter results reflected approximately 17% organic revenue growth and a full quarter contribution from the Quality of Life acquisition completed in October 2007. At the end of the quarter, we acquired Apex Home Healthcare that expanded our presence inNortheast Florida and increased our annual net revenues run rate to over $150 million. With the stock offering completed in April 2008, we have approximately $50 million in cash and available borrowings to fund our growth strategy within the highly fragmented home health agency business."

First Quarter Financial Results

Almost Family reported first quarter 2008 net service revenues of $39.0 million, a 23% increase from $31.8 million in the first quarter of 2007. Operating income for the first quarter of 2008 increased to 11% of net service revenues versus 10% for the first quarter of 2007.

Net income from continuing operations for the first quarter of 2008 was $2.6 million, or $0.45 per diluted share, compared to $1.8 million, or $0.33 per diluted share, in the first quarter of 2007.

Net income for the first quarter of 2008 was $2.5 million, or $0.44 per diluted share, compared to $1.7 million, or $0.30 per diluted share, in the first quarter of 2007. Net income was net of the loss from discontinued operations, net of taxes, of ($44,000) and ($159,000) for the first quarters of 2008 and 2007, respectively. The weighted average shares outstanding for purposes of calculating diluted earnings per share increased 2% between periods.

First Quarter Segment Results

Net revenues in the Visiting Nurse (VN) segment for the first quarter of 2008 were $29.8 million, a 30% increase from $23.0 million in the first quarter of 2007. The $6.8 million increase came from a combination of organic growth of $3.8 million and acquired operations of $3.0 million. The first quarter 2008 results included a full quarter of results from the Quality of Life acquisition completed in October 2007 and five days of results from the Apex Home Healthcare acquisition completed in March 2008. Total Medicare episodes for the first quarter 2008 were 10,354, a 27% increase from 8,136 in 2007. Operating income before corporate expense in the VN segment for the first quarter 2008 was $5.9 million, a 30% increase from $4.5 million in the first quarter 2007.

Net revenues in the Personal Care (PC) segment for the first quarter of 2008 were $9.2 million, a 5% increase from $8.7 million in the first quarter of 2007. Operating income before corporate expense in the PC segment for the first quarter of 2008 was $741,000, a 12% increase from $661,000 in the first quarter of 2007.

Recent Corporate Developments

On March 27, 2008, Almost Family acquired the assets of Apex Home Healthcare Services, LLC, a Medicare-certified home health agency with operations inJacksonville andOrmond Beach, FL, for a total purchase price of $16 million.

On April 16, 2008, Almost Family completed a common stock offering of 2,250,000 shares at $17.75 per share, which generated net proceeds of $37.3 million. The diluted shares outstanding following the offering are 7,949,506.

Conference Call

A conference call to review the results will begin today at 9:00 a.m. ET and will be hosted by William Yarmuth, President and Chief Executive Officer, and Steve Guenthner, Senior Vice President and 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 today at 11:00 a.m. ET and ending on May 20, 2008. The replay telephone number is 1-877-660-6853 (USA) or 1-201-612-7415 (International) along with the account number 3055 and conference ID 283577.

    A live web cast of the call will also be available from the Investor
Relations section on the corporate web site at http://www.almostfamily.com. A
web cast replay can be accessed on the corporate web site beginning May 6,
2008 at approximately 12:00 p.m. ET and will remain available until June 6,
2008.



                     ALMOST FAMILY, INC. AND SUBSIDIARIES
                      CONSOLIDATED STATEMENTS OF INCOME
                                 (UNAUDITED)

                                                Three months ended March 31,
                                                   2008              2007
     Net service revenues                      $39,026,953       $31,773,178
     Cost of service revenue                    18,622,074        15,437,537
     Gross margin                               20,404,879        16,335,641
     General and administrative expenses
       Salaries and benefits                    10,552,408         8,845,851
       Other                                     5,403,525         4,269,487
     Total general and administrative expenses  15,955,933        13,115,338
     Operating income                            4,448,946         3,220,303
     Interest income (expense), net               (208,001)         (255,708)
     Income from continuing operations
      before income taxes                        4,240,945         2,964,595
     Income tax expense                         (1,666,335)       (1,139,313)
     Net income from continuing operations       2,574,610         1,825,282
     Discontinued operations, net of tax
      of $28,283 and $99,110                       (43,684)         (158,990)
     Net income                                 $2,530,926        $1,666,292


     Per share amounts-basic:
       Average shares outstanding                5,541,599         5,400,508
       Income from continued operations               0.46              0.34
       Loss from discontinued operations             (0.01)            (0.03)
     Net income                                      $0.45             $0.31

     Per share amounts-diluted:
       Average shares outstanding                5,699,506         5,601,807
       Income from continued operations               0.45              0.33
       Loss from discontinued operations             (0.01)            (0.03)
     Net income                                      $0.44             $0.30



                     ALMOST FAMILY, INC. AND SUBSIDIARIES
                         CONSOLIDATED BALANCE SHEETS

                                             March 31, 2008
                  ASSETS                       (UNAUDITED)   December 31, 2007
     CURRENT ASSETS:
     Cash and cash equivalents                    $305,109          $473,222
     Accounts receivable - net                  24,583,809        16,965,316
     Prepaid expenses and other current assets   1,081,972         1,203,454
     Deferred tax assets                         1,884,354         1,829,895
     TOTAL CURRENT ASSETS                       27,855,244        20,471,887

     PROPERTY AND EQUIPMENT - net                1,877,900         1,458,844
     GOODWILL AND OTHER INTANGIBLE ASSETS       58,785,915        45,155,300
     OTHER ASSETS                                  274,974           274,359
     TOTAL ASSETS                               88,794,033        67,360,390

     LIABILITIES AND STOCKHOLDERS' EQUITY
     CURRENT LIABILITIES:
     Accounts payable                            3,179,360         3,943,555
     Accrued other liabilities                   7,676,347        10,369,346
     Current portion - capital leases and
      notes payable                                625,353           653,891
     TOTAL CURRENT LIABILITIES                  11,481,060        14,966,792

     LONG-TERM LIABILITIES:
     Revolving credit facility                  30,215,538        12,386,783
     Notes payable                               7,000,000         4,000,000
     Long-term deferred tax liabilities          1,195,131           776,672
     Other liabilities                             403,423           388,230
     TOTAL LONG-TERM LIABILITIES                38,814,092        17,551,685
     TOTAL LIABILITIES                          50,295,152        32,518,477

     Stockholders' equity:
     Preferred stock, par value $0.05;
      authorized 2,000,000 shares;
      none issued or outstanding                         -                 -
     Common stock, par value $0.10;
      authorized 10,000,000 shares;
      7,886,188 and 7,808,819 issued
      and outstanding                              788,619           780,882
     Treasury stock, at cost, 2,276,898 shares  (8,877,641)       (8,877,641)
     Additional paid-in capital                 31,316,976        30,198,671
     Retained earnings                          15,270,927        12,740,001
     TOTAL STOCKHOLDERS' EQUITY                 38,498,881        34,841,913
                                               $88,794,033       $67,360,390



                     ALMOST FAMILY, INC. AND SUBSIDIARIES
                    CONSOLIDATED STATEMENTS OF CASH FLOWS
                                 (UNAUDITED)
                                                   Three months ended March
                                                    2008              2007
     Cash flows from operating activities:
       Net income                                $2,530,926        $1,666,292
         Loss from discontinued operations          (43,684)         (158,990)
     Income from continuing operations            2,574,610         1,825,282
     Adjustments to reconcile income from
      continuing operations to net cash
      provided by (used in) operating activities:
       Depreciation and amortization                305,882           210,718
       Provision for uncollectible accounts         675,964           273,923
       Stock-based compensation                     126,042            71,874
       Deferred income taxes                        364,000           355,771
                                                 $4,046,498        $2,737,568
     Change in certain net current
      assets, net of the effects of
      acquisitions:
     (Increase) decrease in:
       Accounts receivable                       (5,813,894)       (1,703,712)
       Prepaids expenses and other current assets   167,536           313,874
       Other assets                                    (615)          (12,331)
     Increase (decrease) in:
       Accounts payable and accrued expenses     (1,852,733)          142,063
     Net cash provided by (used in)
      operating activities                      $(3,453,209)       $1,477,462

     Cash flows from investing activities:
       Capital expenditures                         (91,267)         (163,977)
       Acquisitions, net of cash acquired       (14,380,170)         (520,805)
     Net cash (used in) investing activities   $(14,471,437)        $(684,782)

     Cash flows from financing activities:
       Net revolving credit facility
        borrowings (repayments)                  17,827,817          (443,764)
       Proceeds from stock option exercises               -           101,947
       Purchase of common stock in
        connection with option exercises                  -        (3,804,883)
       Tax benefit from non-qualified
        stock option exercises                            -           677,954
       Principal payments on capital
        leases and notes payable                    (27,600)         (857,236)
     Net cash provided by (used in)
      financing activities                      $17,800,217       $(4,325,982)

     Cash flows from discontinued
      operations:
       Operating Activities                         (43,684)         (158,990)
       Investing Activities                               -                 -
       Financing Activities                               -                 -
     Net cash provided by (used in)
      discontinued operations                       (43,684)         (158,990)

     Net increase (decrease) in cash and
      cash equivalents                             (168,113)       (3,692,291)
     Cash and cash equivalents at
      beginning of period                           473,222         4,125,592
     Cash and cash equivalents at end of
      period                                       $305,109          $433,301

     Summary of non-cash investing and
      financing activities:
     Acquisitions funded by notes payable         $3,000,000              $-
     Acquisitions funded by stock                 $1,000,000              $-



                     ALMOST FAMILY, INC. AND SUBSIDIARIES
                            RESULTS OF OPERATIONS

                 Three months ended March 31, 2008 compared with
                        three months ended March 31, 2007

                        2008                 2007            Change
    Consolidated      Amount   % Rev       Amount  % Rev     Amount      %
    Net revenues:
    Visiting
     Nurse       $29,838,258   76.5%  $23,048,118   72.5%  $6,790,140   29.5%
    Personal
     Care          9,188,695   23.5%    8,725,060   27.5%     463,635    5.3%
                 $39,026,953  100.0%  $31,773,178  100.0%  $7,253,775   22.8%
    Operating
     income
     before
     corporate
     expense
    Visiting
     Nurse        $5,881,460   19.7%   $4,526,285   19.6%  $1,355,175   29.9%
    Personal
     Care            741,494    8.1%      661,374    7.6%      80,120   12.1%
                   6,622,954   17.0%    5,187,659   16.3%   1,435,295   27.7%
    Corporate
     expense       2,174,008    5.6%    1,967,356    6.2%     206,652   10.5%
    Income before
     interest
     expense
     and income
     taxes         4,448,946   11.4%    3,220,303   10.1%   1,228,643   38.2%
    Interest
     (income)
     expense         208,001    0.5%      255,708    0.8%    (47,707)  -18.7%
    Income taxes   1,666,335    4.3%    1,139,313    3.6%     527,022   46.3%
    Net income
     from
     continuing
     operations   $2,574,610    6.6%   $1,825,282    5.7%    $749,328   41.1%

    EBITDA from
     continuing
     operations   $4,880,870   12.5%   $3,502,895   11.0%  $1,377,975   39.3%



                       ALMOST FAMILY, INC. AND SUBSIDIARIES
                     VISITING NURSE SEGMENT OPERATING METRICS

                                             Three months ended March 31,
                                        2008         2007        Change
                                       Amount       Amount       Amount      %

     Average number of locations           55           47           8  17.0%

     All payors:
     Admissions                         8,410        7,505         905  12.1%
     Billable visits                  187,340      143,539      43,801  30.5%

     Medicare statistics:
       Revenue                    $27,975,699  $21,557,588  $6,418,111  29.8%
       Percentage of
        total revenues                   93.8%        93.5%
       Billable visits                170,405      130,660      39,745  30.4%
       Admissions                       7,585        6,806         779  11.4%
       Episodes                        10,354        8,136       2,218  27.3%

       Revenue per episode             $2,702       $2,650         $52   2.0%
       Visits per episode              $16.45       $16.06        0.39   2.4%



                       ALMOST FAMILY, INC. AND SUBSIDIARIES
                     PERSONAL CARE SEGMENT OPERATING METRICS

                                           Three months ended March 31, 2008
                                             2008      2007    Change
                                            Amount    Amount   Amount     %

     Average number of locations                23        23        -      -%

     Admissions                                877       962      (85)  -8.8%
     Patient months of care                 10,587    10,143      444    4.4%
     Patient days of care                  132,585   126,523    6,062    4.8%
     Billable hours                        516,699   500,961   15,738    3.1%

     Revenue per billable hours             $17.78    $17.42    $0.36    2.1%


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 inthe 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 measurements of borrowing availability and certain covenants contained in our credit agreement.


    The following table sets forth a reconciliation of Continuing Operations
Net Income to EBITDA:



                                                      Quarter Ended March 31,
                                                      2008              2007
     Net income from continuing operations        $2,574,610        $1,825,282
     Add back:
       Interest expense (income)                     208,001           255,708
       Income taxes                                1,666,335         1,139,313
       Depreciation and amortization                 305,882           210,718
       Amortization of stock-based
        compensation                                 126,042            71,874

     Earnings before interest, income taxes,
      depreciation and amortization (EBITDA)      $4,880,870        $3,502,895


About Almost Family

Almost Family, Inc., founded in 1976, is a leading regional provider of home health nursing services, with branch locations inFlorida,Kentucky, Ohio,Connecticut,Massachusetts,Missouri,Alabama,Illinois andIndiana (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 81 branch locations in nine 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, 2007, 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             Stephanie Carrington / Jared Hoffman
                                (646) 536-7017 / 7013
                                scarrington@theruthgroup.com
                                jhoffman@theruthgroup.com

SOURCE Almost Family, Inc.

Tags: ,HEA,HOU,MTC,ERN,ERP,CCA,SCZ,KY-Almost-Family-Q1

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