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Almost Family Reports Record First Quarter 2008 Revenues and Earnings

                         First Quarter Highlights:
           - Net service revenues increased 23% to $39.0 million
      - Visiting Nurse segment net revenues rose 30% to $29.8 million
   - Net income from continuing operations increased 41% to $2.6 million
        - GAAP diluted EPS increased 47% to $0.44 per diluted share
   - Expanded Florida presence with $16 million acquisition of Apex Home
                   Healthcare Services, LLC in March 2008
  - Closed common stock offering of 2,250,000 shares in April 2008 for net
                         proceeds of $37.3 million

    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 in Northeast 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 in Jacksonville and Ormond 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 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 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 in Florida, Kentucky, Ohio, Connecticut, Massachusetts, Missouri, Alabama, Illinois 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 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.




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    CONTACT:
    Steve Guenthner of Almost Family, Inc.,
    +1-502-891-1000; or Investor Relations, Stephanie Carrington,
    +1-646-536-7017, scarrington@theruthgroup.com, or Jared Hoffman,
    +1-646-536-7013, jhoffman@theruthgroup.com, both of The Ruth
    Group, for Almost Family, Inc.