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Almost Family Announces First Quarter 2005 Results

            Net Income from continuing operations up 25% over 2004

    LOUISVILLE, Ky., May 9 /PRNewswire-FirstCall/ -- Almost Family, Inc.
(Nasdaq: AFAM) today announced its operating results for the quarter ended
March 31, 2005.  In the information that follows "VN" refers to the Company's
Visiting Nurse segment, "PC" refers to the Company's Personal Care segment and
"ADC" refers to the Company's Adult Day Care segment.

    Results for the Quarter
    AFAM's operating results for the quarter include the following highlights:

     - Net Income from continuing operations for the quarter ended March 31,
       2005 increased 25% to $420,664 from $337,704 in 2004.  Diluted earnings
       per share were $0.16 in 2005 compared to $0.13 in 2004
     - Cash flow from operating activities improved 43% to $2.103 million in
       2005 from $1.466 million in 2004
     - Total debt was reduced by approximately $2 million or 52% since
       December 31, 2004 and by approximately $8 million over the last twelve
       months
     - VN segment revenue grew about 16% as a result of internally-generated
       admissions growth

    Net income from continuing operations for the quarter ended March 31, 2005
also included operating losses from new VN agencies started late in 2004 and
first quarter 2005 of ($136,383) or ($0.05) per diluted share.  Related
revenues were about $279,000.
    Operating business units sold or closed are reclassified to discontinued
operations for all periods presented.  Net income (loss) from discontinued
operations for the quarter ended March 31, 2005 was a loss of ($36,730) or
($0.01) per diluted share compared to a loss of ($36,341) or ($0.01) per
diluted share in 2004.
    Including discontinued operations, consolidated net income increased 27%
to $383,934 or $0.15 per diluted share in 2005 from $301,363 or $0.12 per
diluted share in 2004.
    Results of operations for the quarters ended March 31, 2005 and 2004 are
set forth in the tables below:



                                             March                  March
                                              2005                   2004
                                             Amount      % Rev      Amount
    Net Revenues
    Home Health Care
      Visiting Nurse                        $9,655,519    41.1%    $8,341,410
      Personal Care                          8,756,432    37.2%     8,101,892
                                            18,411,951    78.3%    16,443,302
    Adult Day Care                           5,107,182    21.7%     5,025,114
                                           $23,519,134   100.0%   $21,468,416

    Operating Income
    Home Health Care
      Visiting Nurse                        $1,617,748    16.8%    $1,508,176
      Personal Care                            694,055     7.9%       706,670
                                             2,311,803    12.6%     2,214,847
      Adult Day Care                           229,680     4.5%      (141,448)
                                             2,541,483    10.8%     2,073,399
    Unallocated Corp Expenses                1,749,169     7.4%     1,372,136
    EBIT                                       792,314     3.4%       701,262
    Facility gains (losses)                        -       0.0%         6,420
    Interest Expense                            91,207     0.4%       144,843
      Pre-tax Income                           701,106     3.0%       562,840
    Income Taxes                               280,443     1.2%       225,136
    Net Income
      from continuing operations              $420,664     1.8%      $337,704

    Income (loss) from discontinued
    operations, net of tax                    $(36,730)              $(36,341)
      Net Income                              $383,934               $301,363

    Diluted Earnings Per Share:
      Diluted Shares Outstanding             2,592,541              2,556,781
        Continuing Operations                    $0.16                  $0.13
        Discontinued Operations                 $(0.01)                $(0.01)
                                                 $0.15                  $0.12

    Continuing Operations:
      EBITDA                                $1,396,805             $1,311,836
      Effective Tax Rate                         40.0%                  40.0%



                                                        Change
                                            % Rev       Amount         %
    Net Revenues
    Home Health Care
    Visiting Nurse                           38.9%    $1,314,109      15.8%
    Personal Care                            37.7%       654,540       8.1%
                                             76.6%     1,968,649      12.0%
    Adult Day Care                           23.4%        82,069       1.6%
                                            100.0%    $2,050,718       9.6%

    Operating Income
    Home Health Care
    Visiting Nurse                           18.1%      $109,572       7.3%
    Personal Care                             8.7%       (12,616)     -1.8%
                                             13.5%        96,956       4.4%
    Adult Day Care                           -2.8%       371,128    -262.4%
                                              9.7%       468,084      22.6%
    Unallocated Corp Expenses                 6.4%       377,033      27.5%
    EBIT                                      3.3%        91,051      13.0%
    Facility gains (losses)                   0.0%        (6,420)   -100.0%
    Interest Expense                          0.7%       (53,635)    -37.0%
      Pre-tax Income                          2.6%       138,266      24.6%
    Income Taxes                              1.0%        55,307      24.6%
    Net Income
      from continuing operations              1.6%       $82,960      24.6%

    Income (loss) from discontinued
    operations, net of tax                                 $(389)    NM
      Net Income                                         $82,571     NM

    Diluted Earnings Per Share:
      Diluted Shares Outstanding                          35,760       1.4%
        Continuing Operations                              $0.03      22.8%
        Discontinued Operations                            $0.00     NM
                                                           $0.03      25.6%

    Continuing Operations:
      EBITDA                                              84,969       6.5%
      Effective Tax Rate                                    0.0%


    Continuing operations 2005 EBITDA included $229,302 of operating losses
related to VN operations started late in 2004 and first quarter 2005.  ADC
Segment results improved as a result of reductions in operating costs.
    In the context used in this press release, the Company defines
"internally-generated" revenue growth as revenue growth excluding that
generated in operations acquired in the most recent twelve months.
    William B. Yarmuth, Chairman and CEO commented on the Company's operating
results:  "We are extremely pleased to report a 25% increase in our net income
from continuing operations.  Our free cash flow has continued to be strong,
enabling us to repay about $2 million or 52% of our outstanding debt just in
this quarter.  We believe our operating momentum and our strong balance sheet
position will take us a long way towards our objectives."  Yarmuth added: "In
addition to our strong earnings and cash flow performance, we have created 16%
VN revenue growth, all of it internally-generated, and on April 1, 2005
completed the acquisition of a $3.5 million revenue home health agency.  These
results confirm that we are on the right track.  Over the course of the next
2-3 years we will strive to continue our VN revenue growth and will seek
additional accretive acquisitions of home health providers."

    Non-GAAP Financial Measures
    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 net income to EBITDA:

                                               Quarter Ended March 31,
                                                2005              2004
     Net Income from continuing
      operations                                  $420,664          $337,704
     Add back:
       Interest Expense                             91,207           144,843
       Income Taxes                                280,443           225,136
       Depreciation & Amortization                 604,491           604,153
     Earnings Before Interest, Income
      Taxes,
     Depreciation and Amortization
      (EBITDA) from continuing operations       $1,396,805        $1,311,836


    Almost Family, Inc.(TM) and subsidiaries (collectively "Almost Family") is
a leading regional provider of home health nursing services and adult day
health services.  The Company has service locations in Florida, Kentucky,
Ohio, Maryland, Connecticut, Massachusetts, Alabama and Indiana (in order of
revenue significance).

    All statements, other than statements of historical facts, included in
this news release, including the objectives and expectations of management for
future operating results, the Company's ability to generate VN revenue growth,
the Company's ability to acquire visiting nurse agencies at prices it is
willing to pay, the Company's ability to attract investment of additional
capital, the Company's ability to generate positive cash flows, and the
Company's expectations with regard to market conditions, are forward-looking
statements.  These forward-looking statements are based on the Company's
current expectations. Although the Company believes that the expectations
expressed or implied in such forward-looking statements are reasonable, there
can be no assurance that such expectations will prove to be correct.
    Because forward-looking statements involve risks and uncertainties, the
Company's actual results could differ materially. The potential risks and
uncertainties which could cause actual results to differ materially could
include: the impact of further changes in healthcare reimbursement systems,
including the ultimate outcome of potential changes 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;
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
Securities and Exchange Commission filing on Form 10-K for the year ended
December 31, 2004, in particular information under the headings "Business" and
"Management's Discussion and Analysis of Financial Condition and Results of
Operations." The Company disclaims any intent or obligation to update its
forward-looking statements.


SOURCE Almost Family, Inc.




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    CONTACT:
    William Yarmuth or Steve Guenthner of Almost
    Family, Inc., +1-502-891-1000