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Almost Family Announces Quarterly Results

    Second Quarter 2006 EPS from Continuing Operations up 29% over 2005

    LOUISVILLE, Ky., Aug. 7 /PRNewswire-FirstCall/ -- Almost Family, Inc.
(Nasdaq: AFAM) today announced its operating results for the three and six
months ending June 30, 2006.
    Second Quarter Financial Highlights
     - Net Income From Continuing Operations -- As Reported was $920,613 or
       $0.35 per diluted share in the quarter ended June 30, 2006 as compared
       to $703,319 or $0.27 per diluted share in the same quarter of 2005.
     - Consolidated revenues increased approximately 14% over the same quarter
       last year
     - The Company's VN segment revenues grew 24% over the same quarter last
       year.

    Year to Date Financial Highlights
     - Net Income From Continuing Operations -- As Reported was $1,832,352 or
       $0.69 per diluted share for the six months ended June 30, 2006 as
       compared to $1,262,381 or $0.48 per diluted share for the same period
       of 2005.
     - Consolidated revenues increased approximately 14% over the same period
       last year
     - The Company's VN segment revenues grew 24% over the same period last
       year.

    William B. Yarmuth, AFAM's Chairman and CEO commented on the results:
    "We continue to be pleased with our operating results. Our VN
operations produced overall revenue growth of over 24% compared to the
second quarter of 2005. On a same store basis, VN revenues grew over 11%
reflecting the success of our sales, marketing and business development
activities. Operating income grew almost 40% also reflecting steps we've
taken internally to better manage our operating efficiencies."
    Regarding business development, Yarmuth continued: "We remain very
optimistic about the prospects for our future growth and development. Our
development efforts continue to provide us with a very nice supply of VN
acquisition candidates at attractive prices and we hope to complete
additional transactions in 2006. We are noting an increase in the supply of
acquisition candidates and expect market conditions plus the position we've
put ourselves in to allow us to be appropriately selective in our
acquisition activities."
    The Company noted that it completed two acquisitions during the
quarter, a $1.7 million revenue Ocala FL based home health agency effective
mid-April and a $2 million revenue Birmingham AL based home health agency
effective the end of June.
    Quarterly Discussion
    Net Income From Continuing Operations -- As Reported grew 31% to
$920,613 or $0.35 per diluted share for the June 2006 quarter as compared
to $703,319 or $0.27 per diluted share in the June 2005 quarter. Revenues
grew 14% to $21.8 million in the June 2006 quarter from $19.2 million in
the June 2005 quarter.
    Revenues in the Company's "Caretenders" Visiting Nurse (VN) segment
grew 24% over the same period last year. Acquired operations contributed
approximately $696,000 of that revenue growth while also contributing $0.01
per diluted share to operating results in the June 2006 quarter. The
balance of the Company's revenue and earnings increase came from internal
growth.
    Net income including discontinued operations, was $898,777 or $0.34 per
diluted share in the quarter ended June 30, 2006 and $622,638 or $0.24 per
diluted share in 2005. Discontinued operations include the Company's
Evansville IN operations which were closed in the March 2006 quarter.
    As noted in the Company's Form 10-K for the year ended December 31,
2005, the Company's Visiting Nurse segment operations located in Florida
normally experience lower admissions during the June quarter than in the
other quarters due to seasonal population fluctuations.
    Results of operations for the quarters ended June 30, 2006 and 2005 are
set forth in the tables below:
                           Quarter Ended
                     June                 June
                     2006                 2005               Change

                    Amount    % Rev      Amount    % Rev     Amount        %
    Net revenues
      Visiting
       Nurses    $12,599,130   57.7%  $10,197,469   53.1% $2,401,661     23.6%
      Personal
       Care        9,247,388   42.3%    9,005,375   46.9%    242,013      2.7%
                 $21,846,518  100.0%  $19,202,844  100.0% $2,643,674     13.6%
    Operating
     income
      Visiting
       Nurses     $1,885,309    8.6%   $1,381,062    7.2%   $504,247     36.5%
      Personal
       Care          878,904    4.0%      875,086    4.6%      3,818      0.4%
                   2,764,213   12.7%    2,256,148   11.7%    508,065     22.5%
    Unallocated
     corporate
     expenses      1,215,453    5.6%    1,064,509    5.5%    150,944     14.2%
      Operating
       income      1,548,760    7.1%    1,191,639    6.2%    357,121     30.0%
    Interest expense
     /(income)       (22,947)  -0.1%       56,626    0.3%    (79,573)  -140.5%
    Pre-tax
     income        1,571,707    7.2%    1,135,013    5.9%    436,694     38.5%
    Income taxes     651,094    3.0%      431,694    2.2%    219,400     50.8%
    Net income from
     continuing
     operations     $920,613    4.2%     $703,319    3.7%   $217,294     30.9%
    Income
     (loss) from
     discontinued
     operations,
     net of tax      (21,836)             (80,681)            58,845    -72.9%
       Net income   $898,777             $622,638           $276,139     44.3%

    Diluted earnings
     per share
      Diluted
       shares out-
       standing    2,661,192            2,627,375             33,817      1.3%
      Continuing
       operations      $0.35                $0.27              $0.08     29.6%
      Discontinued
       operations      (0.01)               (0.03)              0.02    -66.7%
                      $ 0.34                $0.24              $0.10     41.7%

    Continuing
     Operations
      EBITDA      $1,804,236           $1,514,081           $290,155     19.2%
      EBITDA
       margin
       (% of
       revenues)        8.3%                 7.9%               0.4%
      Effective tax
       rate            41.4%                38.0%               3.4%


    Year to Date Discussion
    Net Income From Continuing Operations -- As Reported grew 45% to
$1,832,352 or $0.69 per diluted share for the six months ended June 30,
2006 as compared to $1,262,381 or $0.48 per diluted share for the period in
2005. Revenues grew 14% to $42.6 million in the six months ended June 30,
2006 from $37.5 million for the same period in 2005.
    Revenues in the Company's "Caretenders" Visiting Nurse (VN) segment
grew 24% over the same period last year. Acquired operations contributed
approximately $2,783,847 of that revenue growth while also contributing
$0.18 per diluted share to operating results for the six months ended June
30, 2006. The balance of the Company's revenue and earnings increase came
from internal growth.
    Net income including discontinued operations, was $1,744,440 or $0.66
per diluted share for the six months ended June 30, 2006 and $1,006,573 or
$0.38 per diluted share in 2005. Discontinued operations include the
Company's Evansville IN operations which were closed in the March 2006
quarter.
    Results of operations for the six months ended June 30, 2006 and 2005
are set forth in the tables below:
                         Six Months Ended
                      June                June
                      2006                2005              Change

                     Amount    % Rev     Amount    % Rev    Amount         %
    Net revenues
      Visiting
       Nurses     $24,542,174  57.6%  $19,740,601   52.6%  $4,801,573    24.3%
      Personal
       Care        18,098,203  42.4%   17,761,807   47.4%     336,396     1.9%
                  $42,640,377 100.0%  $37,502,408  100.0%  $5,137,969    13.7%
    Operating
     income
      Visiting
       Nurses      $3,914,988   9.2%   $3,067,133    8.2%    $847,855    27.6%
      Personal
       Care         1,425,338   3.3%    1,499,849    4.0%     (74,511)   -5.0%
                    5,340,326  12.5%    4,566,982   12.2%     773,344    16.9%
    Unallocated
     corporate
     expenses       2,344,647   5.5%    2,390,151    6.4%     (45,504)   -1.9%
      Operating
       income       2,995,679   7.0%    2,176,831    5.8%     818,848    37.6%
    Interest expense
     /(income)        (60,945) -0.1%      111,862    0.3%    (172,807) -154.5%
    Pre-tax
     income         3,056,624   7.2%    2,064,969    5.5%     991,655    48.0%
    Income taxes    1,224,272   2.9%      802,588    2.1%     421,684    52.5%
    Net income from
     continuing
     operations    $1,832,352   4.3%   $1,262,381    3.4%    $569,971    45.2%
    Income
     (loss) from
     discontinued
     operations,
     net of tax       (87,912)           (255,808)            167,896   -65.6%
      Net income   $1,744,440          $1,006,573            $737,867    73.3%

    Diluted earnings
     per share
      Diluted
       shares out-
       standing     2,654,506           2,622,501              32,005     1.2%
      Continuing
       operations       $0.69               $0.48               $0.21    43.8%
      Discontinued
       operations       (0.03)              (0.10)               0.07   -70.0%
                        $0.66               $0.38               $0.28    73.7%

    Continuing
     Operations
      EBITDA       $3,529,561          $2,821,702            $707,859    25.1%
      EBITDA
       margin
       (% of
       revenues)         8.3%                7.5%                0.8%
      Effective tax
       rate             40.1%               38.9%                1.2%


    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 -- As Reported to EBITDA:
                             Quarter Ended June 30,  Six Months Ended June 30,
                                 2006        2005         2006         2005
    Net income from
     continuing operations -
     As Reported               $920,613    $703,319    $1,832,352   $1,262,381
    Add back:
         Interest expense
          (income)              (22,947)     56,626       (60,945)     111,862
         Income taxes           651,094     431,694     1,224,272      802,588
         Depreciation &
          amortization          255,476     322,442       533,882      644,871

    Earnings from continuing
     operations Before
     Interest, Income Taxes,
     Depreciation &
     Amortization (EBITDA) -
     As Reported             $1,804,236  $1,514,081    $3,529,561   $2,821,702
    Almost Family, Inc. and subsidiaries (collectively "Almost Family") is
a leading regional provider of home health services. The Company has
service locations in Florida, Kentucky, Ohio, Connecticut, Massachusetts,
Indiana and Alabama (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 accelerate growth in
its home health operations, 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 increase the efficiency and
effectiveness of its sales and marketing efforts, 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: 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 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, 2005, in particular
information under the headings "Business", "Risk Factors" 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