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Almost Family Announces Third Quarter 2007 Results

                             Net Income up 82%

    LOUISVILLE, Ky., Nov. 6 /PRNewswire-FirstCall/ -- Almost Family, Inc.
(Nasdaq: AFAM) today announced its operating results for the three months
and nine months ended September 30, 2007.
    Quarter 2007 Highlights
    -- Net Income From Continuing Operations was $1,906,601 up 82% from
       $1,045,771 in 2006
    -- Continuing Operations Earnings per diluted share were $0.34 in 2007
       versus $0.20 in 2006 for an increase of 72%
    -- Consolidated revenues increased approximately 42%
    -- The Company's VN segment revenues grew 68%
    -- VN markets with no acquisition activity generated 27% revenue growth,
       while markets with acquisitions added $6.4 million to revenue for the
       quarter
    -- Days sales outstanding in accounts receivable were 40 at September 30,
       2007

    Year-to-date 2007 Highlights
    -- Net Income From Continuing Operations was $5,607,708 up 93% from
       $2,902,302 in 2006
    -- Continuing Operations Earnings per diluted share were $1.00 in 2007
       versus $0.55 in 2006 for an increase of 84%
    -- Consolidated revenues increased approximately 50%
    -- Net income from continuing operations increased 93%
    -- The Company's VN segment revenues grew 82%
    -- VN markets with no acquisition activity generated 27% revenue growth,
       while markets with acquisitions added $23 million to revenue for the
       nine months
    William B. Yarmuth, AFAM's Chairman and CEO commented on the results:
    "Our third quarter results show the continuation of the strong
performance that was delivered in our first two quarters of 2007. We
continue to achieve meaningful same store sales growth confirming our
commitment to providing the highest quality patient care. In addition we
continue to reap the benefits we anticipated from our past eighteen months
of acquisition activity. Also, on October 27, 2007 we were proud to welcome
the employees, patients and referral sources of Quality of Life to the
Almost Family group of home health care providers. We look forward to the
continued progress of the Company as we pursue our strategic development
plans."
    Discussion of Quarterly Results
    Net Income From Continuing Operations grew 82% to $1,906,601 or $0.34
per diluted share for the September 2007 quarter as compared to $1,045,771
or $0.20 per diluted share in the September 2006 quarter. Revenues grew 42%
to $32.0 million in the September 2007 quarter from $22.6 million in the
September 2006 quarter. Revenues in the Company's "Caretenders" Visiting
Nurse (VN) segment grew 68% over the same period last year.
    The number of weighted average shares outstanding for purposes of
calculating diluted earnings per share increased 6% between periods.
    VN Revenue Comparison for the Quarter
    Due to the significant impact of acquisition activities on VN revenue
growth, the following tables are presented comparing revenue growth by
market type for the quarters ended September 30, 2007 and 2006:
    VN Revenue Comparison
     by Market Type -      # of
     All VN Operations     Mkts     2007         2006        Change    Percent

    Newly acquired markets  13   $4,808,639           $-   $4,808,639

    Markets with in-market
     acquisitions            9    4,365,921    2,786,125    1,579,796    56.7%
       Acquisition related
        markets             22    9,174,560    2,786,125    6,388,435

    Markets with no
     acquisition impact     25   13,779,243   10,841,017    2,938,226    27.1%
                            47  $22,953,803  $13,627,142   $9,326,661    68.4%
    VN revenues grew approximately $9.3 million between years of which 52%
came from newly acquired markets, 17% came in markets with in-market
acquisitions and 31% came from markets with no acquisition impact.
    The following table provides a comparison of revenues related specifically
to the Mederi acquisition (excludes all markets not impacted by the Mederi
acquisition):



    VN Markets Impacted       # of
     by Mederi                 Mkts     2007         2006        Change

    Newly acquired Mederi
     markets                    12   $4,499,093           $-   $4,499,093

    Mederi markets overlapping
     Almost Family Markets       8    3,968,979    2,296,332    1,672,647
       Mederi related markets   20   $8,468,072   $2,296,332   $6,171,740
    Markets with acquisitions not related to Mederi generated $706,488 of
revenue in the quarter ended September 30, 2007 as compared to $489,793 in
2006.
    Results of operations for the quarters ended September 30, 2007 and
2006 are set forth in the tables below:
                            September               September
                              2007                     2006
                             Amount        % Rev      Amount        % Rev
    Net revenues
       Visiting Nurses     $22,953,803     71.6%    $13,627,142     60.2%
       Personal Care         9,103,218     28.4%      9,004,083     39.8%
                           $32,057,021    100.0%    $22,631,225    100.0%
    Operating income
       Visiting Nurses      $4,517,329     19.7%     $1,919,746     14.1%
       Personal Care           887,649      9.8%      1,220,228     13.6%
                             5,404,978     16.9%      3,313,974     13.9%
    Unallocated corporate
     expenses                2,083,537      6.5%      1,449,971      6.4%
       Operating Income      3,321,441     10.4%      1,690,003      7.5%
    Interest expense/(income)  153,480      0.5%        (33,275)    -0.1%
    Pre-tax income           3,167,961      9.9%      1,723,278      7.6%
    Income taxes             1,261,360      3.9%        677,507      3.0%
    Net income from
     continuing operations  $1,906,601      5.9%     $1,045,771      4.6%
    Income (loss) from
     discontinued operations,
     net of tax                (19,977)                 (10,003)
       Net income           $1,886,624      5.9%     $1,035,768      4.6%

    Diluted earnings per share
       Diluted shares
        outstanding (1)      5,619,862                5,308,774
       Continuing operations     $0.34                    $0.20
       Discontinued operations   (0.00)                   (0.00)
                                 $0.34                    $0.20

    (1) shares adjusted to give effect to 2-for-1 share split completed in
        January 2007

    Continuing Operations
       EBITDA               $3,502,081     10.9%     $1,949,535      8.6%
       Effective tax rate         39.8%                    39.3%



                                                 Change          Change
                                                 Amount             %
    Net revenues
       Visiting Nurses                         $9,326,661         68.4%
       Personal Care                               99,135          1.1%
                                               $9,425,796         41.6%
    Operating income
       Visiting Nurses                         $2,597,583        135.3%
       Personal Care                             (332,579)       (27.3%)
                                                2,265,004         72.1%
    Unallocated corporate expenses                633,566         43.7%
       Operating Income                         1,631,438         96.5%
    Interest expense/(income)                     186,755            NM
    Pre-tax income                              1,444,683         83.8%
    Income taxes                                  583,853         86.2%
    Net income from continuing operations        $860,830         82.3%
    Income (loss) from discontinued
     operations, net of tax                        (9,974)           NM
       Net income                                $850,856         82.1%

    Diluted earnings per share
       Diluted shares outstanding (1)             311,088          5.9%
       Continuing operations                        $0.14         72.1%
       Discontinued operations                          -            NM
                                                    $0.14         72.1%

    (1) shares adjusted to give effect to 2-for-1 share split completed in
        January 2007

    Continuing Operations
       EBITDA                                  $1,570,546         80.6%
       Effective tax rate                             0.5%
    Net income including discontinued operations, was $1,886,624 or $0.34
per diluted share in the quarter ended September 30, 2007 and $1,035,768 or
$0.20 per diluted share in 2006.
    Discussion of Nine-Month Results
    Net Income From Continuing Operations grew 93% to $5,607,708 or $1.00
per diluted share for the nine months ended September 2007 as compared to
$2,902,302 or $0.55 per diluted share in the nine months ended September
2006. Revenues grew 50% to $96.7 million in the nine months ended September
2007 from $64.7 million in the nine months ended September 2006. Revenues
in the Company's "Caretenders" Visiting Nurse (VN) segment grew 82% over
the same period last year.
    The number of weighted average shares outstanding for purposes of
calculating diluted earnings per share increased 5% between periods.
    VN Revenue Comparison for the Nine Months
    Due to the significant impact of acquisition activities on VN revenue
growth, the following tables are presented comparing revenue growth by
market type for the nine month periods ended September 30, 2007 and 2006:
    VN Revenue Comparison
     by Market Type -     # of
     All VN Operations     Mkts     2007        2006         Change    Percent

    Newly acquired markets  15   $17,781,877          $-  $17,781,877

    Markets with in-market
     acquisitions            8    13,027,202   7,582,879    5,444,323   71.8%
    Acquisition related
      markets               23    30,809,080   7,582,879   23,226,200

    Markets with no
     acquisition impact     24    38,817,638  30,586,436    8,231,202   26.9%
                            47   $69,626,718 $38,169,315  $31,457,403   82.4%
    VN revenues grew approximately $31.5 million between years of which 57%
came from newly acquired markets, 17% came in markets with in-market
acquisitions and 26% came from markets with no acquisition impact.
    The following table provides a comparison of revenues related specifically
to the Mederi acquisition (excludes all markets not impacted by the Mederi
acquisition):


    VN Markets Impacted     # of
     by Mederi               Mkts      2007          2006         Change

    Newly acquired Mederi
     markets                  13    $11,595,505            $-   $11,595,505

    Mederi markets
     overlapping
     Almost Family Markets     7     11,552,911     6,204,023     5,348,888
    Mederi related markets    20    $23,148,416    $6,204,023   $16,944,393
    Markets with acquisitions not related to Mederi generated $7,660,663 of
revenue in the nine months ended September 30, 2007 as compared to
$1,378,857 in 2006.
    Results of operations for the nine-month periods ended September 30,
2007 and 2006 are set forth in the tables below:
                              September                September
                                2007                     2006
                               Amount        % Rev      Amount      % Rev
    Net revenues
       Visiting Nurses      $69,626,718       72.0%    $38,169,315    59.0%
       Personal Care         27,089,470       28.0%     26,522,753    41.0%
                             96,716,188      100.0%    $64,692,068   100.0%
    Operating income
       Visiting Nurses      $13,802,152       19.8%     $5,810,726    15.2%
       Personal Care          2,301,377        8.5%      2,645,209    10.0%
                             16,103,529       16.7%      8,455,935    13.1%
    Unallocated corporate
     expenses                 6,134,001        6.3%      3,730,420     5.8%
       Operating Income       9,969,528       10.3%      4,725,515     7.3%
    Interest expense/(income)   650,408        0.7%        (94,220)   -0.2%
    Pre-tax income            9,319,120        9.6%      4,819,735     7.5%
    Income taxes              3,711,412        3.8%      1,917,433     3.0%
       Net income from
        continuing
        operations           $5,607,708        5.8%     $2,902,302     4.5%
    Income (loss) from
     discontinued operations,
     net of tax                 (73,435)                  (140,572)
    Net income               $5,534,273        5.7%     $2,761,730     4.3%

    Diluted earnings per share
       Diluted shares
        outstanding (1)       5,607,730                  5,325,084
       Continuing operations      $1.00                      $0.55
       Discontinued operations    (0.01)                     (0.03)
                                  $0.99                      $0.52

    (1) shares adjusted to give effect to 2-for-1 share split completed in
        January 2007

    Continuing Operations
       EBITDA               $10,600,267       11.0%     $5,516,784     8.5%
       Effective tax rate          39.8%                      39.8%



                                                    Change           Change
                                                    Amount              %
    Net revenues
       Visiting Nurses                           $31,457,403          82.4%
       Personal Care                                566,7171           2.1%
                                                 $32,024,120          49.5%
    Operating income
       Visiting Nurses                            $7,991,426         137.5%
       Personal Care                                (343,832)        -13.0%
                                                   7,647,594          90.4%
    Unallocated corporate expenses                 2,403,581          64.4%
       Operating Income                            5,244,013         111.0%
    Interest expense/(income)                        744,628             NM
    Pre-tax income                                 4,499,385          93.4%
    Income taxes                                   1,793,979          93.6%
    Net income from continuing operations         $2,705,406          93.2%
    Income (loss) from discontinued
     operations, net of tax                           67,137             NM
    Net income                                    $2,772,543         100.4%

    Diluted earnings per share
       Diluted shares outstanding (1)                282,646           5.3%
       Continuing operations                           $0.45          83.5%
       Discontinued operations                         (0.02)            NM
                                                       $0.47          90.3%

    (1) shares adjusted to give effect to 2-for-1 share split completed in
        January 2007

    Continuing Operations
       EBITDA                                    $$5,083,483          92.1%
       Effective tax rate                                0.0%
    Net income including discontinued operations, was $5,534,273 or $0.99
per diluted share in the nine-months ended September 30, 2007 and
$2,761,730 or $0.52 per diluted share in 2006.
    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           Nine Months Ended
                                 September 30,             September 30,
                               2007         2006         2007        2006
    Net income from
    continuing operations $1,906,601 $1,045,771 $5,607,708 $2,902,302
    Add back:
       Interest expense
        (income)               153,480      (33,275)     650,408     (94,220)
       Income taxes          1,261,360      677,507    3,711,412   1,917,433
       Depreciation &
        amortization           198,640      259,532      630,739     791,269

    Earnings from
     continuing
     operations Before
     Interest, Income
    Taxes, Depreciation &
    Amortization (EBITDA) $3,520,081 $1,949,535 $10,600,267 $5,516,784
    Almost Family, Inc.(TM) 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,
Missouri, Alabama, Illinois and Indiana (in order of revenue significance).
    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, 2006, 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.


SOURCE Almost Family, Inc.




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