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Almost Family Reports Third Quarter 2008 Results
 
    LOUISVILLE, Ky., Nov. 5 /PRNewswire-FirstCall/ --

    Recent Corporate Highlights:

    -- Net service revenues increased 84% to $58.7 million
    -- Visiting Nurse (VN) segment net revenues rose 113% to $48.6 million
    -- Net income increased 149% to $4.7 million
    -- Diluted EPS increased 65% to $0.56 per diluted share on 49% more shares
    -- Completed acquisition of Patient Care for $45.2 million
    -- Achieved top-25 ranking on Forbes' 200 Best Small Companies List

Almost Family, Inc. (Nasdaq: AFAM), a leading regional provider of home health nursing services, announced today its financial results for the three months and nine months ended September 30, 2008.

William B. Yarmuth, Chairman and CEO, commented, "We're pleased to once again report record operating results validating our strategy and business plan. More than a double in VN segment revenue over the same quarter of last year and a 44% organic Medicare revenue growth rate provide strong evidence that we are on the right track and positioned well for the future. Our disciplined operating model, our thoughtful and deliberate approach to acquisitions and our commitment to our Senior Advocacy mission are all combining to generate an exceptional level of performance."

Third Quarter Financial Results

Almost Family reported third quarter 2008 net service revenues of $58.7 million, an 84% increase from $32 million in the third quarter of 2007. Operating income for the third quarter of 2008 increased to 13% of net service revenues versus 11% for the third quarter of 2007.

Net income for the third quarter of 2008 increased almost 150% to $4.7 million, or $0.56 per diluted share, compared to $1.9 million, or $0.34 per diluted share, in the third quarter of 2007. The weighted average shares outstanding for purposes of calculating diluted earnings per share increased 49% between periods.

Third Quarter Segment Results

Net revenues in the Visiting Nurse segment for the third quarter of 2008 were $48.6 million, a 113% increase from $22.9 million in the third quarter of 2007. The total revenue growth of $25.7 million came from a 44% organic growth rate plus $15.7 million from acquired operations. The Patient Care acquisition completed on August 1st was in the quarter for 2 months and contributed about $7.6 million in revenue. Operating income before corporate expense in the VN segment for the third quarter 2008 was $10.0 million, a 130% increase from $4.3 million in the third quarter 2007.

Net revenues in the Personal Care (PC) segment for the third quarter of 2008 were $10.1 million, an 11% increase from $9.1 million in the third quarter of 2007. Operating income before corporate expense in the PC segment for the third quarter of 2008 was $914,000.

Nine Month Period Ended September 30, 2008

Almost Family reported net service revenues for the nine month period ended September 30, 2008 of $146.4 million, a 52% increase from $96.3 million in the same period last year. Operating income for the nine month period increased to 13% of net service revenues versus 11% for the prior year period.

Net income for the nine month period was $11.1 million, or $1.52 per diluted share, compared to $5.5 million, or $0.99 per diluted share, in the prior year period. The weighted average shares outstanding for purposes of calculating diluted earnings per share increased 30% between periods.

Nine Month Period Segment Results

Net revenues in the Visiting Nurse (VN) segment for the nine month period of 2008 were $117.3 million, a 69% increase from $69.4 million in the same period last year. The total revenue growth of $47.9 million came from a 31% organic growth rate plus $26.3 million from acquired operations. The Patient Care acquisition contributed about $7.6 million in revenue. Operating income before corporate expense in the VN segment for the nine month period was $24.0 million, an 82% increase from $13.2 million in the same period last year.

Net revenues in the Personal Care (PC) segment for the nine month period were $29.1 million, an 8% increase from $26.9 million in the same period last year. Operating income before corporate expense in the PC segment for the nine month period was $2.5 million, a 6% decrease from $2.6 million in the same period last year.

Recent Corporate Developments

On July 16, 2008, Almost Family established a new senior secured multi- bank credit facility that replaced its previous facility and provides for up to $75 million in borrowings with a maturity date of July 2011.

On August 1, 2008, Almost Family completed the acquisition of Patient Care for $45.2 million, subject to a working capital adjustment. The acquisition was previously under a definitive agreement signed on June 18, 2008. The acquisition added $47 million in annual revenues and eight locations in New Jersey, Connecticut, and Pennsylvania. Due to the transition, wind down costs and the timing of the close, the acquisition is not expected to contribute significantly to earnings in 2008 but is expected to be accretive to EPS in 2009.

On October 14, 2008, Almost Family announced that it had been ranked No. 24 in Forbes' 2008 listing of the 200 Best Small Companies in America, rising from its No. 77 ranking in 2007.

Today, November 5, 2008 Almost Family expects to file with the Securities and Exchange Commission a shelf registration statement on Form S-3 which, when declared effective by the SEC, will increase the amount of capital it could raise from approximately $30 million to $150 million to provide financing flexibility for development plans.

The registration statement on Form S-3 has not yet become effective. Securities may not be sold nor may offers to buy be accepted prior to the time that the registration statement becomes effective. This news release does not constitute an offer to sell, or the solicitation of an offer to buy securities, nor shall there be any sale of securities in any state in which such offer, solicitation or sale would be unlawful prior to registration or qualification of the securities under the securities laws of that state.

Conference Call

A conference call to review the results will begin today at 11:00 a.m. ET and will be hosted by William B. 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 12:00 p.m. ET and ending on November 17, 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 300518.

    A live webcast of the call will also be available from the Investor
Relations section on the corporate web site athttp://www.almostfamily.com. A
webcast replay can be accessed on the corporate web site beginning November 5,
2008 at approximately 12:00 p.m. ET and will remain available until December
5, 2008.



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

                                              Three months ended September 30,
                                                      2008         2007

    Net service revenues                           $58,705,671  $31,970,989
    Cost of service revenue                         27,129,332   15,655,619
    Gross margin                                    31,576,339   16,315,370
    General and administrative expenses:
       Salaries and benefits                        16,400,590    8,864,823
       Other                                         7,367,422    4,079,996
    Total general and administrative expenses       23,768,012   12,944,819
    Operating income                                 7,808,327    3,370,551
    Interest expense, net                             (355,077)    (153,480)
    Income from continuing operations before
     income taxes                                    7,453,251    3,217,071
    Income tax expense                              (2,729,479)  (1,261,360)
    Net income from continuing operations            4,723,772    1,955,711
    Discontinued operations, net of tax of
     $12,759 and $10,810                               (19,015)     (69,647)
    Net income                                      $4,704,756   $1,886,064


    Per share amounts-basic:
       Average shares outstanding                    8,137,326    5,434,954
       Income from continued operations                  $0.58        $0.36
       Loss from discontinued operations                     -        (0.01)
    Net income                                           $0.58        $0.35

    Per share amounts-diluted:
       Average shares outstanding                    8,357,332    5,614,342
       Income from continued operations                  $0.57        $0.35
       Loss from discontinued operations                 (0.01)       (0.01)
    Net income                                           $0.56        $0.34



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

                                               Nine months ended September 30,
                                                      2008         2007

    Net service revenues                          $146,432,996  $96,253,670
    Cost of service revenue                         68,531,881   46,634,840
    Gross margin                                    77,901,115   49,618,831
    General and administrative expenses:
       Salaries and benefits                        39,941,445   26,546,476
       Other                                        19,031,652   12,966,063
    Total general and administrative expenses       58,973,097   39,512,539
    Operating income                                18,928,018   10,106,292
    Interest expense, net                             (733,833)    (650,408)
    Income from continuing operations before
     income taxes                                   18,194,185    9,455,885
    Income tax expense                              (6,996,271)  (3,711,412)
    Net income from continuing operations           11,197,914    5,744,473
    Discontinued operations, net of tax of
     $63,661 and $45,858                              (101,147)    (210,995)
    Net income                                     $11,096,767   $5,533,478


    Per share amounts-basic:
       Average shares outstanding                    7,111,182    5,412,407
       Income from continued operations                  $1.57        $1.06
       Loss from discontinued operations                 (0.01)       (0.04)
    Net income                                           $1.56        $1.02

    Per share amounts-diluted:
       Average shares outstanding                    7,298,718    5,602,917
       Income from continued operations                  $1.53        $1.03
       Loss from discontinued operations                 (0.01)       (0.04)
    Net income                                           $1.52        $0.99



                     ALMOST FAMILY, INC. AND SUBSIDIARIES
                         CONSOLIDATED BALANCE SHEETS

                                                  September 30,  December 31,
                                                       2008         2007
    ASSETS                                          (UNAUDITED)
    CURRENT ASSETS:
    Cash and cash equivalents                         $735,371     $473,222
    Accounts receivable - net                       32,488,500   16,965,316
    Prepaid expenses and other current assets        2,911,001    1,203,454
    Deferred tax assets                              3,917,156    1,829,895
    TOTAL CURRENT ASSETS                            40,052,028   20,471,887

    PROPERTY AND EQUIPMENT - NET                     3,639,214    1,458,844

    GOODWILL                                        95,669,941   42,667,244

    OTHER INTANGIBLE ASSETS                         10,020,329    2,488,056

    DEFERRED TAX ASSETS                              1,799,211            -

    OTHER ASSETS                                       510,403      274,359
    TOTAL ASSETS                                  $151,691,126  $67,360,390

    LIABILITIES AND STOCKHOLDERS' EQUITY
    CURRENT LIABILITIES:
    Accounts payable                                $4,191,074   $3,943,555
    Accrued other liabilities                       21,439,092   10,369,346
    Current portion - capital leases and
     notes payable                                   5,342,563      653,891
    TOTAL CURRENT LIABILITIES                       30,972,729   14,966,792

    LONG-TERM LIABILITIES:
    Revolving credit facility                       26,484,594   12,386,783
    Capital Lease Obligations                          286,406            -
    Notes payable                                    3,000,000    4,000,000
    Long-term deferred tax liabilities                       -      776,672
    Other liabilities                                1,521,368      388,230
    TOTAL LONG-TERM LIABILITIES                     31,292,368   17,551,685
    TOTAL LIABILITIES                               62,265,097   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; 8,139,002 and 7,808,819
     issued and outstanding                            813,900      780,882
    Treasury stock, at cost, 2,276,898 shares                -   (8,877,641)
    Additional paid-in capital                      64,775,360   30,198,671
    Retained earnings                               23,836,769   12,740,001
      TOTAL STOCKHOLDERS' EQUITY                    89,426,029   34,841,913
    TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY    $151,691,126  $67,360,390



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

                                               Nine months ended September 30,
                                                      2008          2007
    Cash flows from operating activities:
       Net income                                  $11,096,767   $5,533,478
          Loss from discontinued operations           (101,147)    (210,995)
    Income from continuing operations               11,197,914    5,744,473
    Adjustments to reconcile income from
     continuing operations to net cash
     provided by operating activities:
       Depreciation and amortization                 1,151,895      625,700
       Provision for uncollectible accounts          2,377,991      795,593
       Stock-based compensation                        527,462      332,868
       Deferred income taxes                        (1,152,716)     833,316
                                                    14,102,546    8,331,950
    Change in certain net current assets, net
     of the effects of acquisitions:
        (Increase) decrease in:
       Accounts receivable                         (11,622,049)  (1,602,214)
       Prepaid expenses and other current assets      (789,821)    (491,051)
       Other assets                                    (26,455)     (34,697)
    Increase (decrease) in:
       Accounts payable and accrued expenses         2,057,893      100,403
    Net cash provided by operating activities        3,722,114    6,304,391

    Cash flows from investing activities:
       Capital expenditures                           (622,168)    (504,451)
       Acquisitions, net of cash acquired          (58,593,323)    (542,348)
    Net cash used in investing activities          (59,215,491)  (1,046,799)

    Cash flows from financing activities:
       Net revolving credit facility repayments     14,096,873   (4,426,462)
       Proceeds from stock option exercises             54,876      107,187
       Purchase of common stock in connection
        with option exercises                                -   (3,804,883)
       Tax benefit from non-qualified stock
        option exercises                                84,448      704,294
       Proceeds from stock offering                 41,820,562            -
       Principal payments on capital leases and
        notes payable                                 (200,086)  (1,160,623)
    Net cash provided by (used in) financing
     activities                                     55,856,673   (8,580,487)

    Cash flows from discontinued operations
       Operating activities                           (101,147)    (210,995)
       Investing activities                                  -            -
       Financing activities                                  -            -
    Net cash used in discontinued operations          (101,147)    (210,995)

    Net increase (decrease) in cash and cash
     equivalents                                       262,149   (3,533,890)
    Cash and cash equivalents at beginning of
     period                                            473,222    4,125,592
    Cash and cash equivalents at end of period        $735,371     $591,702

    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 September 30,
                         2008               2007              Change
                                    %                  %
                        Amount     Rev     Amount     Rev     Amount       %
    Net revenues
      Visiting Nurse  $48,621,039  82.8% $22,879,921  71.6% $25,741,118 112.5%
      Personal Care    10,084,632  17.2%   9,091,068  28.4%     993,564  10.9%
                       58,705,671 100.0%  31,970,989 100.0%  26,734,682  83.6%
    Operating income
      Visiting Nurse    9,999,970  20.6%   4,345,349  19.0%   5,654,621 130.1%
      Personal Care       914,460   9.1%     911,438  10.0%       3,022   0.3%
    Operating income
     before unallocated
     corporate
     expenses          10,914,430  18.6%   5,256,786  16.4%   5,657,643 107.6%
    Corporate expenses  3,106,103   5.3%   1,886,235   5.9%   1,219,867  64.7%
    Operating income    7,808,327  13.3%   3,370,551  10.5%   4,437,776 131.7%
    Interest expense,
     net                 (355,077)  0.6%    (153,480)  0.5%     201,597 131.4%
    Income taxes       (2,729,479)  4.6%  (1,261,360)  3.9%   1,468,119 116.4%
    Net income from
     continuing
     operations        $4,723,772   8.0%  $1,955,711   6.1%  $2,768,060 141.5%

    EBITDA from
     continuing
     operations        $8,512,002  14.5%  $3,697,860  11.6%  $4,814,141 130.2%




                     ALMOST FAMILY, INC. AND SUBSIDIARIES
                            RESULTS OF OPERATIONS

                                     Nine months ended September 30,
                         2008               2007              Change
                                    %                  %
                        Amount     Rev     Amount     Rev     Amount       %
    Net revenues
      Visiting Nurse $117,317,206  80.1% $69,388,234  72.1% $47,928,972  69.1%
      Personal Care    29,115,790  19.9%  26,865,436  27.9%   2,250,354   8.4%
                      146,432,996 100.0%  96,253,670 100.0%  50,179,326  52.1%
    Operating income
      Visiting Nurse   24,037,766  20.5%  13,226,706  19.1%  10,811,060  81.7%
      Personal Care     2,479,941   8.5%   2,625,454   9.8%    (145,512) -5.5%
    Operating income
     before unallocated
     corporate
     expenses          26,517,707  18.1%  15,852,160  16.5%  10,665,547  67.3%
    Corporate expenses  7,589,689   5.2%   5,745,868   6.0%   1,843,822  32.1%
    Operating income   18,928,018  12.9%  10,106,292  10.5%   8,821,726  87.3%
    Interest expense,
     net                 (733,833)  0.5%    (650,408)  0.7%      83,426  12.8%
    Income taxes       (6,996,271)  4.8%  (3,711,412)  3.9%   3,284,859  88.5%
    Net income from
     continuing
     operations       $11,197,914   7.6%  $5,744,473   6.0%  $5,453,440  94.9%

    EBITDA from
     continuing
     operations       $20,607,374  14.1% $11,064,861  11.5%  $9,542,513  86.2%



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

                                        Three months ended September 30,
                                    2008         2007        Change
                                   Amount       Amount       Amount      %

    Average number of locations       62           46           16     34.8%

    All payors:
    Admissions                    10,321        6,951        3,370     48.5%
    Billable Visits              304,519      145,009      159,510    110.0%

    Medicare Statistics:
    Revenue                  $43,371,820  $21,012,932  $22,358,888    106.4%
       Percentage of total
        revenues                    89.2%        91.8%
       Billable Visits           261,423      131,710      129,713     98.5%
       Admissions                  9,475        6,161        3,314     53.8%
       Episodes                   14,558        7,972        6,586     82.6%

       Revenue per episode        $2,926       $2,638         $287     10.9%
       Visits per episode           17.4         16.3          1.1      7.0%



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

                                  Three months ended September 30,
                                    2008         2007        Change
                                   Amount       Amount       Amount      %

    Average number of locations       23           23            -        -

    Admissions                       883          957          (74)    -7.7%
    Patient Days of Care         140,021      131,035        8,986      6.9%
    Billable Hours               560,332      508,829       51,503     10.1%

    Revenue per billable hours    $18.00       $17.87        $0.13      0.7%



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

                                        Nine months ended September 30,
                                    2008         2007        Change
                                   Amount       Amount       Amount      %

    Average number of locations       57           47           10     21.3%

    All payors:
    Admissions                    28,131       21,767        6,364     29.2%
    Billable Visits              732,654      431,626      301,028     69.7%

    Medicare Statistics:
    Revenue                 $107,769,437  $64,274,490  $43,494,947     67.7%
       Percentage of total
        revenues                    91.9%        92.6%
       Billable Visits           654,539      392,074      262,465     66.9%
       Admissions                 25,698       19,536        6,162     31.5%
       Episodes                   37,397       24,166       13,231     54.7%

       Revenue per episode        $2,832       $2,613         $219      8.4%
       Visits per episode           18.7         17.5          1.1      6.5%



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

                                        Nine months ended September 30,
                                    2008        2007        Change
                                   Amount      Amount       Amount      %

    Average number of locations       23          23            -        -

    Admissions                     2,801       2,775           26      0.9%
    Patient Days of Care         416,670     392,315       24,355      6.2%
    Billable Hours             1,645,112   1,523,883      121,229      8.0%

    Revenue per billable hours    $17.70      $17.63        $0.07      0.4%

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 certain covenants contained in our credit agreement.

The following tables set forth a reconciliation of Continuing Operations Net Income to EBITDA:



                     ALMOST FAMILY, INC. AND SUBSIDIARIES
                           RECONCILIATION OF EBITDA

    RECONCILIATION OF EBITDA:                 Three months ended September 30,
                                                      2008           2007

    Net income from continuing operations          $4,723,772     $1,955,711
    Add back:
       Interest expense                               355,077        153,480
       Income taxes                                 2,729,479      1,261,360
       Depreciation and amortization                  509,545        196,812
       Amortization of stock-based compensation       194,130        130,497
    Earnings before interest, income taxes,
     depreciation and amortization (EBITDA)
     from continuing operation                     $8,512,002     $3,697,860



                     ALMOST FAMILY, INC. AND SUBSIDIARIES
                           RECONCILIATION OF EBITDA

    RECONCILIATION OF EBITDA:                  Nine months ended September 30,
                                                      2008           2007

    Net income from continuing operations         $11,197,914     $5,744,473
    Add back:
       Interest expense                               733,833        650,408
       Income taxes                                 6,996,271      3,711,412
       Depreciation and amortization                1,151,895        625,700
       Amortization of stock-based compensation       527,462        332,868
    Earnings before interest, income taxes,
     depreciation and amortization (EBITDA)
     from continuing operations                   $20,607,374    $11,064,861

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, Connecticut, New Jersey, Ohio, Massachusetts, Alabama, Missouri, Illinois, Pennsylvania, 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 over 90 branch locations in 11 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; the Company's self-insurance risks, and significant deterioration in economic conditions and significant market volatility. 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.


SOURCE Almost Family, Inc.