AMED Notes:
10/20/08 – IBD Article
Growing by acquiring customers
325 nursing offices, 29 hospices in 30 states
Sept bought 6 home care centers which had annual sales of $32 million
March, paid $395 mil for TLC Healthcare Services
10/28/08 – EPS Release
Net service revenue $321.6 mil up 77.7%
EPS $0.87 up 13% (adjusted 0.89 versus 0.61 or 45.9% increase)
Long-term debt $328.7 mil – up sharply from 37.5 mil end of 2007
11/20/08 – re-affirm guidance
2008 revenue still expected at $1.15 bil to $1.175 bil
EPS Expected at $3.20-3.25
DSO’s improving and expect further reductions
1/6/09 – 2009 Guidance
Expect Rev $1.425-1.476 billion – excluding future acquisitions
EPS Expcted at $4.10-4.30 – also ex future acquisitions
CSFB Report 1/6/09
Mid-point of EPS range came in 10% above expectations
CSFB increasingly concerned about government reimbursement plans
Impressive internal revenue growth of 26% through Q3 2008
Pricing trends have been strong but may be unsustainable.
Raymond James 1/13/09 – Strong Buy
Focuses largely on medicare patients – favorable reimbursement economics and growing patient base
Management dos not believe 5.5% reimbursement reduction will be enacted (medPAC)
TLC acquisition largely integrated
TLC margins from 22% to AMED average 33%
Equates to $40 mil in operating profit
RAJA estimates $1.50 per share accretive for 2010 vs. $0.40 when initially announced
Facing investor skepticism and focus on DSO
Company has collected 98% of all bills and 99.5% of all medicare revenue
Acquisition pipeline remains robust
Company receives well below industry average referrals from hospitals and higher than average referrals from physicians – strong case mix – more acute, higher revenue.
RBC Note – 2/27/09
- Home health companies down on concerns of reimbursement resulting from obama budget
- Home health accounts for small portion of medicare budget
- Cost of home care is cheaper than nursing homes or hospital
- AMED has strong compliance system which should help with favorable Medicare treatment
- Potential to evolve to comprehensive chronic care provider – staf of 800 sales reps tomeet with physicians and hospitals
RBC Note 4/29/09
- EPS $0.99 versus estimate of $0.95 (consensus of $0.97)
- Revenue $341.8 mil up 60.4% (3.7 mil lower than consensus)
- 13% price increase due to specialty programs rollout
- Lower G&A and interest expense helped profitability
- Company guiding internatl growth of 15% - could increase as AMED rolls out specialty programs in acquired TLC locations
- Finished Q1 with 25.6 mil cash and 154.4 mil AR
o DSO decreased by 6.4 days to 40.4 days
o $155 mil available under revolving credit facility
- Spent $7.5 mil on acquisitions during quarter
- 160 start up locations in various stages of opening.