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Gentiva Reports Strong Second Quarter led by Home Health Segment

Posted : Thu, 31 Jul 2008 10:30:31 GMT
Author : Gentiva Health Services, Inc.
Category : Press Release
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Raises Full Year Financial Outlook MELVILLE, N.Y., July 31
MELVILLE, N.Y., July 31 /PRNewswire-FirstCall/ -- Gentiva Health Services, Inc. (Nasdaq: GTIV), the nation's leading provider of comprehensive home health services, today reported strong second quarter results, led by double-digit increases in Medicare revenues and admissions in the Company's Home Health segment.
(Logo: http://www.newscom.com/cgi-bin/prnh/20060323/NYTH117LOGO)
Performance highlights for the quarter ended June 29, 2008 included:
-- A 13% increase in net revenues to $346.2 million versus the second quarter ended July 1, 2007.
-- A 34% rise in net income to $12.0 million, or $0.41 per diluted share, versus $9.0 million, or $0.31 per diluted share, for the prior-year period. Average diluted shares were 29.2 million versus 28.5 million in the second quarter of 2007.
-- A 19% increase in earnings before interest, taxes, depreciation and amortization (EBITDA) to $31.5 million in the second quarter of 2008. EBITDA as a percentage of net revenues was 9.1% in the second quarter of 2008 versus 8.6% in the prior-year period. EBITDA included restructuring and integration costs of $0.4 million for the second quarter of 2008 as compared to $0.6 million for the prior-year period.
"Gentiva has generated a strong first half that puts us well on track to achieve our goals for the year," said Chairman and CEO Ron Malone. "We are building our Home Health segment with a focus on growing Medicare admissions, expanding our pioneering specialty programs, and increasing our capacity both organically and through acquisitions, including two transactions completed so far this year. We also saw sequential improvement at both CareCentrix and within our Other Related Services segment.
"These achievements, along with the stable reimbursement outlook indicated in the recently passed Medicare legislation, position Gentiva for continued strength in performance through the balance of 2008 and lead us to increase our financial outlook for the year."
Gentiva reported these segment highlights for the quarter:
-- Home Health segment revenues increased 16% versus the prior-year period, while operating contribution rose 27%. Home Health's operating contribution margin reached 16.6% versus 15.2% in the second quarter of 2007. Strong Home Health Medicare revenue growth of 18% was driven by a double-digit increase in episodic patient admissions, increases in revenue per episode, due in part to the Company's expanding specialty programs, and the impact of acquisitions completed in 2008.
-- CareCentrix revenues grew by 8% compared with the 2007 second quarter and by $1.5 million over the 2008 first quarter. Operating contribution declined 18% from the year-ago quarter, but increased by approximately $200,000 sequentially as the Company began to see a reduction in the use of capitated services.
-- Revenues in Gentiva's Other Related Services segment -- which includes hospice, respiratory therapy and home medical equipment, infusion services and consulting -- rose by 2% versus the prior-year period. Operating contribution declined 6% compared to the prior-year period. Sequentially, revenue and operating contribution increased $1.0 million and $0.4 million, respectively, as this segment began to benefit from investments in infrastructure and capacity to support accelerated growth and anticipated increases in demand.
Companywide performance highlights for the six months ended June 29, 2008 included:
-- A 10% increase in net revenues to approximately $670 million versus the prior-year period.
-- A 25% rise in net income to $19.7 million, or $0.68 per diluted share, versus $15.8 million, or $0.56 per diluted share, for the first half of 2007.
-- An 11% increase in EBITDA to $55.3 million versus $49.6 million in the prior-year period. Excluding charges for restructuring and integration costs, EBITDA for the period would have been $56.0 million, or $0.69 per diluted share, compared to $51.2 million and $0.59 per diluted share in the prior-year period.
Gentiva announced that it is raising its 2008 outlook for net revenues to a range of $1.32 billion to $1.35 billion, as compared to $1.28 billion to $1.32 billion, and now expects its diluted earnings per share to be between $1.36 and $1.43, up from the $1.32 to $1.40 range announced earlier this year. Projected earnings exclude special items and restructuring and integration costs.
Non-GAAP Financial Measures
The information provided in this press 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.
Conference Call and Web Cast Details
The Company will comment further on its second quarter results during its conference call and live web cast to be held Thursday, July 31, 2008, at 10:00 a.m. Eastern Time. To participate in the call from the United States, Canada or an international location, dial (973) 935-2408 and reference call #56178391. The web cast is an audio-only, one-way event. Web cast listeners who wish to ask questions must participate in the conference call. Log onto http://investors.gentiva.com/events.cfm to hear the web cast. This press release is accessible at http://investors.gentiva.com/releases.cfm and a transcript of the conference call is expected to be available on the site within 36 hours after the call.
About Gentiva Health Services, Inc.
Gentiva Health Services, Inc. is the nation's leading provider of comprehensive home health services. The Company serves patients across the United States, through its direct service delivery units or through CareCentrix(R), which manages home health services for major managed care organizations. Gentiva is a single source for skilled nursing; physical, occupational, speech and neurorehabilitation services; hospice services; social work; nutrition; disease management education; help with daily living activities; respiratory therapy and home medical equipment; infusion therapy services; and other therapies and services. Gentiva's revenues are generated from federal and state government programs, commercial insurance and individual consumers. For more information, visit Gentiva's web site, http://www.gentiva.com, and its investor relations section at http://investors.gentiva.com. GTIV-E


  (tables and notes follow)



(in 000's, except per share data)  2nd Quarter Six Months
 2008  2007  2008  2007
Statements of Income
  Net revenues $346,225  $307,277  $669,947  $606,819
  Cost of services and goods sold   194,745   176,276   381,944   346,397
  Gross profit  151,480   131,001   288,003   260,422
  Selling, general and
   administrative expenses  125,569   109,431   243,449   220,496
  Operating income   25,91121,57044,55439,926
  Interest expense   (5,592)   (6,946)  (11,685)  (14,085)
  Interest income   273   809   940 1,626
  Income before income taxes 20,59215,43333,80927,467
  Income tax expense  8,568 6,48114,06211,676
  Net income$12,024$8,952   $19,747   $15,791

 Earnings per Share
   Net income:
 Basic$0.42 $0.32 $0.70 $0.57
 Diluted  $0.41 $0.31 $0.68 $0.56

   Average shares outstanding:
 Basic   28,49727,70328,38927,616
 Diluted 29,24028,54029,14728,447



Condensed Balance Sheets
 ASSETS Jun 29, 2008  Dec 30, 2007
  Cash, cash equivalents and
   restricted cash (A) $22,079   $36,181
  Short-term investments (B)   -  31,250
  Accounts receivable, net (C) 233,478   207,801
  Deferred tax assets   11,30618,859
  Prepaid expenses and other current
   assets   14,45514,415
   Total current assets281,318   308,506

  Long-term investments (B) 12,641   -
  Fixed assets, net 66,18159,562
  Intangible assets, net   240,158   211,602
  Goodwill 316,069   276,100
  Other assets  26,00826,463
  Total assets$942,375  $882,233

 LIABILITIES AND SHAREHOLDERS' EQUITY
  Current portion of long-term debt$   -  $2,304
  Accounts payable  22,20720,093
  Payroll and related taxes 19,09417,163
  Deferred revenue  33,62429,015
  Medicare liabilities   8,782 7,985
  Cost of claims incurred but not
   reported 22,08924,321
  Obligations under insurance
   programs 38,80536,816
  Other accrued expenses34,13842,282
   Total current liabilities   178,739   179,979

  Long-term debt   331,000   307,696
  Deferred tax liabilities, net 57,15248,572
  Other liabilities 22,10922,557
  Shareholders' equity 353,375   323,429
   Total liabilities and
shareholders' equity  $942,375  $882,233

  Common shares outstanding 28,50728,046


(A) Cash, cash equivalents and restricted cash included restricted cash of $0.3 million at June 29, 2008 and $22.0 million at December 30, 2007.
(B) Short-term and long-term investments at June 29, 2008 and December 30, 2007 consisted of AAA-rated auction rate securities. At June 29, 2008, long-term investments were presented net of a $0.4 million valuation allowance, the charge for which was recorded in shareholders' equity.
(C) Accounts receivable, net, included an allowance for doubtful accounts of $10.5 million and $9.4 million at June 29, 2008 and December 30, 2007, respectively.


  (in 000's)   Six Months
 Condensed Statements of Cash Flows  2008  2007
 OPERATING ACTIVITIES:
 Net income$19,747   $15,791
 Adjustments to reconcile net income to
  net cash provided by operating activities:
  Depreciation and amortization 10,753 9,698
  Amortization of debt issuance costs  593   509
  Provision for doubtful accounts6,124 3,886
  Equity-based compensation expense  3,220 3,477
  Windfall tax benefits associated
   with equity-based compensation   (1,306) (656)
  Deferred income taxes 10,829 9,187
 Changes in assets and liabilities,
  net of acquired businesses:
  Accounts receivable  (24,960)  (28,321)
  Prepaid expenses and other current assets (1,508)   (4,372)
  Current liabilities   (3,240)   11,112
 Other, net529 1,200
 Net cash provided by operating
  activities20,78121,511

 INVESTING ACTIVITIES:
 Purchase of fixed assets  (13,831)  (12,486)
 Acquisition of businesses, net of
  cash acquired(59,217)  -
 Purchases of short-term investments
  available-for-sale   (28,000)  (39,100)
 Maturities of short-term investments
  available-for-sale46,25043,150
 Net cash used in investing activities (54,798)   (8,436)

 FINANCING ACTIVITIES:
 Proceeds from issuance of common stock  6,211 6,462
 Windfall tax benefits associated
  with equity-based compensation 1,306   656
 Borrowings under revolving credit facility 24,000   -
 Home Health Care Affiliates debt repayments(7,420)  -
 Debt issuance costs  (557)  -
 Other debt repayments  (3,000)  (18,000)
 Repayment of capital lease obligations   (625) (587)
 Net cash provided by (used in)
  financing activities  19,915   (11,469)

 Net change in cash, cash equivalents
  and restricted cash  (14,102)1,606
 Cash, cash equivalents and
  restricted cash at beginning of period36,18132,910
 Cash, cash equivalents and
  restricted cash at end of period $22,079   $34,516

 SUPPLEMENTAL DISCLOSURES OF CASH
  FLOW INFORMATION:

 Interest paid $11,355   $15,739
 Income taxes paid, net of refunds  $6,071$1,107



  (in 000's)
 Supplemental Information 2nd Quarter  Six Months
 2008  2007  2008  2007
Segment Information (1)
 Net revenues
  Home Health  $236,876  $204,894  $453,876  $409,925
  CareCentrix79,32373,326   157,171   139,216
  Other Related Services 30,83930,33260,65760,895
  Intersegment revenues(813)   (1,275)   (1,757)   (3,217)
 Total net revenues$346,225  $307,277  $669,947  $606,819

 Operating contribution (3)
  Home Health   $39,423   $31,101   $70,625   $61,089
  CareCentrix 6,523 7,98712,84914,941
  Other Related Services  3,278 3,479 6,123 7,466
 Total operating contribution49,22442,56789,59783,496
 Corporate expenses (17,711)  (16,082)  (34,290)  (33,872)
 Depreciation and amortization   (5,602)   (4,915)  (10,753)   (9,698)
 Interest expense, net   (5,319)   (6,137)  (10,745)  (12,459)
 Income before income taxes $20,592   $15,433   $33,809   $27,467



  2nd Quarter  Six Months
 2008  2007  2008  2007
 Net Revenues by Major Payer
  Source:
  Medicare
Home Health$161,257  $136,829  $306,362  $272,083
Other15,72714,85830,30130,146
Total Medicare  176,984   151,687   336,663   302,229
  Medicaid and local government  36,60840,33171,97478,659
  Commercial insurance
   and other (4)132,633   115,259   261,310   225,931
   Total net revenues  $346,225  $307,277  $669,947  $606,819



A reconciliation of EBITDA to Net
 income - As Reported amounts
 follows: (2) 2nd Quarter  Six Months
 2008  2007  2008  2007
  EBITDA (3)$31,513   $26,485   $55,307   $49,624
  Depreciation and amortization  (5,602)   (4,915)  (10,753)   (9,698)
  Interest expense, net  (5,319)   (6,137)  (10,745)  (12,459)
  Income before income taxes 20,59215,43333,80927,467
  Income tax expense (5) (8,568)   (6,481)  (14,062)  (11,676)
  Net income - As Reported  $12,024$8,952   $19,747   $15,791


Notes:
1) The Company's senior management evaluates performance and allocates resources based on operating contributions of the reportable segments, which exclude corporate expenses, depreciation, amortization, and interest expense (net), but include revenues and all other costs directly attributable to the specific segment.
2) EBITDA, a non-GAAP financial measure, is defined as income before interest expense (net of interest income), income taxes, depreciation and amortization. Management uses EBITDA to evaluate overall performance and compare current operating results with other companies in the healthcare industry. EBITDA should not be considered in isolation or as a substitute for net income, operating income or cash flow statement data determined in accordance with accounting principles generally accepted in the United States. Because EBITDA is not a measure of financial performance under accounting principles generally accepted in the United States and is susceptible to varying calculations, it may not be comparable to similarly titled measures in other companies.
3) Operating contribution and EBITDA for the second quarter and first half of 2008 included restructuring and integration costs of $0.4 million and $0.7 million, respectively. For the second quarter and first half of 2007, operating contribution and EBITDA included restructuring and integration costs of $0.6 million and $1.6 million, respectively. The restructuring and integration costs were reflected as follows for segment reporting (dollars in millions):


   2nd QuarterSix Months
  2008 2007 2008 2007
Home Health   $0.1 $0.1 $0.2 $0.4
Other Related Services   -  0.1-  0.1
Corporate  0.3  0.4  0.5  1.1
Total $0.4 $0.6 $0.7 $1.6


4) Commercial insurance and other revenues included revenues from Medicare Advantage business paid on an episodic basis of $13.4 million and $24.5 million for the second quarter and first half of 2008, respectively, and $7.2 million and $12.6 million for the second quarter and first half of 2007, respectively.
5) The Company's effective tax rate was 41.6% for the second quarter and first half of 2008, and 42.0% and 42.5% for the second quarter and first half of 2007, respectively.
Forward-Looking Statement
Certain statements contained in this news release, including, without limitation, statements containing the words "believes," "anticipates," "intends," "expects," "assumes," "trends" and similar expressions, constitute "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements are based upon the Company's current plans, expectations and projections about future events. However, such statements involve known and unknown risks, uncertainties and other factors that may cause the actual results, performance or achievements of the Company to be materially different from any future results, performance or achievements expressed or implied by such forward-looking statements. These factors include, among others, the following: economic and business conditions; demographic changes; changes in, or failure to comply with, existing governmental regulations; legislative proposals for healthcare reform; changes in Medicare and Medicaid reimbursement levels, including changes to the Medicare home health Prospective Payment System effective January 1, 2008; effects of competition in the markets in which the Company operates; liability and other claims asserted against the Company; ability to attract and retain qualified personnel; availability and terms of capital; loss of significant contracts or reduction in revenues associated with major payer sources; ability of customers to pay for services; business disruption due to natural disasters or terrorist acts; ability to successfully integrate the operations of acquisitions the Company may make and achieve expected synergies and operational efficiencies within expected time-frames; effect on liquidity of the Company's debt service requirements; a material shift in utilization within capitated agreements; and changes in estimates and judgments associated with critical accounting policies and estimates. For a detailed discussion of certain of these and other factors that could cause actual results to differ from those contained in this news release, please refer to the Company's various filings with the Securities and Exchange Commission (SEC), including the "Risk Factors" section contained in the Company's annual report on Form 10-K for the year ended December 30, 2007.
 Financial and Investor Contact:  John R. Potapchuk
  631-501-7035
  john.potapchuk@gentiva.com

 Media Contacts:  David Fluhrer
  631-501-7102, 516-589-0778
  david.fluhrer@gentiva.com
SOURCE Gentiva Health Services, Inc.

Copyright © 2008 PR Newswire. All rights reserved.




Article : Gentiva Reports Strong Second Quarter led by Home Health Segment
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