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FOR IMMEDIATE RELEASE

Gentiva(R) Reports First Quarter 2004 Increases in EPS and Net Revenues

MELVILLE, N.Y., April 28 /PRNewswire-FirstCall/ -- Gentiva Health Services, Inc. (Nasdaq: GTIV), the nation's largest provider of comprehensive home health services, today reported net income of $9.2 million, or $0.34 per diluted share, for the first quarter ended March 28, 2004 as compared to $5.2 million, or $0.19 per diluted share, for the corresponding period of fiscal 2003.

Results for the fiscal 2004 period included special items related to the favorable settlement of the Company's 1997 Medicare cost reports net of a revenue adjustment to reflect an industrywide repayment of certain Medicare reimbursements relating to periods since the inception of the Prospective Payment Reimbursement System in October 2000. The special items contributed $8.0 million to net revenues and income before income taxes in the 2004 first quarter.

Net income for the first quarter of 2004 -- excluding the impact of the special items -- was $4.3 million, or $0.16 per diluted share, compared to $3.5 million, or $0.13 per diluted share, assuming a normalized tax rate of 39% for the first quarter of 2003. In the 2003 period, the actual effective tax rate was 10.5%, resulting from the reversal of a portion of Gentiva's deferred tax valuation allowance. (See Supplemental Information for a reconciliation between Net income -- As Reported and Net income -- Pro Forma.)

First quarter 2004 net revenues, excluding the $8.0 million in special items, were $205.9 million compared to the $202.0 million reported in the first quarter of 2003. Gentiva's Medicare revenues for the first quarter of 2004 increased 28.3% over the first quarter of 2003, excluding the impact of the special items.

Medicare revenue growth was driven by an increase of 20% in admissions, as well as higher reimbursement rates compared to the prior year period, and various operational and clinical process enhancements.

Revenues from the Company's two other major payor categories -- Commercial Insurance and Other, and Medicaid and Other Government -- declined 4.2% and 7.5%, respectively, compared to the first quarter of 2003 due to two factors: lower revenue from the recently renewed managed care contract with CIGNA HealthCare that more than offset an increase in other managed care revenue, and continuation of reductions in reimbursements and services associated with certain Medicaid and other state and county health programs that remain under state budget pressure.

Net revenues, excluding the special items and revenues from CIGNA, increased $16.2 million, or 12.9%, in the first quarter of 2004. Revenues from CIGNA, which declined 16% in the first quarter, represented approximately 30% of Gentiva's total net revenues in the first quarter of 2004 versus 38% in the comparable period of 2003.

"Our Company generated positive results in the first quarter because we have executed the sales, operational and clinical strategies to deal effectively with expected changes in our revenue mix," said Gentiva Chairman and CEO Ron Malone. "Excluding the special items, our net revenues grew about 2%, while our pre-tax income increased 23%. We have said before that our strategies are designed to generate healthier results in a constantly changing environment. Our first quarter results continue to demonstrate that those strategies are working."

Non-GAAP Financial Measures

The information provided in the following tables 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 first quarter results during its quarterly conference call and live web cast to be held tomorrow morning, April 29, 2004, at 10:00 a.m. Eastern Daylight Time. To participate in the call from the United States or Canada, dial: (612) 326-1019. The web cast is an audio only, one-way event. Web cast listeners who wish to ask questions must participate in the conference call. To hear the web cast, log onto http://www.gentiva.com/investor/events.asp. This press release is also accessible at the same link, and a transcript of the conference call will be available on the site within 24 hours after the call.

About Gentiva Health Services

Gentiva Health Services is the nation's largest provider of comprehensive home health services. Gentiva serves patients through more than 350 direct service delivery units within approximately 250 locations in 35 states, and through CareCentrix(R), which manages home health care services for many major managed care organizations throughout the United States. The Company is a single source for skilled nursing; physical, occupational, speech and neuro-rehabilitation services; social work; nutrition; disease management education and help with daily living activities, as well as other therapies and services. Gentiva's revenues are generated from commercial insurance, federal and state government programs and individual consumers. For more information, visit Gentiva's web site, www.gentiva.com, and its investor relations section at http://www.gentiva.com/investor.

                          (Tables and notes follow)


      (in 000's, except per share data)                    1st Quarter
                                                      2004              2003
    Statements of Income
      Net revenues                                $213,905          $202,016
      Cost of services sold                        130,643           133,250
      Gross profit                                  83,262            68,766
      Selling, general and administrative
       expenses                                    (66,369)          (61,253)
      Depreciation and amortization                 (1,845)           (1,745)
      Operating income                              15,048             5,768
      Interest income, net                              82                43
      Income before income taxes                    15,130             5,811
      Income tax expense                            (5,900)             (610)
      Net income                                    $9,230            $5,201

    Earnings per Share
     Net income:
      Basic                                          $0.36             $0.19
      Diluted                                        $0.34             $0.19

     Average shares outstanding:
      Basic                                         25,542            26,696
      Diluted                                       27,084            27,752

    Condensed Balance Sheets
     ASSETS                                   Mar 28, 2004      Dec 28, 2003
      Cash, cash equivalents and
       restricted cash                            $111,110          $100,013
      Short-term investments                            --            10,000
      Net receivables                              138,127           132,998
      Deferred tax assets                           22,311            26,464
      Prepaid expenses and other current assets      8,275             6,524
           Total current assets                    279,823           275,999

      Fixed assets                                  18,082            15,135
      Deferred tax assets, net                      27,006            28,025
      Other assets                                  16,447            15,929
          Total assets                            $341,358          $335,088

     LIABILITIES AND SHAREHOLDERS' EQUITY
      Accounts payable                             $19,559           $16,079
      Payroll and related taxes                     12,120            12,932
      Medicare liabilities                          13,178            12,736
      Cost of claims incurred but not reported      27,897            28,525
      Obligations under insurance programs          36,708            37,200
      Other accrued expenses                        30,473            32,230
           Total current liabilities               139,935           139,702

      Other liabilities                             19,805            18,207
      Shareholders' equity                         181,618           177,179
           Total liabilities and
            shareholders' equity                  $341,358          $335,088

      Common shares outstanding                     25,309            25,598

      Note: Cash, cash equivalents and restricted cash includes restricted
            cash of $21.8 million at March 28, 2004 and December 28, 2003.

                                                             1st Quarter
    Condensed Statements of Cash Flows                 2004              2003
     OPERATING ACTIVITIES:
     Net income                                      $9,230            $5,201
     Adjustments to reconcile net income
      to net cash provided by operating activities
      Depreciation and amortization                   1,845             1,745
      Provision for doubtful accounts                 2,047             2,031
      Gain on sale / disposal of
       businesses and fixed assets                       --              (191)
      Deferred income taxes                           5,172                --
     Changes in assets and liabilities,
      net of acquisitions/divestitures               (8,927)           (1,118)
     Other, net                                         (13)               (5)
     Net cash provided by operating activities        9,354             7,663

     INVESTING ACTIVITIES:
     Purchase of fixed assets                        (3,370)           (2,487)
     Proceeds from sale of assets / business             --               200
     Acquisition of businesses                           --            (1,300)
     Maturities (purchase) of short-term
      investments                                    10,000           (10,000)
     Net cash provided by (used in)
      investing activities                            6,630           (13,587)

     FINANCING ACTIVITIES:
     Proceeds from issuance of common stock           1,039               714
     Repurchases of common stock                     (5,830)               --
     Repayment of capital lease obligations             (96)               --
     Net cash (used in) provided by
      financing activities                           (4,887)              714

     Net change in cash, cash equivalents
      and restricted cash                            11,097            (5,210)
     Cash, cash equivalents and
      restricted cash at beginning of period        100,013           101,241
     Cash, cash equivalents and
      restricted cash at end of period             $111,110           $96,031

     Supplemental Schedule of Non-Cash
      Investing and Financing Activities:
     Fixed assets acquired under capital lease       $1,443               $--


                                                            1st Quarter
                                                      2004              2003
     Supplemental Information
     Net Revenues by Major Payor Source:
      Medicare (1)                                 $62,601           $42,568
      Medicaid and other government                 39,167            42,345
      Commercial insurance and other               112,137           117,103
           Total net revenues                     $213,905          $202,016

     A reconciliation of net income between
     As Reported and Pro Forma amounts follows (2):

      Net income - As Reported                      $9,230            $5,201
      Add: income tax expense - As Reported (3)      5,900               610
      Income before income taxes - As Reported      15,130             5,811
      Less: Medicare cost report settlement (1)     (9,003)               --
      Add: Revenue adjustment for
       estimated Medicare repayment (1)              1,000                --
      Income before income taxes - Pro Forma         7,127             5,811
      Less: income tax expense - At
       assumed 39% rate (3)                          2,780             2,266
      Net income - Pro Forma                        $4,347            $3,545

      Diluted Earnings per Share
      Net income - As Reported                       $0.34             $0.19
      Net income - Pro Forma                         $0.16             $0.13

    Notes:

    1) Medicare revenues for the first quarter of fiscal 2004 included
       approximately $9 million received in settlement of the Company's appeal
       filed with the U.S. Provider Reimbursement Review Board ("PRRB")
       related to the reopening of all of its 1997 cost reports net of a
       $1 million estimated repayment to Medicare in connection with services
       rendered to certain patients since the inception of the Prospective
       Payment Reimbursement System in October 2000. The Centers for Medicare
       & Medicaid Services has recently determined that homecare providers
       should have received lower reimbursements for certain services rendered
       to beneficiaries discharged from inpatient hospitals within fourteen
       days immediately preceding admission to home healthcare.

    2) Although "Net income - Pro Forma" is a non-GAAP financial measure,
       management believes that the presentation of net income as calculated
       using an effective tax rate of 39% and excluding the PRRB settlement
       and the estimated Medicare repayments as described in Note 1, is a
       useful adjunct to "Net income - As Reported" under GAAP because it
       measures the Company's performance in a consistent manner between the
       results for the first quarter of fiscal years 2004 and 2003. In
       addition, "Net income - Pro Forma" facilitates comparison between
       Gentiva and other companies. Furthermore, due to the lower effective
       tax rate for the first quarter of fiscal 2003 as described in Note 3,
       the presentation of "Net income - Pro Forma"  incorporates an effective
       tax rate which is more representative of the Company's normalized rate.
       Management also believes that the PRRB settlement net of the Medicare
       estimated repayment recorded in the first quarter of fiscal 2004 should
       be excluded from "Net income - Pro Forma"  for fiscal year 2004, as
       these items relate to reimbursement activities from prior periods as
       described in Note 1. For these reasons, management believes that "Net
       income - Pro Forma" is useful to investors. Investors should not view
       "Net income - Pro Forma" as an alternative to the GAAP measure of Net
       income.

    3) For the first quarter of fiscal 2003, the Company's effective tax rate
       was 10.5%.  This effective rate was lower than the statutory income tax
       rate due to the reversal of a portion of the Company's valuation
       allowance relating to the realization of tax benefits associated with a
       net operating loss carry forward and other net deferred tax assets.  A
       39% effective tax rate is more representative of the Company's
       normalized tax rate for reporting purposes.

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. Such factors include, among others, general economic and business conditions; demographic changes; changes in, or failure to comply with, existing governmental regulations; legislative proposals for health care reform; changes in Medicare and Medicaid reimbursement levels; effects of competition in the markets the Company operates in; 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 payor sources; ability of customers to pay for services; a material shift in utilization within capitated agreements; and changes in estimates and judgments associated with critical accounting policies. For a detailed discussion 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 28, 2003.



 
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