American HomePatient Reports Financial Results for the Third Quarter and Nine Months Ended September 30, 2009

BRENTWOOD, Tenn.--(BUSINESS WIRE)--American HomePatient, Inc. (OTCBB: AHOM), one of the nation’s largest home health care providers, today announced its financial results for the third quarter and nine months ended September 30, 2009.

Revenues for the third quarter of 2009 were $59.0 million compared to $65.6 million for the third quarter of 2008, representing a decrease of $6.6 million, or 10.1%. Revenues for the nine months ended September 30, 2009 were $175.0 million compared to $199.0 million for the same period in 2008, representing a decrease of $24.0 million, or 12.1%. Medicare reimbursement reductions effective January 1, 2009 reduced revenue by approximately $6.7 million in the third quarter of 2009 and $20.8 million for the nine months ended September 30, 2009. The Company’s reduced emphasis on less profitable product lines such as non-respiratory durable medical equipment and infusion therapy also reduced revenue in the third quarter and nine months. A change in inhalation drug product mix resulting from Medicare reimbursement reductions which began April 1, 2008 reduced revenue by an additional $3.0 million for the nine months ended September 30, 2009. These revenue decreases were partially offset by growth in oxygen patients and sleep therapy revenues, the Company’s core product lines.

Operating expenses declined in the third quarter of 2009 compared to the third quarter of 2008 by approximately $1.6 million, or 4.8%. Operating expenses for the nine months ended September 30, 2009 compared to the same period in 2008 declined by $6.4 million, or 6.4%. The decreases in operating expenses for the third quarter and nine months ended September 30, 2009 were primarily the result of improved operating efficiencies. Areas of focus have included centralization of branch functions, consolidation of branches, improved routing and delivery systems, and more effective utilization of leased space.

Earnings before interest, taxes, depreciation, and amortization (EBITDA) is a non-GAAP financial measurement that is calculated as net income excluding interest, taxes, depreciation and amortization. EBITDA was $8.6 million, or 14.7% of net revenue, for the third quarter of 2009 compared to $12.8 million, or 19.5% of net revenue, for the same period of 2008. EBITDA was $22.7 million, or 12.9% of net revenue, for the nine months ended September 30, 2009 compared to $37.4 million, or 18.8% of net revenue, for the same period of 2008.

Net loss for the third quarter of 2009 was $(2.7) million, or $(0.15) per diluted share, compared to net income of $0.6 million, or $0.03 per diluted share, for the third quarter of 2008. Net loss for the nine months ended September 30, 2009 was $(11.9) million, or $(0.68) per diluted share, compared to $(1.0) million, or $(0.06) per diluted share for the same period in 2009.

Medicare reimbursement cuts effective January 1, 2009 reduced EBITDA and net income by approximately $6.7 million in the third quarter of 2009 and $20.8 million for the nine months ended September 30, 2009. A change in inhalation drug product mix reduced EBITDA and net income by approximately $3.0 million in the nine months ended September 30, 2009 compared to the same period in 2008. These items were partially offset by reduced operating expenses resulting from improved operating efficiencies, reduced bad debt expense resulting from improved revenue qualification and collection processes, and growth in the Company’s core product lines.

Secured Debt Maturity

The Company has secured debt of $226.4 million that was due to be repaid on August 1, 2009. As previously announced, a series of forbearance agreements, each with a one month term, have been entered into by and among the Company, the Agent, and certain Forbearance Holders. The parties to the forbearance agreement have agreed to not exercise, prior to the expiration of the term of the agreement, any of the rights or remedies available to them as a result of the Company’s failure to repay the Secured Debt on the maturity date. The current forbearance agreement expires December 1, 2009. The Company, the Agent, and the Forbearance Holders continue to work toward a resolution of the debt maturity issue. However, there can be no assurance a resolution will be reached with favorable terms to the Company and its stockholders or at all.

American HomePatient, Inc. is one of the nation’s largest home health care providers with operations in 33 states. Its product and service offerings include respiratory services, infusion therapy, parenteral and enteral nutrition, and medical equipment for patients in their home. American HomePatient, Inc.’s common stock is currently traded in the over-the-counter market or, on application by broker-dealers, in the NASD’s Electronic Bulletin Board under the symbol AHOM or AHOM.OB.

American HomePatient, Inc. prepares its financial statements in accordance with U.S. generally accepted accounting principles (GAAP). American HomePatient, Inc. also provides information related to non-GAAP financial measurements such as EBITDA, and from time to time, other non-GAAP financial measurements that adjust for certain items outside of the ordinary course of its business. To enable interested parties to reconcile non-GAAP measures to the Company’s GAAP financial statements, the Company clearly defines EBITDA and quantifies all other adjustments to GAAP measurements (see Schedule B). The Company provides EBITDA information, a widely used non-GAAP financial measurement, as a performance measure to assist in analyzing the Company’s operations and in comparing the Company to its competitors. The Company provides other non-GAAP financial measurements that adjust for certain items outside of the ordinary course of business in order to assist in comparing the Company’s current operating performance to its historical performance. These adjustments typically reflect non-recurring items but sometimes reflect items, such as dispositions of assets and restructuring charges that are not technically non-recurring but are outside of the ordinary course of operations. Investors should note that such measures may not be comparable to similarly titled measures used by other companies, and investors are encouraged to use this information only in connection with the information contained in the Company’s GAAP financial statements.

Certain statements made in this press release may constitute forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Such forward-looking statements are based on management’s current expectations and include known and unknown risks, uncertainties and other factors, many of which the Company is unable to predict or control, that may cause the Company’s actual results or performance to materially differ from any future results or performance expressed or implied by such forward-looking statements. These statements involve risks and uncertainties, including, without limitation, risks and uncertainties regarding the maturity of the Company’s secured debt, current and future reimbursement rates, and reimbursement reductions and the Company’s ability to mitigate the impact of the reductions. These risks and uncertainties are in addition to risks, uncertainties, and other factors detailed from time to time in the Company’s filings with the Securities and Exchange Commission. The Company cautions investors that any forward-looking statements made by the Company are not necessarily indicative of future performance. The Company is not responsible for updating the information contained in this press release beyond the published date, or for changes made to this document by wire services or Internet services.

American HomePatient, Inc.							Schedule A
Summary Financial Data
(In thousands, except per share data)
	Three Months Ended September 30,						Nine Months Ended September 30,
		2009			2008			2009			2008
	(unaudited)						(unaudited)
Revenues, net	$	58,991		$	65,641		$	174,988		$	199,049
Cost of sales and related services		13,110			13,562			38,585			41,313
Cost of rentals and other revenues, including rental equipment depreciation		7,622			8,397			22,582			26,465
Operating expenses		30,918			32,468			93,619			100,007
Bad debt expense		511			1,284			2,589			4,021
General and administrative expenses		5,453			4,926			15,756			14,521
Depreciation, excluding rental equipment, and amortization		1,012			1,006			2,989			3,090
Interest expense, net		3,912			3,944			11,600			11,758
Other income, net		(414	)		8			(499	)		(651	)
Change of control income		(3	)		(3	)		(9	)		(74	)
Earnings from unconsolidated joint ventures		(1,375	)		(1,639	)		(3,885	)		(4,406	)
(Loss) income from operations before income taxes		(1,755	)		1,688			(8,339	)		3,005
Provision for income taxes		874			1,012			3,304			3,692
Net (loss) income		(2,629	)		676			(11,643	)		(687	)
Less: Net income attributable to the noncontrolling interest		(91	)		(92	)		(234	)		(307	)
Net (loss) income attributable to American HomePatient, Inc.	$	(2,720	)	$	584		$	(11,877	)	$	(994	)
Basic (loss) income per common share attributable to American HomePatient, Inc common shareholders	$	(0.15	)	$	0.03		$	(0.68	)	$	(0.06	)
Diluted (loss) income per common share attributable to American HomePatient, Inc common shareholders	$	(0.15	)	$	0.03		$	(0.68	)	$	(0.06	)
	September 30,			December 31,
		2009			2008
	(unaudited)
Cash and cash equivalents	$	23,920		$	13,488
Restricted cash		250			250
Net patient receivables		26,523			38,284
Other receivables		315			777
Total receivables		26,838			39,061
Net inventories		11,539			10,789
Prepaid expenses and other current assets		5,358			9,863
Total current assets		67,905			73,451
Property and equipment, net		29,984			32,042
Goodwill		122,093			122,093
Other assets		19,935			26,940
Total Assets	$	239,917		$	254,526
Current portion of long-term debt and capital leases	$	228,960		$	234,259
Accounts payable		13,249			11,989
Other current liabilities		22,567			24,535
Total current liabilities		264,776			270,783
Long-term debt and capital leases, less current portion		12			51
Deferred tax liability		11,029			7,841
Other noncurrent liabilities		4			8
Total liabilities		275,821			278,683
American HomePatient, Inc. shareholders' deficit		(36,340	)		(24,619	)
Noncontrolling interest		436			462
Total shareholders' deficit		(35,904	)		(24,157	)
Total Liabilities and Shareholders' Deficit	$	239,917		$	254,526

American HomePatient, Inc.									Schedule B
Reconciliation of Non-GAAP Financial Measurements to GAAP Financial Statements
(In thousands)
	Three Months Ended September 30,					Nine Months Ended September 30,
		2009			2008		2009			2008
	(unaudited)					(unaudited)
Net (loss) income	$	(2,720	)	$	584	$	(11,877	)	$	(994	)
Add:
Provision for income taxes		874			1,012		3,304			3,692
Interest expense, net		3,912			3,944		11,600			11,758
Rental equipment depreciation		5,568			6,236		16,643			19,822
Other depreciation and amortization		1,012			1,006		2,989			3,090
Earnings before interest, taxes, depreciation, and amortization (EBITDA)	$	8,646		$	12,782	$	22,659		$	37,368