Owner Scorecard


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AMED, Amedisys

Amedisys, Inc. is a leading healthcare services company committed to helping our patients age in place by providing clinically excellent care and support in the home.

Due to the age demographics of our patient base, our services are primarily paid for by Medicare which has represented approximately 70% to 74% of our net service revenue over the last three years.

Latest annual: FY2024 10-K
AMED · Amedisys
I

The business

What it sells, where the money comes from, the kind of company it is.

Revenue · FY2024
$2.3B
+5.0% YoY
Vital signs · TTM, with 3-yr average
Revenue $2.4B 3-yr avg $2.3B
Gross margin 43% 3-yr avg 44%
Operating margin 4.1% 3-yr avg 6.4%
ROIC 4% 3-yr avg 7%
Owner-earnings margin 10% 3-yr avg 7%
Free cash flow margin 10% 3-yr avg 7%

The business in brief

read the 10-K →

What this business is and what moves its needle, from its own SEC filings.

What moves the needle
Gross margin has run about 43% and operating margin about 7.0% through the cycle, a solid spread between what it charges and what the product costs to make. Read this kind of business on volume, payer mix and reimbursement. On its own account, the filing leans hardest on pricing power & competition, set against the numbers in what the filing emphasizes, below.

Every line is arithmetic on the company's filings, shown in full in the sections below.

II

The record

Ten years of arithmetic, read across the cycle.

The record, 2022–2024

realized figures from each filing · older years to the left
2022’222023’232024’24TTMTTMJun 2025
Income statement
$2.2B$2.2B$2.3B$2.4BRevenueRevenue
$963M$991M$1.0B$1.0BGross profitGross prof.
43%44%43%43%Gross marginGross mgn
34%37%36%36%SG&A / revenueSG&A/rev
$181M$156M$95M$100MOperating incomeOp. inc.
8.1%7.0%4.0%4.1%Operating marginOp. mgn
$160M$40M$86MPretax incomePretax
$119M($10M)$43M$86MNet incomeNet inc.
27%56%44%Effective tax rateTax rate
Cash flow & returns
$133M$137M$222M$239MOperating cash flowOp. cash
$25M$24M$26M$27MDepreciation & amortizationD&A
($27M)$94M$122M$98MWorking capital & otherWC & other
$6M$6M$7M$4MCapexCapex
0.3%0.3%0.3%0.2%Capex / revenueCapex/rev
$127M$132M$215M$235MOwner earningsOwner earn.
5.7%5.9%9.2%9.8%Owner earnings marginOE mgn
$127M$132M$215M$235MFree cash flowFCF
5.7%5.9%9.2%9.8%Free cash flow marginFCF mgn
$72M$350K$0$0AcquisitionsAcquis.
$17M$0$0BuybacksBuybacks
($94M)$35M($8M)Investing cash flowInv. cash
($30M)($88M)($49M)Financing cash flowFin. cash
$8M$85M$164MChange in cashΔ cash
9%4%4%ROICROIC
11%-1%4%7%Return on equityROE
11%−1%4%7%Retained to equityRetained/eq
Balance sheet
$41M$126M$303M$337MCash & investmentsCash+inv
$297M$313M$296M$296MReceivablesReceiv.
$44M$28M$40M$30MAccounts payablePayables
$253M$285M$256M$266MOperating working capitalOper. WC
$389M$497M$632M$662MCurrent assetsCur. assets
$356M$474M$514M$488MCurrent liabilitiesCur. liab.
1.1×1.0×1.2×1.4×Current ratioCurr. ratio
$16M$42M$42MNet PP&ENet PP&E
$1.3B$1.2B$1.2B$1.2BGoodwillGoodwill
$2.0B$2.1B$2.1B$2.2BTotal assetsAssets
$435M$398M$377M$363MTotal debtDebt
$394M$272M$74M$26MNet debt / (cash)Net debt
8.1×5.0×3.1×3.6×Interest coverageInt. cov.
$870M$940M$959MTotal liabilitiesTotal liab.
$55M$53M$45MNoncontrolling interestsNCI
$1.1B$1.1B$1.1B$1.2BShareholders’ equityEquity
0.7%1.3%1.3%1.2%Stock comp / revenueSBC/rev
Per share
32.7M32.6M33.1M33.2MShares out (diluted)Shares
$68.09$68.60$71.05$72.29Revenue / shareRev/sh
$3.63$-0.30$1.31$2.58EPS (diluted)EPS
$3.89$4.04$6.51$7.07Owner earnings / shareOE/sh
$3.89$4.04$6.51$7.07Free cash flow / shareFCF/sh
$0.19$0.17$0.20$0.13Cap. spending / shareCapex/sh
$32.20$32.72$34.33$37.09Book value / shareBVPS

Where the cash went

ReinvestBuybacksDividendsAcquisitionsRetained

Each year's operating cash, by what management did with it: the mix, and how it drifts.

FY2022FY2024

Net income is the accountant's number; owner earnings is the cash an owner could take out. The walk between them, off the cash-flow statement, and whether the gap is widening or holding.

In fiscal 2024 the business turned $43M of profit into $215M of owner earnings: more cash than the profit line showed, after the non-cash charges and the capital it put back in.

Reported net income$43M
Owner earnings$215M · 9% of revenue
FY2024FY2023FY2022
Reported net income$43M($10M)$119M
Depreciation & amortizationnon-cash charge added back+$26M+$24M+$25M
Stock-based compensationreal costnon-cash, but a real cost+$31M+$29M+$17M
Working capital & othertiming of cash in and out, other non-cash items+$122M+$94M−$27M
Cash from operations$222M$137M$133M
Capital expenditurecash put back in to keep running and to grow−$7M−$6M−$6M
Owner earnings$215M$132M$127M
Owner-earnings marginowner earnings ÷ revenue9%6%6%

Owner earnings is the cash an owner could pull out without starving the business: operating cash less the capital it must spend to hold its position . The cash-flow statement also adds stock comp back as non-cash, but it is a real cost paid in shares; counted as the expense it is (less $31M), owner earnings is nearer $184M.

Maintenance capex is estimated as depreciation where a growing business invests above it; free cash flow is the figure the scorecard's free-cash margin reads.

III

Quality & stewardship

Returns, the balance sheet, capital allocation, and pay.

Owner’s Scorecard

FY2024 10-K · source on SEC EDGAR →

Will it survive?

  • Adequate
    Operating income $95M ÷ interest expense $31M
    What this means

    Comfortable in a normal year, but below the margin of safety Graham looked for. Worth checking how stable the coverage has been across a full cycle.

  • How heavy is the debt, net of cash? $74M · 0.8× operating profit
    Modest net debt
    Cash $303M − debt $377M
    What this means

    Netting $303M of cash and short-term investments against $377M of debt leaves $74M owed, about 0.8× a year's operating profit (4.0× on the gross debt, before the cash). Net debt is the leverage figure that matters: the cash is already set against the debt. Strategic or illiquid investments aren't counted here.

  • Tight
    DSO 46 + DIO 0 − DPO 11 days
    What this means

    Days cash is tied up between paying suppliers and collecting from customers. Lower is better; a long cycle means growth itself eats cash. (Little or no inventory, a services / asset-light model, so the inventory leg is ~0.)

Is it a good business?

  • Below average
    NOPAT $47M ÷ invested capital $1.2B (debt + equity − cash)
    Industry peers: median 8%
    What this means

    The rate the business earns on the money tied up in it, Buffett's north star, because over time a stock tracks the ROIC beneath it. Above ~15% sustained hints at a moat; a return below the cost of capital (~8%) erodes value as a business grows rather than building it — the test Buffett weighs most. Asset-light businesses (R&D expensed, little capital) read artificially high, pair this with Owner Earnings.

  • Solid through the cycle
    3-yr median margin, range 6%–9%; latest $215M = operating cash $222M − maintenance capex $7M
    Industry peers: median 7%
    What this means

    What an owner could take out without starving the business: operating cash less the maintenance capital it must spend to hold its position — Buffett's owner earnings. That's 9% of revenue this year, a 6% median across 3 years. Treating stock comp as the real expense it is (less $31M of SBC) leaves $184M.

  • Cash-backed
    Cash from ops $222M ÷ net income $43M
    What this means

    How much of reported profit showed up as operating cash. Above 1× is reassuring; well below suggests earnings lean on accruals. One year is noisy, growth and working-capital swings distort it, and this is operating cash, not free cash. Watch the multi-year trend.

How is the cash used?

  • Reinvests most of it
    Dividends + buybacks $0 ÷ Owner Earnings $215M — this fiscal year
    What this means

    Of $215M Owner Earnings, $0 (0%) went back to shareholders, $0 dividends, $0 buybacks. Returning most of it is the mark of a mature business with little left to reinvest at a high return; reinvesting most could mean a long runway, or empire-building. The split doesn't say which; the return earned on it (see ROIC) does.

  • Investing or harvesting? 0.25×
    Harvesting
    Capex $7M ÷ depreciation & amortization as filed $26M
    What this means

    Descriptive, not a grade. Above ~1× means investing faster than assets wear out (growth, or, sustained for years, today's earnings carrying less depreciation than tomorrow's will). Below means spending less than it's wearing out (efficiency, or a melting asset base). The ratio won't tell you which; the filings will.

The promise and the pay packet

  • Is the buyback buying ownership, or mopping up? 1.3%
    The count is flat
    Stock compensation $31M (fiscal 2024), 1.3% of revenue · no repurchases · diluted shares +1.2% since 2022
    What this means

    Stock handed to employees is a real cost paid in the owner's own currency: it is charged against profit, but the shares it creates are permanent. Many companies repurchase stock at the same time, which looks like a return of capital and often is not — if the count barely moves, the cash merely cancelled the pay packet and bought the owner nothing. The three states worth telling apart are a count genuinely shrinking, a count standing still despite large repurchases, and a count rising because the issuance was never offset at all.

Graham’s defensive tests · 1 of 3 met

Graham’s numerical criteria for the defensive investor (The Intelligent Investor, ch. 14), run on the filings. A floor of safety, not a buy signal; many fine modern businesses fail his strictest liquidity rules by design.

  • Adequate size Pass
    Revenue ≥ $2B · $2.3B
    What this means

    Big enough to weather a storm. Graham's 1972 floor was ~$100M of sales (≈ $700M today); we use a $2B revenue line as a conservative modern stand-in.

  • Strong liquidity Miss
    Current ratio ≥ 2× · 1.23×
    What this means

    Current assets at least twice current liabilities, near-term bills covered without touching the business. Strict by design: many cash-rich modern firms run leaner and miss it, holding their cushion in longer-dated securities.

  • Conservative debt Miss
    Debt ≤ working capital · $377M vs $118M WC
    What this means

    Graham's rule that borrowings not exceed net current assets. Capital-heavy and buyback-heavy firms routinely fail it, read it next to interest coverage, not alone.

  • Moderate price
    P/E ≤ 15 and P/E × P/B ≤ 22.5 · decided by the price
    What this means

    Graham's valuation gate, the wall he kept between a sound business and a sound investment. Three-year average earnings are $1.54/share (latest year $1.31), the averaged base the calculator's gate runs on, and book value is $34.50/share. Enter a price in “What the price implies” just below for the P/E, P/B, and whether it clears. But this is the rule Buffett outgrew: there's no hard P/E law, and a wonderful business can deserve a far richer multiple if the thesis holds, treat it as the bargain-hunter's floor, not a verdict on the price.

All figures as filed; the source filing is linked above.

Current Position

as of the latest quarter, Jun 30, 2025

Can the business pay what it owes this year, off the freshest balance sheet: the quality of the assets, the debt actually coming due, and what a low ratio means here.

Current assets$662M
  • Cash & short-term investments$337M
  • Receivables$296M
  • Other current assets$29M
Current liabilities$488M
  • Debt due within a year$37M
  • Accounts payable$30M
  • Other current liabilities$422M
Current ratio1.36×all current assets ÷ what's due · Graham looked for 2×
Quick ratio1.36×stricter: inventory excluded
Cash ratio0.69×strictest: cash alone against what's due
Working capital$174Mthe cushion left after near-term bills
Debt due this year vs. cash$37M due · $337M cash covered by cash on hand, no refinancing forced · both figures from the Jun 30, 2025 balance sheet
Revenue, latest quarter vs. a year ago+5.2%the freshest read on whether the business is still growing
Current ratio, recent quarters1.0× → 1.4×
Deeper floors
Tangible book value($61M)equity stripped of goodwill & intangibles
Net current asset value($278M)Graham's net-net: current assets less all liabilities
Debt incl. operating leases$450M$87M of it operating leases

From the company's latest filing.

Not how much it owes, but when it falls due, and against what. The ladder the company files, beside cash on hand and a year's owner earnings.

'25$38M
'26$336M
'27$3M
'28$1M
'29$800K

Bars scaled to the largest single year.

Due in the next 12 months$38Mthe first rung: what must be repaid or rolled over within the year
Within two years$374Mthe near wall, the part most exposed to today’s credit conditions
Biggest single year$336Min 2026the lumpiest maturity, where a refinancing, if needed, is largest
Due over the next five years$379Mthe near slice; the balance sheet carries $377M of debt in all

Against what the business has and earns

Cash & short-term investments, Jun 30, 2025$337M
One year of owner earnings (FY2024)$215M
Together, against $38M due next year14.5×

Cash on hand as of Jun 30, 2025 plus a year’s owner earnings comes to $552M against the $38M due in the twelve months after the Dec 31, 2024 schedule: 15 times it.

Maturity schedule extracted from the company’s Dec 31, 2024 annual report and reconciled to the balance-sheet debt.

Acquisitions & goodwill

from the balance sheet & the 3-year cash-flow record

Goodwill grows only when a company acquires and falls only when it concedes it overpaid. The size of that bet, the cash put into buying rather than building, and how much has already been written off.

Goodwill & intangibles$1.3B61% of all assets; the premium carried on the balance sheet for businesses acquired
Against book equityexceeds itgoodwill alone is larger than the company’s entire book equity; stripped of the acquisition premium, there is no net book worth
Cash spent acquiring$1.9Bover 18 years since fiscal 2007 buying other businesses, against $18M of capital spent building over the 3-year record

None written down over the record; the goodwill is still carried at full cost. That is the deals holding their value on the books so far; whether they keep doing so is the test an owner watches, since the write-down, when it comes, is the admission the price was too high.

Beside that spending sits $75M of cumulative amortization of acquired intangibles charged against earnings since fiscal 2009 — the purchase price of past deals, expensed over time.

Goodwill, acquired intangibles and equity from the latest balance sheet; acquisition spend and amortization summed across the company's full tagged history, write-downs across the 3-year record, from the company's own filings.

Management, ownership & pay

read the proxy →

From the proxy: how much of the business the people running it own, and how they are paid, beside what the business earned for its owners in the same years.

Fiscal yearChief executivePay, as filed“Actually paid”Owner earnings
2020Kusserow$6.4M$15.7M
2021Kusserow$8.3M−$6.9M
2022Gerard$4.3M$641k$127M
2022Kusserow$4.1M−$1.9M$127M
2023Ashworth$16.7M$4.1M$132M
2023Kusserow$4.0M$1.1M$132M

Both pay figures are the company’s own, from the pay-versus-performance table its proxy statement files. “As filed” is the Summary Compensation Table total: salary, bonus, and equity awards at their value on the day of grant. “Actually paid” is the SEC’s prescribed recalculation, which re-marks those equity awards to what they became as they vested; it can swing far above or below the filed figure in either direction, and negative years occur. Owner earnings are the whole business's, from the record above, for the same fiscal years.

  • Insider ownership2.1%

    The stake all directors and executive officers hold together, per the 2024 proxy: skin in the game, the first thing Munger reads.

  • CEO pay ratio361:1

    What the chief earns for every dollar the median employee makes, per the 2024 proxy. A high ratio alone settles nothing; some businesses are genuinely top-heavy in scarce skill. A runaway figure is where Buffett starts asking whether the board is doing its job.

  • Stock-based compensation$31M

    The slice of the business handed to employees in shares in fiscal 2024, 1.3% of revenue, equal to 32.4% of operating profit. Buffett's oldest accounting fight: this is compensation, compensation is an expense, real whether or not the headline earnings admit it. One trap: the cash-flow statement adds SBC back, so the operating cash, and the owner earnings drawn from it, are flattered by exactly this amount; counted as the cost it is, what an owner keeps is lower.

What an owner would ask, FY2024

read the 10-K →
  • Which reported numbers are a judgment call?
    Management names Revenue recognition as critical estimates

    each rests partly on management's judgment; the filing's note sets out the assumptionsverify →

The questions the record and the charts do not answer on their own; each carries the figure and the place to look.

Peers, Health Care Providers & Services

The same industry, side by side on owner economics. Each column names the period it is read over, and a median resting on fewer than three years carries that count beside it; the group median at the foot is the line to read each figure against.

CompanyRevenuelatest FY, USDGross marginmedian over the recordOp. marginmedian over the recordROICmedian over the recordOwner earn. marginmedian over the record
OPCHOption Care Health Inc.$5.6B22%4.6%9%4%
AHCOAdaptHealth Corp.$3.2B18%6.6%4%7%
CHEChemed$2.5B33%14.4%30%12%
TDOCTeladoc Health Inc.$2.5B69%-24.6%-8%6%
AVAHAveanna Healthcare Holdings Inc.$2.4B31%0.4%-17%2y-2%3y
AMEDAmedisys$2.3B43%7.0%7%2y6%
CONConcentra Group Holdings Parent Inc.$2.2B15.5%17%10%
ADUSAddus HomeCare$1.4B30%6.6%8%8%
Group median31%6.6%7%6%
IV

The price

What a price has to assume.

What the price implies

reverse-DCF

Type today's close and see the owner-earnings growth you'd have to believe to justify it, beside what Amedisys has delivered.

$
Base

The assumptions

9.0% = the 4.65% 10-year Treasury (Aug 19, 2026) + 4.35 points of equity premium. The rate you require is yours to set.

Enter a price above to run it.

Implied by the price
Owner-earnings growth · since FY2022+30%/yr
Owner-earnings yield
P/E (3-yr earnings ’22–’24)
P/B
Graham’s price gate

Graham capped the multiple at 15×; Buffett and Munger let that rule go: a wonderful business can deserve 50× if the thesis holds. The gate marks the bargain-hunter's floor.

Against a high-grade bond: Graham’s yardstick bond yield%

Prefilled with the 10-year Treasury (4.65%, as of Aug 19, 2026). Edit it for today’s exact figure, or a AAA corporate yield.

Graham measured a stock against the bond you could own instead, the heart of his margin of safety. Enter a price above to weigh the owner-earnings yield against this bond.

Owner earnings $235M on 33M shares outstanding, per the 10-Q cover, as of 2025-07-25; net debt $26M. The base is the latest year by default; Normalize values it on the through-cycle median owner-earnings margin (to avoid paying on a peak year). Net of stock comp treats option pay as the expense it is. The dials set the multiple a growth belief justifies; the price, and every dollar on this page, is yours.

Cite: Owner Scorecard, "Amedisys (AMED), the owner's record," https://ownerscorecard.com/c/AMED, data as of 2026-08-17.

Manual order: ← AME its page in the Manual AMG →

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