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American Healthways Achieves Fourth-Quarter Earnings Per Diluted Share of $0.27 Compared with $0.15 for Fiscal 2003.


NASHVILLE Nashville, city (1990 pop. 487,969), state capital, coextensive with Davidson co., central Tenn., on the Cumberland River, in a fertile farm area; inc. as a city 1806, merged with Davidson co. 1963. , Tenn. -- Reports Fiscal 2004 Earnings of $0.75 Per Diluted di·lute  
tr.v. di·lut·ed, di·lut·ing, di·lutes
1. To make thinner or less concentrated by adding a liquid such as water.

2. To lessen the force, strength, purity, or brilliance of, especially by admixture.
 Share; Establishes Fiscal 2005 Earnings Guidance in Range of $1.00 to $1.02 Per Diluted Share

Ben R. Leedle, Jr., president and chief executive officer of American American, river, 30 mi (48 km) long, rising in N central Calif. in the Sierra Nevada and flowing SW into the Sacramento River at Sacramento. The discovery of gold at Sutter's Mill (see Sutter, John Augustus) along the river in 1848 led to the California gold rush of  Healthways Healthways can mean:
  • Healthways (scuba gear company)
  • Healthways (medical consultancy company)
, Inc. (Nasdaq:AMHC AMHC Association of Mental Health Clergy
AMHC Aviation Structural Mechanic Hydraulics Chief
), today announced financial results for the fourth quarter and 12 months ended August 31, 2004. Revenues increased 56% for the quarter to $71,855,000 from $46,010,000 for the fourth quarter of fiscal 2003. Net income was $9,293,000, up 83% from $5,081,000. Earnings per diluted share for the fourth quarter grew 80% to $0.27 from $0.15 for the fourth quarter of fiscal 2003. Prior-period results have been adjusted to reflect the two-for-one stock split effected in December December: see month.  2003.

Revenues for fiscal 2004 increased 48% to $245,410,000 from $165,471,000 for fiscal 2003. Net income for fiscal 2004 rose to $26,058,000 from $18,474,000 for fiscal 2003, while earnings per diluted share for fiscal 2004 were $0.75, up from $0.56 for fiscal 2003. Excluding the impact of incentive bonus revenues reported during both periods, revenues, net income and earnings per diluted share for fiscal 2004 increased 52%, 60% and 45%, respectively, over fiscal 2003 results. See page 7 for a reconciliation of reported results to non-GAAP results, which exclude incentive bonus revenues.

"We are very pleased to report that our strong fourth-quarter earnings were right on-target with the guidance we provided throughout the fiscal year," Leedle remarked. "These earnings contributed to our delivering a fourth consecutive fiscal year of substantial profitable growth and were achieved by a rapid expansion in actual lives under management, outstanding clinical and financial performance under our health plan contracts, increased operating leverage Operating Leverage

A measurement of the degree to which a firm or project relies on fixed rather than variable costs.

Notes:
The higher the degree of operating leverage, the greater the potential danger from forecasting risk.
 and the impact of the StatusOne acquisition in September September: see month.  2003. These trends reflect the increasing recognition by health plans, employers and government that disease management is one of the health care industry's most important strategic imperatives, as well as American Healthways' expanding leadership position in the disease management industry.

"Consistent with our core growth strategies, our fourth-quarter results included increased business with existing health plan customers, contracts with new health plans and accelerating business with self-insured self-insured Self fund Health insurance adjective Referring to the practice of carrying an individual health insurance policy for oneself; self insurance is usually more expensive than group insurance  employers on behalf of our health plan customers. As anticipated throughout fiscal 2004, our fourth-quarter results also benefited from our having sufficient data to determine results on certain performance-based contracts initiated earlier in the fiscal year and to record those revenues from the billings-in-excess-of-earnings account ("BIE") as contractual targets were met."

The highlights of American Healthways' performance for the fourth quarter include:

--Strong Growth in Actual Lives Under Management - Actual lives under management increased to 1,335,000 at the end of fiscal 2004, up 57% from 852,000 at the end of fiscal 2003 and 10% from 1,211,000 at the end of the third quarter of fiscal 2004. Annualized annualized

Of or relating to a variable that has been mathematically converted to a yearly rate. Inflation and interest rates are generally annualized since it is on this basis that these two variables are ordinarily stated and compared.
 revenues in backlog Backlog

The total value of sales orders waiting to be fulfilled.

Notes:
This figure is used mainly in the manufacturing industry. Increases or decreases in a company's backlog indicate the future direction of sales and earnings.
 at the end of fiscal 2004 for contracts signed but not yet implemented totaled $15,200,000.

--Increasing Penetration The successful unauthorized breach of a security perimeter. See penetration test.  of Self-Insured Employer Market on Behalf of Health Plan Customers - Exceeding the growth rate in actual lives under management on both a comparable and sequential One after the other in some consecutive order such as by name or number.  quarter basis, our ASO ASO arteriosclerosis obliterans.
ASO 1 Administrative services organization, see there 2 Allele-specific–oligonucleotide hybridization 3 Anti-streptolysin O, see there
 lives under management grew 173% to 361,000 at the end of fiscal 2004 from 132,000 at the end of fiscal 2003, and 15% sequentially se·quen·tial  
adj.
1. Forming or characterized by a sequence, as of units or musical notes.

2. Sequent.



se·quen
 from 315,000 at the end of the third quarter of fiscal 2004. We completed fiscal 2004 with contracts to provide disease management services for 193 employers on behalf of our health plan customers, an increase of more than three times our 60 employers at the end of fiscal 2003, and 19% from 162 employers at the end of the third quarter of fiscal 2004.

--Two New, Renewed re·new  
v. re·newed, re·new·ing, re·news

v.tr.
1. To make new or as if new again; restore: renewed the antique chair.

2.
 or Expanded Health Plan Contracts in the Fourth Quarter; 20 for Fiscal 2004 - The Company added two health plan contracts during the fourth quarter giving it a record 20 new, expanded or renewed health plan contracts for the fiscal year. Expanding an already unprecedented 10-year, comprehensive strategic partnership, the Company and Blue Cross and Blue Shield Blue Shield A US not-for-profit health care insurer that is a reimbursement intermediary for physicians. Cf Blue Cross.  of Minnesota Minnesota, state, United States
Minnesota (mĭn'ĭsō`tə), upper midwestern state of the United States. It is bordered by Lake Superior and Wisconsin (E), Iowa (S), South Dakota and North Dakota (W), and the Canadian provinces
 ("Blue Cross") initiated American Healthways' programs for oncology oncology /on·col·o·gy/ (ong-kol´ah-je) the sum of knowledge regarding tumors; the study of tumors.

on·col·o·gy
n.
, chronic kidney disease Chronic kidney disease (CKD), also know as chronic renal disease, is a progressive loss of renal function over a period of months or years through five stages. Each stage is a progression through an abnormally low and progressively worse glomerular filtration rate, which is  and high-risk high-risk adjective Referring to an ↑ risk of suffering from a particular condition Infectious disease Referring to an ↑ risk for exposure to blood-borne pathogens, which occurs with blood bank technicians, dental professionals, dialysis unit  health management during the fourth quarter. The programs will be provided for Blue Cross's fully insured The person who obtains or is otherwise covered by insurance on his or her health, life, or property. The insured in a policy is not limited to the insured named in the policy but applies to anyone who is insured under the policy.


insured n.
 members immediately and will be made available to the health plan's self-insured employer groups employer group Association of employers Managed care An entity with a current group benefits agreement in effect with a health plan to provide covered health care services to its employee-subscribers and eligible dependents.  beginning Jan. 1, 2005. "This partnership continues to set the standard for what's possible through completely integrated and coordinated disease management and care support services support services Psychology Non-health care-related ancillary services–eg, transportation, financial aid, support groups, homemaker services, respite services, and other services ," added Leedle.

American Healthways also announced a new five-year agreement during the quarter with Wellmark Blue Cross and Blue Shield of Iowa ("Wellmark") to offer the Company's total population disease management program to Wellmark's self-insured employer groups, which represent more than 500,000 potential ASO lives.

--Health Affairs Publishes Major Study Validating val·i·date  
tr.v. val·i·dat·ed, val·i·dat·ing, val·i·dates
1. To declare or make legally valid.

2. To mark with an indication of official sanction.

3.
 Effectiveness of Diabetes diabetes or diabetes mellitus (məlī`təs), chronic disorder of glucose (sugar) metabolism caused by inadequate production or use of insulin, a hormone produced in specialized cells (beta cells in the islets of  Program with CIGNA CIGNA CG (Connecticut General Life Insurance Company) INA (Insurance Company of North America)  - During the fourth quarter, Health Affairs, a leading health policy journal, published the findings of one of the largest and most extensive outcome studies to date of the effectiveness of the Company's diabetes disease management program. The study examined the quality of care, use of services and costs for over 43,000 CIGNA members enrolled in American Healthways' diabetes disease management program. Among other positive findings, overall medical costs for those members enrolled for at least 10 months declined in the first year by an average of 8.1% and all six key measures of diabetes quality of care improved. Leedle continued, "Adding to the growing body of literature documenting the successful results of our disease management programs, the CIGNA study published in Health Affairs further raises the bar in terms of the standards and processes used to assess disease management programs and, thereby, the integrity of our validated val·i·date  
tr.v. val·i·dat·ed, val·i·dat·ing, val·i·dates
1. To declare or make legally valid.

2. To mark with an indication of official sanction.

3.
 results."

--Submission of Proposals Under Medicare's Chronic Care Improvement Program ("CCIP CCIP Chambre de Commerce et d'Industrie de Paris (Paris Chamber of Commerce, France)
CCIP Cisco Certified Internetwork Professional
CCIP Centre for Critical Infrastructure Protection (New Zealand) 
") - As expected, American Healthways responded to CMS's request for proposals for the CCIP under the Medicare Medicare, national health insurance program in the United States for persons aged 65 and over and the disabled. It was established in 1965 with passage of the Social Security Amendments and is now run by the Centers for Medicare and Medicaid Services.  Modernization modernization

Transformation of a society from a rural and agrarian condition to a secular, urban, and industrial one. It is closely linked with industrialization. As societies modernize, the individual becomes increasingly important, gradually replacing the family,
 Act of 2003 by filing more than one proposal by the early August deadline. Leedle commented, "CCIP represents an initial step in a tremendous opportunity to improve the quality of health care and lower its costs for millions of senior citizens across the United States United States, officially United States of America, republic (2005 est. pop. 295,734,000), 3,539,227 sq mi (9,166,598 sq km), North America. The United States is the world's third largest country in population and the fourth largest country in area. . We believe we have submitted compelling proposals to CMS (1) See content management system and color management system.

(2) (Conversational Monitor System) Software that provides interactive communications for IBM's VM operating system.
 that will be differentiated dif·fer·en·ti·ate  
v. dif·fer·en·ti·at·ed, dif·fer·en·ti·at·ing, dif·fer·en·ti·ates

v.tr.
1. To constitute the distinction between:
 by an array of factors, including our successful, documented results from providing disease management programs to large Medicare populations under our health plan customers' Medicare + Choice programs. Although we have incurred, and will continue to incur To become subject to and liable for; to have liabilities imposed by act or operation of law.

Expenses are incurred, for example, when the legal obligation to pay them arises. An individual incurs a liability when a money judgment is rendered against him or her by a court.
, costs both for submitting our proposals and, if selected, implementing them, our financial guidance will not assume any financial results related to a CCIP contract, unless or until such a contract is signed."

--Cash Flow from Operations - Cash flow provided by operating activities was $19,882,000 and $53,472,000 for fourth quarter and full-year 2004, respectively. Cash and cash equivalents increased to $52,187,000 at the end of fiscal 2004 compared with $35,956,000 at the end of fiscal 2003 and $44,450,000 at the end of the third quarter of fiscal 2004.

Earnings Guidance Established for First-Quarter and Full-Year Fiscal 2005

American Healthways today established its guidance for fiscal 2005 earnings per diluted share in a range of $1.00 to $1.02. The Company expects revenues for fiscal 2005 to be in a range of $319 million to $331 million. The Company's earnings guidance does not include any impact of future incentive bonus revenues.

In addition, although the Company's revenue guidance for fiscal 2005 does not include any revenues from any potential contract under CMS's CCIP, the Company will continue to incur and record meaningful costs in the first half of fiscal 2005 to be positioned to implement one or more of its proposals, if selected. Based on this expectation, as well as its current health plan business under management and its backlog at the end of fiscal 2004, the Company also today established guidance for earnings per diluted share for the first quarter of fiscal 2005 in a range of $0.21 to $0.22. Earnings per diluted share for the first quarter of 2004 were $0.12, which included $0.01 of incentive bonus revenues. The Company's earnings guidance does not include any impact of future incentive bonus revenues.

Summary

Mr. Leedle concluded, "As in fiscal 2004, we are confident that the continuing success of our programs in improving members' health and lowering their health care costs will contribute to expanding disease management opportunities with health plans, employers and the government during fiscal 2005. As the acknowledged leader of the disease management industry - based on actual lives managed, proven scalability How much a system can be expanded. See scalable.

scalability - How well a solution to some problem will work when the size of the problem increases.

For example, a central server of some kind with ten clients may perform adequately but with a thousand clients it
, program comprehensiveness and documented program success - we believe we are well positioned to leverage these opportunities to produce further significant profitable growth."

Conference Call

American Healthways will hold a conference call to discuss this release today at 5:00 p.m. Eastern time. Investors will have the opportunity to listen to the conference call live over the Internet Internet

Publicly accessible computer network connecting many smaller networks from around the world. It grew out of a U.S. Defense Department program called ARPANET (Advanced Research Projects Agency Network), established in 1969 with connections between computers at the
 by going to www.americanhealthways.com and clicking Investor Relations Investor relations

The process by which the corporation communicates with its investors.
, or by going to www.streetevents.com or www.fulldisclosure.com, at least 15 minutes early to register, download To receive a file transmitted over a network. In any communications session, "download" means receive, and "upload" means send. The download/upload often implies a big/little scenario, in which data is being downloaded from the "big" server into the "little" user's computer.  and install any necessary audio software. For those who cannot listen to the live broadcast, a telephonic replay will be available for one week at 719/457-0820, code 802947, and the replay will also be available on the Company's Web site for the next 12 months. Any material information disclosed dis·close  
tr.v. dis·closed, dis·clos·ing, dis·clos·es
1. To expose to view, as by removing a cover; uncover.

2. To make known (something heretofore kept secret).
 on the quarterly conference call that has not been previously disclosed publicly will be available on the Company's website at www.americanhealthways.com.

Safe Harbor Safe Harbor

1. A legal provision to reduce or eliminate liability as long as good faith is demonstrated.

2. A form of shark repellent implemented by a target company acquiring a business that is so poorly regulated that the target itself is less attractive.
 Provisions

This press release contains forward-looking statements forward-looking statement

A projected financial statement based on management expectations. A forward-looking statement involves risks with regard to the accuracy of assumptions underlying the projections.
 that are based upon current expectations and involve a number of risks and uncertainties. In order for the Company to utilize the "safe harbor" provisions of the Private Securities Litigation Reform Act The Private Securities Litigation Reform Act of 1995 (PSLRA) implemented several significant substantive changes affecting certain cases brought under the federal securities laws, including changes related to pleading, discovery, liability, class representation and awards fees and  of 1995, investors are hereby cautioned that these statements may be affected by the important factors, among others, set forth below, and consequently, actual operations and results may differ materially from those expressed in these forward-looking statements. The important factors include: the timing and costs of implementation, and the effect, of regulatory reg·u·late  
tr.v. reg·u·lat·ed, reg·u·lat·ing, reg·u·lates
1. To control or direct according to rule, principle, or law.

2.
 rules and interpretations relating to relating to relate prepconcernant

relating to relate prepbezüglich +gen, mit Bezug auf +acc 
 the Medicare Prescription Drug, Improvement, and Modernization Act The Medicare Prescription Drug, Improvement, and Modernization Act (Pub.L. 108-173, 117 Stat. 2066, also called Medicare Modernization Act or MMA) is a law of the United States which was enacted in 2003.  of 2003; the Company's ability to sign and implement new contracts for disease management services and care enhancement services; the risks associated with a significant concentration of the Company's revenues with a limited number of customers; the Company's ability to effect cost savings and clinical outcomes improvements under disease management and care enhancement contracts and reach mutual agreement with customers with respect to cost savings, or to effect such savings and improvements within the time frames contemplated by the Company; the Company's ability to accurately forecast performance and the timing of revenue recognition under the terms of its contracts ahead of data collection and reconciliation in order to provide forward-looking for·ward-look·ing
adj.
Concerned with or making provision for the future: forward-looking educators; a forward-looking corporate plan.

Adj. 1.
 guidance; the ability of the Company to collect contractually con·trac·tu·al  
adj.
Of, relating to, or having the nature of a contract.



con·tractu·al·ly adv.

Adv. 1.
 earned performance incentive bonuses; the ability of the Company's customers to provide timely and accurate data that is essential to the operation and measurement of the Company's performance under the terms of its health plan contracts; the Company's ability to resolve favorably fa·vor·a·ble  
adj.
1. Advantageous; helpful: favorable winds.

2. Encouraging; propitious: a favorable diagnosis.

3.
 contract billing and interpretation issues with its customers; the Company's ability to integrate the operations of StatusOne and other acquired businesses or technologies into the Company's business; the Company's ability to service its debt and make principal and interest payments as those payments become due; the ability of the Company to develop new products and deliver outcomes on those products; the ability of the Company to effectively integrate new technologies and approaches, such as those encompassed in its care enhancement initiatives or otherwise licensed or acquired by the Company, into the Company's care enhancement platform; the Company's ability to renew and/or and/or  
conj.
Used to indicate that either or both of the items connected by it are involved.

Usage Note: And/or is widely used in legal and business writing.
 maintain contracts with its customers under existing terms or restructure these contracts on terms that would not have a material negative impact on the Company's results of operations; the ability of the Company to implement its care enhancement strategy within expected cost estimates; the ability of the Company to obtain adequate financing to provide the capital that may be needed to support the growth of the Company's operations and to support or guarantee the Company's performance under new contracts; unusual and unforeseen patterns of health care utilization utilization,
n 1. the extent to which a given group uses a particular service in a specified period. Although usually expressed as the number of services used per year per 100 or per 1000 persons eligible for the service, utilization rates may be
 by individuals with diabetes, cardiac cardiac /car·di·ac/ (-ak)
1. pertaining to the heart.

2. pertaining to the cardia.


car·di·ac
adj.
1. Of, near, or relating to the heart.

2.
, respiratory respiratory /res·pi·ra·to·ry/ (res´pi-rah-tor?e) pertaining to respiration.

res·pi·ra·to·ry
adj.
Of, relating to, used in, or affecting respiration.
 and/or other diseases or conditions for which the Company provides services, in the health plans with which the Company has executed executed 1) adj. to have been completed. (Example: "it is an executed contract") 2) v. to have completed or fully performed. (Example: "he executed all the promises made in the contract") 3) v.  a disease management contract; the ability of the health plans to maintain the number of covered lives enrolled in the plans during the terms of the agreements between the health plans and the Company; the Company's ability to attract and/or retain and effectively manage the employees required to implement its agreements; the impact of litigation An action brought in court to enforce a particular right. The act or process of bringing a lawsuit in and of itself; a judicial contest; any dispute.

When a person begins a civil lawsuit, the person enters into a process called litigation.
 involving the Company; the impact of future state and federal health care and other applicable legislation and regulations on the ability of the Company to deliver its services and on the financial health of the Company's customers and their willingness to purchase the Company's services; current geopolitical ge·o·pol·i·tics  
n. (used with a sing. verb)
1. The study of the relationship among politics and geography, demography, and economics, especially with respect to the foreign policy of a nation.

2.
a.
 turmoil and the continuing threat of domestic or international terrorism Noun 1. international terrorism - terrorism practiced in a foreign country by terrorists who are not native to that country
act of terrorism, terrorism, terrorist act - the calculated use of violence (or the threat of violence) against civilians in order to attain
; general worldwide and domestic economic conditions and stock market volatility Volatility

1. A statistical measure of the tendency of a market or security to rise or fall sharply within a period of time.

2. A variable in option pricing formulas that denotes the extent to which the return of the underlying asset will fluctuate between now and the
; and other risks detailed in the Company's annual, quarterly, or other filings with the Securities and Exchange Commission. The Company undertakes no obligation to update or revise any such forward-looking statements.

Company Profile

American Healthways, Inc. is the nation's leading and largest provider of specialized spe·cial·ize  
v. spe·cial·ized, spe·cial·iz·ing, spe·cial·iz·es

v.intr.
1. To pursue a special activity, occupation, or field of study.

2.
, comprehensive disease management, care enhancement and high-risk health management services proven to improve the quality of health care and lower costs. As of August 31, 2004, the Company had 1,335,000 actual lives under management nationwide. For more information visit www.americanhealthways.com.
AMERICAN HEALTHWAYS, INC.
                 CONSOLIDATED STATEMENTS OF OPERATIONS
                  (Unaudited, except for fiscal 2003)
                 (In thousands, except per share data)

                                   Three Months
                                       Ended       Twelve Months Ended
                                    August 31,         August 31,
                                 ----------------- -------------------
                                   2004     2003      2004      2003
                                 -------- -------- --------- ---------

  Revenues                       $71,855  $46,010  $245,410  $165,471
  Cost of services                43,885   29,971   156,462   106,130
                                 -------- -------- --------- ---------
    Gross margin                  27,970   16,039    88,948    59,341

   Selling, general &
    administrative expenses        6,680    4,270    23,686    16,511
   Depreciation and amortization   5,096    3,027    18,450    10,950
   Interest                          833      131     3,509       569
                                 -------- -------- --------- ---------

  Income before income taxes      15,361    8,611    43,303    31,311
  Income tax expense               6,068    3,530    17,245    12,837
                                 -------- -------- --------- ---------

  Net income                      $9,293   $5,081   $26,058   $18,474
                                 ======== ======== ========= =========


  Basic income per share:          $0.28    $0.16     $0.81     $0.60
                                 ======== ======== ========= =========

  Diluted income per share:        $0.27    $0.15     $0.75     $0.56
                                 ======== ======== ========= =========

  Weighted average common shares
   and equivalents:
     Basic                        32,776   31,420    32,264    31,048
     Diluted                      34,943   33,688    34,632    33,010



                       American Healthways, Inc.
                        Statistical Information
                        (Dollars in thousands)
                              (Unaudited)

                                                 August 31, August 31,
                                                    2004       2003
                                                 ---------- ----------
              Operating Statistics

  Actual lives under
    management at end of period                  1,335,146  851,725(1)
  Annualized revenue in backlog                    $15,200    $12,200

    (1) Restated to include the Company's hospital-based diabetes
        program patients.


   Reconciliation of Revenues Excluding Incentive Bonus Revenues to
                  Revenues, GAAP Basis (in thousands)


                                                   Twelve Months Ended
                                                        August 31,
                                                   -------------------
                                                      2004      2003
                                                   --------- ---------
  Revenues excluding incentive bonus revenues(2)   $242,958  $160,157
  Incentive bonus revenues                            2,452     5,314
                                                   --------- ---------
  Revenues, GAAP basis                             $245,410  $165,471
                                                   ========= =========


  Reconciliation of Net Income Excluding Incentive Bonus Revenues to
                 Net Income, GAAP Basis (in thousands)


                                              Twelve Months Ended
                                                   August 31,
                                          ----------------------------
                                               2004          2003
                                          ------------- --------------
  Net income excluding incentive
   bonus revenues(2)                           $24,582        $15,339
  Incentive bonuses, after tax                   1,476          3,135
                                          ------------- --------------
  Net income, GAAP basis                       $26,058        $18,474
                                          ============= ==============


        Reconciliation of Diluted Earnings Per Share Excluding
                      Incentive Bonus Revenues to
             Diluted Earnings Per Share (EPS), GAAP Basis


                                                         Twelve Months
                                                             Ended
                                                          August 31,
                                                         -------------
                                                          2004   2003
                                                         ------ ------
  EPS excluding incentive bonus revenues(2)              $0.71  $0.49
  EPS attributable to incentive bonus revenues            0.04   0.07
                                                         ------ ------
  EPS, GAAP basis                                        $0.75  $0.56
                                                         ====== ======

    (2) Revenues excluding incentive bonus revenues, net income
        excluding incentive bonus revenues, and EPS excluding
        incentive bonus revenues are non-GAAP financial measures. The
        Company excludes incentive bonuses from these measures
        primarily because of their unpredictability and relies on
        revenues excluding incentive bonus revenues, net income
        excluding incentive bonus revenues, and EPS excluding
        incentive bonus revenues as primary measures to review and
        assess the ongoing operating performance of contracts. The
        Company believes it is useful to investors to provide
        disclosures of its operating results on the same basis as that
        used by management. You should not consider revenues excluding
        incentive bonus revenues, net income excluding incentive bonus
        revenues, and EPS excluding incentive bonus revenues in
        isolation or as a substitute for revenues, net income, and EPS
        determined in accordance with accounting principles generally
        accepted in the United States.



                       AMERICAN HEALTHWAYS, INC.
                      CONSOLIDATED BALANCE SHEETS
            (In thousands, except share and per share data)

                                               (Unaudited)
                                               August 31,  August 31,
                                                  2004      2003(1)
                                               ----------- ----------
Assets
 Current assets:
  Cash and cash equivalents                       $52,187    $35,956
  Restricted cash                                   1,524          -
  Accounts receivable, net
     Billed                                        33,235     18,526
     Unbilled                                         866      7,971
  Other current assets                              5,976      4,267
  Deferred tax asset                                2,248        758
                                               ----------- ----------

    Total current assets                           96,036     67,478

Property and equipment
  Leasehold improvements                            8,730      5,045
  Computer equipment and related software          53,379     38,214
  Furniture and office equipment                   14,514      9,558
                                               ----------------------
                                                   76,623     52,817
  Less accumulated depreciation                   (36,796)   (25,166)
                                               ----------- ----------
    Net property and equipment                     39,827     27,651


Other assets                                        2,456        182
Intangible assets, net                             19,854        264
Goodwill, net                                      93,574     44,438
                                               ----------- ----------

Total assets                                     $251,747   $140,013
                                               ----------- ----------

Liabilities and stockholders' equity
 Current liabilities:
  Accounts payable                                $10,343     $4,067
  Accrued salaries and benefits                     4,616      9,162
  Accrued liabilities                               4,688      2,790
  Contract billings in excess of earned revenue     4,898      3,272
  Income taxes payable                              3,294        391
  Current portion of long-term debt                12,243        389
  Current portion of long-term liabilities          1,018        360
                                               ----------- ----------

    Total current liabilities                      41,100     20,431

Long-term debt                                     36,562        109

Long-term deferred tax liability                   12,658      2,380

Other long-term liabilities                         5,992      4,662

Commitments and contingencies

Stockholders' equity
  Preferred stock
    $.001 par value, 5,000,000 shares
     authorized, none outstanding                       -          -
  Common stock
    $.001 par value, 75,000,000 and 40,000,000
     shares authorized, 32,857,041 and
     31,593,464 shares outstanding                     33         32
  Additional paid-in capital                       90,980     74,070
  Retained earnings                                64,387     38,329
  Accumulated other comprehensive income               35          -
                                               ----------- ----------

    Total stockholders' equity                    155,435    112,431
                                               ----------- ----------

Total liabilities and stockholders' equity       $251,747   $140,013
                                               ----------- ----------

    (1) Certain items have been reclassified to conform to current
        classifications.



                       AMERICAN HEALTHWAYS, INC.
                 CONSOLIDATED STATEMENTS OF CASH FLOWS
                            (In thousands)

                                              Twelve Months Ended
                                                   August 31,
                                              --------------------
                                                  2004    2003(1)
                                              (Unaudited)
Cash flows from operating activities:
Net income                                       $26,058  $18,474
   Adjustments to reconcile net income to net
    cash provided by operating activities,
    net of business acquisitions:
  Depreciation and amortization                   18,450   10,950
  Amortization of deferred loan costs                768      276
  Tax benefit of stock option exercises           10,013    3,426
  Increase in accounts receivable, net            (7,174)  (5,808)
  Increase in other current assets                  (899)    (918)
  Increase (decrease) in accounts payable          5,733     (201)
  Decrease in accrued salaries and benefits       (4,865)  (2,564)
  Increase (decrease) in other current
   liabilities                                     3,060   (1,880)
  Deferred income taxes                             (491)   3,877
  Other                                            2,834    1,556
  Decrease in other assets                           356      132
  Payments on other long-term liabilities           (371)    (385)
                                              ----------- --------
Net cash flows provided by operating
 activities                                       53,472   26,935
                                              ----------- --------

Cash flows from investing activities:
  Acquisition of property and equipment          (25,013) (16,169)
  Business acquisitions, net of cash acquired    (60,223)       -
                                              ----------- --------
Net cash flows used in investing activities      (85,236) (16,169)
                                              ----------- --------

Cash flows from financing activities:
  Increase in restricted cash                     (1,524)       -
  Proceeds from issuance of long-term debt,
   net of deferred loan costs                     57,685        -
  Payments of long-term debt                     (12,424)    (383)
  Exercise of stock options                        4,258    1,649
                                              ----------- --------
Net cash flows provided by financing
 activities                                       47,995    1,266
                                              ----------- --------

Net increase in cash and cash equivalents         16,231   12,032

Cash and cash equivalents, beginning of period    35,956   23,924
                                              ----------- --------

Cash and cash equivalents, end of period         $52,187  $35,956
                                              =========== ========

    (1) Certain items have been reclassified to conform to current
        classifications.

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Publication:Business Wire
Geographic Code:1USA
Date:Oct 7, 2004
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