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American Healthways Reports Second-Quarter Diluted Earnings Per Share of $0.15; Revenues Increase 42%.


Business Editors/Health/Medical Writers

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.--(BUSINESS WIRE)--March 22, 2004

Affirms Fiscal 2004 Earnings Guidance; Provides Guidance for Third

and Fourth Quarters

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 that the Company met earnings guidance for the second quarter ended February February: see month.  29, 2004, with earnings 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 of $0.15. Revenues for the quarter increased 42% to $57,122,000 from $40,101,000 for the second quarter of fiscal 2003. Net income for the second quarter was $5,324,000, or $0.15 per diluted share, compared with $5,144,000, or $0.16 per diluted share, for the second quarter of fiscal 2003. Results for the second quarter of fiscal 2003 included $0.03 per share from incentive bonus revenues compared with no earnings impact from incentive bonus revenues for the second quarter this fiscal year. Prior-period results have been adjusted to reflect the two-for-one stock split effected in December December: see month.  2003.

"We are pleased with the Company's performance," stated Leedle. "In achieving the high end of our earnings guidance, the Company was right on track with our expectations for the second quarter. Our revenue growth was driven by a 54% increase in actual lives under management to 1,054,000 at the end of the quarter from 686,000 at the end of the second quarter of fiscal 2003. While we experienced normal disenrollment/reenrollment activities by our health plan customers as of January January: see month.  1st, the net decline from this seasonal activity this year was, as expected, slightly less than the historical rate of 5% to 7% due to the reduced churn churn: see butter.  in our ASO ASO arteriosclerosis obliterans.
ASO 1 Administrative services organization, see there 2 Allele-specific–oligonucleotide hybridization 3 Anti-streptolysin O, see there
 accounts. In addition, as expected, a number of new lives under management were added during the quarter from growth in ASO contracts and from the initiation initiation, the transition and attendant ceremonies, such as ordeals and rites, involved in passing from one state or status to another, often from childhood to adulthood. It was among the most important social institutions of early humans.  of several previously announced new contracts and contract expansions during the quarter, resulting in a net increase in total lives under management from the preceding quarter. As discussed in our first-quarter news release, the ramp up Ramp Up

To increase a company's operations in anticipation of increased demand.

Notes:
A company might 'ramp up' operations if they just signed a contract creating substantially more demand for their product.
See also: Demand, Economies of Scale
 of costs ahead of revenue recognition for newly signed contracts, the opening of two new care enhancement centers to handle actual and anticipated near-term near-term
adj.
Of, for, or involving a short period of time in the near future.
 growth and continuing StatusOne integration costs had the expected effect on our results.

"We remain pleased with the implementation of new contracts, which continue on schedule, and with our contracting momentum. We 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.
, expanded or signed new contracts with six health plans during the second quarter, and we have signed four additional new or expanded contracts since the end of the second quarter. We continue to produce substantial growth in our ASO/PPO lives under management, which have increased approximately 60% to over 210,000 at the end of the second quarter from 132,000 at the end of fiscal 2003 and have more than tripled since the second quarter of fiscal 2003. Through our joint efforts with our health plan customers, we have 127 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 under contract.

"Among our highlights since the start of the second quarter are the following:

-- Ten New, Renewed, or Expanded Contracts Signed - We signed six

contracts in the second quarter, including those with The

Regence Re´gence   

n. 1. Rule.
 Group, HealthSpring and Joint Benefit Trust that we

discussed in the first quarter earnings release. We also

signed a new contract with Harvard Harvard, town (1990 pop. 12,329), Worcester co., E central Mass.; inc. 1732. A Shaker house and cemetery, a Native American museum, and a Harvard observatory are there.  Pilgrim Health Care for our

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.
 program, which represents the first cross-sale of an

existing StatusOne customer. Mutual of Omaha Mutual of Omaha, best known for sponsoring the popular television show Mutual of Omaha's Wild Kingdom, is a Fortune 500 insurance and financial services company headquartered in Omaha, Nebraska.  expanded its

three-year contract by adding heart failure and asthma asthma (ăz`mə, ăs`–), chronic inflammatory respiratory disease characterized by periodic attacks of wheezing, shortness of breath, and a tight feeling in the chest. A cough producing sticky mucus is symptomatic.

programs to the diabetes program we have been providing for

four years. We also signed a two-year contract renewal with

Blue Cross Blue Shield Blue Shield A US not-for-profit health care insurer that is a reimbursement intermediary for physicians. Cf Blue Cross.  of Kansas City Kansas City, two adjacent cities of the same name, one (1990 pop. 149,767), seat of Wyandotte co., NE Kansas (inc. 1859), the other (1990 pop. 435,146), Clay, Jackson, and Platte counties, NW Mo. (inc. 1850). , for whom we have

provided diabetes and cardiac programs since June June: see month.  2000.

Since the end of the second quarter, the Company has entered into three contracts with new customers and one additional contract expansion. Among the new contracts, the first is with Colorado-based Rocky Mountain Health Plans ("RMHP RMHP Rocky Mountain Health Plans "), which is scheduled to begin July July: see month.  1, 2004. Under this three-year contract, American Healthways will provide its diabetes and cardiac disease programs to RMHP's commercial members. The second contract is with Massachusetts-based Private Healthcare Systems, the operator of the largest proprietary PPO PPO
abbr.
preferred provider organization


PPO Managed care Preferred provider organization, see there Infectious disease Pleuropneumonia-like organism, see there
 network in the country. Under this contract, which is scheduled to begin May 1, 2004, we will provide our full suite of disease management and care enhancement services. The third new contract is with North Carolina North Carolina, state in the SE United States. It is bordered by the Atlantic Ocean (E), South Carolina and Georgia (S), Tennessee (W), and Virginia (N). Facts and Figures


Area, 52,586 sq mi (136,198 sq km). Pop.
 State Health Plan for our StatusOne 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 program, which is scheduled to begin April 1, 2004. In addition to the expansion with Mutual of Omaha in January, the plan has already decided to further expand the relationship again to also include chronic obstructive pulmonary disease chronic obstructive pulmonary disease
n. Abbr. COPD
A chronic lung disease, such as asthma or emphysema, in which breathing becomes slowed or forced.
 and coronary artery disease coronary artery disease, condition that results when the coronary arteries are narrowed or occluded, most commonly by atherosclerotic deposits of fibrous and fatty tissue. , which will be launched in April and continue for a three-year term.

-- Care Enhancement Center Openings Reflect Growing Lives Under

Management - To handle the additional required capacity for

servicing the new contracts signed since the beginning of the

fiscal year, American Healthways completed the planned and

on-schedule openings of its seventh care enhancement center in

Baltimore Baltimore, city (1990 pop. 736,014), N central Md., surrounded by but politically independent of Baltimore co., on the Patapsco River estuary, an arm of Chesapeake Bay; inc. 1745.  during the second quarter, followed by the eighth

center in Seattle Seattle (sēăt`əl), city (1990 pop. 516,259), seat of King co., W Wash., built on seven hills, between Elliott Bay of Puget Sound and Lake Washington; inc. 1869.  on March 1st in conjunction with the launch

of the Regence contract.

Annual and Quarterly Guidance for Fiscal 2004

American Healthways reaffirms its established guidance for fiscal 2004 earnings per diluted share in a range of $0.71 to $0.73, based on its current health plan business under management, its 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 the second quarter - approximately $19 million in 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 - and its pipeline of potential new contracts and contract extensions. The Company also continues to expect fiscal 2004 revenues to be in a range of $245 million to $255 million. Furthermore, the Company is today establishing its guidance for earnings per diluted share for the third quarter of fiscal 2004, in a range of $0.18 to $0.19, and for the fourth quarter of fiscal 2004, in a range of $0.26 to $0.27, which includes the anticipated recording of certain performance-based revenues from the billings-in-excess-of-earnings account as contractual targets are met. The Company's earnings per diluted share were $0.14 and $0.15 for the third and fourth quarters of fiscal 2003, respectively, which included $0.01 and $0.02 of incentive bonus revenues, respectively. The Company's earnings guidance does not include any impact of future incentive bonus revenues.

Summary

Mr. Leedle concluded, "We believe American Healthways' prospects for continuing long-term Long-term

Three or more years. In the context of accounting, more than 1 year.


long-term

1. Of or relating to a gain or loss in the value of a security that has been held over a specific length of time. Compare short-term.
 profitable growth are supported by strong industry trends, our leading industry position, the documented results we are producing with all of our established programs, and a very active pipeline of potential contracts. At a time of growing commercial, Medicare and Medicaid Medicare and Medicaid

U.S. government programs in effect since 1966. Medicare covers most people 65 or older and those with long-term disabilities. Part A, a hospital insurance plan, also pays for home health visits and hospice care.
 demand for effective disease management solutions, we feel that American Healthways is uniquely positioned to meet that demand because of the comprehensiveness of its programs, the scale of its operations and its proven ability to bend the trend of health care cost increases with both large commercial and 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.  populations."

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 the following Web site - www.streetevents.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 replay will be available on the Company's Web site for the next 12 months. Any material information disclosed 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 Company's ability to integrate the operations of StatusOne into the Company's business; the Company's ability to achieve the expected financial results for StatusOne; the timing 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 execute on 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 health plan customers; the Company's ability to effect cost savings and clinical outcomes improvements under health plan 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 under the terms of its health plan contracts ahead of data collection and reconciliation; the ability of the Company to collect contractually earned incentive bonuses; the ability of the Company's health plan 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 health plan customers; the ability of the Company to effectively integrate new technologies such as those encompassed in its care enhancement initiatives into the Company's care management information technology 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 health plan operations and to support or guarantee the Company's performance under new health plan contracts; unusual and unforeseen patterns of health care utilization by individuals with diabetes, cardiac, 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 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 with hospitals and health plan organizations; 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 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; and general economic conditions. The Company undertakes no obligation to update or revise any such forward-looking statements.

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 Feb. 29, 2004, the Company had 1,054,000 actual lives under management nationwide. For more information visit www.americanhealthways.com.


                       AMERICAN HEALTHWAYS, INC.
                 CONSOLIDATED STATEMENTS OF OPERATIONS
                              (Unaudited)
             (Dollars in thousands, except per share data)


                      Three Months Ended         Six Months Ended
                        February 29/28,           February 29/28,
                   ------------------------  ------------------------
                       2004         2003         2004         2003
                   -----------  -----------  -----------  -----------

 Revenues          $    57,122  $    40,101  $   108,200  $    77,639
 Cost of services       37,020       24,806       71,164       49,432
                   -----------  -----------  -----------  -----------
    Gross margin        20,102       15,295       37,036       28,207

  Selling, general
   & administrative
   expenses              6,022        3,793       11,164        7,711
  Depreciation and
   amortization          4,429        2,663        8,570        5,201
  Interest                 890          120        1,834          306
                   -----------  -----------  -----------  -----------

 Income before
  income taxes           8,761        8,719       15,468       14,989
 Income tax
  expense                3,437        3,575        6,187        6,146
                   -----------  -----------  -----------  -----------

 Net income        $     5,324  $     5,144  $     9,281  $     8,843
                   ===========  ===========  ===========  ===========


 Basic income per
  share(1):        $      0.17  $      0.17  $      0.29  $      0.29
                   ===========  ===========  ===========  ===========

 Diluted income
  per share(1):    $      0.15  $      0.16  $      0.27  $      0.27
                   ===========  ===========  ===========  ===========

 Weighted average
  common shares and
  equivalents(1):
     Basic          32,039,000   30,883,000   31,915,000   30,838,000
     Diluted        34,746,000   32,680,000   34,507,000   32,685,000


(1) Restated to reflect the impact of a two-for-one stock split on
    December 19, 2003.


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


                                  February 29,       February 28,
                                      2004               2003
                               ------------------  -----------------
     Operating Statistics
Actual lives under
 management at end of period           1,053,820           685,683
Annualized revenue in backlog            $18,833           $16,320 (1)


(1) Includes StayWell and HealthPlus contracts signed in March 2003.

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

                               Three Months Ended  Three Months Ended
                                  February 29,        February 28,
                                      2004                2003
                               ------------------  ------------------
EPS excluding incentive bonus
 revenues (2)                              $0.15             $0.13
EPS attributable to incentive
 bonus revenues                                -              0.03
                               ------------------  ----------------
EPS, GAAP basis                            $0.15             $0.16
                               ==================  ================

(2) EPS excluding incentive bonus revenues is a non-GAAP financial
    measure. The Company excludes incentive bonuses from this measure
    primarily because of their unpredictability and relies on EPS
    excluding incentive bonus revenues as a primary measure 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 EPS excluding incentive bonus
    revenues in isolation or as a substitute for 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)
                                             February 29,  August 31,
                                                 2004        2003(1)
                                             -----------  -----------
Assets
 Current assets:
  Cash and cash equivalents                  $    29,260  $    35,956
  Accounts receivable, net
     Billed                                       34,683       18,526
     Unbilled                                      3,817        7,971
  Other current assets                             5,378        4,267
  Deferred tax asset                               1,097          758
                                             -----------  -----------
    Total current assets                          74,235       67,478

Property and equipment
  Leasehold improvements                           6,103        5,045
  Computer equipment and related software         46,000       38,214
  Furniture and office equipment                  10,944        9,558
                                             -----------  -----------
                                                  63,047       52,817
  Less accumulated depreciation                  (31,836)     (25,166)
                                             -----------  -----------
    Net property and equipment                    31,211       27,651

Long-term deferred tax asset                          67            -

Other assets                                       3,026          182
Intangible assets, net                            21,876          264
Goodwill, net                                     93,541       44,438
                                             -----------  -----------
Total assets                                 $   223,956  $   140,013
                                             -----------  -----------

Liabilities and stockholders' equity
 Current liabilities:
  Accounts payable                           $     4,904  $     4,067
  Accrued salaries and benefits                    3,603        9,162
  Accrued liabilities                              4,724        2,790
  Contract billings in excess of earned
   revenue                                         7,817        3,272
  Income taxes payable                               219          391
  Current portion of long-term debt               12,404          389
  Current portion of long-term liabilities           955          360
                                             -----------  -----------
    Total current liabilities                     34,626       20,431

Long-term debt                                    42,634          109

Long-term deferred tax liability                  11,838        2,380

Other long-term liabilities                        5,053        4,662

Commitments and contingencies

Stockholders' equity
  Preferred stock
   $.001 par value, 5,000,000 shares
    authorized, none outstanding                       -            -
  Common stock(2)
   $.001 par value, 75,000,000 and 40,000,000
    shares authorized, 32,116,632 and
    31,593,464 shares outstanding                     32           32
  Additional paid-in capital (2)                  82,163       74,070
  Retained earnings                               47,610       38,329
                                             -----------  -----------

    Total stockholders' equity                   129,805      112,431
                                             -----------  -----------
Total liabilities and stockholders' equity   $   223,956  $   140,013
                                             -----------  -----------

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

(2) Restated to reflect the impact of a two-for-one stock split on
    December 19, 2003.


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

                                                     Six Months Ended
                                                      February 29/28,
                                                   -------------------
                                                       2004    2003(1)
Cash flows from operating activities:
 Net income                                        $  9,281  $  8,843
 Adjustments to reconcile net income to net cash
  provided by operating activities:
  Depreciation and amortization                       8,570     5,201
  Amortization of deferred loan costs                   384       138
  Tax benefit of stock option exercises               3,780       719
  Increase in accounts receivable, net              (11,574)   (5,249)
  Increase in other current assets                     (232)     (781)
  Increase in accounts payable                          294        50
  Decrease in accrued salaries and benefits          (6,179)   (5,780)
  Increase in other current liabilities               2,947     9,778
  Other                                               1,489       727
  Decrease in other assets                              170       168
  Payments on other long-term liabilities              (300)     (204)
                                                   --------   -------
 Net cash flows provided by operating activities      8,630    13,610
                                                   --------   -------

Cash flows from investing activities:
  Acquisition of property and equipment              (8,538)   (7,757)
  Business acquisitions, net of cash acquired       (60,223)        -
                                                   --------   -------
 Net cash flows used in investing activities        (68,761)   (7,757)
                                                   --------   -------

Cash flows from financing activities:
  Increase in restricted cash and cash equivalents        -    (3,000)
  Proceeds from issuance of term note, net of
   deferred loan costs                               57,685         -
  Exercise of stock options                           1,964       392
  Payments of long term-debt                         (6,214)     (189)
                                                   --------   -------
 Net cash flows provided by (used in) financing
  activities                                         53,435    (2,797)
                                                   --------   -------
Net increase (decrease) in cash and cash
 equivalents                                         (6,696)    3,056

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

Cash and cash equivalents, end of period           $ 29,260  $ 26,980
                                                   ========  ========

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

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Date:Mar 22, 2004
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