MELVILLE, N.Y., Feb. 14 /PRNewswire-FirstCall/ -- Gentiva Health Services, Inc. (Nasdaq: GTIV), the nation's leading provider of comprehensive home health and related services, today reported the following financial results for the fourth quarter ended December 30, 2007:

    -- Net revenues increased 7% to $313.4 million versus the fourth quarter
       ended December 31, 2006.
    -- Net income rose 60% to $8.8 million, or $0.31 per diluted share, versus
       $5.5 million, or $0.20 per diluted share, for the prior year period.
       Average diluted shares were 28.8 million versus 28.2 million in the
       2006 fourth quarter.
    -- Earnings before interest, taxes, depreciation and amortization (EBITDA)
       increased 33% to $25.3 million.
    -- EBITDA and net income per diluted share, excluding Healthfield-related
       restructuring and integration costs in both periods, were $25.6 million
       and $0.31 for the fourth quarter of 2007 as compared to $22.3 million
       and $0.27 for the 2006 fourth quarter.
    -- EBITDA as a percentage of net revenues, excluding Healthfield-related
       restructuring and integration costs, was 8.2% in the 2007 fourth
       quarter versus 7.6% in the prior year period.

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'Gentiva's performance in the fourth quarter completes another solid year of progress for the Company,' said Gentiva Chairman and CEO Ron Malone. 'Our results for the quarter and the year were driven by the ongoing expansion of Home Health, the launching of new specialty programs and their contribution to double-digit Medicare revenue growth, and the positive results reported by CareCentrix.'

    Malone noted these performance highlights for the 2007 fourth quarter:
    -- In the Home Health segment, Medicare revenues were up 12% versus the
       prior year period, driven by solid performances in both the expanding
       specialty programs and in traditional home health services.  Overall
       segment revenues increased 5%, with the Medicare revenue gain offset
       somewhat by a decline in non-Medicare business as Gentiva pursued its
       ongoing strategy of exiting or renegotiating relationships that do not
       meet certain profitability standards. Operating contribution for the
       segment rose 18%.  Operating contribution margin was 14.5% versus 12.9%
       reported in the fourth quarter of 2006.
    -- CareCentrix revenues and operating contribution each rose about 12%
       versus the prior year period.  Operating contribution margin was 9.4%,
       nearly even with that of the fourth quarter of 2006. CareCentrix
       continued to benefit from its servicing of increased managed care
       membership enrollments among its customers, as well as implementation
       of an exclusive contract in Georgia.
    -- Gentiva made voluntary loan repayments of $6 million in the fourth
       quarter that reduced long-term debt to $310 million at December 30,
       2007.  Together with the strong operating earnings, this has resulted
       in a lower leverage ratio and has triggered a 25 basis point decrease
       in the Company's term loan interest rate, effective today.

Malone added that fourth quarter revenues in the Other Related Services segment were about even with the prior year period, while operating contribution declined as Gentiva continued to focus on the segment's future growth prospects.

Gentiva reported the following results for the fiscal years ended December 30, 2007 and December 31, 2006 , including the results of The Healthfield Group, Inc. since its acquisition on February 28, 2006:

    -- Net revenues increased 11% to $1.23 billion in fiscal 2007 versus the
       prior year period.
    -- Net income rose 58% to $32.8 million, or $1.15 per diluted share, in
       fiscal 2007 versus $20.8 million, or $0.76 per diluted share, for the
       prior year period.
    -- EBITDA for 2007 increased 44% to $99.7 million versus $69.3 million in
       2006.  EBITDA for each period included net charges for special items
       and restructuring and integration costs of $2.4 million and $5.8
       million, respectively.
    -- EBITDA and net income per diluted share for 2007, excluding special
       items and restructuring and integration costs, were $102.1 million and
       $1.20 versus $75.1 million and $0.89 for 2006.
    -- Operating cash flow increased 22% to $62.7 million for fiscal 2007 as
       compared to $51.4 million for the prior year.

2008 Outlook

Gentiva also announced that it has raised its 2008 financial outlook, which was previewed in the Company's third quarter earnings news release last November. The new outlook reflects the following key metrics:

    -- Net revenues in a range between $1.28 billion and $1.32 billion (as
       compared to the preview of $1.25 billion to $1.29 billion).
    -- EBITDA in a range between $112 million and $117 million.
    -- Diluted earnings per share in a range between $1.32 and $1.40 (as
       compared to the preview of $1.25 to $1.35).

    The 2008 outlook incorporates the following assumptions:
    -- No changes during calendar 2008 to either Medicare home health
       Prospective Payment System refinements or the Medicare home health
       market basket increase of 3%, both of which became effective on January
       1, 2008.
    -- Inclusion of partial-year results of Home Health Care Affiliates, Inc.,
       a recently-announced acquisition in Mississippi, which is expected to
       close later in the first quarter.
    -- Exclusion of special items, restructuring or non-recurring charges and
       other future acquisitions.

'We believe 2008 will be a year of growth and the extension of our industry leadership,' Malone said. 'We saw examples last week with the announcement of our planned home health acquisition in Mississippi and CareCentrix' signing of a contract with CIGNA HealthCare, which extends their relationship through January 2011 .

Non-GAAP Financial Measures

The information provided in this press release includes certain non-GAAP financial measures as defined under Securities and Exchange Commission (SEC) rules. In accordance with SEC rules, the Company has provided, in the supplemental information and the footnotes to the tables, a reconciliation of those measures to the most directly comparable GAAP measures.

Conference Call and Web Cast Details

The Company will comment further on its fourth quarter and fiscal 2007 results during its conference call and live web cast to be held Thursday, February 14, 2008 , at 10:00 a.m. Eastern Time . To participate in the call from the United States , Canada or an international location, dial (973) 935-2408 and reference call #31906724. The web cast is an audio-only, one-way event. Web cast listeners who wish to ask questions must participate in the conference call. Log ontohttp://investors.gentiva.com/events.cfm to hear the web cast. This press release is accessible at http://investors.gentiva.com/releases.cfm and a transcript of the conference call is expected to be available on the site within 36 hours after the call.

About Gentiva Health Services, Inc.

Gentiva Health Services, Inc. is the nation's leading provider of comprehensive home health and related services. The Company serves patients across the United States , through its direct service delivery units or through CareCentrix(R), which manages home health services for major managed care organizations. Gentiva is a single source for skilled nursing; physical, occupational, speech and neurorehabilitation services; hospice services; social work; nutrition; disease management education; help with daily living activities; respiratory therapy and home medical equipment; infusion therapy services; and other therapies and services. Gentiva's revenues are generated from federal and state government programs, commercial insurance and individual consumers. For more information, visit Gentiva's web site, http://www.gentiva.com, and its investor relations section at http://investors.gentiva.com. GTIV-E

    (tables and notes follow)


    (in 000's, except per share data)
                                       4th Quarter           Fiscal Year
                                     2007      2006       2007        2006
    Statements of Income
      Net revenues                 $313,396  $293,118  $1,229,297  $1,106,588
      Cost of services and goods
       sold                         180,154   169,510     705,592     644,274
      Gross profit                  133,242   123,608     523,705     462,314
      Selling, general and
       administrative expenses      113,247   108,471     444,042     408,271
      Operating income               19,995    15,137      79,663      54,043
      Interest expense               (6,636)   (7,303)    (27,285)    (24,685)
      Interest income                   768       765       3,204       3,284
      Income before income taxes     14,127     8,599      55,582      32,642
      Income tax expense              5,281     3,087      22,754      11,866
      Net income                     $8,846    $5,512     $32,828     $20,776

     Earnings per Share
      Net income:
         Basic                        $0.32     $0.20       $1.18       $0.78
         Diluted                      $0.31     $0.20       $1.15       $0.76

      Average shares outstanding:
         Basic                       28,006    27,301      27,798      26,480
         Diluted                     28,781    28,167      28,599      27,317

    Condensed Balance Sheets
     ASSETS
                                  Dec 30, 2007   Dec 31, 2006
      Cash, cash equivalents and
       restricted cash (A)          $36,181         $32,910
      Short-term investments (B)     31,250          24,325
      Accounts receivable, net (C)  207,801         181,549
      Deferred tax assets            18,859          30,443
      Prepaid expenses and other
       current assets                14,415          11,933
           Total current assets     308,506         281,160

      Fixed assets, net              59,562          49,684
      Intangible assets, net        211,602         213,280
      Goodwill                      276,100         274,959
      Other assets                   26,463          24,799
           Total assets            $882,233        $843,882

     LIABILITIES AND SHAREHOLDERS' EQUITY
      Current portion of long-term
       debt                          $2,304              $-
      Accounts payable               20,093          19,580
      Payroll and related taxes      17,163          16,085
      Deferred revenue               29,015          20,122
      Medicare liabilities            7,985           9,232
      Cost of claims incurred but
       not reported                  24,321          19,462
      Obligations under insurance
       programs                      36,816          35,910
      Other accrued expenses         42,282          45,020
           Total current
            liabilities             179,979         165,411

      Long-term debt                307,696         342,000
      Deferred tax liabilities,
       net                           48,572          41,065
      Other liabilities              22,557          21,081
      Shareholders' equity          323,429         274,325
           Total liabilities and
            shareholders' equity   $882,233        $843,882

      Common shares outstanding      28,046          27,436

    (A) Cash, cash equivalents and restricted cash included restricted cash of
        $22.0 million at December 30, 2007 and December 31, 2006.
    (B) Short-term investments at December 30, 2007 and December 31, 2006
        consisted of AAA-rated auction rate securities.
    (C) Accounts receivable, net, included an allowance for doubtful accounts
        of $9.4 million and $9.8 million at December 30, 2007 and December 31,
        2006, respectively.


    (in 000's)                                           Fiscal Year
    Condensed Statements of Cash Flows                  2007      2006
     OPERATING ACTIVITIES:
     Net income                                       $32,828   $20,776
     Adjustments to reconcile net income to net
      cash provided by operating activities:
      Depreciation and amortization                    20,014    15,241
      Amortization of debt issuance costs               1,063     1,028
      Provision for doubtful accounts                   9,939     9,425
      Loss on disposal of assets                          -         844
      Reversal of tax audit reserves                     (450)     (800)
      Equity-based compensation expense                 6,812     4,281
      Windfall tax benefits associated with equity-
       based compensation                                (856)   (1,804)
      Deferred income taxes                            20,923    10,841
     Changes in assets and liabilities:
      Accounts receivable                             (36,423)   (2,424)
      Prepaid expenses and other current assets        (3,531)   (2,344)
      Current liabilities                              12,606    (4,695)
     Other, net                                          (254)    1,078
     Net cash provided by operating activities         62,671    51,447

     INVESTING ACTIVITIES:
     Purchase of fixed assets                         (24,064)  (24,407)
     Acquisition of businesses                         (3,820) (210,314)
     Purchases of short-term
      investments available-for-sale                  (96,850) (176,495)
     Maturities of short-term
      investments available-for-sale                   89,925   201,920
     Net cash used in investing activities            (34,809) (209,296)

     FINANCING ACTIVITIES:
     Proceeds from issuance of common stock             7,882    12,400
     Windfall tax benefits associated with
      equity-based compensation                           856     1,804
     Proceeds from issuance of debt                       -     370,000
     Healthfield debt repayments                          -    (195,305)
     Other debt repayments                            (32,000)  (28,000)
     Changes in book overdrafts                           -      (1,395)
     Debt issuance costs                                  -      (6,930)
     Repayment of capital lease obligations            (1,329)     (432)
     Net cash (used in) provided
      by financing activities                         (24,591)  152,142

     Net change in cash, cash
      equivalents and restricted cash                   3,271    (5,707)
     Cash, cash equivalents and
      restricted cash at beginning of year             32,910    38,617
     Cash, cash equivalents and
      restricted cash at end of year                  $36,181   $32,910

     SUPPLEMENTAL DISCLOSURES OF
      CASH FLOW INFORMATION:

     Interest paid                                    $27,469   $17,268
     Income taxes paid, net of refunds                 $2,329    $2,839



      (in 000's, except per share data)

    Supplemental Information          4th Quarter           Fiscal Year
                                    2007       2006       2007        2006
    Segment Information
     Net revenues (1) (6)
      Home Health (2)              $207,494  $197,102   $821,829    $746,893
      CareCentrix                    76,275    68,128    290,786     267,539
      Other Related Services         30,575    30,589    121,797     104,660
      Intersegment revenues            (948)   (2,701)    (5,115)    (12,504)
     Total net revenues            $313,396  $293,118 $1,229,297  $1,106,588

     Operating contribution (1) (5) (6)
      Home Health (2)               $30,069   $25,481   $122,053     $94,477
      CareCentrix                     7,180     6,394     29,070      24,740
      Other Related Services          3,593     4,773     13,821      18,612
     Total operating contribution    40,842    36,648    164,944     137,829
     Corporate expenses (3)         (15,539)  (17,661)   (65,268)    (68,545)
     Depreciation and amortization   (5,308)   (3,850)   (20,013)    (15,241)
     Interest expense, net           (5,868)   (6,538)   (24,081)    (21,401)
     Income before income taxes     $14,127    $8,599    $55,582     $32,642



                                       4th Quarter           Fiscal Year
                                     2007      2006       2007        2006
     Net Revenues by Major Payer
      Source:
      Medicare (2)
       Home Health                 $140,111  $125,321   $549,262    $455,270
       Other                         15,527    15,788     60,285      53,779
       Total Medicare               155,638   141,109    609,547     509,049
      Medicaid and local government  36,536    41,830    153,078     174,193
      Commercial insurance and
       other                        121,222   110,179    466,672     423,346
           Total net revenues      $313,396  $293,118 $1,229,297  $1,106,588



    A reconciliation of EBITDA to
     Net income - As Reported amounts follows: (4)
                                        4th Quarter           Fiscal Year
                                       2007      2006       2007        2006
      EBITDA (5) (6)                $25,303   $18,987    $99,676     $69,284
      Depreciation and
       amortization (7)              (5,308)   (3,850)   (20,013)    (15,241)
      Interest expense, net (8)      (5,868)   (6,538)   (24,081)    (21,401)
      Income before income taxes     14,127     8,599     55,582      32,642
      Income tax expense (9)         (5,281)   (3,087)   (22,754)    (11,866)
      Net income - As Reported       $8,846    $5,512    $32,828     $20,776



    A reconciliation of Net income per diluted share - As
     Adjusted  and Net income per diluted
     share - As Reported follows:        4th Quarter           Fiscal Year
                                       2007      2006       2007        2006
     Net income per diluted share:
      As Adjusted                     $0.36     $0.31      $1.38       $1.03
      Equity-based compensation (5)   (0.05)    (0.04)     (0.18)      (0.14)
      Excluding special items and
       restructuring and
       integration costs               0.31      0.27       1.20        0.89
      Restructuring and
       integration costs (6A)           -       (0.07)     (0.05)      (0.17)
      Medicare cost report
       settlement (6B)                  -         -          -          0.04
      As Reported                     $0.31     $0.20      $1.15       $0.76


    Notes:
     1) The Company's senior management evaluates performance and allocates
        resources based on operating contributions of the reportable segments,
        which exclude corporate expenses, depreciation, amortization, and
        interest expense (net), but include revenues and all other costs
        directly attributable to the specific segment.
     2) Fiscal 2006 results included approximately $1.9 million recorded and
        received from the total settlement of $5.5 million relating to the
        Company's appeal filed with the U.S. Provider Reimbursement Review
        Board ('PRRB') on the reopening of all of its 1999 cost reports.
     3) Corporate expenses for the fourth quarter and fiscal 2007 included a
        credit of $0.8 million relating to an adjustment of remaining lease
        obligations associated with a 2002 restructuring plan and a net charge
        of $1.1 million relating to miscellaneous adjustments.  Corporate
        expenses for the fourth quarter and fiscal 2006 included a credit of
        approximately $0.9 million relating to legal settlements.
     4) EBITDA, a non-GAAP financial measure, is defined as income before
        interest expense (net of interest income), income taxes, depreciation
        and amortization.  Management uses EBITDA to evaluate overall
        performance and compare current operating results with other companies
        in the healthcare industry.  EBITDA should not be considered in
        isolation or as a substitute for net income, operating income or cash
        flow statement data determined in accordance with accounting
        principles generally accepted in the United States.  Because EBITDA is
        not a measure of financial performance under accounting principles
        generally accepted in the United States and is susceptible to varying
        calculations, it may not be comparable to similarly titled measures in
        other companies.
     5) EBITDA included equity-based compensation expense for the fourth
        quarters of 2007 and 2006 of approximately $1.7 million and $1.3
        million, respectively, resulting from the adoption of Statement of
        Financial Accounting Standards No. 123 (Revised) 'Share-Based Payment'
        (SFAS 123(R)) as of January 2, 2006. Corresponding amounts for fiscal
        2007 and 2006 were $6.8 million and $4.3 million, respectively.  Such
        amounts were reflected in corporate expenses.
     6) Components of EBITDA included the following:
         A) Restructuring and integration costs for the fourth quarter and
            fiscal 2007 were $0.3 million and $2.4 million, respectively, and
            for the fourth quarter and fiscal 2006 were $3.3 million and $7.7
            million, respectively.  These costs included the following items:
            (i) $0.3 million and $2.4 million for the fourth quarters of 2007
            and 2006, respectively, and $2.3 million and $6.1 million for
            fiscal 2007 and 2006, respectively, resulting from restructuring
            and integration activities relating to the Healthfield
            acquisition; (ii) $0.1 million for fiscal 2007 and $0.9 million
            for both the fourth quarter of 2006 and fiscal 2006 in connection
            with a restructuring plan associated with the Company's hospice
            operations; and (iii) $0.7 million for fiscal 2006 resulting from
            a restructuring plan associated with the Company's CareCentrix
            operations.
            Restructuring and integration costs for the fourth quarters and
            fiscal 2007 and 2006 were reflected as follows for segment
            reporting purposes (dollars in millions):

                                         4th Quarter           Fiscal Year
                                       2007      2006       2007        2006
      Home Health                      $0.1      $0.6       $0.6        $2.3
      CareCentrix                       -         -          -           0.7
      Other Related Services            -         0.9        0.1         0.9
      Corporate expenses                0.2       1.8        1.7         3.8
      Total                            $0.3      $3.3       $2.4        $7.7


         B) A special item -- further described in Note 2 above -- relating to
            a Medicare cost report settlement of $1.9 million for fiscal 2006,
            was reflected in the Home Health segment.

        Excluding the items described in Notes 6A and 6B above, EBITDA for the
        fourth quarters of 2007 and 2006 would have been $25.6 million and
        $22.3 million, respectively, and for fiscal 2007 and 2006 would have
        been $102.1 million and $75.1 million, respectively.
     7) Depreciation and amortization reflected amortization of identifiable
        intangible assets of $1.0 million and $3.9 million, respectively, for
        the fourth quarter and fiscal 2007, and $0.9 million and $3.3 million,
        respectively, for the fourth quarter and fiscal 2006.
     8) Interest expense, net, included interest expense on a term loan, fees
        associated with a $75 million revolving credit facility and
        amortization of debt financing costs, net of interest income.
     9) The Company's effective tax rate was 37.4% and 40.9% for the fourth
        quarter and fiscal 2007, respectively, and 35.9% and 36.4% for the
        fourth quarter and fiscal 2006, respectively.  The impact of the
        adoption of SFAS 123(R) resulted in an increase in the Company's
        effective tax rate of 2.0% and 2.3% in the fourth quarter and fiscal
        2007, respectively, and 3.8% and 3.5% in the fourth quarter and fiscal
        2006, respectively. In addition, the recognition of state net
        operating loss carryforwards and the release of certain tax reserves
        resulted in decreases in the Company's effective tax rate of 4.3% and
        1.6% in the fourth quarter and fiscal 2007, respectively, and 6.4% and
        6.2% in the fourth quarter and fiscal 2006, respectively.

Forward-Looking Statement

Certain statements contained in this news release, including, without limitation, statements containing the words 'believes,' 'anticipates,' 'intends,' 'expects,' 'assumes,' 'trends' and similar expressions, constitute 'forward-looking statements' within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements are based upon the Company's current plans, expectations and projections about future events. However, such statements involve known and unknown risks, uncertainties and other factors that may cause the actual results, performance or achievements of the Company to be materially different from any future results, performance or achievements expressed or implied by such forward-looking statements. Such factors include, among others: the Company's ability to successfully execute its growth strategy; the impact of significant indebtedness on the Company's liquidity and its ability to meet the requirements of its creditors; general economic and business conditions; demographic changes; changes in, or failure to comply with, existing governmental regulations; legislative proposals for healthcare reform; changes in Medicare and Medicaid reimbursement levels; effects of competition in the markets in which the Company operates; liability and other claims asserted against the Company; ability to attract and retain qualified personnel; availability and terms of capital; loss of significant contracts or reduction in revenues associated with major payer sources; ability of customers to pay for services; business disruption due to implementation of new business systems, or due to natural disasters or terrorist acts; a material shift in utilization within capitated agreements; and changes in estimates and judgments associated with critical accounting policies and estimates. For a detailed discussion of certain of these and other factors that could cause actual results to differ from those contained in this news release, please refer to the Company's various filings with the Securities and Exchange Commission (SEC), including the 'Risk Factors' section contained in the Company's annual report on Form 10-K for the year ended December 31, 2006 .


     Financial and Investor Contact:    John R. Potapchuk
                                        631-501-7035
                                        john.potapchuk@gentiva.com

     Media Contact:                     David Fluhrer
                                        631-501-7102,
                                        516-589-0778
                                        david.fluhrer@gentiva.com

SOURCE Gentiva Health Services, Inc.