8-K/A
0001832332true00018323322021-12-102021-12-10

 

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549

 

FORM 8-K/A

(Amendment No. 1)

 

CURRENT REPORT

Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

Date of Report (Date of earliest event reported): December 10, 2021

 

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Aveanna Healthcare Holdings Inc.

(Exact name of Registrant as Specified in Its Charter)

 

 

Delaware

001-40362

81-4717209

(State or Other Jurisdiction
of Incorporation)

(Commission File Number)

(IRS Employer
Identification No.)

 

 

 

 

 

400 Interstate North Parkway SE

 

Atlanta, Georgia

 

30339

(Address of Principal Executive Offices)

 

(Zip Code)

 

Registrant’s Telephone Number, Including Area Code: 770 441-1580

 

 

(Former Name or Former Address, if Changed Since Last Report)

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Act:


Title of each class

 

Trading
Symbol(s)

 


Name of each exchange on which registered

Common Stock, par value $0.01 per share

 

AVAH

 

The NASDAQ Stock Market LLC

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§ 230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§ 240.12b-2 of this chapter).

Emerging growth company

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.

 

 


 

 

Introductory Note

 

As previously reported, on December 10, 2021, Aveanna Healthcare Holdings Inc., a Delaware corporation (the "Company"), completed its acquisition of Comfort Care Home Health Services, LLC, an Alabama limited liability company (“Comfort Care Home Health”), Comfort Care Hospice, L.L.C., an Alabama limited liability company (“Comfort Care Hospice”), Premier Medical Housecall, LLC, an Alabama limited liability company (“Premier Medical Housecall,” and together with Comfort Care Home Health and Comfort Care Hospice, “Comfort Care”), as contemplated by the previously reported Membership Interest Purchase Agreement, entered into on September 27, 2021, by the Company's wholly owned subsidiary, Aveanna Healthcare Senior Services LLC, and the other parties thereto.

This Amendment No. 1 (this "Amendment") to the Current Report on Form 8-K filed by the Company on December 16, 2021 (the "Original Form 8-K") amends the Original Form 8-K to include the financial statements required by Item 9.01(a) and the pro forma financial information required by Item 9.01(b) of Form 8-K. Except as set forth in this Amendment, the disclosure contained in the Original Form 8-K remains unchanged, and this Amendment should be read together with the Original Form 8-K and the Company's other filings with the Securities and Exchange Commission.

 

Item 9.01 Financial Statements and Exhibits.

 

(a) Financial Statements of Businesses or Funds Acquired

 

The audited consolidated and combined balance sheet of Comfort Care Home Health Services, LLC and subsidiaries and affiliates as of December 31, 2020, the related audited consolidated and combined statements of operations, members' capital and cash flows of Comfort Care Home Health Services, LLC and subsidiaries and affiliates for the year ended December 31, 2020 and the notes related thereto, together with the report thereon by Warren Averett, LLC included in the audited consolidated and combined financial statements are filed as Exhibit 99.1 hereto and are incorporated herein by reference.

 

The unaudited consolidated and combined balance sheet of Comfort Care Home Health Services, LLC and subsidiaries and affiliates as of September 30, 2021, the related unaudited consolidated and combined statements of operations, members' capital and cash flows of Comfort Care Home Health Services, LLC and subsidiaries and affiliates for the nine-months ended September 30, 2021 and the notes related thereto are filed as Exhibit 99.2 hereto and are incorporated herein by reference.

 

(b) Pro Forma Financial Information

 

The unaudited pro forma condensed consolidated statement of operations of Comfort Care Home Health Services, LLC and subsidiaries for the year ended December 31, 2020 and unaudited pro forma condensed consolidated statement of operations of Comfort Care Home Health Services, LLC and subsidiaries for the nine-months ended September 30, 2021, the unaudited pro forma condensed consolidated balance sheet of Comfort Care Home Health Services, LLC and subsidiaries as of September 30, 2021 and the notes related thereto are filed as Exhibit 99.3 hereto and are incorporated herein by reference.

 

(d) Exhibits

 

Exhibit

Number

 

Description

 

 

 

23.1

 

Consent of Warren Averett, LLC related to the financial statements of Comfort Care Home Health Services, LLC.

99.1

 

Audited Consolidated and Combined Financial Statements of Comfort Care Home Health Services, LLC and subsidiaries and affiliates as of and for the year ended December 31, 2020.

99.2

 

Unaudited Consolidated and Combined Financial Statements of Comfort Care Home Health Services, LLC and subsidiaries and affiliates as of and for the nine-months ended September 30, 2021.

99.3

 

Unaudited Pro Forma Condensed Consolidated Financial Statements.

104

 

Cover Page Interactive Data File (formatted as Inline XBRL)

 

 


SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

 

 

 

Aveanna Healthcare Holdings Inc.

 

 

 

 

Date:

February 24, 2022

By:

/s/ David Afshar

 

 

 

David Afshar
Chief Financial Officer
(Principal Financial and Accounting Officer)

 


EX-23.1

Consent of Independent Registered Public Accounting Firm

We consent to the incorporation by reference in the Registration Statements on Form S-8 (File Nos. 333-257678 and 333-257675) of Aveanna Healthcare Holdings, Inc. of our audit report dated December 1, 2021 for the year ended December 31, 2020 and our review report dated January 7, 2022 for the period January 1, 2021 through September 30, 2021, with respect to the consolidated and combined financial statements of Comfort Care Home Health Services, LLC and subsidiaries and affiliates, which appears in this Current Report on Form 8-K/A.

/s/ Warren Averett, LLC

Warren Averett, LLC

Birmingham, Alabama

February 24, 2022


EX-99.1

 

COMFORT CARE HOME HEALTH SERVICES, LLC AND SUBSIDIARIES AND AFFILIATES

 

CONSOLIDATED AND COMBINED FINANCIAL STATEMENTS

 

DECEMBER 31, 2020

 

 

 

 


COMFORT CARE HOME HEALTH SERVICES, LLC

AND SUBSIDIARIES AND AFFILIATES

TABLE OF CONTENTS

DECEMBER 31, 2020

 

 

INDEPENDENT AUDITORS’ REPORT 1

 

CONSOLODATED AND COMBINED FINANCIAL STATEMENTS

 

Consolidated and Combined Balance Sheet 3

 

Consolidated and Combined Statement of Operations and Members’ Capital 4

 

Consolidated and Combined Statement of Cash Flows 5

 

Notes to the Consolidated and Combined Financial Statements 6

 

 

 

 


 

INDEPENDENT AUDITORS’ REPORT

 

 

To the Board of Directors

Comfort Care Home Health Services, LLC and Subsidiaries and Affiliates

 

We have audited the accompanying consolidated and combined financial statements of Comfort Care Home Health Services, LLC and Subsidiaries and Affiliates, which comprise the consolidated and combined balance sheet as of December 31, 2020, and the related consolidated and combined statement of operations and members’ capital and cash flows for the year then ended, and the related notes to the consolidated and combined financial statements.

 

Management’s Responsibility for the Financial Statements

Management is responsible for the preparation and fair presentation of these consolidated and combined financial statements in accordance with accounting principles generally accepted in the United States of America; this includes the design, implementation and maintenance of internal control relevant to the preparation and fair presentation of consolidated and combined financial statements that are free from material misstatement, whether due to fraud or error.

 

Auditors’ Responsibility

Our responsibility is to express an opinion on these consolidated and combined financial statements based on our audit. We conducted our audit in accordance with auditing standards generally accepted in the United States of America. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the consolidated and combined financial statements are free from material misstatement.

 

An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the consolidated and combined financial statements. The procedures selected depend on the auditors’ judgment, including the assessment of the risks of material misstatement of the consolidated and combined financial statements, whether due to fraud or error. In making those risk assessments, the auditors consider internal control relevant to the entity’s preparation and fair presentation of the consolidated and combined financial statements in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the entity’s internal control. Accordingly, we express no such opinion. An audit also includes evaluating the appropriateness of accounting policies used and the reasonableness of significant accounting estimates made by management, as well as evaluating the overall presentation of the consolidated and combined financial statements.

 

We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion.

1


 

Opinion

In our opinion, the consolidated and combined financial statements referred to above present fairly, in all material respects, the consolidated and combined financial position of Comfort Care Home Health Services, LLC and Subsidiaries and Affiliates as of December 31, 2020, and the consolidated and combined results of its operations and its cash flows for the years then ended in accordance with accounting principles generally accepted in the United States of America.

 

 

/s/ Warren Averett, LLC

 

Birmingham, Alabama

December 1, 2021

 

 

 

2


COMFORT CARE HOME HEALTH SERVICES, LLC

AND SUBSIDIARIES AND AFFILIATES

CONSOLIDATED AND COMBINED BALANCE SHEET

DECEMBER 31, 2020

 

 

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See notes to the consolidated and combined financial statements.

 

3


COMFORT CARE HOME HEALTH SERVICES, LLC

AND SUBSIDIARIES AND AFFILIATES

CONSOLIDATED AND COMBINED STATEMENT OF

OPERATIONS AND MEMBERS’ CAPITAL

FOR THE YEAR ENDED DECEMBER 31, 2020

 

 

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See notes to the consolidated and combined financial statements.

 

4


COMFORT CARE HOME HEALTH SERVICES, LLC

AND SUBSIDIARIES AND AFFILIATES

CONSOLIDATED AND COMBINED STATEMENT OF CASH FLOWS

FOR THE YEAR ENDED DECEMBER 31, 2020

 

 

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See notes to the consolidated and combined financial statements.

 

5


COMFORT CARE HOME HEALTH SERVICES, LLC

AND SUBSIDIARIES AND AFFILIATES

NOTES TO THE CONSOLIDATED AND COMBINED FINANCIAL STATEMENTS

DECEMBER 31, 2020

 

 

1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

 

Nature of Operations

Comfort Care Home Health Services, LLC and Subsidiaries is a limited liability company formed under the laws of the state of Alabama to provide various in-home therapy and nursing services in Alabama. Comfort Care Hospice, LLC and Subsidiaries (Affiliate) is a limited liability company formed under the laws of the state of Alabama to provide hospice services in Alabama and Tennessee. Premier Medical Housecall, LLC (Affiliate) is a limited liability company formed under the laws of the state of Alabama to provide various in-home medical services in Alabama. Collectively these entities are referred to as Comfort Care Home Health Services, LLC and Subsidiaries and Affiliates (the Company).

 

Principles of Consolidation and Combination

The accompanying consolidated and combined financial statements include the accounts of Comfort Care Home Health Services, LLC and its wholly owned subsidiaries, Comfort Care Coastal Home Health, LLC, Comfort Care Home Health of North Alabama, LLC, Comfort Care Home Health of Northeast Alabama, LLC, and Comfort Care Home Health of West Alabama, LLC; and its 75%-owned subsidiary, Woodland Home Health Services – CRMC, LLC, and its Affiliates, Comfort Care Hospice, LLC and its wholly-owned subsidiaries, Comfort Care Coastal Hospice, LLC and Comfort Care Hospice of Middle Tennessee, LLC and Premier Medical Housecall, LLC. All material intercompany balances and transactions have been eliminated upon consolidation and combination.

 

Comfort Care Home Health Services, LLC applies the guidance for noncontrolling interests in the consolidated financial statements. Accordingly, for consolidated subsidiaries that are less than wholly owned, the third-party holdings of equity interests are referred to as noncontrolling interest. The portion of net income attributable to noncontrolling interests for such subsidiaries is presented on the consolidated and combined statement of operations and members’ capital, and the portion of members’ capital of such subsidiaries is presented as noncontrolling interest on the consolidated and combined balance sheet. The guidance provides that all earnings and losses of a subsidiary should be attributed to the parent and the noncontrolling interest, even if losses attributable to the noncontrolling interest result in a deficit noncontrolling interest balance. At December 31, 2020, the net income attributed to the noncontrolling interest totaled $7,578.

 

On February 3, 2021, Comfort Care Home Health Services, LLC entered into an agreement to purchase the interest of the noncontrolling member of Woodland Home Health Services – CRMC for $100,000. Per the terms of the agreement, Woodland Home Health Services – CRMC will continue to be operated by Comfort Care Home Health Services, LLC for not less than six years. Comfort Care Home Health Services, LLC also assumes the assets and liabilities of Woodland Home Health Services – CRMC and indemnifies the noncontrolling interest holder of any liability.

 

Use of Estimates

The preparation of the consolidated and combined financial statements in conformity with generally accepted accounting principles in the United States of America (GAAP) requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosures of contingent assets and liabilities at the date of the consolidated and combined financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.

 

6


COMFORT CARE HOME HEALTH SERVICES, LLC

AND SUBSIDIARIES AND AFFILIATES

NOTES TO THE CONSOLIDATED AND COMBINED FINANCIAL STATEMENTS

DECEMBER 31, 2020

 

 

1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES – CONTINUED

 

Cash and Cash Equivalents

The Company includes cash equivalents (defined as investments having a maturity of three months or less) in cash flows for each year. The Company maintains cash on deposit at a bank, which, at times, may exceed federally insured limits. The Company has not experienced any losses in such accounts.

 

Revenue Recognition and Accounts Receivable

Net patient service revenue is reported at the amount that reflects the consideration the Company expects to receive in exchange for providing services. Receipts are from Medicare, Medicaid, Managed Care, Commercial, and others for services rendered, and they include implicit price concessions for retroactive revenue adjustments due to actual receipts from third-party payors, settlements of audits and reviews. The estimated uncollectible amounts due from these payors are considered implicit price concessions that are a direct reduction to net patient service revenue. The Company assesses the patient's ability to pay for their healthcare services at the time of patient admission based on the Company's verification of the patient's insurance coverage under the Medicare, Medicaid and other commercial or managed care insurance programs. The promise to provide quality care is accounted for as a single performance obligation. The Company satisfies its performance obligation by providing quality of care services to its patients and residents on a daily basis until termination of the contract.

 

The following tables summarizes revenue from contracts with customers by payor source for the year ended December 31, 2020:

 

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Property and Equipment

Property and equipment is carried at cost less accumulated depreciation and includes expenditures,

which substantially increase the useful lives of property and equipment. Maintenance, repairs and minor renovations are charged to income as incurred. When property and equipment is retired or otherwise disposed of, the related costs and accumulated depreciation are removed from their respective accounts, and any gain or loss on the disposition is credited or charged to operations.

 

7


COMFORT CARE HOME HEALTH SERVICES, LLC

AND SUBSIDIARIES AND AFFILIATES

NOTES TO THE CONSOLIDATED AND COMBINED FINANCIAL STATEMENTS

DECEMBER 31, 2020

 

 

1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES – CONTINUED

 

The Company provides for depreciation of property and equipment using the straight-line method over estimated useful lives as follows:

 

Item

Estimated Useful Life

 

 

Computers and equipment

 3 - 5 years

Furniture and fixtures

 5 - 7 years

Leasehold improvements

7 - 15 years

Auto and vehicles

5 years

 

 

Goodwill

Goodwill represents, at the time of an acquisition, the amount of purchase price paid in excess of the fair value of net assets acquired. Management evaluates goodwill to determine if it is more likely than not that impairment exists. If there is a greater than 50% likelihood of impairment, the Company assesses the recoverability of goodwill by determining whether the amounts can be recovered through undiscounted cash flows of the business acquired, excluding interest. If impairment is indicated by this analysis, measurement of the loss would be based on the market value of the business acquired. Management considers external factors, including local market developments, regional and national trends, regulatory developments, and other pertinent factors in making its assessments. No indications of impairment were identified at December 31, 2020.

 

Intangible Assets

Included in intangible assets are the costs of acquiring rights related to various certificates of need from prior acquisitions and a non-compete agreement. The rights to the certificates of need are being amortized over a period of 15 or 40 years. The non-compete agreement is being amortized over 3 years. Amortization expense totaled $245,593 for the year ended December 31, 2020.

 

The estimated aggregate amortization expense for each of the five succeeding years, thereafter, and in the aggregate for intangible assets subject to amortization is as follows:

 

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Advertising Costs

Advertising costs, which are other than direct-response advertising, are charged to operations when incurred. Total advertising costs were $2,094,641 for the year ended December 31, 2020.

 

8


COMFORT CARE HOME HEALTH SERVICES, LLC

AND SUBSIDIARIES AND AFFILIATES

NOTES TO THE CONSOLIDATED AND COMBINED FINANCIAL STATEMENTS

DECEMBER 31, 2020

 

 

1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES – CONTINUED

 

Taxes on Income

As a limited liability company, the Company is generally not subject to federal or state income taxes as the liability flows to the members. Accordingly, the accompanying consolidated and combined financial statements contain no provision or liability for income taxes.

 

Uncertain Tax Positions

The Company applies guidance issued by the FASB relating to uncertainty in income taxes. This guidance requires entities to assess their tax positions for the likelihood that they would be overturned upon Internal Revenue Service (IRS) examination or upon examination by state taxing authorities. In accordance with this guidance, the Company has assessed its tax positions and determined that it does not have any positions at December 31, 2020, that it would be unable to substantiate.

 

Coronavirus, Aid, Relief and Economic Security Act (CARES Act) Funds

The Company implemented certain changes to existing accounting policies related to the recognition of stimulus funds through the CARES Act. There is no GAAP that explicitly covers accounting for government "grants" to for-profit entities, with the exception of certain agricultural subsidies. In the absence of authoritative GAAP guidance, the Company considered the application of other authoritative accounting guidance by analogy and concluded that the guidance outlined in International Accounting Standard 20 – Accounting for Government Grants and Disclosures of Government Assistance (IAS 20) was the most appropriate analogy for the purpose of recording and classifying the federal stimulus funds received by the Company. Under IAS 20, once it is reasonably assured that the entity will comply with the conditions of the grant, the grant money should be recognized on a systematic basis over the periods in which the entity recognizes the related expenses or losses for which the grant money is intended to compensate. The Company recognizes grants once both of the following conditions are met: (1) the Company is able to comply with the relevant conditions of the grant and (2) the grant is received. Federal stimulus funds that are recognized to offset healthcare related expenses and lost revenue attributable to COVID-19 are reflected as CARES Act Funds Revenue in the accompanying consolidated and combined statements of operations and changes in members’ equity.

 

Subsequent Events

Management has evaluated subsequent events and their potential effects on these consolidated and combined financial statements through December 1, 2021.

 

 

9


COMFORT CARE HOME HEALTH SERVICES, LLC

AND SUBSIDIARIES AND AFFILIATES

NOTES TO THE CONSOLIDATED AND COMBINED FINANCIAL STATEMENTS

DECEMBER 31, 2020

 

 

1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES – CONTINUED

 

Recent Accounting Pronouncements

In February 2016, the FASB issued ASU 2016-02, Leases (Topic 842). The purpose of this ASU is to increase transparency and comparability among organizations by recognizing lease assets and lease liabilities on the balance sheet and disclosing key information about leasing arrangements. The amendments in this ASU require that lessees recognize the rights and obligations resulting from leases as assets and liabilities on their balance sheets, initially measured at the present value of the lease payments over the term of the lease, including payments to be made in optional periods to extend the lease and payments to purchase the underlying assets if the lessee is reasonably certain of exercising those options. Topic 842 requires recognition of lease assets and lease liabilities by lessees for those leases classified as operating leases under previous generally accepted accounting principles (GAAP). This guidance is effective for fiscal years beginning after December 15, 2021. Management is currently evaluating the impact of this document to the Company’s consolidated and combined financial statements.

 

In August 2016, the FASB issued ASU 2016-15, Statement of Cash Flows (Topic 230), Classification of Certain Cash Receipts and Cash Payments. This standard provides guidance on eight specific cash flow issues. The cash flow issues covered by this ASU are: 1) debt prepayment or debt extinguishment costs; 2) settlement of zero-coupon debt instruments or other debt instruments with coupon interest rates that are insignificant in relation to the effective interest rate of the borrowing; 3) contingent consideration payments made after a business combination; 4) proceeds from the settlement of insurance claims; 5) proceeds from the settlement of corporate-owned life insurance policies, including bank-owned life insurance policies; 6) distributions received from equity method investees; 7) beneficial interests in securitization transactions; and 8) separately identifiable cash flows and application of the predominance principle for distributions received from equity method investees in the statement of cash flows. This guidance is effective for fiscal years beginning after December 15, 2019. The Company adopted the guidance effective January 1, 2020, which did not have a material impact on the Company’s consolidated and combined financial statements.

 

 

2. CONCENTRATION OF CREDIT RISK

 

The Company grants credit without collateral to its patients, most of whom are local residents and are insured under third-party payor agreements. The mix of receivables from patients and third-party payors was as follows at December 31, 2020:

 

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10


COMFORT CARE HOME HEALTH SERVICES, LLC

AND SUBSIDIARIES AND AFFILIATES

NOTES TO THE CONSOLIDATED AND COMBINED FINANCIAL STATEMENTS

DECEMBER 31, 2020

 

 

3. PROPERTY AND EQUIPMENT

 

At December 31, 2020, property and equipment consisted of the following:

 

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Depreciation expense totaled $468,189 for the year ended December 31, 2020.

 

 

4. LINES OF CREDIT

 

Comfort Care Home Health Services, LLC maintains a line of credit with a maximum limit of $3,000,000. The line bears interest at the Wall Street Journal Prime Rate minus 1% (2.25% at December 31, 2020). The line of credit is secured by the personal guarantee of certain members and all assets of Comfort Care Home Health Services, LLC. The line of credit matures in November 2021. At December 31, 2020, there was no balance outstanding. The credit agreement requires Comfort Care Home Health Services, LLC to maintain certain financial and affirmative covenants. At December 31, 2020, Comfort Care Home Health Services, LLC was in compliance with its financial covenants.

 

Comfort Care Hospice, LLC maintains a line of credit with a maximum limit of $5,150,000. The line bears interest at the Wall Street Journal Prime Rate minus 1% (2.25% at December 31, 2020). The line of credit is secured by the personal guarantee of certain members and all assets of Comfort Care Hospice, LLC. The line of credit matures in November 2021. At December 31, 2020, there was $2,140,581 outstanding. The credit agreement requires Comfort Care Hospice, LLC to maintain certain financial and affirmative covenants. At December 31, 2020, Comfort Care Hospice, LLC was in compliance with its financial covenants.

 

 

11


COMFORT CARE HOME HEALTH SERVICES, LLC

AND SUBSIDIARIES AND AFFILIATES

NOTES TO THE CONSOLIDATED AND COMBINED FINANCIAL STATEMENTS

DECEMBER 31, 2020

 

 

5. OPERATING LEASES

 

The Company lease office space from a related party through common ownership. Rent expense under these operating leases were $225,119 in 2020. Minimum facility lease payments are $16,763 and $1,500 per month. The lease terms expire on April 14, 2022 and August 31, 2026.

 

The Company leases additional office spaces from a separate related party through common ownership. Rent expense under these operating leases was $104,595 in 2020. Minimum facility lease payments are $8,716 per month. The lease terms renew month to month.

 

The Company also leases various other facilities, automobiles and equipment from unrelated parties under operating leases expiring at various dates through 2030. Rent expense under these operating leases was $1,832,322 in 2020. Minimum facility lease payments range from $21 to $10,048 per month.

 

The following is a schedule of future minimum lease payments under all operating leases having initial or remaining noncancelable lease terms in excess of one year:

 

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6. RELATED PARTY TRANSACTIONS

 

The Company was charged for management fees from a related party through common ownership totaling $1,640,000 in 2020. At December 31, 2020, the Company had no accounts payable to related parties related to the management fees.

 

The Company shares expenses with and leases employees to and from related parties through common ownership. At December 31, 2020, the Company had $379,087 in accounts receivable from related parties and $40,436 in accounts payable to related parties related to shared expenses and leased employees.

 

The Company has various notes payable to a related party through common ownership. The amount to be repaid under these notes at December 31, 2020 was $1,316,000. The notes accrue interest at a rate of 2.75% to 5.00%. Interest expense totaled $52,222 for the year ended December 31, 2020.

 

The Company leases various office space from a related company (see Note 5).

 

 

 

12


COMFORT CARE HOME HEALTH SERVICES, LLC

AND SUBSIDIARIES AND AFFILIATES

NOTES TO THE CONSOLIDATED AND COMBINED FINANCIAL STATEMENTS

DECEMBER 31, 2020

 

 

7. EMPLOYEE BENEFIT PLANS

 

The Company sponsors a profit-sharing plan for its employees pursuant to Section 401(k) of the Internal Revenue Code. Contributions are made at the discretion of the Company’s Board of Directors. The Company matched $238,973 in employee contributions to the plan in 2020. Generally, the plan is available to all employees after certain eligibility requirements have been satisfied. The Company may amend or terminate this plan at its sole discretion.

 

 

8. LITIGATION

 

The Company is subject to lawsuits from time to time. Management believes that the ultimate liability resulting from unexpected claims, if any, will not have a material adverse effect on the accompanying consolidated and combined financial statements.

 

 

9. MEDICAL MALPRACTICE INSURANCE

 

The professional liability coverage is on claims-made basis for the years ended December 31, 2020. Per claim coverage for the years ended December 31, 2020, was $1,000,000 with an aggregate maximum annual coverage of $3,000,000.

 

 

10. EMPLOYEE GROUP HEALTH INSURANCE PLAN

 

The Company has a self-insured health insurance plan for its employees’ medical care and assumed liability for employees’ group health costs. The plan includes “excess loss” insurance, which limits claims liability to $125,000 per individual. The Company and related parties are responsible for claims costs in excess of the reinsurer’s individual limit of liability. The Company has recorded its estimate liability for unpaid claims in the accompanying consolidated and combined financial statements.

 

 

11. CARES ACT RELIEF FUND

 

As part of the response to the coronavirus pandemic, the federal government passed legislation, referred to as the Coronavirus Aid, Relief, and Economic Security Act, in March 2020 that included, among other things, financial assistance to offset some of the financial burden expected to be incurred by providers in responding to the pandemic. As a result of this legislation, the Company received $4,316,474 from funds established under the CARES Act in the form of a grant that, as long as certain terms and conditions are met by the Company, is not required to be repaid. The Company has met the terms and conditions as required by the grants and has recognized $4,316,474 of the relief funds to offset lost revenues and additional expenses incurred for the year ended December 31, 2020, due to the coronavirus pandemic. This amount is recorded as other operating income in the accompanying consolidated and combined statement of operations and members’ capital

 

13


COMFORT CARE HOME HEALTH SERVICES, LLC

AND SUBSIDIARIES AND AFFILIATES

NOTES TO THE CONSOLIDATED AND COMBINED FINANCIAL STATEMENTS

DECEMBER 31, 2020

 

 

12. SUBSEQUENT EVENT

 

On September 27, 2021, the owners of Comfort Care Home Health Services, LLC and Subsidiaries and Affiliates sold their membership interests to Aveanna Healthcare Senior Services, LLC for $345,000,000.

14


EX-99.2

COMFORT CARE HOME HEALTH SERVICES, LLC AND SUBSIDIARIES AND AFFILIATES

 

CONSOLIDATED AND COMBINED FINANCIAL STATEMENTS

 

SEPTEMBER 30, 2021

 

 

 

 


COMFORT CARE HOME HEALTH SERVICES, LLC

AND SUBSIDIARIES AND AFFILIATES

TABLE OF CONTENTS

SEPTEMBER 30, 2021

 

 

INDEPENDENT ACCOUNTANTS’ REVIEW REPORT 1

 

CONSOLIDATED AND COMBINED FINANCIAL STATEMENTS

 

Consolidated and Combined Balance Sheet 2

 

Consolidated and Combined Statement of Operations and Members’ Capital 3

 

Consolidated and Combined Statement of Cash Flows 4

 

Notes to the Consolidated and Combined Financial Statements 5

 

 

 

 

 

 


 

INDEPENDENT ACCOUNTANTS’ REVIEW REPORT

 

 

To the Board of Directors

Comfort Care Home Health Services, LLC and Subsidiaries and Affiliates

 

We have reviewed the accompanying consolidated and combined financial statements of Comfort Care Home Health Services, LLC and Subsidiaries and Affiliates, which comprise the consolidated and combined balance sheet as of September 30, 2021, and the related consolidated and combined statements of operations and members’ capital and cash flows for the nine months then ended, and the related notes to the consolidated and combined financial statements. A review includes primarily applying analytical procedures to management’s financial data and making inquiries of company management. A review is substantially less in scope than an audit, the objective of which is the expression of an opinion regarding the financial statements as a whole. Accordingly, we do not express such an opinion.

 

Management’s Responsibility for the Financial Statements

Management is responsible for the preparation and fair presentation of these consolidated and combined financial statements in accordance with accounting principles generally accepted in the United States of America; this includes the design, implementation and maintenance of internal control relevant to the preparation and fair presentation of consolidated and combined financial statements that are free from material misstatement, whether due to fraud or error.

 

Auditors’ Responsibility

Our responsibility is to conduct the review engagement in accordance with Statements on Standards for Accounting and Review Services promulgated by the Accounting and Review Services Committee of the AICPA. Those standards require us to perform procedures to obtain limited assurance as a basis for reporting whether we are aware of any material modifications that should be made to the financial statements for them to be in accordance with accounting principles generally accepted in the United States of America. We believe that the results of our procedures provide a reasonable basis for our conclusion.

 

Accountant’s Conclusion

Based on our review, we are not aware of any material modifications that should be made to the accompanying consolidated and combined financial statements in order for them to be in accordance with accounting principles generally accepted in the United States of America.

 

 

/s/ Warren Averett, LLC

 

Birmingham, Alabama

January 7, 2022

 

 

 

1


COMFORT CARE HOME HEALTH SERVICES, LLC

AND SUBSIDIARIES AND AFFILIATES

CONSOLIDATED AND COMBINED BALANCE SHEET

SEPTEMBER 30, 2021

 

 

https://cdn.kscope.io/6fcd3a4e5089dfdc5329f1ec3243eeb5-img46765130_0.jpg 

See independent accountants’ review report and notes to the

consolidated and combined financial statements.

 

2


COMFORT CARE HOME HEALTH SERVICES, LLC

AND SUBSIDIARIES AND AFFILIATES

CONSOLIDATED AND COMBINED STATEMENT OF

OPERATIONS AND MEMBERS’ CAPITAL

FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2021

 

 

https://cdn.kscope.io/6fcd3a4e5089dfdc5329f1ec3243eeb5-img46765130_1.jpg 

 

 

See independent accountants’ review report and notes to the

consolidated and combined financial statements.

 

3


COMFORT CARE HOME HEALTH SERVICES, LLC

AND SUBSIDIARIES AND AFFILIATES

CONSOLIDATED AND COMBINED STATEMENT OF CASH FLOWS

FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2021

 

 

https://cdn.kscope.io/6fcd3a4e5089dfdc5329f1ec3243eeb5-img46765130_2.jpg 

 

See independent accountants’ review report and notes to the

consolidated and combined financial statements.

 

4


COMFORT CARE HOME HEALTH SERVICES, LLC

AND SUBSIDIARIES AND AFFILIATES

NOTES TO THE CONSOLIDATED AND COMBINED FINANCIAL STATEMENTS

SEPTEMBER 30, 2021

 

 

1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

 

Nature of Operations

Comfort Care Home Health Services, LLC and Subsidiaries is a limited liability company formed under the laws of the state of Alabama to provide various in-home therapy and nursing services in Alabama. Comfort Care Hospice, LLC and Subsidiaries (Affiliate) is a limited liability company formed under the laws of the state of Alabama to provide hospice services in Alabama and Tennessee. Premier Medical Housecall, LLC (Affiliate) is a limited liability company formed under the laws of the state of Alabama to provide various in-home medical services in Alabama. Collectively these entities are referred to as Comfort Care Home Health Services, LLC and Subsidiaries and Affiliates (the Company).

 

Principles of Consolidation and Combination

The accompanying consolidated and combined financial statements include the accounts of Comfort Care Home Health Services, LLC and its wholly owned subsidiaries, Comfort Care Coastal Home Health, LLC, Comfort Care Home Health of North Alabama, LLC, Comfort Care Home Health of Northeast Alabama, LLC, and Comfort Care Home Health of West Alabama, LLC; and its 75%-owned subsidiary, Woodland Home Health Services – CRMC, LLC, and its Affiliates, Comfort Care Hospice, LLC and its wholly-owned subsidiaries, Comfort Care Coastal Hospice, LLC and Comfort Care Hospice of Middle Tennessee, LLC and Premier Medical Housecall, LLC. All material intercompany balances and transactions have been eliminated upon consolidation and combination.

 

On February 3, 2021, Comfort Care Home Health Services, LLC entered into an agreement to purchase the interest of the noncontrolling member of Woodland Home Health Services – CRMC for $100,000. Per the terms of the agreement, Woodland Home Health Services – CRMC will continue to be operated by Comfort Care Home Health Services, LLC for not less than six years. Comfort Care Home Health Services, LLC also assumes the assets and liabilities of Woodland Home Health Services – CRMC and indemnifies the noncontrolling interest holder of any liability.

 

Use of Estimates

The preparation of the consolidated and combined financial statements in conformity with generally accepted accounting principles in the United States of America (GAAP) requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosures of contingent assets and liabilities at the date of the consolidated and combined financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.

 

Cash and Cash Equivalents

The Company includes cash equivalents (defined as investments having a maturity of three months or less) in cash flows for each period. The Company maintains cash on deposit at a bank, which, at times, may exceed federally insured limits. The Company has not experienced any losses in such accounts.

 

Fiscal Year-End

The Company’s fiscal year ends on December 31.

 

5


COMFORT CARE HOME HEALTH SERVICES, LLC

AND SUBSIDIARIES AND AFFILIATES

NOTES TO THE CONSOLIDATED AND COMBINED FINANCIAL STATEMENTS

SEPTEMBER 30, 2021

 

 

1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES – CONTINUED

 

Revenue Recognition and Accounts Receivable

Net patient service revenue is reported at the amount that reflects the consideration the Company expects to receive in exchange for providing services. Receipts are from Medicare, Medicaid, Managed Care, Commercial, and others for services rendered, and they include implicit price concessions for retroactive revenue adjustments due to actual receipts from third-party payors, settlements of audits and reviews. The estimated uncollectible amounts due from these payors are considered implicit price concessions that are a direct reduction to net patient service revenue. The Company assesses the patient's ability to pay for their healthcare services at the time of patient admission based on the Company's verification of the patient's insurance coverage under the Medicare, Medicaid and other commercial or managed care insurance programs. The promise to provide quality care is accounted for as a single performance obligation. The Company satisfies its performance obligation by providing quality of care services to its patients and residents on a daily basis until termination of the contract.

 

The following tables summarizes revenue from contracts with customers by payor source for the nine months ended September 30, 2021:

 

https://cdn.kscope.io/6fcd3a4e5089dfdc5329f1ec3243eeb5-img46765130_3.jpg 

Property and Equipment

Property and equipment is carried at cost less accumulated depreciation and includes expenditures,

which substantially increase the useful lives of property and equipment. Maintenance, repairs and minor renovations are charged to income as incurred. When property and equipment is retired or otherwise disposed of, the related costs and accumulated depreciation are removed from their respective accounts, and any gain or loss on the disposition is credited or charged to operations.

 

The Company provides for depreciation of property and equipment using the straight-line method over estimated useful lives as follows:

 

Item

Estimated Useful Life

 

 

Computers and equipment

 3 - 5 years

Furniture and fixtures

 5 - 7 years

Leasehold improvements

7 - 15 years

Auto and vehicles

5 years

 

 

 

6


COMFORT CARE HOME HEALTH SERVICES, LLC

AND SUBSIDIARIES AND AFFILIATES

NOTES TO THE CONSOLIDATED AND COMBINED FINANCIAL STATEMENTS

SEPTEMBER 30, 2021

 

 

1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES – CONTINUED

 

Goodwill

Goodwill represents, at the time of an acquisition, the amount of purchase price paid in excess of the fair value of net assets acquired. Goodwill is tested for impairment at the reporting unit level on an annual basis and between annual tests if an event occurs or circumstances change that would more likely than not reduce the fair value of a reporting unit below its carrying value. No indications of impairment were identified at September 30, 2021.

 

Intangible Assets

Included in intangible assets are the costs of acquiring rights related to various certificates of need from prior acquisitions and a non-compete agreement. The rights to the certificates of need are being amortized over a period of 15 or 40 years. The non-compete agreement is being amortized over 3 years. Amortization expense totaled $126,036 for the nine months ended September 30, 2021.

 

The estimated aggregate amortization expense for each of the five succeeding years, thereafter, and in the aggregate for intangible assets subject to amortization is as follows:

 

https://cdn.kscope.io/6fcd3a4e5089dfdc5329f1ec3243eeb5-img46765130_4.jpg 

Advertising Costs

Advertising costs, which are other than direct-response advertising, are charged to operations when incurred. Total advertising costs were $1,556,617 for the nine months ended September 30, 2021.

 

Taxes on Income

As a limited liability company, the Company is generally not subject to federal or state income taxes as the liability flows to the members. Accordingly, the accompanying consolidated and combined financial statements contain no provision or liability for income taxes.

 

Uncertain Tax Positions

The Company applies guidance issued by the FASB relating to uncertainty in income taxes. This guidance requires entities to assess their tax positions for the likelihood that they would be overturned upon Internal Revenue Service (IRS) examination or upon examination by state taxing authorities. In accordance with this guidance, the Company has assessed its tax positions and determined that it does not have any positions at September 30, 2021, that it would be unable to substantiate.

 

7


COMFORT CARE HOME HEALTH SERVICES, LLC

AND SUBSIDIARIES AND AFFILIATES

NOTES TO THE CONSOLIDATED AND COMBINED FINANCIAL STATEMENTS

SEPTEMBER 30, 2021

 

 

1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES – CONTINUED

 

Subsequent Events

Management has evaluated subsequent events and their potential effects on these consolidated and combined financial statements through January 7, 2022.

 

Recent Accounting Pronouncements

In February 2016, the FASB issued ASU 2016-02, Leases (Topic 842). The purpose of this ASU is to increase transparency and comparability among organizations by recognizing lease assets and lease liabilities on the balance sheet and disclosing key information about leasing arrangements. The amendments in this ASU require that lessees recognize the rights and obligations resulting from leases as assets and liabilities on their balance sheets, initially measured at the present value of the lease payments over the term of the lease, including payments to be made in optional periods to extend the lease and payments to purchase the underlying assets if the lessee is reasonably certain of exercising those options. Topic 842 requires recognition of lease assets and lease liabilities by lessees for those leases classified as operating leases under previous generally accepted accounting principles (GAAP). This guidance is effective for fiscal years beginning after December 15, 2021. Management is currently evaluating the impact of this document to the Company’s consolidated and combined financial statements.

 

 

2. CONCENTRATION OF CREDIT RISK

 

The Company grants credit without collateral to its patients, most of whom are local residents and are insured under third-party payor agreements. The mix of receivables from patients and third-party payors was as follows at September 30, 2021:

 

https://cdn.kscope.io/6fcd3a4e5089dfdc5329f1ec3243eeb5-img46765130_5.jpg 

 

8


COMFORT CARE HOME HEALTH SERVICES, LLC

AND SUBSIDIARIES AND AFFILIATES

NOTES TO THE CONSOLIDATED AND COMBINED FINANCIAL STATEMENTS

SEPTEMBER 30, 2021

 

 

3. PROPERTY AND EQUIPMENT

 

At September 30, 2021, property and equipment consisted of the following:

 

https://cdn.kscope.io/6fcd3a4e5089dfdc5329f1ec3243eeb5-img46765130_6.jpg 

Depreciation expense totaled $367,819 for the year ended September 30, 2021.

 

 

4. LINES OF CREDIT

 

Comfort Care Home Health Services, LLC maintains a line of credit with a maximum limit of $3,000,000. The line bears interest at the Wall Street Journal Prime Rate minus 1% (2.25% at September 30, 2021). The line of credit is secured by the personal guarantee of certain members and all assets of Comfort Care Home Health Services, LLC. The line of credit matures in November 2021. At September 30, 2021, there was no balance outstanding. The credit agreement requires Comfort Care Home Health Services, LLC to maintain certain financial and affirmative covenants. At September 30, 2021, Comfort Care Home Health Services, LLC was in compliance with its financial covenants.

 

Comfort Care Hospice, LLC maintains a line of credit with a maximum limit of $5,150,000. The line bears interest at the Wall Street Journal Prime Rate minus 1% (2.25% at September 30, 2021). The line of credit is secured by the personal guarantee of certain members and all assets of Comfort Care Hospice, LLC. The line of credit matures in November 2021. At September 30, 2021, there was $2,140,581 outstanding. The credit agreement requires Comfort Care Hospice, LLC to maintain certain financial and affirmative covenants. At September 30, 2021, Comfort Care Hospice, LLC was in compliance with its financial covenants.

 

 

5. OPERATING LEASES

 

The Company leases office space from a related party through common ownership. Rent expense under these operating leases were $164,367 for the nine months ended September 30, 2021. Minimum facility lease payments are $16,763 and $1,500 per month. The lease terms expire on April 14, 2022 and August 31, 2026.

 

9


COMFORT CARE HOME HEALTH SERVICES, LLC

AND SUBSIDIARIES AND AFFILIATES

NOTES TO THE CONSOLIDATED AND COMBINED FINANCIAL STATEMENTS

SEPTEMBER 30, 2021

 

 

5. OPERATING LEASES – CONTINUED

 

The Company leases additional office spaces from a separate related party through common ownership. Rent expense under these operating leases was $78,446 for the nine months ended September 30, 2021. Minimum facility lease payments are $8,716 per month. The lease terms renew month to month.

 

The Company also leases various other facilities, automobiles and equipment from unrelated parties under operating leases expiring at various dates through 2030. Rent expense under these operating leases was $1,430,338 for the nine months ended September 30, 2021. Minimum facility lease payments range from $21 to $10,048 per month.

 

The following is a schedule of future minimum lease payments under all operating leases having initial or remaining noncancelable lease terms in excess of one year:

 

https://cdn.kscope.io/6fcd3a4e5089dfdc5329f1ec3243eeb5-img46765130_7.jpg 

 

6. RELATED PARTY TRANSACTIONS

 

The Company was charged for management fees from a related party through common ownership totaling $1,368,000 in 2021. At September 30, 2021, the Company had no accounts payable to related parties related to the management fees.

 

The Company shares expenses with and leases employees to and from related parties through common ownership. At September 30, 2021, the Company had $10,807 in accounts receivable from related parties and $209,920 in accounts payable to related parties related to shared expenses and leased employees.

 

The Company has various notes payable to a related party through common ownership. The amount to be repaid under these notes at September 30, 2021 was $1,541,000. The notes accrue interest at a rate of 2.75% to 5.00%. Interest expense totaled $42,653 for the nine months ended September 30, 2020.

 

The Company leases various office space from a related company (see Note 5).

 

10


COMFORT CARE HOME HEALTH SERVICES, LLC

AND SUBSIDIARIES AND AFFILIATES

NOTES TO THE CONSOLIDATED AND COMBINED FINANCIAL STATEMENTS

SEPTEMBER 30, 2021

 

 

7. EMPLOYEE BENEFIT PLANS

 

The Company sponsors a profit-sharing plan for its employees pursuant to Section 401(k) of the Internal Revenue Code. Contributions are made at the discretion of the Company’s Board of Directors. The Company matched $177,457 in employee contributions to the plan in 2021. Generally, the plan is available to all employees after certain eligibility requirements have been satisfied. The Company may amend or terminate this plan at its sole discretion.

 

 

8. LITIGATION

 

The Company is subject to lawsuits from time to time. Management believes that the ultimate liability resulting from unexpected claims, if any, will not have a material adverse effect on the accompanying consolidated and combined financial statements.

 

 

9. MEDICAL MALPRACTICE INSURANCE

 

The professional liability coverage is on claims-made basis for the nine months ended September 30, 2021. Per claim coverage for the nine months ended September 30, 2021, was $1,000,000 with an aggregate maximum annual coverage of $3,000,000.

 

 

10. EMPLOYEE GROUP HEALTH INSURANCE PLAN

 

The Company has a self-insured health insurance plan for its employees’ medical care and assumed liability for employees’ group health costs. The plan includes “excess loss” insurance, which limits claims liability to $125,000 per individual. The Company and related parties are responsible for claims costs in excess of the reinsurer’s individual limit of liability. The Company has recorded its estimate liability for unpaid claims in the accompanying consolidated and combined financial statements.

 

 

11. SUBSEQUENT EVENT

 

On December 9, 2021, the owners of Comfort Care Home Health Services, LLC and Subsidiaries and Affiliates sold their membership interests to Aveanna Healthcare Senior Services, LLC for $345,000,000.

11


EX-99.3

 

UNAUDITED PRO FORMA CONDENSED CONSOLIDATED FINANCIAL INFORMATION

References to “we”, “us”, “our”, “Aveanna” and the “Company” refer to Aveanna Healthcare Holdings, Inc., a Delaware corporation. The following unaudited pro forma condensed consolidated financial information and the related notes present our unaudited pro forma condensed consolidated statements of operations for the fiscal year ended January 2, 2021 and for the nine-month period ended October 2, 2021 as well as our unaudited pro forma condensed consolidated balance sheet as of October 2, 2021, after giving forma effect to (i) the acquisition by us of Comfort Care Home Health Services, LLC, Comfort Care Hospice, L.L.C., Premier Medical Housecall, LLC, (collectively, “Comfort Care”), as contemplated by that certain Membership Interest Purchase Agreement, entered into on September 27, 2021, by the Company’s wholly owned subsidiary, Aveanna Healthcare Senior Services LLC (the “Comfort Care Acquisition”) and (ii) our entering into a new Second Lien Credit Agreement (the “New Second Lien Term Loan”) on December 10, 2021 under which we incurred $415.0 million aggregate principal amount of indebtedness to fund the Comfort Care Acquisition (the “New Second Lien Financing”).

 

We refer to the pro forma adjustments for the Comfort Care Acquisition and for the New Second Lien Financing together as the “Transactions”. The unaudited pro forma condensed consolidated statements of operations have been derived by aggregating our historical consolidated financial statements and the historical financial statements of Comfort Care, including certain pro forma adjustments to such aggregated financial statements, to give effect to the Transactions as if they had occurred on December 29, 2019, which was the first day of our 2020 fiscal year. The unaudited pro forma condensed consolidated balance sheet gives effect to the Transactions as if they had occurred as of October 2, 2021.

 

The unaudited pro forma condensed consolidated financial information herein has been prepared to illustrate the effects of the Transactions in accordance with GAAP and pursuant to Article 11 of Regulation S-X. Information regarding these pro forma adjustments is subject to risks and uncertainties that could cause actual results to differ materially from our unaudited pro forma condensed consolidated financial information.

 

In our opinion, all adjustments necessary to reflect the effects of the Transactions have been included and are based upon currently available information and assumptions that we believe are reasonable as of the date of filing of this Current Report on Form 8-K/A; however, such adjustments are subject to change. Any of the factors underlying these estimates and assumptions may change or prove to be materially different than expected. The unaudited pro forma condensed consolidated financial information also does not purport to represent what our actual results of operations and financial position would have been had the Transactions occurred as of the dates indicated, nor are they intended to be representative of or project our future financial condition or results of operations or financial position.

 

The unaudited pro forma condensed consolidated financial information and the accompanying notes are provided for informational and illustrative purposes only and should be read in conjunction with (i) our historical audited annual consolidated financial statements for the year ended January 2, 2021 included in our prospectus dated April 28, 2021, which is deemed to be part of our Registration Statement on Form S-1 (File No. 333-254981), (ii) our interim unaudited consolidated financial statements for the nine-month period ended October 2, 2021 included in our Quarterly Report on Form 10-Q filed with the SEC on November 15, 2021, (iii) the audited annual consolidated and combined financial statements of Comfort Care Home Health Services, LLC and subsidiaries and affiliates for the year ended December 31, 2020 included in this Current Report on Form 8-K/A, and (iv) the unaudited interim consolidated and combined financial statements of Comfort Care Home Health Services, LLC and subsidiaries and affiliates as of and for the nine-month period ended September 30, 2021 included in this Current Report on Form 8-K/A.

 

 

 

 


 

AVEANNA HEALTHCARE HOLDINGS INC. AND SUBSIDIARIES

UNAUDITED PRO FORMA CONDENSED CONSOLIDATED BALANCE SHEET

as of October 2, 2021

(Amounts in thousands, except share and per share data)

 

 


 

 

Historical

 

 

 

 

 

 

Aveanna as of October 2, 2021

 

Comfort Care as of September 30, 2021, after reclassification (Note 2)

 

Transaction Accounting Adjustments for the Acquisition

 

Note 3

 

Pro Forma for the Acquisition

ASSETS

Current Assets:

 

 

 

 

 

 

 

 

 

Cash & Cash Equivalents

$ 121,708

 

$ 17,286

 

$ 35,692

 

(a)(b)(e)(f)(g)

 

 $ 174,686

Patient accounts receivable

189,033

 

                11,123

 

-

 

 

 

200,156

Receivables under insured programs

8,264

 

           -

 

-

 

 

 

8,264

Prepaid expenses

13,038

 

803

 

-

 

 

 

13,841

Other current assets

10,692

 

132

 

-

 

 

 

10,824

Total current assets

342,735

 

29,344

 

35,692

 

 

 

407,771

Property and equipment, net

31,599

 

1,257

 

-

 

 

 

32,856

Operating lease right of use assets

46,817

 

-

 

3,952

 

(i)

 

50,769

Goodwill

1,419,591

 

3,558

 

314,857

 

(d)

 

1,738,006

Intangible assets, net

77,612

 

5,518

 

15,032

 

(c)

 

98,162

Receivables under insured programs

25,423

 

-

 

-

 

 

 

25,423

Deferred income taxes

2,931

 

-

 

1,519

 

(h)

 

4,450

Other long-term assets

8,946

 

-

 

-

 

 

 

8,946

Total assets

$ 1,955,654

 

$ 39,677

 

$ 371,052

 

 

 

 $ 2,366,383

 

 

 

 

 

 

 

 

 

 

LIABILITIES, DEFERRED RESTRICTED STOCK UNITS, AND STOCKHOLDERS’ EQUITY

Current Liabilities:

 

 

 

 

 

 

 

 

 

Accounts payable and other accrued liabilities

$ 46,883

 

$ 2,285

 

$ (1,971)

 

(e)(h)

 

 $ 47,197

Accrued payroll and employee benefits

55,211

 

8,291

 

-

 

 

 

63,502

Accrued interest

1,801

 

146

 

(146)

 

(a)

 

1,801

Notes payable

2,671

 

-

 

-

 

 

 

2,671

Current portion of insurance reserve- insured program

8,264

 

-

 

-

 

 

 

8,264

Current portion of insurance reserves

14,105

 

-

 

-

 

 

 

14,105

Current portion long-term obligations

8,600

 

3,682

 

(3,682)

 

(a)(b)

 

8,600

Current portion of operating lease liabilities

12,166

 

-

 

1,041

 

(i)

 

13,207

Current portion of deferred payroll taxes

25,699

 

-

 

-

 

 

 

25,699

Other current liabilities

44,173

 

1,024

 

-

 

 

 

45,197

Total current liabilities

219,573

 

15,428

 

(4,758)

 

 

 

        230,243

Long-term obligations, less current portion

829,674

 

-

 

400,378

 

(f)(g)

 

1,230,052

Long-term insurance reserves - insured programs

25,423

 

-

 

-

 

 

 

25,423

Long-term insurance reserves

31,296

 

-

 

-

 

 

 

31,296

Operating lease liabilities, less current portion

40,099

 

-

 

2,911

 

(i)

 

43,010

Deferred payroll taxes, less current portion

25,699

 

935

 

(935)

 

(b)

 

25,699

Deferred income taxes

3,430

 

-

 

-

 

 

 

3,430

Other long-term liabilities

23,893

 

-

 

-

 

 

 

23,893

Total liabilities

1,199,087

 

16,363

 

397,596

 

 

 

     1,613,046

Deferred restricted stock units

2,135

 

-

 

-

 

 

 

2,135

Stockholders' equity:

 

 

 

 

 

 

 

 

-

Preferred stock, $0.01 par value, 5,000,000 shares authorized; none issued or outstanding

-

 

-

 

-

 

 

 

-

Common stock, $0.01 par value, 1,000,000,000 shares authorized, 184,164,184 issued and outstanding

1,841

 

-

 

-

 

 

 

1,841

Comfort Care's members' capital

 

 

23,314

 

(23,314)

 

(h)

 

-

Additional paid-in capital

1,201,075

 

-

 

-

 

 

 

1,201,075

Accumulated deficit

(448,484)

 

-

 

(3,230)

 

(h)

 

(451,714)

Total stockholders' equity

754,432

 

23,314

 

(26,544)

 

 

 

        751,202

 

 


 

Total liabilities, deferred restricted stock units, and stockholders' equity

$ 1,955,654

 

$ 39,677

 

$ 371,052

 

 

 

 $ 2,366,383

 

The accompanying notes are an integral part of this Unaudited Pro Forma Condensed Consolidated Balance Sheet.

 

 

 

AVEANNA HEALTHCARE HOLDINGS INC. AND SUBSIDIARIES

UNAUDITED PRO FORMA CONDENSED CONSOLIDATED STATEMENT OF OPERATIONS

for the Fiscal Year Ended January 2, 2021

(Amounts in thousands, except per share data)

 

 

Historical Aveanna

Year ended January 2, 2021

 

Historical Comfort Care

Year ended December 31, 2021, after reclassification

(Note 2)

 

Transaction Accounting Adjustments for the Acquisition

 

Note 4

 

Pro Forma for the Acquisition

Revenue

$ 1,495,105

 

$ 93,168

 

 $ -

 

 

 

$ 1,588,273

Cost of revenue, excluding depreciation and amortization

  1,040,590

 

     43,081

 

                    -

 

 

 

      1,083,671

Branch and regional expenses

    240,946

 

    23,814

 

                   -

 

 

 

   264,760

Corporate expenses

    113,828

 

     10,298

 

                   -

 

 

 

        124,126

Goodwill Impairment

  75,727

 

                -

 

                   -

 

 

 

75,727

Depreciation and amortization

       17,027

 

          713

 

       2,004

 

(a)

 

         19,744

Acquisition-related costs

       9,564

 

                 -

 

           13,423

 

(b)

 

           22,987

Other operating expenses (income)

            910

 

  (4,316)

 

              -

 

 

 

           (3,406)

Operating (loss) income

  (3,487)

 

     19,578

 

(15,427)

 

 

 

           664

Interest income

         345

 

           46

 

                    -

 

 

 

                391

Interest expense

    (82,983)

 

      (129)

 

    (33,052)

 

(c)

 

     (116,164)

Loss on debt extinguishment

          (73)

 

                  -

 

                    -

 

 

 

                (73)

Other income (expense)

       34,464

 

        165

 

                   -

 

 

 

         34,629

Income (loss) before income taxes

(51,734)

 

       19,660

 

     (48,479)

 

 

 

(80,553)

Income tax benefit (expenses)

    (5,316)

 

                  -

 

           7,493

 

(d)

 

              2,177

Net income (loss)

(57,050)

 

              19,660

 

(40,986)

 

 

 

(78,376)

Net income (loss) attributable to noncontrolling interest

-

 

(8)

 

-

 

 

 

(8)

Net income (loss) attributable to Aveanna

$ (57,050)

 

$ 19,652

 

 $ (40,986)

 

 

 

$ (78,384)

Income (loss) per share attributable to Aveanna:

 

 

 

 

 

 

 

 

 

Net (loss) income per share, basic

$ (0.40)

 

 

 

 

 

 

 

$ (0.56)

Weighted average shares outstanding, basic

140,972

 

 

 

 

 

 

 

140,972

Net (loss) income per share, diluted

$ (0.40)

 

 

 

 

 

 

 

$ (0.56)

Weighted average shares outstanding, diluted

     140,972

 

 

 

 

 

 

 

 140,972

 

The accompanying notes are an integral part of this Unaudited Pro Forma Condensed Consolidated Statement of Operations.

 

 


 

 

 

AVEANNA HEALTHCARE HOLDINGS INC. AND SUBSIDIARIES

UNAUDITED PRO FORMA CONDENSED CONSOLIDATED STATEMENT OF OPERATIONS

for the Nine-month Period Ended October 2, 2021

(Amounts in thousands, except per share data)

 

 

 

 

 

 

 

 

 

 

 

 

Historical Aveanna

Nine-month period ended October 2, 2021

 

Historical Comfort Care

Nine-month period ended September 30, 2021, after reclassification

(Note 2)

 

Transaction Accounting Adjustments for the Acquisition

 

Note 4

 

Pro Forma for the Acquisition

Revenue

$ 1,264,548

 

$ 74,145

 

$ -

 

 

 

$ 1,338,693

Cost of revenue, excluding depreciation and amortization

846,534

 

31,871

 

-

 

 

 

878,405

Branch and regional expenses

223,462

 

19,082

 

-

 

 

 

242,544

Corporate expenses

97,673

 

8,370

 

-

 

 

 

106,043

Goodwill Impairment

-

 

-

 

-

 

 

 

-

Depreciation and amortization

15,163

 

494

 

(126)

 

(a)

 

15,531

Acquisition-related costs

4,779

 

-

 

(1,094)

 

(b)

 

3,685

Other operating expenses (income)

-

 

-

 

-

 

 

 

-

Operating (loss) income

76,937

 

14,328

 

1,220

 

 

 

92,485

Interest income

182

 

19

 

-

 

 

 

201

Interest expense

(53,793)

 

(78)

 

(24,804)

 

(c)

 

(78,675)

Loss on debt extinguishment

(13,702)

 

-

 

-

 

 

 

(13,702)

Other expense (income)

(1,088)

 

1

 

-

 

 

 

(1,087)

Income (loss) before income taxes

8,536

 

14,270

 

(23,584)

 

 

 

(778)

Income tax benefit (expense)

612

 

-

 

2,455

 

(d)

 

3,067

Net income (loss)

$ 9,148

 

$ 14,270

 

$ (21,129)

 

 

 

$ 2,289

Income (loss) per share:

 

 

 

 

 

 

 

 

 

Net income (loss) per share, basic

$ 0.06

 

 

 

 

 

 

 

 $ 0.01

Weighted average shares outstanding, basic

165,877

 

 

 

 

 

 

 

165,877

Net income (loss) per share, diluted

$ 0.05

 

 

 

 

 

 

 

$ 0.01

Weighted average shares outstanding, diluted

170,667

 

 

 

 

 

 

 

170,667

 

The accompanying notes are an integral part of this Unaudited Pro Forma Condensed Consolidated Statement of Operations.

 

 


 

NOTES TO UNAUDITED PRO FORMA CONDENSED CONSOLIDATED FINANCIAL INFORMATION

 

1.
Basis of Presentation

The Comfort Care Acquisition has been accounted for within the unaudited pro forma condensed consolidated financial information as a business combination using the acquisition method of accounting under the provisions of ASC 805, Business Combinations (“ASC 805”), and using the fair value concepts defined in ASC 820, Fair Value Measurements. Under ASC 805, all assets acquired and liabilities assumed are recorded at their acquisition date fair value. The determination of the fair values of the assets acquired and liabilities assumed (and the related determination of estimated useful lives of amortizable identifiable intangible assets) requires significant judgment and estimates. The estimates and assumptions used include the projected timing and amount of future cash flows and discount rates reflecting risk inherent in the future cash flows related to the businesses acquired. Although the Company believes the fair values assigned to the assets acquired and liabilities assumed from the acquisitions are accurate, new information may be obtained about facts and circumstances that existed as of the date of the Comfort Care Acquisition during the twelve-month period following which could cause actual results to differ materially from the unaudited pro forma condensed consolidated financial information.

Aveanna and Comfort Care incurred a total of $5.8 million and $7.6 million, respectively, of non-recurring acquisition-related costs related to the Comfort Care Acquisition.

The unaudited pro forma condensed consolidated financial information does not include the realization of any cost savings from operating efficiencies, synergies or other restructuring activities which might result from the Comfort Care Acquisition. Further, the unaudited pro forma condensed consolidated financial information does not assume any differences in accounting policies, except as described in “Note 2. Historical Comfort Care”, as we are not aware of any differences that would have a material impact on the unaudited pro forma condensed consolidated financial statements. Further review of Comfort Care’s detailed accounting policies in the twelve-month period following the Comfort Care Acquisition may result in the identification of additional differences between the accounting policies of the two companies that, when conformed, could have a material impact on the financial statements of the combined company.

2.
Historical Comfort Care

 

Certain reclassifications have been made to the historical financial statements of Comfort Care to conform to our presentation as follows:

 

Unaudited Pro Forma Condensed Consolidated Balance Sheet as of October 2, 2021

 

Presentation in Comfort Care Financial Statements

 

Amount
(in thousands)

 

Presentation in Unaudited Pro Forma Condensed Consolidated Balance Sheet

Accounts receivable - related parties

$

               11

 

Other current assets

Accounts receivable - other

 

                 21

 

Other current assets

Accounts payable and accrued expenses

 

2,075

 

Accounts payable and other accrued liabilities

Accounts payable and accrued expenses

 

           837

 

Other current liabilities

Accounts payable and accrued expenses

 

10

 

Accrued interest

Accounts payable - related parties

 

        210

 

Accounts payable and other accrued liabilities

Accrued payroll and withholdings

 

        8,291

 

Accrued payroll and employee benefits

Accrued other

 

           187

 

Other current liabilities

Notes payable - related parties

 

        1,541

 

Current portion of long-term obligations

Lines of credit

 

        2,141

 

Current portion of long-term obligations

Noncurrent liabilities

$

           935

 

Deferred payroll taxes, less current portion

 

 


 

 

Unaudited Pro Forma Condensed Consolidated Statement of Operations for the year ended January 2, 2021

 

Presentation in the Comfort Care Statement of Operations

 

Amount

(in thousands)

 

 

Presentation in the Unaudited Pro Forma Condensed Consolidated Statement of Operations

Cost of revenue

 

$

43,081

 

 

Cost of revenue, excluding depreciation and amortization

Branch and regional administrative expenses

 

$

23,814

 

 

Branch and regional expenses

 

 

 

 

 

 

 

 

Unaudited Pro Forma Condensed Consolidated Statement of Operations for the Nine-Month period ended October 2, 2021

 

Presentation in the Comfort Care Statement of Operations

 

Amount

(in thousands)

 

 

Presentation in the Unaudited Pro Forma Condensed Consolidated Statement of Operations

Cost of revenue

 

$

31,871

 

 

Cost of revenue, excluding depreciation and amortization

Branch and regional administrative expenses

 

 

19,082

 

 

Branch and regional expenses

Loss on sale of property and equipment

 

$

(11)

 

 

Other income (expense)

 

 

 

 

 

 

 

 

3.
Unaudited Pro Forma Condensed Consolidated Balance Sheet Transaction Accounting Adjustments

 

(a)
Reflects the total cash consideration of $346.5 million related to the Comfort Care Acquisition. The cash purchase price paid at closing to Comfort Care shareholders is subject to certain adjustments set forth in the purchase agreement based on estimated and actual working capital, cash and indebtedness of Comfort Care at closing, and unpaid seller transaction costs. The calculation of the estimated purchase consideration is based on the terms of the purchase agreement and management’s estimates as of the date of this offering. Therefore, the estimated purchase price used for purposes of the unaudited pro forma condensed consolidated financial information may differ materially from the actual purchase price. Further, as $1.9 million of Comfort Care’s historical indebtedness was retired at the closing date, this adjustment also reflects the settlement of the remaining principal balance.

 

The preliminary GAAP purchase price is as follows (in thousands):

 

 

Cash consideration to shareholders

$

 304,355

Settlement of closing debt (1)

 

1,888

Settlement of seller transaction costs (2)

 

 7,580

Cash paid into escrow and reserve accounts

 

32,653

Total preliminary GAAP purchase price

$

346,476

(1)
As of September 30, 2021, Comfort Care had indebtedness of $1.5 million related to arrangements settled at close recorded within current portion of long-term obligations and $0.1 million of related accrued interest. The unaudited pro forma condensed consolidated balance sheet reflects the removal of these amounts.
(2)
No amounts were accrued for in the historical Comfort Care results as of September 30, 2021 – refer to Note 3(h) for further information.
(b)
Reflects the settlement of current portion of long-term obligations of $2.1 million and $0.9 million of deferred

 


 

payroll taxes, less current portion as these amounts were settled prior to the Comfort Care Acquisition. Additionally, reflects the removal of $13.5 million of cash and cash equivalents as these amounts were not transferred to Aveanna upon completion of the Comfort Care Acquisition.
(c)
Reflects the adjustment to record the acquired intangible assets to their estimated acquisition-date fair values based upon a preliminary valuation. The fair value of the trade name was derived from an income approach. Significant assumptions include expected growth rates, future government payer reimbursement rates, and the weighted average cost of capital. The fair value of the licenses was derived from the cost approach. Significant assumptions include the median time to issue a license and the costs incurred to maintain a branch during that time. The pro forma adjustment is calculated as follows (in thousands):

 

Estimated Useful Lives

 

 

Fair Value

Licenses

 

Indefinite

 

 

$

 18,300

Trade names

 

12 months

 

 

 

2,250

Fair values of intangible assets

 

 

 

 

 

 20,550

Less: historical carrying value of intangible assets

 

 

 

 

 

(5,518)

Pro forma adjustment

 

 

 

 

$

15,032

No assurances can be given that the underlying assumptions and estimates used to estimate the fair values of the licenses and tradenames will not change. For this and other reasons, actual results may vary significantly from estimated results.

(d)
Reflects the adjustment to goodwill of $314.9 million to be recorded based on our preliminary purchase price allocation.

Goodwill represents the excess of the aggregate purchase consideration over the preliminary estimated fair values of recorded tangible and intangible assets acquired and liabilities assumed in the Comfort Care Acquisition. The actual amount of goodwill to be recorded in connection with the Comfort Care Acquisition is subject to change once the valuation of the fair value of tangible and intangible assets acquired and liabilities assumed has been completed. The final valuation of such assets and liabilities is expected to be completed as soon as practicable but no later than one year after the consummation of the Comfort Care Acquisition. The table below reflects the preliminary purchase price allocation based on estimates, assumptions, valuations and other analyses (in thousands):

Total preliminary GAAP purchase price, net of cash acquired

$

342,651

 

Patient accounts receivable

 

11,123

 

Prepaid expenses and other current assets

 

 803

 

Other current assets

 

132

 

Intangible assets

 

20,550

 

Property and equipment, net

 

1,257

 

Operating lease right of use assets

 

3,952

 

Accounts payable and other accrued liabilities

 

(314)

 

Accrued payroll and employee benefits

 

(8,291)

 

Current portion of operating lease liabilities

 

(1,041)

 

Other current liabilities

 

(1,024)

 

Operating lease liabilities

 

(2,911)

 

Net assets acquired, excluding goodwill

 

24,236

 

Goodwill

 

318,415

 

Less: historical Comfort Care goodwill

 

(3,558)

 

Pro forma adjustment

$

314,857

 

(e)
Reflects the payment of $5.8 million of acquisition-related costs incurred by Aveanna and $7.6 million of acquisition-related costs incurred by Comfort Care.

 


 

(f)
Reflects new borrowings of $415.0 million as part of the New Second Lien Financing. The proceeds from these borrowings were used to fund the Comfort Care Acquisition.
(g)
Reflects the capitalization of $14.6 million of deferred financing costs associated with the incremental borrowings under our New Second Lien Term Loan, presented net of debt within Long term obligations, less current portion.
(h)
Reflects a $26.5 million adjustment to equity, which represents the historical book value of net assets, as a result of the application of the acquisition method of accounting for the Comfort Care Acquisition. Additionally, reflects the incurrence of non-recurring transaction costs and the associated tax deductibility, as calculated as follows (in thousands):

Accrual for seller transaction costs not recorded in the historical results of Comfort Care as they had not yet been incurred

$

(7,580)

Tax effect of deductible seller transaction costs (1)

 

1,971

Elimination of historical Comfort Care members’ equity as well as the aforementioned transaction costs not yet incurred and the tax effect of deductible transaction costs (2)

 

 (17,705)

Non-capitalizable buyer transaction costs

 

(4,749)

Tax effect of deductible buyer transaction costs (1)

 

1,519

Total pro forma adjustment

$

(26,544)

(1)
Reflects the portion of transaction costs which are expected to be deductible for tax purposes calculated by applying the blended statutory rate of 26% to those transaction costs which are expected to be deductible. The tax effect of deductible buyer transaction costs is recorded within deferred income taxes and the tax effect of deductible seller transaction costs is recorded within accounts payable and other accrued liabilities.
(2)
Includes amounts recorded within Comfort Care’s members’ equity.
(i)
Reflects the initial establishment of a $3.9 million right-of-use asset and corresponding $3.9 million lease liability, of which $1.0 million is current and $2.9 million is long-term, for Comfort Care upon the adoption of Accounting Standards Codification Topic 842, Leases.

4. Unaudited Pro Forma Condensed Consolidated Statements of Operations Transaction Accounting Adjustments

 

(a)
Reflects the estimated amortization expense associated with acquired trade name intangible assets from the Comfort Care Acquisition, calculated as follows (in thousands):

 

For the Nine-Month period ended October 2, 2021

 

 

For the Fiscal Year ended January 2, 2021

Pro forma amortization expense

$

-

 

 

$

 2,250

Historical Comfort Care amortization expense

 

(126)

 

 

 

(246)

Pro forma adjustment

$

 (126)

 

 

$

 2,004

 

(b)
Reflects the incurrence of $13.4 million of transaction costs associated with the Comfort Care Acquisition, including $5.8 million of costs incurred by Aveanna and $7.6 million of costs incurred by Comfort Care, of which $1.1 million had been incurred during the nine-month period ended October 2, 2021 by Aveanna.

 


 

(c)
Reflects the increase to interest expense related to the incremental borrowings as part of the New Second Lien Financing which we drew on the closing date of the Comfort Care Acquisition, as well as the removal of historical interest expense recorded within the historical results of Comfort Care related to debt that was settled as part of the Comfort Care Acquisition. The adjustment was calculated as follows (in thousands):

 

For the Nine-Month period ended October 2, 2021

 

 

For the Fiscal Year ended January 2, 2021

Pro forma interest expense (1)

$

(24,847)

 

 

$

(33,104)

Historical Comfort Care interest expense

 

43

 

 

 

52

Pro forma adjustment

$

 (24,804)

 

 

$

(33,052)

(1)
We assumed an interest rate of 7.5%. A 0.125% variance in the weighted–average variable interest rates would result in a $0.5 million change in income before income taxes annually.
(d)
Reflects the pro forma income tax adjustment related to the Comfort Care Acquisition assuming a combined state and federal statutory tax rate of 26%.

Additionally, reflects the increased income tax expense as if Comfort Care’s historical income before income taxes was taxed as a C corporation, consistent with Aveanna’s tax structure as opposed to Comfort Care’s historical filing status which did not have a separate entity level federal and state income tax, using a combined state and federal statutory tax rate of 26%.