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Chemed Reports First-Quarter 2016 Results CINCINNATI--(BUSINESS WIRE)

Key Takeaway: Reports First-Quarter 2016 Results CINCINNATI--(BUSINESS WIRE)--April 28, 2016--Chemed Corporation (Chemed) (NYSE:CHE), which operates VITAS Healthcare Corporation (VITAS), the nation's largest provider of end-of-life care, and Roto-Rooter, the nation's largest commercial and

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Reports First-Quarter 2016 Results
CINCINNATI--(BUSINESS WIRE)--April 28, 2016--Chemed Corporation (Chemed)
(NYSE:CHE), which operates VITAS Healthcare Corporation (VITAS),
the nation's largest provider of end-of-life care, and Roto-Rooter, the
nation's largest commercial and residential plumbing and drain cleaning
services provider, reported financial results for its first quarter
ended March 31, 2016, versus the comparable prior-year period, as
Consolidated operating results:
Revenue increased 3.6% to $390 million
GAAP Diluted EPS increased 3.6% to $1.45
Adjusted Diluted EPS increased 5.2% to $1.62
VITAS segment operating results:
Net Patient Revenue of $278 million, an increase of 2.9%
Average Daily Census (ADC) of 15,653, an increase of 5.6%
Admissions of 16,868, a decrease of 2.3%
Unit for Unit admissions decreased 0.7%
Net Income, including litigation costs, of $19.1 million, a decrease
Adjusted EBITDA, excluding cap, of $35.9 million, an increase of 0.3%
Adjusted EBITDA margin, excluding cap, of 12.9%, a decrease of 34
Roto-Rooter segment operating results:
Revenue of $113 million, an increase of 5.4%
Net Income of $13.0 million, an increase of 8.4%
Adjusted EBITDA of $23.4 million, an increase of 9.1%
Adjusted EBITDA margin of 20.7%, an increase of 69 basis points
Net revenue for VITAS was $278 million in the first quarter of 2016,
which is an increase of 2.9%, when compared to the prior-year period.
This revenue increase is comprised primarily of an average Medicare
reimbursement rate increase of approximately 0.6%, a 5.6% increase in
average daily census, offset by acuity mix shift which negatively
impacted revenue 1.8% and changes in Medicare hospice reimbursement
which negatively impacted revenue 2.1%.
On January 1, 2016, CMS implemented a refinement to the Medicare hospice
reimbursement per diem. This refinement eliminated the single-tier per
diem for routine home care (RHC) and replaced it with a two-tiered rate,
with a higher per diem rate for the first 60 days of a hospice patient's
care, and a lower rate for day 61 and after. In addition, CMS provided
for a Service Intensity Add-on (SIA) payment which provides for
reimbursement of care provided by a registered nurse or social worker
for RHC patients within seven days prior to death. The reimbursement for
continuous care, inpatient care and respite care are not impacted by
The current two-tiered national per diem rate for RHC is $186.84 for the
first 60 days and $146.83 for RHC provided to patients in hospice beyond
60 days. An individual hospice's actual per diem rate is adjusted for
differences in geographic cost of living.
Rebasing in 2016 would be revenue neutral to a hospice if it has 37.6%
of total RHC days-of-care being provided to patients in their first 60
days of admission and 62.4% of total RHC days-of-care provided to
patients after the 60 days. (RHC Days-of-Care ratio).
In the first quarter of 2016, VITAS had a 25/75 RHC Days-of-Care ratio
and generated approximately $1.0 million in SIA payments. This resulted
in 2.1% less revenue than under the previous Medicare reimbursement
VITAS did not have any adjustments to revenue related to the Medicare
Cap billing limitation in the quarter. This compares to $0.2 million of
Medicare Cap billing limitations reversed in the first quarter of 2015.
At March 31, 2016, VITAS had 31 Medicare provider numbers, none of which
has an estimated 2016 Medicare Cap billing limitation.
Of VITAS' 31 unique Medicare provider numbers, 28 provider numbers have
a Medicare Cap cushion of 10% or greater for the 2016 Medicare Cap
period, two provider numbers have a cap cushion between 5% and 10%, and
one provider number has a cap cushion between 0% and 5%. VITAS generated
an aggregate cap cushion of $264 million during the trailing
twelve-month period.
Average revenue per patient per day in the quarter, excluding the impact
of Medicare Cap, was $194.84, which is 3.5% below the prior-year period.
Routine home care reimbursement and high acuity care averaged $160.92
and $702.52, respectively. During the quarter, high acuity days of care
were 6.3% of total days of care, 66 basis points less than the
The first quarter of 2016 gross margin, excluding the impact of Medicare
Cap, was 21.0%, which is a 14 basis point decline when compared to the
first quarter of 2015.
Selling, general and administrative expense, excluding litigation costs,
was $22.4 million in the first quarter of 2016, which is an increase of
7.9% when compared to the prior-year quarter. Adjusted EBITDA, excluding
Medicare Cap, totaled $35.9 million in the quarter, an increase of 0.3%
over the prior-year period. Adjusted EBITDA margin, excluding the impact
from Medicare Cap, was 12.9% in the quarter which is 34 basis points
below the prior-year period.
Roto-Rooter's plumbing and drain cleaning business generated sales of
$113 million for the first quarter of 2016, an increase of $5.8 million,
or 5.4%, over the prior-year quarter. Revenue from water restoration
totaled $12.5 million, an increase of 19.2% over the prior year.
Roto-Rooter's gross margin in the quarter was 47.6%, a 26 basis point
improvement when compared to the first quarter of 2015. Adjusted EBITDA
in the first quarter of 2016 totaled $23.4 million, an increase of 9.1%,
and the Adjusted EBITDA margin was 20.7% in the quarter, 69 basis points
higher than the prior year.
As of March 31, 2016, Chemed had total cash and cash equivalents of $15
million and debt of $145 million.
In June 2014 Chemed entered into a five-year Amended and Restated Credit
Agreement that consisted of a $100 million amortizable term loan and a
$350 million revolving credit facility. The interest rate on this
facility has a floating rate that is currently LIBOR plus 112.5 basis
points. At March 31, 2016, the Company had approximately $257 million of
undrawn borrowing capacity under this credit agreement.
Capital expenditures through March 31, 2016, aggregated $11.5 million
and compares to depreciation and amortization during the same period of
During the quarter, the Company repurchased 400,000 shares of Chemed
stock for $52.5 million which equates to a cost per share of $131.15. On
March 11, 2016, Chemed's Board of Directors authorized an additional
$100 million for stock repurchase under Chemed's existing share
Last updated: Apr 28, 2016