David Williams
Analyst · C.L. King. Please proceed
Thanks, Kevin. As Kevin just noted, the net revenue for VITAS was $276 million in the second quarter of 2015 which is an increase of $12.4 million, or 4.7%, when compared to the prior-year period. This revenue increase was comprised of an average Medicare reimbursement rate increase of approximately 1.4%, a 5.1% increase in average daily census, offset by the level of care as well as the geographic mix shift when compared to the prior year. In the second quarter of 2015, VITAS did not record any adjustments in estimated Medicare Cap billing limitations. This compares to $0.1 million of Medicare Cap billing limitations recorded in the second quarter of 2014. At June 30, 2015, VITAS had 34 Medicare provider numbers, none of which has an estimated 2015 Medicare Cap billing limitation. Our average revenue per patient per day in the quarter, excluding the impact of Medicare Cap, was $198.79 which is 0.5% below the prior-year period. Routine home care reimbursement and high acuity care averaged $164.07 and $698.96, respectively. During the quarter, high acuity days of care was 6.5% of total days of care, 40 basis points less than the prior-year quarter. The second quarter of 2015 gross margin, excluding any impact of Medicare Cap, was 21.9% which is 14 basis points below the second quarter of 2014. Our routine home care direct gross margin was 52.4% in the quarter, a decrease of 100 basis points when compared to the second quarter of 2014. Direct inpatient margins in the quarter were 6.0% which compares to 6.9% in the prior year quarter. Occupancy of our 34 dedicated inpatient units averaged 73.9% in the quarter and compares to 74.7% occupancy in the second quarter of 2014. Approximately 77% of our inpatient days of care are in these dedicated units, with the remaining 23% of our inpatient care utilizing shorter term contract beds. Continuous care had a direct gross margin of 16.7%, a decline of 80 basis points when compared to the prior-year quarter. Average hours billed for a day of continuous care was 18.3 in the quarter, a decline of 0.5 hours when compared to the 18.8 average hours billed for a continuous care day in the prior year. Selling, general and administrative expenses were $22.2 million in the second quarter of 2015 which is an increase of 5.9% when compared to the prior-year quarter. If you exclude costs associated with the Department of Justice litigation, selling, general and administrative expenses increased 1.1% in the quarter and are essentially flat on a year-to-date basis. Adjusted EBITDA, excluding Medicare Cap, totaled $39.8 million in the quarter, an increase of 5.9% over the prior year period. Adjusted EBITDA margin excluding Medicare Cap, was 14.4% in the quarter, which is 17 basis points favorable to the prior year period. On the Roto-Rooter side, Roto-Rooter's generated sales of $105 million in the second quarter of 2015, an increase of $9.3 million or 9.7% over the prior year. Water restoration accounted for the majority of this revenue growth with water and flood remediation services increasing $5.8 million in the quarter. Commercial drain cleaning revenue increased 3.6%, commercial plumbing and excavation increased 5.6% and overall commercial revenue increased 7.7%. Residential plumbing and excavation increased 9.5%, however drain cleaning declined 3.7% and water restoration increased 167% which equated to total residential water restoration revenue of $7.7 million in the quarter. Overall, residential sales increased 12.7%. Now let's look at the consolidated balance sheet. As of June 30, 2015 Chemed had total cash and cash equivalents of $32.7 million and debt of $160 million. Capital expenditures through June 30, 2015 aggregated $18.8 million and compares to depreciation and amortization during the same period of $7.3 million. We repurchased $29.8 million of Chemed stock during the quarter, this equates to 250,000 shares of Chemed stock repurchased at an average cost of $119.05. Chemed currently has $82 million of authorization remaining under the share repurchase program. We have also increased our full year 2015 earnings outlook as follows. Full year 2015 revenue growth for VITAS, prior to Medicare Cap, is now estimated to be in the range of 4% to 5%; admissions in 2015 are estimated to increase 4% to 5% and full year adjusted EBITDA margin prior to Medicare Cap, is estimated to be 14% to 15%; Medicare Cap billing limitations for calendar year 2015 are estimated to be $2.8 million. Roto-Rooter is forecasted to achieve full year 2015 revenue growth of 5% to 6%. This revenue estimate is based upon continued expansion in water restoration services coupled with the modest increase in job pricing and volume. Adjusted EBITDA margin for 2015 is estimated within the range of 19.5% to 20%. Based upon these factors, management estimates that the full year 2015 adjusted earnings per diluted share, which excludes non-cash expense for stock options, costs related to litigation and other discrete items, will be in the range of $6.60 to $6.75. This compares to Chemed’s 2014 reported adjusted earnings per diluted share of $6.07. I will now turn this call over to Tim O'Toole, our Chief Executive Officer of VITAS Healthcare.