David Williams
Analyst · RBC Capital Markets. Please proceed
Good morning. As Kevin noted, net revenue for VITAS was $285 million in the third quarter of 2015 and that’s an increase of $19.6 million, or 7.4%, when compared to the prior-year period. This revenue increase is comprised of an average Medicare reimbursement rate increase of approximately 1.4%, a 7.4% increase in average daily census, along with a favorable comparison from Medicare Cap. These growth factors were partially offset by mix shifts and level of care, as well as patient census geography. In the third quarter of 2015, VITAS did not record any adjustments in estimated Medicare Cap billing limitations. This compares to $2.5 million of Medicare Cap billing limitations recorded in the third quarter of 2014. At September 30, 2015, VITAS had 34 Medicare provider numbers, none of which have an estimated Medicare Cap billing limitation for the 2015 year. Average revenue per patient per day in the quarter, excluding the impact of Medicare Cap, was $197.04 which is 9/10 of a percent below the prior-year period. Routine home care reimbursement and high acuity care averaged $164.22 and $699.04, respectively. During the quarter, high acuity days of care was 6.1% of our total days of care, 54 basis points less than the prior-year quarter. The third quarter of 2015 gross margin, excluding the impact of Medicare Cap, was 23.3% which is 64 basis points above the third quarter of 2014. Our routine home care direct gross margin was 53.7% in the quarter, a decrease of 10 basis points when compared to the third quarter of 2014. Direct in-patient margins in the quarter were 3.8% which compares to 4.9% in the prior year. Occupancy of our 34 dedicated in-patient units averaged 72.4% in the quarter and compares to 71.1% occupancy in the third quarter of 2014. Approximately, 78% of our inpatient days of care are in these dedicated units, with the remaining 22% of our inpatient care utilizing short-term contract beds. Continuous care had a direct gross margin of 15.7%, a decline of 170 basis points when compared to the prior-year quarter. Average hours billed for a day of continuous care was 18.2 in the quarter, a decline of about 30 minutes when compared to the 18.7 average hours billed for a continuous care patient in the third quarter of 2014. Our selling, general and administrative expense were $22.2 million in the third quarter of 2015 which is an increase of 10% when compared to the prior-year. Adjusted EBITDA, margins excluding Medicare Cap, totaled $45.3 million in the quarter, which is an increase of 11.0% over the prior year. Adjusted EBITDA margin excluding the impact from Medicare Cap was 15.9% in the quarter, which is 65 basis points favorable to the prior year period. Now let’s turn to Roto-Rooter. Roto-Rooter generated sales of $101 million in the third quarter of 2015, and as Kevin noted it was – that’s $8.2 million or 8.8% above the prior year. Commercial drain cleaning revenue increased 7.0%, and commercial plumbing and excavation increased 12.3%. Overall, our commercial revenue for Roto-Rooter increased [10.0%] [ph]. Residential plumbing and excavation increased 7.9%. Residential drain cleaning increased 1.2% and water restoration increased 69.7%, and again that equates to a total residential water restoration revenue of $8.2 million in the quarter. Overall, residential sales increased 10.5%. Now let's look at our consolidated balance sheet. As of September 30, 2015, Chemed had total cash and cash equivalents of $38 million and debt of $138 million. Capital expenditures through September 30, 2015 aggregated $30.2 million in the quarter and compares to depreciation and amortization during the same period of $26.1 million. The company purchased $18.2 million of Chemed stock during the quarter, and this equated to 135,765 shares of Chemed stock repurchased at an average cost of $134.28. Chemed currently has $63.8 million of authorization remaining under the share repurchase plan. We have also increased our full year 2015 year earnings outlook as follows; full year 2015 revenue growth for VITAS, prior to Medicare Cap, is estimated to be in the range of 4% to 5%; admissions in calendar year 2015 are estimated to increase 4% to 5% and our 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 approximately $1 million. Roto-Rooter is forecasted to achieve full year 2015 revenue growth of 6% to 7%. This revenue estimate is based upon continued expansion in water restoration services coupled with the increased pricing of approximately 1%. Adjusted EBITDA margin for 2015 is forecasted to be in the range of 19.5% to 20%. Based upon these metrics, management estimates that full year 2015 adjusted earnings per diluted share, which excludes non-cash expense for stock options, cost related to litigation and other discrete items will be in the range of $6.75 to $6.80. 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, Chief Executive Officer of VITAS Healthcare.