Earnings Labs

Chemed Corporation (CHE)

Q2 2018 Earnings Call· Thu, Jul 26, 2018

$420.93

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Transcript

Operator

Operator

Good day, ladies and gentlemen. And welcome to the Q2 2018 Chemed Corporation Earnings Conference Call. At this time, all participants are in a listen-only mode. Later, we will conduct a question-and-answer session and instructions will follow at that time. [Operator Instructions] As a reminder, this conference is being recorded. I would now like to introduce your host for today’s conference, Sherri Warner, Investor Relations. You may begin.

Sherri Warner

Analyst

Good morning. Our conference call this morning will review the financial results for the second quarter of 2018 ended June 30, 2018. Before we begin, let me remind you that the Safe Harbor provisions of the Private Securities Litigation Reform Act of 1995 apply to this conference call. During the course of this call, the company will make various remarks concerning management’s expectations, predictions, plans and prospects that constitute forward-looking statements. Actual results may differ materially from those projected by these forward-looking statements as a result of a variety of factors including those identified in the company’s news release of July 25 and in various other filings with the SEC. You are cautioned that any forward-looking statements reflect management’s current view only and that the company undertakes no obligation to revise or update such statements in the future. In addition, management may also discuss non-GAAP operating performance results during today’s call including earnings before interest, taxes, depreciation and amortization or EBITDA and adjusted EBITDA. A reconciliation of these non-GAAP results is provided in the company’s press release dated July 25, which is available on the company’s website at chemed.com. I would now like to introduce our speakers for today; Kevin McNamara, President and Chief Executive Officer of Chemed Corporation; Dave Williams, Executive Vice President and Chief Financial Officer of Chemed; and Nick Westfall, Chief Executive Officer of Chemed’s VITAS Healthcare Corporation subsidiary. I will now turn the call over to Kevin McNamara.

Kevin McNamara

Analyst

Thank you, Sherri. Good morning. Welcome to the Chemed Corporation’s second quarter 2018 conference call. I will begin with highlights for the quarter and David and Nick will follow-up with additional operating detail. I will then open the call up for questions. Our second quarter of 2018 had excellent operational performance, margin improvement and overall financial results in both operating segments. In the quarter, Chemed generated revenue of $442 million, an increase of 6.4%. Our consolidated net income in the quarter, excluding certain discrete items, generated adjusted earnings per diluted share of $2.81, an increase of 30.7%. Both, VITAS and Roto-Rooter performed well, exceeding the high-end of our key operational and financial estimates. VITAS’ admissions increased 3.4% in the quarter, average daily census expanded 7.6%, and our adjusted EBITDA excluding Medicare Cap increased 1.9%. Roto-Rooter continues to show excellent results in our core plumbing and drain fitting service segments, as well as strong continued growth in water restoration. With that, I would like to turn this teleconference over to David Williams, our Chief Financial Officer.

David Williams

Analyst

Thank you, Kevin. First, let’s remind everyone of some housekeeping matters that we talked about in the first quarter. As most of you are aware, effective January 1, 2018, the Financial Accounting Standards Board or FASB mandated certain changes in revenue recognition under Generally Accepted Accounting Principles, otherwise referred to as GAAP. For Chemed, this accounting standard mandated the reclassification of certain costs within the 2018 income statement when compared to prior year formats. This revenue recognition accounting standard was adopted on a modified retrospective basis. This means, our 2017 operating results were not restated and are reported using historical revenue recognition accounting standards. It’s important to note though that these reclassifications have zero impact on EBITDA, adjusted EBITDA, pre-tax income or net income. These reclassified expenses do impact comparative analysis between years on certain metrics such as sales, gross margin and selling, general and administrative expenses. This resulted in the reclassification of net room and board expenses associated with certain Medicaid patients residing in nursing homes to be reclassified from cost of services to revenue, effectively reducing VITAS’ quarterly revenue and cost of sales by approximately $2.7 million. In addition, uncollectable accounts receivable, commonly referred to as bad debt expense, historically has been included in selling, general and administrative expenses for both VITAS and Roto-Rooter. These are now netted in service revenue and sales. This reduced consolidated revenues in selling and general and administrative expenses by approximately $4.5 million in the quarter. The discussion and analysis of operating results on this conference call, as well as in our second quarter 2018 earnings release narrative, there is a pro forma reclassification of net 2017 room and board and estimated uncollectable receivables to facilitate analysis of operating results in a format consistent with the 2018 revenue recognition accounting standard. With that,…

Nicholas Westfall

Analyst

Thanks David. VITAS had a solid second quarter both financially and operationally. Our average daily census in the second quarter of 2018 was 17,643 patients, an increase of 7.6% over the prior year. Total Admissions in the quarter were 16,858, an increase of 3.4% when compared to the second quarter of 2017. On a year-to-date basis, our average daily census has expanded 6.9%. And our admission growth in the first half of the year has increased 3.7%. During the quarter admissions generated from hospitals, which typically represent roughly 50% of our admissions increased 1.2%. Home-based admissions increased 8.5%. Nursing home admissions declined 3%. And assisted-living facility admissions increased 8.2% in the quarter. Our routine home care direct patient gross margin was 52.6% in the quarter, a decline of 20 basis points when compared to the second quarter of 2017. Direct in-patient margin in the quarter was 4.2% in comparison to a margin of 3.7% in the prior year quarter. Occupancy of our 27 dedicated in-patient units averaged 66.8% in the quarter in comparison to 68.8% occupancy in the second quarter of 2017. Continuous care had a direct gross margin of 17.3%, a decline of 70 basis points when compared to the prior year quarter. Average hours billed for a day of continuous care was 17.4 in the quarter a slight decrease when compared to the 17.9 average hours billed for continuous care patient in the second quarter of 2017. Our per patient per day ancillary tasks, which include durable medical equipment, supplies and pharmaceutical costs, averaged $14.39 and are 80 basis points favorable when compared to the $14.51 for the cost these items had in the prior year quarter. VITAS’ average length of stay in the quarter was 89 days in comparison to 85.2 days in the second quarter of 2017. Median length of stay was 17 days in the quarter in comparison to our median length of stay of 16 days in the prior year quarter. Median length of stay is a key indicator of our penetration into the high acuity sector of the market. With that, I’d like to turn this call back over to Kevin.

Kevin McNamara

Analyst

Thank you, Nick. I will now open this teleconference to questions.

Operator

Operator

[Operator Instructions] Our first question is from Frank Morgan from RBC Capital Markets. Your line is now open.

Frank Morgan

Analyst

Good morning. Certainly, a good quarter by any measure and I’m thinking about as you look at the landscape today where you deploy the capital that you have, just curious about where you see the best opportunity is, is it now more on the [ph] De Novo development center and maybe your view on…?

Kevin McNamara

Analyst

Well, Frank, let me start by saying and I’ll turn it over to Dave. But as Dave always said, yeah, our first option is to look at internally operating assets like the new in-patient unit of VITAS is recently announced. Equipment for the relatively new line of service, water restoration for Roto-Rooter, those obviously have a very short payback. Both companies are working on, like they usually do, relatively small acquisitions, they’re just in the same line of service. In Roto-Rooter that usually means a franchisee repurchase, it’s either going to be repurposed as an independent contractor operation or large enough to be its own branch, but that’s certainly something we’re currently working on. But again, that’s not unusual. In VITAS’ case, certainly virtually any hospice program in Florida that has a CON in the county that we are not in, that’s always on their hitlist. And to the extent that we’re working on one or more of those that would be definitely a use of capital. When you go to historical uses of cash, we will continue our program of stock repurchases. We still have – based on what we have available under our current authorization not that much limitations…

Kevin McNamara

Analyst

$120 million. But we still have cash to put to work with regard to our repurchase program, very accretive numbers beyond $400 a share. So, when we combine that with the fact that our average cost for over $1 billion of repurchases over the last nine years or so being in a low-70s, it’s been a very attractive program. And to the extent that we’re using free cash flow to do it, to fund it, it’s the gift that keeps on giving. But Dave, any other comments on use of capital at this point?

David Williams

Analyst

No. Without a doubt it’s going to be challenging relative to share repurchase where we’re used to doing dollar averaging, as well as being opportunistic. Looks like the opportunistic environment has been narrowed relative to us buying our stock out of dip. However, as of today we have about $55 million of net debt, that’s cash on hand less the draws against the revolver. The way we’re producing cash flow, we’ll do a $176 million before the benefit from the tax deductibility of stock options, which that’s a long way of saying is, we’re going to generate a lot of cash. And our only promise to shareholders is when we reinvest it through share repurchase or acquisitions, it will have a good risk-adjusted return. But this is a challenging environment for acquisitions as we’ve been talking about. Quite frankly, a recession might be our best opportunity on acquisitions than the current environment that is overvaluing things by at least one to two times.

Kevin McNamara

Analyst

And let me add that Dave is only one here that’s [ph] rooting for a recession.

Frank Morgan

Analyst

Maybe just one more and I’ll hop off. Obviously, a lot of things going right, right now, a lot of interest from people that are newer to this space, particularly in the private equities side, but is there anything that you’re particularly watching that worries you that you’re really focused on that you can think might really alter what’s a pretty good environment and not very completely paranoid, you can also see new opportunities as well? Thanks.

Kevin McNamara

Analyst

Well, let me start Frank. No, I don’t. I mean when we talk about what’s in the [ph] offering for let’s say reimbursement changes in hospice, I don’t see any that are on the horizon. I mean there is still -- we’re still -- industry is still digesting its last change which was the first change in many years. So, on the regulatory front, of course it seems to have more impact on VITAS. I think that we see that as fairly stable. A lot of changes in the industry, a lot of acquisitions and mergers and discussions about the future of healthcare, but it just don’t seem to be centering on end-of-life hospice side as far as disrupting our business model. With regard to Roto-Rooter, nothing on the regulatory front. I mean I think the biggest thing we’re watching there is manpower. We’ve -- for growth when you look at Roto-Rooter’s first quarter, they were about as busy, they were winning the Google war, the phone is ringing, their men were about as busy as they could be. For growth, we’re looking to add more trained servicemen to handle those increased number of calls. So, no, I think we’re looking certainly for a second half of profound stability in terms of regulatory environment. Nick, anything you would add to that?

Nicholas Westfall

Analyst

No. I mean to your comment, Frank, one of the quotes that my management team has heard to begin this year that’s used quite frequently is success breathes complacency, only the paranoids survive, as you were mentioning. So, what I want to bring up is we feel very comfortable with, to reiterate Kevin’s comment, the future inside of the industry. But with that being said in no way shape or form, are we being complacent in a way in which we continue to evaluate our short-term, mid-term and long-term strategy and make sure we’re positioned as an organization to be flexible should any changes come down the pipe and feel very comfortable with where we sit today, where the future holds, but at the same time very consciously staying on top of making sure we have a seat at the table, as well as aware of anything that’s out on the horizon.

Kevin McNamara

Analyst

Dave, anything to add?

David Williams

Analyst

The only thing I’d add Frank is, we had two major known unknowns starting a couple of years ago, of course there was the change in reimbursement through at. And once we finally saw what the proposed change in reimbursement was, January of 2017, it was -- that is small of a change that you could have had and called that a rebasing. And I’d say that just reflects CMS’ attitude of hospice business and pro, but it could always use refinement. So, we’re not overly concerned about anything CMS has discussed doing, but again, under any administration that could change on a dime. The other big known-unknown was the Department of Justice litigation against us which we settled out. Clearing out those two issues over the last couple of years has -- we don’t have significant concerns that we can see today that would impact our business models. But we are always looking at it as constantly discussed or what changes could happen primarily in healthcare that would impact our model. So, we’re prepared for those changes, but we don’t see anything on the horizon.

Frank Morgan

Analyst

Thank you.

Operator

Operator

Thank you. At this time, I am showing no further questions. I would like to turn the call back over to Kevin McNamara, President and CEO for closing remarks.

Kevin McNamara

Analyst

Thank you. We’re happy with what we saw was a very solid quarter, excellent quarter, increased guidance, expecting better than anticipated performance for the rest of the year. And I want to thank everyone for attending this conference call and we’ll have another one in about three months. Thank you.

Operator

Operator

Ladies and gentlemen, thank you for your participation in today’s conference. This concludes the program. You may now disconnect.