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     120  0 Kommentare Chemed Reports Third-Quarter 2020 Results

    Chemed Corporation (Chemed) (NYSE:CHE), which operates VITAS Healthcare Corporation (VITAS), one of the nation’s largest providers 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 third quarter ended September 30, 2020, versus the comparable prior-year period, as follows:

    Consolidated operating results:

    • Revenue increased 9.9% to $528 million
    • GAAP Diluted Earnings-per-Share (EPS) of $4.14, an increase of 16.3%
    • Adjusted Diluted EPS of $4.86, an increase of 40.5%

    VITAS segment operating results:

    • Net Patient Revenue of $337 million, an increase of 4.8%
    • Average Daily Census (ADC) of 19,045, a decline of 0.2%
    • Admissions of 17,943 an increase of 4.7%
    • Net Income, excluding certain discrete items, of $55.1 million, an increase of 36.4%
    • Adjusted EBITDA, excluding Medicare Cap, of $68.2 million, an increase of 25.6%
    • Adjusted EBITDA margin, excluding Medicare Cap, of 20.5%, an increase of 367-basis points

    Roto-Rooter segment operating results:

    • Revenue of $191 million, an increase of 20.4%
    • Net Income, excluding certain discrete items, of $36.2 million, an increase of 25.5%
    • Adjusted EBITDA of $51.8 million, an increase of 30.2%
    • Adjusted EBITDA margin of 27.1%, an increase of 205-basis points

    VITAS

    VITAS net revenue was $337 million in the third quarter of 2020, which is an increase of 4.8%, when compared to the prior-year period. This revenue increase is comprised primarily of a geographically weighted average Medicare reimbursement rate increase (including the suspension of sequestration on May 1, 2020) of approximately 5.7%, a 0.2% decline in days-of-care, and acuity mix shift which then reduced the blended average Medicare rate increase 242-basis points. In addition, a reduction in Medicare Cap liability increased revenue growth 162-basis points. The combination of Medicaid net room and board pass-through and other contra revenue activity increased revenue growth approximately 9-basis points in the quarter.

    In the third quarter of 2020, VITAS reversed $4.1 million in Medicare Cap billing limitations recorded in earlier quarters. This compares favorably to the prior-year third quarter Medicare Cap billing limitation of $1.3 million.

    The federal government’s Medicare Cap billing limitation fiscal year end is September 30. At September 30, 2020, VITAS had 30 Medicare provider numbers, four of which have an estimated fiscal 2020 Medicare Cap billing limitation liability of $8.7 million. This compares favorably to the full year fiscal 2019 Medicare Cap billing limitation liability of approximately $11.4 million.

    Of VITAS’ 30 Medicare provider numbers, 22 provider numbers have a Medicare Cap cushion of 10% or greater, one provider number has a cap cushion between 5% and 10%, three provider numbers have a cap cushion between 0% and 5%, and four provider numbers have a fiscal 2020 Medicare Cap billing limitation.

    Average revenue per patient per day in the third quarter of 2020 was $194.10, which, including acuity mix shift, is 3.2% above the prior-year period. Reimbursement for routine home care and high acuity care averaged $166.51 and $971.71, respectively. During the quarter, high acuity days-of-care were 3.4% of total days of care, 57-basis points less than the prior-year quarter. This 57-basis point mix shift in high acuity days-of-care reduced the increase in average revenue per patient per day from 5.7% to 3.2% in the quarter.

    The third quarter 2020 gross margin, excluding Medicare Cap and excluding $7 million of costs for personal protection equipment (PPE), disinfecting facilities and other incremental expenses directly related to the pandemic, was 28.0%, which is a 465-basis point margin improvement when compared to the third quarter of 2019. This increase in gross margin is attributed to a 2% increase in reimbursement from the temporary suspension of sequestration, a level-of-care mix shift to higher margin, lower reimbursement routine home care and efficiencies from utilizing telehealth when appropriate.

    Selling, general and administrative expense was $21.8 million in the third quarter of 2020, which is a favorable decrease of 0.8% compared to the prior-year quarter. Adjusted EBITDA, excluding Medicare Cap, totaled $68.2 million in the quarter, an increase of 25.6%. Adjusted EBITDA margin, excluding Medicare Cap, was 20.5% in the quarter, which is a 367-basis point improvement when compared to the prior-year period.

    Roto-Rooter

    Roto-Rooter generated quarterly revenue of $191 million in the third quarter of 2020, an increase of $32.3 million, or 20.4%, over the prior-year quarter. On a unit-for-unit basis, which excludes the Oakland and HSW acquisitions completed in July 2019 and September 2019, respectively, Roto-Rooter generated quarterly revenue of $173 million for the third quarter of 2020, an increase of 11.4% over the prior-year quarter.

    Total commercial revenue, excluding acquisitions, decreased 11.6%. This aggregate unit-for-unit commercial revenue decline consisted of drain cleaning revenue declining 13.0%, commercial plumbing and excavation declining 11.2%, and commercial water restoration declining 1.6%.

    Total residential revenue, excluding acquisitions, increased 24.6%. This aggregate residential revenue growth consisted of residential drain cleaning increasing 22.0%, plumbing and excavation expanding 31.2%, and residential water restoration increasing 16.1%.

    Roto-Rooter started the second quarter of 2020 with weak commercial and residential demand when compared to the prior year. Fortunately, service demand began to improve in the later part of April and continued to strengthen throughout the second quarter. This positive trend continued throughout the third quarter with unit-for-unit commercial revenue declining 15.7%, 8.5% and 10.7% in July, August and September 2020, respectively. Unit-for-unit residential revenue sales increased 22.8% in July, increased 24.1% in August, and increased 26.6% in September 2020.

    Roto-Rooter’s gross margin in the quarter was 51.6%, a 232-basis point increase when compared to the third quarter of 2019. Adjusted EBITDA in the third quarter of 2020 totaled $51.8 million, an increase of 30.2%. The Adjusted EBITDA margin in the quarter was 27.1% which is a 205-basis point increase when compared to the prior year. The increase in Adjusted EBITDA margin is attributed to strong residential revenue growth which contribute slightly higher margin than commercial revenue, as well as excellent expense management on costs related to managing Roto-Rooter branch infrastructure.

    Chemed Consolidated

    As of September 30, 2020, Chemed had total cash and cash equivalents of $113 million and no long-term debt.

    In June 2018, Chemed entered into a five-year Amended and Restated Credit Agreement that consists of a $450 million revolving credit facility. The interest rate on this facility has a floating rate that is currently LIBOR plus 100-basis points. At September 30, 2020, the Company had $38 million in outstanding letters of credit resulting in approximately $412 million of undrawn borrowing capacity under this credit agreement.

    During the quarter, the Company repurchased 50,000 shares of Chemed stock for $25.0 million which equates to a cost per share of $499.48. As of September 30, 2020, there was approximately $207 million of remaining share repurchase authorization under this plan.

    Chemed restarted its share repurchase program in 2007. Since that time Chemed has repurchased approximately 14.5 million shares, aggregating approximately $1.4 billion at an average share cost of $94.17. Including dividends over this period, Chemed has returned approximately $1.6 billion to shareholders.

    Guidance for 2020

    Historically, Chemed earnings guidance has been developed using previous years’ key operating metrics which are then modeled and projected out for the calendar year. Critical within these projections is the understanding of traditional patterned correlations among key operating metrics. Once we complete this phase of our projected operating results, we would then modify the projections for the timing of price increases, changes in commission structure, wages, marketing programs and a variety of continuous improvement initiatives that our business segments plan on executing over the coming year. This modeling exercise also takes into consideration anticipated industry and macro-economic issues outside of management’s control but are somewhat predictable in terms of timing and impact on our business segments’ operating results.

    The 2020 pandemic has made accurate modeling and providing meaningful earnings guidance for Chemed exceptionally challenging. Federal, state and local government authorities are forced to make swift decisions within our healthcare system, labor pools and general economy. These governmental decisions have the potential for an immediate and material impact on VITAS and Roto-Rooter operating results.

    Over the past seven months, Chemed has been able to successfully navigate within this rapidly changing environment and produce operating results that we believe provide us with the ability to issue guidance for the remainder of the calendar year. However, this guidance should be taken with the recognition the pandemic will continue to materially disrupt all aspects of our healthcare system and general economy to such an extent that future rules, regulations and government mandates could materially impact our ability to achieve this guidance.

    Revenue growth for VITAS in 2020, prior to Medicare Cap, is estimated to be 4%. Average Daily Census in 2020 is estimated to expand approximately 1.3%. Full-year Adjusted EBITDA margin, prior to Medicare Cap, is estimated to be 21%. We are currently estimating $8.7 million for Medicare Cap billing limitations for calendar year 2020. We also anticipate the $80.2 million of CARES Act funds formulaically calculated by the federal government based upon our 2019 Medicare fee-for-service revenue will be adequate to cover increased costs specifically related to operating our healthcare unit during the pandemic as well as any incremental Medicare Cap billing limitations triggered from declines in Medicare admissions. Chemed’s full year adjusted earnings per share guidance eliminates any financial benefit from the CARES Act funds that relate to lost revenue. We anticipate returning any unused CARES Act funds to the federal government at the end of the pandemic measurement period.

    Roto-Rooter is forecasted to achieve full-year 2020 revenue growth of 12.5% to 13.0%. Roto-Rooter’s Adjusted EBITDA margin for 2020 is estimated to be 26.1%.

    Based upon the above, full-year 2020 adjusted earnings per diluted share, excluding non-cash expense for stock options, tax benefits from stock option exercises, costs related to litigation, and other discrete items, is estimated to be in the range of $18.00 to $18.15 and compares to Chemed’s previous 2020 guidance of $16.20 to $16.40. This 2020 guidance assumes an effective corporate tax rate of 25.8%. Chemed’s 2019 reported adjusted earnings per diluted share was $13.95.

    Conference Call

    Chemed will host a conference call and webcast at 10 a.m., ET, on Friday, October 30, 2020, to discuss the Company's quarterly results and to provide an update on its business. The dial-in number for the conference call is (844) 743-2500 for U.S. and Canadian participants and +1 (661) 378-9533 for international participants. The Conference ID is 8376498. A live webcast of the call can be accessed on Chemed's website at www.chemed.com by clicking on Investor Relations Home.

    A taped replay of the conference call will be available beginning approximately 24 hours after the call's conclusion. It can be accessed by dialing (855) 859-2056 for U.S. and Canadian callers and +1 (404) 537-3406 for international callers and will be available for one week following the live call. The replay Conference ID is 8376498. An archived webcast will also be available at www.chemed.com.

    Chemed Corporation operates in the healthcare field through its VITAS Healthcare Corporation subsidiary. VITAS provides daily hospice services to approximately 19,000 patients with severe, life-limiting illnesses. This type of care is focused on making the terminally ill patient's final days as comfortable and pain-free as possible.

    Chemed operates in the residential and commercial plumbing and drain cleaning industry under the brand name Roto-Rooter. Roto-Rooter provides plumbing, drain cleaning, and water cleanup services through company-owned branches, independent contractors and franchisees in the United States and Canada. Roto-Rooter also has licensed master franchisees in the republics of Indonesia and Singapore, and the Philippines.

    This press release contains information about Chemed’s EBITDA, Adjusted EBITDA and Adjusted Diluted EPS, which are not measures derived in accordance with GAAP and which exclude components that are important to understanding Chemed’s financial performance. In reporting its operating results, Chemed provides EBITDA, Adjusted EBITDA and Adjusted Diluted EPS measures to help investors and others evaluate the Company’s operating results, compare its operating performance with that of similar companies that have different capital structures and evaluate its ability to meet its future debt service, capital expenditures and working capital requirements. Chemed’s management similarly uses EBITDA, Adjusted EBITDA and Adjusted Diluted EPS to assist it in evaluating the performance of the Company across fiscal periods and in assessing how its performance compares to its peer companies. These measures also help Chemed’s management to estimate the resources required to meet Chemed’s future financial obligations and expenditures. Chemed’s EBITDA, Adjusted EBITDA and Adjusted Diluted EPS should not be considered in isolation or as a substitute for comparable measures calculated and presented in accordance with GAAP. We calculated Adjusted EBITDA Margin by dividing Adjusted EBITDA by service revenue and sales. A reconciliation of Chemed’s net income to its EBITDA, Adjusted EBITDA and Adjusted Diluted EPS is presented in the tables following the text of this press release.

    Forward-Looking Statements

    Certain statements contained in this press release and the accompanying tables are "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995. The words "believe," "expect," "hope," "anticipate," "plan" and similar expressions identify forward-looking statements, which speak only as of the date the statement was made. Chemed does not undertake and specifically disclaims any obligation to publicly update or revise any forward-looking statements, whether as a result of new information, future events or otherwise. These statements are based on current expectations and assumptions and involve various risks and uncertainties, which could cause Chemed's actual results to differ from those expressed in such forward-looking statements.

    These risks and uncertainties arise from, among other things, possible changes in regulations governing the hospice care or plumbing and drain cleaning industries; periodic changes in reimbursement levels and procedures under Medicare and Medicaid programs; difficulties predicting patient length of stay and estimating potential Medicare reimbursement obligations; challenges inherent in Chemed's growth strategy; the current shortage of qualified nurses, other healthcare professionals and licensed plumbing and drain cleaning technicians; Chemed’s dependence on patient referral sources; and other factors detailed under the caption "Description of Business by Segment" or "Risk Factors" in Chemed’s most recent report on form 10-Q or 10-K and its other filings with the Securities and Exchange Commission. You are cautioned not to place undue reliance on such forward-looking statements and there are no assurances that the matters contained in such statements will be achieved.

    CHEMED CORPORATION AND SUBSIDIARY COMPANIES
    CONSOLIDATED STATEMENTS OF INCOME
    (in thousands, except per share data)(unaudited)
     
    Three Months Ended September 30, Nine Months Ended September 30,

    2020

     

    2019

     

    2020

     

    2019

     

    Service revenues and sales $

    528,297

     

    $

    480,613

     

    $

    1,546,294

     

    $

    1,416,231

     

    Cost of services provided and goods sold

    339,240

     

    328,183

     

    1,043,148

     

    973,771

     

    Selling, general and administrative expenses (aa)

    88,317

     

    76,836

     

    243,413

     

    222,421

     

    Depreciation

    11,714

     

    10,147

     

    34,761

     

    29,744

     

    Amortization

    2,511

     

    441

     

    7,476

     

    1,366

     

    Other operating (income)/expenses

    12,207

     

    78

     

    (28,935

    )

    9,001

     

    Total costs and expenses

    453,989

     

    415,685

     

    1,299,863

     

    1,236,303

     

    Income from operations

    74,308

     

    64,928

     

    246,431

     

    179,928

     

    Interest expense

    (379

    )

    (1,041

    )

    (2,005

    )

    (3,402

    )

    Other income--net (bb)

    7,675

     

    3,036

     

    5,723

     

    5,488

     

    Income before income taxes

    81,604

     

    66,923

     

    250,149

     

    182,014

     

    Income taxes

    (13,882

    )

    (7,976

    )

    (44,435

    )

    (27,671

    )

    Net income $

    67,722

     

    $

    58,947

     

    $

    205,714

     

    $

    154,343

     

    Earnings Per Share
    Net income $

    4.25

     

    $

    3.69

     

    $

    12.90

     

    $

    9.68

     

    Average number of shares outstanding

    15,940

     

    15,970

     

    15,948

     

    15,952

     

    Diluted Earnings Per Share
    Net income $

    4.14

     

    $

    3.56

     

    $

    12.53

     

    $

    9.35

     

    Average number of shares outstanding

    16,373

     

    16,555

     

    16,419

     

    16,514

     

     
    (aa) Selling, general and administrative ("SG&A") expenses comprise (in thousands):
     
    Three Months Ended September 30, Nine Months Ended September 30,

    2020

     

    2019

     

    2020

     

    2019

     

    SG&A expenses before long-term incentive compensation
    and the impact of market value adjustments related to
    deferred compensation plans $

    79,287

     

    $

    72,273

     

    $

    232,797

     

    $

    212,775

     

    Market value adjustments related to deferred
    compensation trusts

    7,256

     

    2,886

     

    5,093

     

    5,094

     

    Long-term incentive compensation

    1,774

     

    1,677

     

    5,523

     

    4,552

     

    Total SG&A expenses $

    88,317

     

    $

    76,836

     

    $

    243,413

     

    $

    222,421

     

     
    (bb) Other income--net comprises (in thousands):
    Three Months Ended September 30, Nine Months Ended September 30,

    2020

     

    2019

     

    2020

     

    2019

     

    Market value adjustments related to deferred
    compensation trusts $

    7,256

     

    $

    2,886

     

    $

    5,093

     

    $

    5,094

     

    Interest income

    423

     

    173

     

    647

     

    387

     

    Other

    (4

    )

    (23

    )

    (17

    )

    7

     

    Total other income--net $

    7,675

     

    $

    3,036

     

    $

    5,723

     

    $

    5,488

     

    CHEMED CORPORATION AND SUBSIDIARY COMPANIES
    CONSOLIDATED BALANCE SHEETS
    (in thousands, except per share data)(unaudited)
     
    September 30,

    2020

     

    2019

     

    Assets
    Current assets
    Cash and cash equivalents $

    112,765

     

    $

    9,066

     

    Accounts receivable less allowances

    110,839

     

    114,480

     

    Inventories

    7,546

     

    7,354

     

    Prepaid income taxes

    14,224

     

    10,745

     

    Prepaid expenses

    25,222

     

    26,150

     

    Total current assets

    270,596

     

    167,795

     

    Investments of deferred compensation plans held in trust

    86,865

     

    73,714

     

    Properties and equipment, at cost less accumulated depreciation

    181,386

     

    172,932

     

    Lease right of use asset

    120,382

     

    103,286

     

    Identifiable intangible assets less accumulated amortization

    120,401

     

    129,276

     

    Goodwill

    578,519

     

    576,600

     

    Other assets

    8,805

     

    8,982

     

    Total Assets $

    1,366,954

     

    $

    1,232,585

     

    Liabilities
    Current liabilities
    Accounts payable $

    39,268

     

    $

    44,027

     

    Accrued insurance

    50,727

     

    47,726

     

    Accrued compensation

    101,868

     

    75,208

     

    Accrued legal

    9,561

     

    7,283

     

    Short-term lease liability

    33,311

     

    33,761

     

    Unutilized CARES Act grant

    48,041

     

    -

     

    Other current liabilities

    46,387

     

    43,496

     

    Total current liabilities

    329,163

     

    251,501

     

    Deferred income taxes

    19,222

     

    15,512

     

    Long-term debt

    -

     

    130,000

     

    Deferred compensation liabilities

    86,875

     

    73,335

     

    Long-term lease liability

    99,241

     

    82,012

     

    Other liabilities

    31,045

     

    7,845

     

    Total Liabilities

    565,546

     

    560,205

     

    Stockholders' Equity
    Capital stock

    36,137

     

    35,738

     

    Paid-in capital

    925,271

     

    841,837

     

    Retained earnings

    1,615,465

     

    1,365,303

     

    Treasury stock, at cost

    (1,777,809

    )

    (1,572,844

    )

    Deferred compensation payable in Company stock

    2,344

     

    2,346

     

    Total Stockholders' Equity

    801,408

     

    672,380

     

    Total Liabilities and Stockholders' Equity $

    1,366,954

     

    $

    1,232,585

     

     
    CHEMED CORPORATION AND SUBSIDIARY COMPANIES
    CONSOLIDATED STATEMENTS OF CASH FLOWS
    (in thousands)(unaudited)
     
    For the Nine Months Ended September 30,

    2020

     

    2019

     

    Cash Flows from Operating Activities
    Net income $

    205,714

     

    $

    154,343

     

    Adjustments to reconcile net income to net cash provided
    by operating activities:
    Unutilized CARES Act grant

    48,041

     

    -

     

    Depreciation and amortization

    42,237

     

    31,110

     

    Deferred payroll taxes

    22,941

     

    -

     

    Stock option expense

    13,296

     

    10,729

     

    Noncash long-term incentive compensation

    5,301

     

    4,184

     

    Litigation settlement

    2,684

     

    6,000

     

    Noncash directors' compensation

    1,171

     

    767

     

    Deferred tax provision/(benefit)

    831

     

    (6,085

    )

    Amortization of debt issuance costs

    229

     

    229

     

    Asset impairment loss

    -

     

    2,266

     

    Changes in operating assets and liabilities, excluding
    amounts acquired in business combinations:
    Decrease in accounts receivable

    27,993

     

    10,558

     

    Increase in inventories

    (84

    )

    (1,649

    )

    Increase in prepaid expenses

    (2,072

    )

    (6,836

    )

    Increase in accounts payable and
    other current liabilities

    34,526

     

    28,622

     

    Change in current income taxes

    (4,366

    )

    (81

    )

    Net change in lease assets and liabilities

    1,583

     

    1,311

     

    Increase in other assets

    (9,646

    )

    (8,145

    )

    Increase in other liabilities

    10,735

     

    9,045

     

    Other sources

    1,298

     

    1,277

     

    Net cash provided by operating activities

    402,412

     

    237,645

     

    Cash Flows from Investing Activities
    Capital expenditures

    (42,670

    )

    (39,753

    )

    Business combinations

    (3,600

    )

    (138,010

    )

    Other sources

    672

     

    101

     

    Net cash used by investing activities

    (45,598

    )

    (177,662

    )

    Cash Flows from Financing Activities
    Payments on revolving line of credit

    (264,900

    )

    (359,900

    )

    Proceeds from revolving line of credit

    174,900

     

    400,700

     

    Purchases of treasury stock

    (147,123

    )

    (71,926

    )

    Proceeds from exercise of stock options

    31,498

     

    23,383

     

    Capital stock surrendered to pay taxes on stock-based compensation

    (18,707

    )

    (26,108

    )

    Dividends paid

    (15,639

    )

    (14,657

    )

    Change in cash overdrafts payable

    (9,849

    )

    (7,535

    )

    Other (uses)/sources

    (387

    )

    295

     

    Net cash used by financing activities

    (250,207

    )

    (55,748

    )

    Increase in Cash and Cash Equivalents

    106,607

     

    4,235

     

    Cash and cash equivalents at beginning of year

    6,158

     

    4,831

     

    Cash and cash equivalents at end of year $

    112,765

     

    $

    9,066

     

     
    CHEMED CORPORATION AND SUBSIDIARY COMPANIES
    CONSOLIDATING STATEMENTS OF INCOME
    FOR THE THREE MONTHS ENDED SEPTEMBER 30, 2020 AND 2019
    (in thousands)(unaudited)
    Chemed
    VITAS Roto-Rooter Corporate Consolidated
    2020 (a)
    Service revenues and sales $

    337,097

     

    $

    191,200

     

    $

    -

     

    $

    528,297

     

    Cost of services provided and goods sold

    246,636

     

    92,604

     

    -

     

    339,240

     

    Selling, general and administrative expenses

    21,799

     

    48,074

     

    18,444

     

    88,317

     

    Depreciation

    5,592

     

    6,089

     

    33

     

    11,714

     

    Amortization

    18

     

    2,493

     

    -

     

    2,511

     

    Other operating expense

    9,052

     

    3,155

     

    -

     

    12,207

     

    Total costs and expenses

    283,097

     

    152,415

     

    18,477

     

    453,989

     

    Income/(loss) from operations

    54,000

     

    38,785

     

    (18,477

    )

    74,308

     

    Interest expense

    (47

    )

    (80

    )

    (252

    )

    (379

    )

    Intercompany interest income/(expense)

    5,337

     

    1,651

     

    (6,988

    )

    -

     

    Other income—net

    381

     

    38

     

    7,256

     

    7,675

     

    Income/(loss) before income taxes

    59,671

     

    40,394

     

    (18,461

    )

    81,604

     

    Income taxes

    (13,934

    )

    (9,218

    )

    9,270

     

    (13,882

    )

    Net income/(loss) $

    45,737

     

    $

    31,176

     

    $

    (9,191

    )

    $

    67,722

     

     
    2019 (b)
    Service revenues and sales $

    321,748

     

    $

    158,865

     

    $

    -

     

    $

    480,613

     

    Cost of services provided and goods sold

    247,551

     

    80,632

     

    -

     

    328,183

     

    Selling, general and administrative expenses

    21,965

     

    41,758

     

    13,113

     

    76,836

     

    Depreciation

    5,105

     

    5,003

     

    39

     

    10,147

     

    Amortization

    18

     

    423

     

    -

     

    441

     

    Other operating expense/(income)

    97

     

    (19

    )

    -

     

    78

     

    Total costs and expenses

    274,736

     

    127,797

     

    13,152

     

    415,685

     

    Income/(loss) from operations

    47,012

     

    31,068

     

    (13,152

    )

    64,928

     

    Interest expense

    (48

    )

    (80

    )

    (913

    )

    (1,041

    )

    Intercompany interest income/(expense)

    4,618

     

    2,234

     

    (6,852

    )

    -

     

    Other income—net

    121

     

    31

     

    2,884

     

    3,036

     

    Income/(loss) before income taxes

    51,703

     

    33,253

     

    (18,033

    )

    66,923

     

    Income taxes

    (11,930

    )

    (7,113

    )

    11,067

     

    (7,976

    )

    Net income/(loss) $

    39,773

     

    $

    26,140

     

    $

    (6,966

    )

    $

    58,947

     

     
     
    The "Footnotes to Financial Statements" are integral parts of this financial information.
    CHEMED CORPORATION AND SUBSIDIARY COMPANIES
    CONSOLIDATING STATEMENTS OF INCOME
    FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2020 AND 2019
    (in thousands)(unaudited)
     
    Chemed
    VITAS Roto-Rooter Corporate Consolidated
    2020 (a)
    Service revenues and sales $

    1,002,477

     

    $

    543,817

     

    $

    -

     

    $

    1,546,294

     

    Cost of services provided and goods sold

    772,880

     

    270,268

     

    -

     

    1,043,148

     

    Selling, general and administrative expenses

    65,141

     

    138,587

     

    39,685

     

    243,413

     

    Depreciation

    16,622

     

    18,035

     

    104

     

    34,761

     

    Amortization

    53

     

    7,423

     

    -

     

    7,476

     

    Other operating (income)/expense

    (31,661

    )

    2,725

     

    1

     

    (28,935

    )

    Total costs and expenses

    823,035

     

    437,038

     

    39,790

     

    1,299,863

     

    Income/(loss) from operations

    179,442

     

    106,779

     

    (39,790

    )

    246,431

     

    Interest expense

    (137

    )

    (272

    )

    (1,596

    )

    (2,005

    )

    Intercompany interest income/(expense)

    14,463

     

    4,422

     

    (18,885

    )

    -

     

    Other income—net

    549

     

    68

     

    5,106

     

    5,723

     

    Income/(loss) before income taxes

    194,317

     

    110,997

     

    (55,165

    )

    250,149

     

    Income taxes

    (47,055

    )

    (26,031

    )

    28,651

     

    (44,435

    )

    Net income/(loss) $

    147,262

     

    $

    84,966

     

    $

    (26,514

    )

    $

    205,714

     

     
    2019 (b)
    Service revenues and sales $

    941,279

     

    $

    474,952

     

    $

    -

     

    $

    1,416,231

     

    Cost of services provided and goods sold

    728,397

     

    245,374

     

    -

     

    973,771

     

    Selling, general and administrative expenses

    65,182

     

    120,736

     

    36,503

     

    222,421

     

    Depreciation

    14,644

     

    14,983

     

    117

     

    29,744

     

    Amortization

    53

     

    1,313

     

    -

     

    1,366

     

    Other operating expense

    6,521

     

    214

     

    2,266

     

    9,001

     

    Total costs and expenses

    814,797

     

    382,620

     

    38,886

     

    1,236,303

     

    Income/(loss) from operations

    126,482

     

    92,332

     

    (38,886

    )

    179,928

     

    Interest expense

    (150

    )

    (273

    )

    (2,979

    )

    (3,402

    )

    Intercompany interest income/(expense)

    13,395

     

    6,609

     

    (20,004

    )

    -

     

    Other income—net

    309

     

    86

     

    5,093

     

    5,488

     

    Income/(loss) before income taxes

    140,036

     

    98,754

     

    (56,776

    )

    182,014

     

    Income taxes

    (33,636

    )

    (22,452

    )

    28,417

     

    (27,671

    )

    Net income/(loss) $

    106,400

     

    $

    76,302

     

    $

    (28,359

    )

    $

    154,343

     

     
     
    The "Footnotes to Financial Statements" are integral parts of this financial information.
    CHEMED CORPORATION AND SUBSIDIARY COMPANIES
    CONSOLIDATING SUMMARIES OF EBITDA
    FOR THE THREE MONTHS ENDED SEPTEMBER 30, 2020 AND 2019
    (in thousands)(unaudited)
    Chemed
    VITAS Roto-Rooter Corporate Consolidated

    2020

    Net income/(loss) $

    45,737

     

    $

    31,176

     

    $

    (9,191

    )

    $

    67,722

     

    Add/(deduct):
    Interest expense

    47

     

    80

     

    252

     

    379

     

    Income taxes

    13,934

     

    9,218

     

    (9,270

    )

    13,882

     

    Depreciation

    5,592

     

    6,089

     

    33

     

    11,714

     

    Amortization

    18

     

    2,493

     

    -

     

    2,511

     

    EBITDA

    65,328

     

    49,056

     

    (18,176

    )

    96,208

     

    Add/(deduct):
    Intercompany interest expense/(income)

    (5,337

    )

    (1,651

    )

    6,988

     

    -

     

    Interest income

    (385

    )

    (38

    )

    -

     

    (423

    )

    CARES Act grant

    8,805

     

    -

     

    -

     

    8,805

     

    Direct costs related to COVID-19

    6,945

     

    1,321

     

    -

     

    8,266

     

    Stock option expense

    -

     

    -

     

    3,182

     

    3,182

     

    Litigation settlement

    -

     

    3,095

     

    -

     

    3,095

     

    COVID-19 related Medicare cap

    (2,250

    )

    -

     

    -

     

    (2,250

    )

    Long-term incentive compensation

    -

     

    -

     

    1,774

     

    1,774

     

    Medicare cap sequestration adjustment

    (852

    )

    -

     

    -

     

    (852

    )

    Adjusted EBITDA $

    72,254

     

    $

    51,783

     

    $

    (6,232

    )

    $

    117,805

     

     

    2019

    Net income/(loss) $

    39,773

     

    $

    26,140

     

    $

    (6,966

    )

    $

    58,947

     

    Add/(deduct):
    Interest expense

    48

     

    80

     

    913

     

    1,041

     

    Income taxes

    11,930

     

    7,113

     

    (11,067

    )

    7,976

     

    Depreciation

    5,105

     

    5,003

     

    39

     

    10,147

     

    Amortization

    18

     

    423

     

    -

     

    441

     

    EBITDA

    56,874

     

    38,759

     

    (17,081

    )

    78,552

     

    Add/(deduct):
    Intercompany interest expense/(income)

    (4,618

    )

    (2,234

    )

    6,852

     

    -

     

    Interest income

    (139

    )

    (34

    )

    -

     

    (173

    )

    Acquisition expense

    -

     

    3,281

     

    -

     

    3,281

     

    Stock option expense

    -

     

    -

     

    2,711

     

    2,711

     

    Long-term incentive compensation

    -

     

    -

     

    1,677

     

    1,677

     

    Medicare cap sequestration adjustment

    859

     

    -

     

    -

     

    859

     

    Adjusted EBITDA $

    52,976

     

    $

    39,772

     

    $

    (5,841

    )

    $

    86,907

     

     
    The "Footnotes to Financial Statements" are integral parts of this financial information.
    CHEMED CORPORATION AND SUBSIDIARY COMPANIES
    CONSOLIDATING SUMMARIES OF EBITDA
    FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2020 AND 2019
    (in thousands)(unaudited)
    Chemed
    VITAS Roto-Rooter Corporate Consolidated

    2020

    Net income/(loss) $

    147,262

     

    $

    84,966

     

    $

    (26,514

    )

    $

    205,714

     

    Add/(deduct):
    Interest expense

    137

     

    272

     

    1,596

     

    2,005

     

    Income taxes

    47,055

     

    26,031

     

    (28,651

    )

    44,435

     

    Depreciation

    16,622

     

    18,035

     

    104

     

    34,761

     

    Amortization

    53

     

    7,423

     

    -

     

    7,476

     

    EBITDA

    211,129

     

    136,727

     

    (53,465

    )

    294,391

     

    Add/(deduct):
    Intercompany interest expense/(income)

    (14,463

    )

    (4,422

    )

    18,885

     

    -

     

    Interest income

    (566

    )

    (68

    )

    (13

    )

    (647

    )

    Direct costs related to COVID-19

    32,184

     

    3,299

     

    -

     

    35,483

     

    CARES Act grant

    (32,184

    )

    -

     

    -

     

    (32,184

    )

    Stock option expense

    -

     

    -

     

    13,296

     

    13,296

     

    Long-term incentive compensation

    -

     

    -

     

    5,523

     

    5,523

     

    Litigation settlement costs

    -

     

    3,095

     

    -

     

    3,095

     

    Medicare cap sequestration adjustment

    619

     

    -

     

    -

     

    619

     

    Adjusted EBITDA $

    196,719

     

    $

    138,631

     

    $

    (15,774

    )

    $

    319,576

     

    2019

    Net income/(loss) $

    106,400

     

    $

    76,302

     

    $

    (28,359

    )

    $

    154,343

     

    Add/(deduct):
    Interest expense

    150

     

    273

     

    2,979

     

    3,402

     

    Income taxes

    33,636

     

    22,452

     

    (28,417

    )

    27,671

     

    Depreciation

    14,644

     

    14,983

     

    117

     

    29,744

     

    Amortization

    53

     

    1,313

     

    -

     

    1,366

     

    EBITDA

    154,883

     

    115,323

     

    (53,680

    )

    216,526

     

    Add/(deduct):
    Intercompany interest expense/(income)

    (13,395

    )

    (6,609

    )

    20,004

     

    -

     

    Interest (income)/expense

    (296

    )

    (91

    )

    -

     

    (387

    )

    Stock option expense

    -

     

    -

     

    10,729

     

    10,729

     

    Litigation settlement costs

    6,000

     

    -

     

    -

     

    6,000

     

    Long-term incentive compensation

    -

     

    -

     

    4,552

     

    4,552

     

    Acquisition expense

    -

     

    3,377

     

    120

     

    3,497

     

    Medicare cap sequestration adjustment

    3,063

     

    -

     

    -

     

    3,063

     

    Impairment loss on transportation equipment

    -

     

    -

     

    2,266

     

    2,266

     

    Non cash ASC 842 expenses/(benefit)

    656

     

    55

     

    (163

    )

    548

     

    Adjusted EBITDA $

    150,911

     

    $

    112,055

     

    $

    (16,172

    )

    $

    246,794

     

     
    The "Footnotes to Financial Statements" are integral parts of this financial information.
    CHEMED CORPORATION AND SUBSIDIARY COMPANIES
    RECONCILIATION OF ADJUSTED NET INCOME
    (in thousands, except per share data)(unaudited)
     
    Three Months Ended Nine Months Ended
    September 30, September 30,

    2020

     

    2019

     

    2020

     

    2019

     

    Net income as reported $

    67,722

     

    $

    58,947

     

    $

    205,714

     

    $

    154,343

     

    Add/(deduct) pre-tax cost of:
    Direct costs related to COVID-19

    8,266

     

    -

     

    35,483

     

    -

     

    CARES Act grant

    8,805

     

    -

     

    (32,184

    )

    -

     

    Stock option expense

    3,182

     

    2,711

     

    13,296

     

    10,729

     

    Amortization of reacquired franchise agreements

    2,352

     

    331

     

    7,056

     

    1,103

     

    Long-term incentive compensation

    1,774

     

    1,677

     

    5,523

     

    4,552

     

    Litigation settlement

    3,095

     

    -

     

    3,095

     

    6,000

     

    Medicare cap sequestration adjustments

    (852

    )

    859

     

    619

     

    3,063

     

    COVID-19 Medicare cap

    (2,250

    )

    -

     

    -

     

    -

     

    Impairment loss on transportation equipment

    -

     

    -

     

    -

     

    2,266

     

    Acquisition expense

    -

     

    3,281

     

    -

     

    3,497

     

    Non cash ASC 842 expenses

    -

     

    -

     

    -

     

    548

     

    Add/(deduct) tax impacts:
    Tax impact of the above pre-tax adjustments (1)

    (5,351

    )

    (1,801

    )

    (6,165

    )

    (6,761

    )

    Excess tax benefits on stock compensation

    (7,187

    )

    (8,792

    )

    (19,943

    )

    (18,737

    )

    Adjusted net income $

    79,556

     

    $

    57,213

     

    $

    212,494

     

    $

    160,603

     

     
    Diluted Earnings Per Share As Reported
    Net income $

    4.14

     

    $

    3.56

     

    $

    12.53

     

    $

    9.35

     

    Average number of shares outstanding

    16,373

     

    16,555

     

    16,419

     

    16,514

     

     
    Adjusted Diluted Earnings Per Share
    Adjusted net income $

    4.86

     

    $

    3.46

     

    $

    12.94

     

    $

    9.73

     

    Average number of shares outstanding

    16,373

     

    16,555

     

    16,419

     

    16,514

     

     
    (1) The tax impact of pre-tax adjustments was calculated using the effective tax rate of the operating unit for which each adjustment is associated.
     
    The "Footnotes to Financial Statements" are integral parts of this financial information.
    CHEMED CORPORATION AND SUBSIDIARY COMPANIES
    OPERATING STATISTICS FOR VITAS SEGMENT
    (unaudited)
     
    Three Months Ended September 30, Nine Months Ended September 30,
    OPERATING STATISTICS

    2020

     

    2019

     

    2020

    2019

    Net revenue ($000) (c)
    Homecare $

    278,856

     

    $

    274,746

     

    $

    826,954

     

    $

    800,059

     

    Inpatient

    27,633

     

    23,599

     

    85,983

     

    69,063

     

    Continuous care

    30,699

     

    29,446

     

    105,836

     

    92,476

     

    Other

    2,910

     

    2,356

     

    8,175

     

    6,598

     

    Subtotal $

    340,098

     

    $

    330,147

     

    $

    1,026,948

     

    $

    968,196

     

    Room and board, net

    (3,289

    )

    (2,846

    )

    (9,317

    )

    (8,098

    )

    Contractual allowances

    (3,784

    )

    (4,236

    )

    (10,976

    )

    (10,904

    )

    Medicare cap allowance

    4,072

     

    (1,317

    )

    (4,178

    )

    (7,915

    )

    Net Revenue $

    337,097

     

    $

    321,748

     

    $

    1,002,477

     

    $

    941,279

     

    Net revenue as a percent of total before Medicare cap allowance
    Homecare

    82.0

     

    %

    83.2

     

    %

    80.5

     

    %

    82.6

     

    %

    Inpatient

    8.1

     

    7.1

     

    8.4

     

    7.1

     

    Continuous care

    9.0

     

    8.9

     

    10.3

     

    9.6

     

    Other

    0.9

     

    0.8

     

    0.8

     

    0.7

     

    Subtotal

    100.0

     

    100.0

     

    100.0

     

    100.0

     

    Room and board, net

    (1.0

    )

    (0.9

    )

    (0.9

    )

    (0.8

    )

    Contractual allowances

    (1.1

    )

    (1.3

    )

    (1.1

    )

    (1.2

    )

    Medicare cap allowance

    1.2

     

    (0.4

    )

    (0.4

    )

    (0.8

    )

    Net Revenue

    99.1

     

    %

    97.4

     

    %

    97.6

     

    %

    97.2

     

    %

    Days of care
    Homecare

    1,426,191

     

    1,361,508

     

    4,192,681

     

    3,961,261

     

    Nursing home

    261,396

     

    315,566

     

    844,232

     

    909,318

     

    Respite

    4,566

     

    8,582

     

    15,416

     

    21,552

     

    Subtotal routine homecare and respite

    1,692,153

     

    1,685,656

     

    5,052,329

     

    4,892,131

     

    Inpatient

    27,017

     

    30,553

     

    84,907

     

    89,366

     

    Continuous care

    33,013

     

    39,670

     

    110,200

     

    125,397

     

    Total

    1,752,183

     

    1,755,879

     

    5,247,436

     

    5,106,894

     

     
    Number of days in relevant time period

    92

     

    92

     

    274

     

    273

     

    Average daily census ("ADC") (days)
    Homecare

    15,502

     

    14,799

     

    15,302

     

    14,510

     

    Nursing home

    2,841

     

    3,430

     

    3,081

     

    3,331

     

    Respite

    50

     

    93

     

    56

     

    79

     

    Subtotal routine homecare and respite

    18,393

     

    18,322

     

    18,439

     

    17,920

     

    Inpatient

    294

     

    332

     

    310

     

    327

     

    Continuous care

    358

     

    432

     

    402

     

    460

     

    Total

    19,045

     

    19,086

     

    19,151

     

    18,707

     

    Total Admissions

    17,943

     

    17,131

     

    53,368

     

    52,380

     

    Total Discharges

    18,205

     

    16,915

     

    51,281

     

    51,274

     

    Average length of stay (days)

    97.1

     

    92.6

     

    92.9

     

    91.6

     

    Median length of stay (days)

    14.0

     

    17.0

     

    14.0

     

    16.0

     

    ADC by major diagnosis
    Cerebro

    35.1

     

    %

    35.7

     

    %

    35.7

     

    %

    35.9

     

    %

    Neurological

    22.1

     

    20.7

     

    21.7

     

    20.4

     

    Cancer

    12.5

     

    12.9

     

    12.6

     

    12.9

     

    Cardio

    16.1

     

    16.6

     

    15.9

     

    16.7

     

    Respiratory

    8.0

     

    8.1

     

    8.2

     

    8.1

     

    Other

    6.2

     

    6.0

     

    5.9

     

    6.0

     

    Total

    100.0

     

    %

    100.0

     

    %

    100.0

     

    %

    100.0

     

    %

    Admissions by major diagnosis
    Cerebro

    21.4

     

    %

    21.1

     

    %

    21.2

     

    %

    20.8

     

    %

    Neurological

    13.2

     

    12.7

     

    13.0

     

    12.6

     

    Cancer

    27.4

     

    30.5

     

    27.8

     

    29.2

     

    Cardio

    13.6

     

    14.8

     

    14.5

     

    15.7

     

    Respiratory

    9.9

     

    10.2

     

    10.6

     

    11.3

     

    Other

    14.5

     

    10.7

     

    12.9

     

    10.4

     

    Total

    100.0

     

    %

    100.0

     

    %

    100.0

     

    %

    100.0

     

    %

     
    Estimated uncollectible accounts as a percent of revenues

    1.1

     

    %

    1.3

     

    %

    1.1

     

    %

    1.1

     

    %

     
    Accounts receivable --
    Days of revenue outstanding-excluding unapplied Medicare payments

    33.4

     

    32.7

     

    n.a.

     

    n.a.

     

    Days of revenue outstanding-including unapplied Medicare payments

    22.1

     

    21.0

     

    n.a.

     

    n.a.

     

     
    The "Footnotes to Financial Statements" are integral parts of this financial information.
    CHEMED CORPORATION AND SUBSIDIARY COMPANIES
    FOOTNOTES TO FINANCIAL STATEMENTS
    FOR THE THREE AND NINE MONTHS ENDED SEPTEMBER 30, 2020 AND 2019
    (unaudited)
     
    (a) Included in the results of operations for 2020 are the following significant credits/(charges) which may not be indicative of ongoing operations
    (in thousands):
    Three Months Ended September 30, 2020
    VITAS Roto-Rooter Corporate Consolidated
     
    CARES Act grant $

    (8,805

    )

    $

    -

     

    $

    -

     

    $

    (8,805

    )

    Direct costs related to COVID-19

    (6,945

    )

    (1,321

    )

    -

     

    (8,266

    )

    Stock option expense

    -

     

    -

     

    (3,182

    )

    (3,182

    )

    Litigation settlement

    -

     

    (3,095

    )

    -

     

    (3,095

    )

    Amortization of reacquired franchise agreements

    -

     

    (2,352

    )

    -

     

    (2,352

    )

    COVID-19 Medicare cap

    2,250

     

    -

     

    -

     

    2,250

     

    Long-term incentive compensation

    -

     

    -

     

    (1,774

    )

    (1,774

    )

    Medicare cap sequestration adjustment

    852

     

    -

     

    -

     

    852

     

    Pretax impact on earnings

    (12,648

    )

    (6,768

    )

    (4,956

    )

    (24,372

    )

    Excess tax benefits on stock compensation

    -

     

    -

     

    7,187

     

    7,187

     

    Income tax benefit on the above

    3,253

     

    1,794

     

    304

     

    5,351

     

    After-tax impact on earnings $

    (9,395

    )

    $

    (4,974

    )

    $

    2,535

     

    $

    (11,834

    )

     
    Nine Months Ended September 30, 2020
    VITAS Roto-Rooter Corporate Consolidated
     
    Direct costs related to COVID-19 $

    (32,184

    )

    $

    (3,299

    )

    $

    -

     

    $

    (35,483

    )

    CARES Act grant

    32,184

     

    -

     

    -

     

    32,184

     

    Stock option expense

    -

     

    -

     

    (13,296

    )

    (13,296

    )

    Amortization of acquired and cancelled franchise agreements

    -

     

    (7,056

    )

    -

     

    (7,056

    )

    Long-term incentive compensation

    -

     

    -

     

    (5,523

    )

    (5,523

    )

    Litigation settlement

    -

     

    (3,095

    )

    -

     

    (3,095

    )

    Medicare cap sequestration adjustment

    (619

    )

    -

     

    -

     

    (619

    )

    Pretax impact on earnings

    (619

    )

    (13,450

    )

    (18,819

    )

    (32,888

    )

    Excess tax benefits on stock compensation

    -

     

    -

     

    19,943

     

    19,943

     

    Income tax benefit on the above

    157

     

    3,564

     

    2,444

     

    6,165

     

    After-tax impact on earnings $

    (462

    )

    $

    (9,886

    )

    $

    3,568

     

    $

    (6,780

    )

     
    (b) Included in the results of operations for 2019 are the following significant credits/(charges) which may not be indicative of ongoing operations
    (in thousands):
    Three Months Ended September 30, 2019
    VITAS Roto-Rooter Corporate Consolidated
     
    Acquisition expense $

    -

     

    $

    (3,281

    )

    $

    -

     

    $

    (3,281

    )

    Stock option expense

    -

     

    -

     

    (2,711

    )

    (2,711

    )

    Long-term incentive compensation

    -

     

    -

     

    (1,677

    )

    (1,677

    )

    Medicare cap sequestration adjustment

    (859

    )

    -

     

    -

     

    (859

    )

    Amortization of reacquired franchise agreements

    -

     

    (331

    )

    -

     

    (331

    )

    Pretax impact on earnings

    (859

    )

    (3,612

    )

    (4,388

    )

    (8,859

    )

    Excess tax benefits on stock compensation

    -

     

    -

     

    8,792

     

    8,792

     

    Income tax benefit on the above

    220

     

    957

     

    624

     

    1,801

     

    After-tax impact on earnings $

    (639

    )

    $

    (2,655

    )

    $

    5,028

     

    $

    1,734

     

     
    Nine Months Ended September 30, 2019
    VITAS Roto-Rooter Corporate Consolidated
     
    Stock option expense $

    -

     

    $

    -

     

    $

    (10,729

    )

    $

    (10,729

    )

    Litigation settlement

    (6,000

    )

    -

     

    -

     

    (6,000

    )

    Long-term incentive compensation

    -

     

    -

     

    (4,552

    )

    (4,552

    )

    Acquisition expense

    -

     

    (3,377

    )

    (120

    )

    (3,497

    )

    Medicare cap sequestration adjustment

    (3,063

    )

    -

     

    -

     

    (3,063

    )

    Impairment loss on transportation equipment

    -

     

    -

     

    (2,266

    )

    (2,266

    )

    Amortization of reacquired franchise agreements

    -

     

    (1,103

    )

    -

     

    (1,103

    )

    Non cash ASC 842 (expenses)/benefit

    (656

    )

    (55

    )

    163

     

    (548

    )

    Pretax impact on earnings

    (9,719

    )

    (4,535

    )

    (17,504

    )

    (31,758

    )

    Excess tax benefits on stock compensation

    -

     

    -

     

    18,737

     

    18,737

     

    Income tax benefit on the above

    2,474

     

    1,202

     

    3,085

     

    6,761

     

    After-tax impact on earnings $

    (7,245

    )

    $

    (3,333

    )

    $

    4,318

     

    $

    (6,260

    )

     
    (c) VITAS has 11 large (greater than 450 ADC), 21 medium (greater than 200 but less than 450 ADC) and 17 small (less than 200 ADC) hospice programs. Of Vitas' 30 Medicare provider numbers, for the current cap year, 22 provider numbers have a Medicare cap cushion of 10% or greater, one provider numbers have a cap cushion between 5% and 10%, three provider numbers have a cap cushion between 0% and 5%, and four provider numbers have a Medicare cap liability.

     




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    Chemed Reports Third-Quarter 2020 Results Chemed Corporation (Chemed) (NYSE:CHE), which operates VITAS Healthcare Corporation (VITAS), one of the nation’s largest providers of end-of-life care, and Roto-Rooter, the nation’s largest commercial and residential plumbing and drain cleaning …