A summary of the temporary differences that give rise to deferred tax assets/ (liabilities) follows (in thousands):
| | December 31, | |
| | 2013 | | | 2012 | |
Accrued liabilities | | $ | 41,434 | | | $ | 32,772 | |
Stock compensation expense | | | 14,866 | | | | 15,190 | |
Allowance for uncollectible accounts receivable | | | 1,396 | | | | 1,510 | |
State net operating loss carryforwards | | | 1,495 | | | | 1,461 | |
Other | | | 800 | | | | 678 | |
Deferred income tax assets | | | 59,991 | | | | 51,611 | |
Amortization of intangible assets | | | (45,941 | ) | | | (44,201 | ) |
Accelerated tax depreciation | | | (15,379 | ) | | | (16,536 | ) |
Market valuation of investments | | | (2,279 | ) | | | (1,569 | ) |
Currents assets | | | (1,459 | ) | | | (1,600 | ) |
Other | | | (1,949 | ) | | | (1,671 | ) |
Deferred income tax liabilities | | | (67,007 | ) | | | (65,577 | ) |
Net deferred income tax liabilities | | $ | (7,016 | ) | | $ | (13,966 | ) |
At December 31, 2013 and 2012, state net operating loss carryforwards were $29.4 million and $28.4 million, respectively. These net operating losses will expire, in varying amounts, between 2014 and 2033. Based on our history of operating earnings, we have determined that our operating income will, more likely than not, be sufficient to ensure realization of our deferred income tax assets.
A reconciliation of the beginning and ending of year amount of our unrecognized tax benefit is as follows (in thousands):
| | 2013 | | | 2012 | | | 2011 | |
Balance at January 1, | | $ | 2,646 | | | $ | 2,612 | | | $ | 704 | |
Unrecognized tax benefits due to positions taken in current year | | | 219 | | | | 219 | | | | 2,038 | |
Decrease due to expiration of statute of limitations | | | (1,973 | ) | | | (185 | ) | | | (130 | ) |
Balance at December 31, | | $ | 892 | | | $ | 2,646 | | | $ | 2,612 | |
We file tax returns in the U.S. federal jurisdiction and various states. The years ended December 31, 2010 and forward remain open for review for federal income tax purposes. The earliest open year relating to any of our major state jurisdictions is the fiscal year ended December 31, 2008. During the next twelve months, we do not anticipate a material net change in unrecognized tax benefits.
We classify interest related to our accrual for uncertain tax positions in separate interest accounts. As of December 31, 2013 and 2012, we have approximately $116,000 and $306,000, respectively, accrued in interest payable related to uncertain tax positions. These accruals are included in other current liabilities in the accompanying consolidated balance sheet. Net interest expense related to uncertain tax positions included in interest expense in the accompanying consolidated statement of income is not material.
The difference between the actual income tax provision for continuing operations and the income tax provision calculated at the statutory U.S. federal tax rate is explained as follows (in thousands):
| | For the Years Ended December 31, | |
| | 2013 | | | 2012 | | | 2011 | |
| | | | | | | | | |
Income tax provision calculated using the statutory rate of 35% | | $ | 43,340 | | | $ | 51,037 | | | $ | 49,195 | |
State and local income taxes, less federal income tax effect | | | 4,323 | | | | 4,601 | | | | 4,733 | |
Uncertain tax position adjustments | | | (1,782 | ) | | | - | | | | - | |
Nondeductible expenses | | | 1,250 | | | | 1,137 | | | | 1,062 | |
Other --net | | | (529 | ) | | | (260 | ) | | | (413 | ) |
Income tax provision | | $ | 46,602 | | | $ | 56,515 | | | $ | 54,577 | |
Effective tax rate | | | 37.6 | % | | | 38.8 | % | | | 38.8 | % |
Summarized below are the total amounts of income taxes paid during the years ended December 31 (in thousands):
2013 | | $ | 55,827 | |
2012 | | | 53,436 | |
2011 | | | 44,343 | |
Provision has not been made for additional taxes on $35.1 million of undistributed earnings of our domestic subsidiaries. Should we elect to sell our interest in all of these businesses rather than to effect a tax-free liquidation, additional taxes amounting to approximately $12.9 million would be incurred based on current income tax rates.
12. Properties and Equipment
A summary of properties and equipment follows (in thousands):
| | December 31, | |
| | 2013 | | | 2012 | |
Land | | $ | 1,392 | | | $ | 1,363 | |
Buildings | | | 52,328 | | | | 47,831 | |
Transportation equipment | | | 20,381 | | | | 20,165 | |
Machinery and equipment | | | 71,121 | | | | 69,299 | |
Computer software | | | 49,110 | | | | 47,184 | |
Furniture and fixtures | | | 71,167 | | | | 68,394 | |
Projects under development | | | 8,006 | | | | 2,305 | |
Total properties and equipment | | | 273,505 | | | | 256,541 | |
Less accumulated depreciation | | | (180,550 | ) | | | (164,607 | ) |
Net properties and equipment | | $ | 92,955 | | | $ | 91,934 | |
The net book value of computer software at December 31, 2013 and 2012, was $12.2 million and $14.1 million, respectively. Depreciation expense for computer software was $3.9 million, $4.3 million and $5.6 million for the years ended December 31, 2013, 2012 and 2011, respectively.
We have operating leases that cover our corporate office headquarters, various warehouse and office facilities, office equipment and transportation equipment. The remaining terms of these leases range from monthly to nine years, and in most cases we expect that these leases will be renewed or replaced by other leases in the normal course of business. We have no significant capital leases as of December 31, 2013 or 2012.
The following is a summary of future minimum rental payments and sublease rentals to be received under operating leases that have initial or remaining noncancelable terms in excess of one year at December 31, 2013 (in thousands):
2014 | | $ | 23,108 | |
2015 | | | 17,835 | |
2016 | | | 13,488 | |
2017 | | | 8,277 | |
2018 | | | 4,713 | |
Thereafter | | | 4,405 | |
Total minimum rental payments | | $ | 71,826 | |
Total rental expense incurred under operating leases for continuing operations follows (in thousands):
| | For the Years Ended December 31, | |
| | 2013 | | | 2012 | | | 2011 | |
Total rental payments | | $ | 38,992 | | | $ | 39,997 | | | $ | 38,474 | |
Less sublease rentals | | | - | | | | (103 | ) | | | (170 | ) |
Net rental expense | | $ | 38,992 | | | $ | 39,894 | | | $ | 38,304 | |
The amounts shown above as Total rental payments and Net rental expense for 2012 and 2011 increased $16.0 million and $16.3 million, respectively from the prior year presentation due to certain in-patient unit leases being inadvertently omitted. The omission did not affect our results of operations, financial position or cash flows. All years are presented consistently.
Retirement obligations under various plans cover substantially all full-time employees who meet age and/or service eligibility requirements. The major plans providing retirement benefits to our employees are defined contribution plans. Expenses for our retirement and profit-sharing plans, excess benefit plans and other similar plans are as follows (in thousands):
For the Years Ended December 31, | |
2013 | | | 2012 | | | 2011 | |
| | | | | | | |
$ | 14,511 | | | $ | 11,376 | | | $ | 9,408 | |
These expenses include the impact of market gains and losses on assets held in deferred compensation plans.
We have excess benefit plans for key employees whose participation in the qualified plans is limited by U.S. Employee Retirement Income Security Act requirements. Benefits are determined based on theoretical participation in the qualified plans. Benefits are only invested in mutual funds, and participants are not permitted to diversify accumulated benefits in shares of our stock. Trust assets invested in shares of our stock are included in treasury stock, and the corresponding liability is included in a separate component of stockholders’ equity. At December 31, 2013, these trusts held 97,801 shares or $2.2 million of our stock (2012 – 96,148 shares or $2.1 million).
The computation of earnings per share follows (in thousands, except per share data):
For the Years Ended December 31, | | Net Income | | Shares | | Earnings per Share | |
2013 | | | | | | | | | |
Earnings | | $ | 77,227 | | 18,199 | | $ | 4.24 | |
Dilutive stock options | | | - | | 278 | | | | |
Nonvested stock awards | | | - | | 108 | | | | |
Diluted earnings | | $ | 77,227 | | 18,585 | | $ | 4.16 | |
| | | | | | | | | |
2012 | | | | | | | | | |
Earnings | | $ | 89,304 | | 18,924 | | $ | 4.72 | |
Dilutive stock options | | | - | | 316 | | | | |
Nonvested stock awards | | | - | | 99 | | | | |
Diluted earnings | | $ | 89,304 | | 19,339 | | $ | 4.62 | |
| | | | | | | | | |
2011 | | | | | | | | | |
Earnings | | $ | 85,979 | | 20,523 | | $ | 4.19 | |
Dilutive stock options | | | - | | 335 | | | | |
Nonvested stock awards | | | - | | 87 | | | | |
Diluted earnings | | $ | 85,979 | | 20,945 | | $ | 4.10 | |
During 2013, 358,000 stock options were excluded from the computation of diluted earnings per share as their exercise prices were greater than the average market price during most of the year. During 2012, 1.4 million stock options were also excluded. During 2011, 1.3 million stock options were also excluded.
Diluted earnings per share may be impacted in future periods as the result of the issuance of our $200 million Notes and related purchased call options and sold warrants. Per FASB’s authoritative guidance on the effect of contingently convertible instruments on diluted earnings per share and convertible bonds with issuer option to settle for cash upon conversion, we will not include any shares related to the Notes in our calculation of diluted earnings per share until our average stock price for a quarter exceeds the current conversion price. We would then include in our diluted earnings per share calculation those shares issuable using the treasury stock method. The amount of shares issuable is based upon the amount by which the average stock price for the quarter exceeds the conversion price. The purchased call option does not impact the calculation of diluted earnings per share, as it is always anti-dilutive. The sold warrants become dilutive when our average stock price for a quarter exceeds the strike price of the warrant.
The following table provides examples of how changes in our stock price impact the number of shares that would be included in our diluted earnings per share calculation at December 31, 2013. It also shows the impact on the number of shares issuable upon conversion of the Notes and settlement of the purchased call options and sold warrants:
| Share Price | | Shares Underlying 1.875% Convertible Notes | | Warrant Shares | | Total Treasury Method Incremental Shares (a) | | Shares Due to the Company under Notes Hedges | | Incremental Shares Issued/(received) by the Company upon Conversion (b) |
$ | 80.73 | | 66,201 | | - | | 66,201 | | (70,820) | | (4,619) |
$ | 90.73 | | 321,444 | | - | | 321,444 | | (343,871) | | (22,427) |
$ | 100.73 | | 526,008 | | - | | 526,008 | | (562,708) | | (36,700) |
$ | 110.73 | | 693,624 | | 121,738 | | 815,362 | | (742,018) | | 73,344 |
$ | 120.73 | | 833,473 | | 322,722 | | 1,156,195 | | (891,625) | | 264,570 |
$ | 130.73 | | 951,927 | | 492,957 | | 1,444,884 | | (1,018,343) | | 426,541 |
| | | | | | | | | | | |
| a) Represents the number of incremental shares that must be included in the calculation of fully diluted shares under U.S. GAAP. |
| b) Represents the number of incremental shares to be issued by the Company upon conversion of the Notes assuming concurrent |
| settlement of the note hedges and warrants. |
16. Financial Instruments
FASB’s authoritative guidance on fair value measurements defines a hierarchy which prioritizes the inputs in fair value measurements. Level 1 measurements are measurements using quoted prices in active markets for identical assets or liabilities. Level 2 measurements use significant other observable inputs. Level 3 measurements are measurements using significant unobservable inputs which require a company to develop its own assumptions. In recording the fair value of assets and liabilities, companies must use the most reliable measurement available.
The following shows the carrying value, fair value and the hierarchy for our financial instruments as of December 31, 2013 (in thousands):
| | | | | Fair Value Measure | |
| | Carrying Value | | | Quoted Prices in Active Markets for Identical Assets (Level 1) | | | Significant Other Observable Inputs (Level 2) | | | Significant Unobservable Inputs (Level 3) | |
| | | | | | | | | | | | |
Investments of deferred compensation plans held in trust | | $ | 42,465 | | | $ | 42,465 | | | $ | - | | | $ | - | |
Current portion of long-term debt | | | 183,564 | | | | 193,032 | | | | - | | | | - | |
The following shows the carrying value, fair value and the hierarchy for our financial instruments as of December 31, 2012 (in thousands):
| | | | | Fair Value Measure | |
| | Carrying Value | | | Quoted Prices in Active Markets for Identical Assets (Level 1) | | | Significant Other Observable Inputs (Level 2) | | | Significant Unobservable Inputs (Level 3) | |
| | | | | | | | | | | | |
Investments of deferred compensation plans held in trust | | $ | 36,089 | | | $ | 36,089 | | | $ | - | | | $ | - | |
Long-term debt | | | 174,890 | | | | 197,874 | | | | - | | | | - | |
For cash and cash equivalents, accounts receivable and accounts payable, the carrying amount is a reasonable estimate of fair value because of the liquidity and short-term nature of these instruments.
17. Loans Receivable from Independent Contractors
At December 31, 2013, we had contractual arrangements with 68 independent contractors to provide plumbing repair and drain cleaning services under sublicensing agreements using the Roto-Rooter name in lesser-populated areas of the United States and Canada. The arrangements give the independent contractors the right to conduct a plumbing and drain cleaning business using the Roto-Rooter name in a specified territory in exchange for a royalty based on a percentage of labor sales, generally approximately 40%. We also pay for certain telephone directory advertising in these areas, lease certain capital equipment and provide operating manuals to serve as resources for operating a plumbing and drain cleaning business. The contracts are generally cancelable upon 90 days’ written notice (without cause) or upon a few days notice (with cause). The independent contractors are responsible for running the businesses as they believe best.
Our maximum exposure to loss from arrangements with our independent contractors at December 31, 2013 is approximately $1.5 million (2012 - $1.3 million). The exposure to loss is mainly the result of loans provided to the independent contractors. In most cases, these loans are partially secured by receivables and equipment owned by the independent contractor. The interest rates on the loans range from zero to 8% per annum, and the remaining terms of the loans range from 2.5 months to 5.4 years at December 31, 2013. We recorded the following from our independent contractors (in thousands):
| | For the Years Ended December 31, | |
| | 2013 | | | 2012 | | | 2011 | |
| | | | | | | | | |
Revenues | | $ | 33,030 | | | $ | 28,522 | | | $ | 26,711 | |
Pretax profits | | | 17,726 | | | | 14,790 | | | | 13,320 | |
18. Legal and Regulatory Matters
The VITAS segment of the Company’s business operates in a heavily-regulated industry. As a result, the Company is subjected to inquiries and investigations by various government agencies, as well as to lawsuits, including qui tam actions. The following sections describe the various ongoing material lawsuits and investigations of which the Company is currently aware. It is not possible at this time for us to estimate either the timing or outcome of any of those matters, or whether any potential loss, or range of potential losses, is probable or estimable.
Regulatory Matters and Litigation
In February 2010, Chemed and Roto-Rooter were named as defendants in a lawsuit filed in the United States District Court for the Eastern District of New York, Anthony Morangelli, et al., v. Chemed Corp. and Roto-Rooter Services Co., No. 10-CV-00876 (BMC). The named plaintiffs, current and former technicians employed by Roto-Rooter who were paid on a commission basis, asserted against Chemed and Roto-Rooter claims for violation of the Fair Labor Standards Act (“FLSA”) and claims for violations of the labor laws of multiple states. In June 2013 the parties reached an agreement to settle the case for $14.3 million plus applicable payroll taxes ($9.0 million after tax). As such, $14.8 million is recorded as other operating expense in the year ended December 31, 2013 Statement of Income and is included in accrued legal at December 31, 2013.
VITAS is party to a class action lawsuit filed in the Superior Court of California, Los Angeles County in September 2006 by Bernadette Santos, Keith Knoche and Joyce White, Bernadette Santos, et al. v. VITAS Healthcare Corporation of California, BC359356. This case alleges failure to pay overtime and failure to provide meal and rest periods to a purported class of California admissions nurses, chaplains and sales representatives. The case seeks payment of penalties, interest and Plaintiffs’ attorney fees. In December 2009, the trial court denied Plaintiffs’ motion for class certification. In July 2011, the Court of Appeals affirmed denial of class certification on the travel time, meal and rest period claims, and reversed the trial court’s denial on the off-the-clock and sales representation exemption claims. Plaintiffs filed an appeal of this decision. In September 2012, in response to an order of reconsideration, the Court of Appeals reiterated its previous rulings. In March 2013, the Court granted summary judgment dismissing the sales representatives’ claims as they are exempt employees. In October 2013 we reached agreement to settle the case for $10.3 million plus applicable payroll taxes ($6.5 million aftertax). As such, $10.5 million is recorded as other operating expense in the year ended December 31, 2013 Statement of Income. This settlement was paid in 2013.
On January 12, 2012, a putative class action lawsuit was filed in the U.S. District Court for the Southern District of Ohio against the Company, Kevin McNamara, David Williams, and Timothy O’Toole, In re Chemed Corp. Securities Litigation, Civil Action No. 1:12-cv-28 (S.D. Ohio). On June 18, 2012, an amended complaint was filed alleging violation of Section 10(b) of the Securities Exchange Act of 1934 and Rule 10b-5 against all Defendants, and violation of Section 20(a) of the Securities Exchange Act of 1934 against Messrs. McNamara, Williams, and O’Toole. The suit’s allegations concern the VITAS hospice segment of the Company’s business. Plaintiffs seek, on behalf of a putative class of purchasers of Chemed Capital Stock, compensatory damages in an unspecified amount and attorneys’ fees and expenses, arising from Defendants’ alleged failure to disclose an alleged fraudulent scheme at VITAS to enroll ineligible hospice patients and to fraudulently obtain payments from the federal government. Defendants filed motions to dismiss the amended complaint on August 17, 2012, which were pending when the parties reached an agreement to settle the action. On June 7, 2013, following the filing of U.S. v. VITAS, discussed below, Plaintiffs filed a motion for leave to file a second amended complaint. Defendants opposed this motion. On September 16, 2013, Plaintiffs executed a Settlement Term Sheet with Defendants, reaching an agreement in principle to settle this case subject to Court approval. On February 6, 2014, Plaintiffs, on behalf of a putative class of purchasers of Chemed Capital Stock between February 15, 2010 and May 2, 2013, inclusive, executed a stipulation of settlement with defendants, agreeing to settle this case in full and with prejudice, and to provide Defendants with full releases of all claims that are or could have been asserted by Plaintiffs in exchange for payment of $6.0 million by our insurer into a settlement fund for the benefit of the putative settlement class (“Settlement”). The Settlement has been recorded as an accrual and offsetting prepaid in the accompanying Balance Sheet. This Settlement is subject to Court approval. Defendants agreed to enter into this Settlement in order to eliminate the burden, expense and distraction of further litigation.
In June 2011, the U.S. Attorney provided the Company with a partially unsealed qui tam complaint filed under seal in the U.S. District Court for the Western District of Texas, United States, et al. ex rel. Urick v. VITAS HME Solutions, Inc. et al., 5:08-cv-0663 (“Urick”). The U.S. Attorney filed a notice in May 2012 stating that it had decided not to intervene in the case at that time but indicating that it continues to investigate the allegations. In June 2012, the complaint was unsealed. The complaint asserts violations of the federal False Claims Act and the Texas Medicaid Fraud Prevention Act based on allegations of a conspiracy to submit to Medicare and Medicaid false claims involving hospice services for ineligible patients, unnecessary medical supplies, failing to satisfy certain prerequisites for payment, and altering patient records, including backdating patient revocations. The suit was brought by Barbara Urick, a registered nurse in VITAS’s San Antonio program, against VITAS, certain of its affiliates, and several former VITAS employees, including physicians Justo Cisneros and Antonio Cavasos and nurses Sally Schwenk, Diane Anest, and Edith Reed. In September 2012 and July 2013, the plaintiff dismissed all claims against the individual defendants. The complaint was served on the VITAS entities on April 12, 2013.
Also in June 2011, the U.S. Attorney provided the Company with a partially unsealed qui tam complaint filed under seal in the U.S. District Court for the Northern District of Illinois, United States, et al. ex rel. Spottiswood v. Chemed Corp., 1:07-cv-4566 (“Spottiswood”). In April 2012, the complaint was unsealed. The U.S. Attorney and Attorney General for the State of Illinois filed notices in April and May 2012, respectively, stating that they had decided not to intervene in the case at that time but indicating that they continue to investigate the allegations. Plaintiff filed an amended complaint in November 2012. The complaint asserts violations of the federal False Claims Act and the Illinois Whistleblower Reward and Protection Act based on allegations that VITAS fraudulently billed Medicare and Medicaid for providing unwarranted continuous care services. The suit was brought by Laura Spottiswood, a former part-time pool registered nurse at VITAS, against Chemed, VITAS, and a VITAS affiliate. The complaint was served on the defendants on April 12, 2013. On May 29 and June 4, 2013, respectively, the Court granted the government’s motion to partially intervene in Spottiswood and in Urick on the allegations that VITAS submitted or caused to be submitted false or fraudulent claims for continuous care and routine home care on behalf of certain ineligible Medicare beneficiaries. The Court also transferred them to the U.S. District Court for the Western District of Missouri under docket Nos. 4:13-cv-505 and 4:13-cv-563, respectively.
On May 2, 2013, the government filed a False Claims Act complaint against the Company and certain of its hospice-related subsidiaries in the U.S. District Court for the Western District of Missouri, United States v. VITAS Hospice Services, LLC, et al., No. 4:13-cv-00449-BCW (the “2013 Action”). Prior to that date, the Company received various subpoenas from the U.S. Department of Justice and OIG that have been previously disclosed. The 2013 Action alleges that, since at least 2002, VITAS, and since 2004, the Company, submitted or caused the submission of false claims to the Medicare program by (a) billing Medicare for continuous home care services when the patients were not eligible, the services were not provided, or the medical care was inappropriate, and (b) billing Medicare for patients who were not eligible for the Medicare hospice benefit because they did not have a life expectancy of six months or less if their illnesses ran their normal course. This complaint seeks treble damages, statutory penalties, and the costs of the action, plus interest. On August 1, 2013, the government filed its First Amended Complaint in the 2013 Action. The First Amended Complaint changed and supplemented some of the allegations, but did not otherwise expand the causes of action or the nature of the relief sought against VITAS. The defendants filed a motion to dismiss on September 24, 2013.
On May 6, 2013, the U.S. District Court for the Western District of Missouri, at the request of the government, unsealed a qui tam complaint against VITAS and VITAS Healthcare Corporation of California, United States ex rel. Charles Gonzales v. VITAS Healthcare Corporation, et al., CV 12-0761-R (“Gonzales”). The case was transferred from the Central District of California to the Western District of Missouri under docket No. 4:13-cv-344. The government partially intervened in Gonzales. The Gonzales complaint alleges that VITAS’ Los Angeles program falsely certified and recertified patients as eligible for the Medicare Hospice Benefit. It alleges violations of the False Claims Act and seeks treble damages, civil penalties, recovery of costs, attorneys’ fees and expenses, and pre- and post-judgment interest.
On September 25, 2013, the Court granted a joint motion by the government, the relators, and VITAS to consolidate the Spottiswood, Urick, and Gonzales complaints with the 2013 Action. As a result, the First Amended Complaint will govern the consolidated claims brought by the United States and the relators for all purposes. The relators and VITAS have stipulated that certain non-intervened claims will not be pursued by the relators.
VITAS has also received document subpoenas in related state matters. In February 2010, VITAS received a civil investigative demand (“CID”) from the Texas Attorney General seeking documents from January 1, 2002 through the date of the CID, and interrogatory responses in connection with an investigation of possible fraudulent submission of Medicaid claims for non-qualifying patients and fraudulent shifting of costs from VITAS to the State of Texas and the United States. The CID requested similar information sought by prior Department of Justice subpoenas, including policy and procedure manuals and information concerning Medicare and Medicaid billing, patient statistics and sales and marketing practices, together with information concerning record-keeping and retention practices, and medical records concerning 117 patients. In September 2010, VITAS received a second CID from the Texas Attorney General seeking additional documents concerning business plans and results, revocation forms for certain patients, and electronic documents of 10 current and former employees. In July 2012, VITAS received an investigative subpoena from the Florida Attorney General seeking documents previously produced in the course of prior government investigations as well as, for the period January 1, 2007 through the date of production, billing records and procedures; information concerning business results, plans, and strategies; documents concerning patient eligibility for hospice care; and certain information concerning employees and their compensation.
In November 2013, two shareholder derivative lawsuits were filed against the Company’s current and former directors, as well as certain of its officers both of which are covered by the Company’s commercial insurance. On November 6, 2013, KBC Asset Management NV filed suit in the United States Distrct Court for the District of Delaware, KBC Asset Management NV, derivatively on behalf of Chemed Corp. v. McNamara, et al., No. 13 Civ. 1854 (LPS) (D. Del.). It sued Kevin McNamara, Joel Gemunder, Patrick Grace, Thomas Hutton, Walter Krebs, Andrea Lindell, Thomas Rice, Donald Saunders, Arthur Tucker, Jr., George Walsh III, Frank Wood, Timothy O’Toole, David Williams and Ernest Mrozek, together with the Company as nominal defendant. Plaintiff alleges that since at least 2004, Chemed, through VITAS, has submitted or caused the submission of false claims to Medicare. The suit alleges a claim for breach of fiduciary duty against the individual defendants, and seeks (a) a declaration that the individual defendants breached their fiduciary duties to the Company; (b) an order requiring those defendants to pay compensatory damages, restitution and exemplary damages, in unspecified amounts, to the Company; (c) an order directing the Company to implement new policies and procedures; and (d) costs and disbursements incurred in bringing the action, including attorneys’ fees.
On November 14, 2013, Mildred A. North filed suit in the United States District Court for the Southern District of Ohio, North, derivatively on behalf of Chemed Corp. v. Kevin McNamara, el al., No. 13 Civ. 833 (MDB) (S.D. Ohio). She sued Kevin McNamara, David Williams, Timothy O’Toole, Joel Gemunder, Patrick Grace, Walter Krebs, Andrea Lindell, Thomas Rice, Donald Saunders, George Walsh III, Frank Wood and Thomas Hutton, together with the Company as nominal defendant. Plaintiff alleges that, between February 2010 and the present, the individual defendants breached their fiduciary duties as officers and directors of Chemed by, among other things, (a) allegedly causing VITAS to submit improper and ineligible claims to Medicare and Medicaid; and (b) allegedly misrepresenting the state of Chemed’s internal controls. The suit alleges claims for breach of fiduciary duty, abuse of control and gross mismanagement against the individual defendants. The complaint also alleges unjust enrichment and insider trading against Messrs. McNamara, Williams and O’Toole. Plaintiff seeks (a) a declaration that the individual defendants breached their fiduciary duties to the Company; (b) an order requiring those defendants to pay compensatory damages, restitution and exemplary damages, in unspecified amounts, to the Company; (c) an order directing the Company to implement new policies and procedures; and (d) costs and disbursements incurred in bringing the action, including attorneys’ fees.
On December 20, 2013, Plaintiff in the North action filed a motion before the Judicial Panel on Multidistrict Litigation seeking centralized treatment of her action and the KBC action in the U.S. District Court for the Southern District of Ohio. Defendants in both cases, as well as Plaintiff KBC, opposed that motion, consistent with Chemed’s By-law 8.07, which requires all derivative suits brought in Chemed’s name to proceed in federal or state court in Delaware. The MDL Panel has yet to rule on that motion. On January 29, 2014 Defendants filed motions to transfer North to Delaware under 28 U.S.C § 1404 and to stay the case until after resolution of that motion and the MDL motion.
The Company intends to defend vigorously against the allegations in each of the above lawsuits. The Company had a net recovery for these OIG investigations, due to a one-time insurance reimbursement of $1.0 million for certain legal costs, for the year ended December 31, 2013. The net costs to comply with these investigations were $2.1 million, $1.2 million and $1.2 million for the years ending December 31, 2013, 2012 and 2011, respectively. Regardless of the outcome of any of the preceding matters, responding to the subpoenas and dealing with the various regulatory agencies and opposing parties can adversely affect us through defense costs, potential payments, diversion of management time, and related publicity. Although the Company intends to defend them vigorously, there can be no assurance that those suits will not have a material adverse effect on the Company.
19. Concentration of Risk
VITAS has pharmacy services agreements (“Agreements”) with Omnicare, Inc. and its subsidiaries ("OCR") whereby OCR provides specified pharmacy services for VITAS and its hospice patients in geographical areas served by both VITAS and OCR. Either party may cancel the Agreements at the end of any term by giving 90 days prior written notice. VITAS made purchases from OCR of $39.0 million, $40.9 million and $39.4 million for the years ended December 31, 2013, 2012 and 2011, respectively. For the years ended December 31, 2013, 2012 and 2011, respectively, purchases from this vendor represent over 90% of all pharmacy services used by VITAS. VITAS’ accounts payable to OCR and its subsidiaries was $3.8 million at December 31, 2013.
20. Capital Stock Transactions
On February 20, 2013, our Board of Directors authorized an additional $100 million for stock repurchase under the February 2011 repurchase program. On November 7, 2011 our Board of Directors authorized an additional $100 million of stock repurchases under the February 2011 repurchase program. On February 22, 2011, our Board of Directors authorized $100 million of stock repurchases under the February 2011 repurchase program. We repurchased the following capital stock:
| | For the Years Ended December 31, | |
| | 2013 | | | 2012 | | | 2011 | |
Shares repurchased | | | 1,356,344 | | | | 932,706 | | | | 2,602,513 | |
Weighted average price per share | | $ | 68.50 | | | $ | 64.87 | | | $ | 55.28 | |
21. Other Operating Expenses
| | For the Years Ended December 31, | |
| | 2013 | | | 2012 | | | 2011 | |
Litigation settlement of VITAS segment (a) | | $ | 10,500 | | | $ | - | | | $ | - | |
Settlements of Roto-Rooter segment (b) | | | 15,721 | | | | - | | | | - | |
Severance and other operating costs related | | | | | | | | | | | | |
to closing Roto-Rooter's HVAC business | | | - | | | | 1,126 | | | | - | |
Total other operating expenses | | $ | 26,221 | | | $ | 1,126 | | | $ | - | |
(a) | Santos claims discussed in Note 18. |
(b) | Morganelli claims discussed in Note 18 and estimated settlement of certain customer claims. |
In August 2012, Roto-Rooter management made the decision to shut-down its one remaining heating, ventilation and air conditioning (HVAC) business located in Baltimore, Maryland. The HVAC business was a portion of a larger business which included plumbing operations. The plumbing and HVAC businesses shared facilities and administrative functions. The costs and related cash flows of these shared facilities and administrative functions were not separately tracked or allocated for the HVAC operation. As a result, the HVAC business does not qualify for discontinued operation treatment under US GAAP. The operating results of the HVAC operation are reported in continuing operations in the consolidated financial statements for all periods presented. The pretax costs incurred in conjunction with the shut-down were $1.1 million and are recorded in other operating expenses. The costs comprise mainly severance and lease termination costs.
22. Guarantor Subsidiaries
Our 1.875% Senior Convertible Notes issued on May 14, 2007, are fully and unconditionally guaranteed on an unsecured, joint and severally liable basis by 100% owned subsidiaries. The equity method has been used with respect to the parent company’s (Chemed) investment in subsidiaries. No consolidating adjustment column is presented for the condensed, consolidating statement of cash flow since there were no significant consolidating entries for the periods presented. The following condensed, consolidating financial data present the composition of the parent company, the guarantor subsidiaries and the non-guarantor subsidiaries as of December 31, 2013 and 2012, and for the years ended December 31, 2013, 2012 and 2011 (in thousands):
December 31, 2013 | | Parent | | | Guarantor Subsidiaries | | | Non-Guarantor Subsidiaries | | | Consolidating Adjustments | | | Consolidated | |
ASSETS | | | | | | | | | | | | | | | |
Cash and cash equivalents | | $ | 84,005 | | | $ | (8,777 | ) | | $ | 9,190 | | | $ | - | | | $ | 84,418 | |
Accounts receivable, including intercompany | | | 925 | | | | 509,580 | | | | 1,000 | | | | (419,735 | ) | | | 91,770 | |
Inventories | | | - | | | | 6,246 | | | | 457 | | | | - | | | | 6,703 | |
Current deferred income taxes | | | - | | | | 21,307 | | | | 126 | | | | (1,176 | ) | | | 20,257 | |
Prepaid income taxes | | | 3,710 | | | | 1,176 | | | | 349 | | | | (1,545 | ) | | | 3,690 | |
Prepaid expenses | | | 6,925 | | | | 10,682 | | | | 211 | | | | - | | | | 17,818 | |
Total current assets | | | 95,565 | | | | 540,214 | | | | 11,333 | | | | (422,456 | ) | | | 224,656 | |
Investments of deferred compensation plans | | | - | | | | - | | | | 42,465 | | | | - | | | | 42,465 | |
Properties and equipment, at cost less accumulated depreciation | | | 10,184 | | | | 80,144 | | | | 2,627 | | | | - | | | | 92,955 | |
Identifiable intangible assets less accumulated amortization | | | - | | | | 56,556 | | | | - | | | | - | | | | 56,556 | |
Goodwill | | | - | | | | 462,489 | | | | 4,382 | | | | - | | | | 466,871 | |
Other assets | | | 17,782 | | | | 1,775 | | | | 15,888 | | | | (25,247 | ) | | | 10,198 | |
Investments in subsidiaries | | | 945,450 | | | | 27,564 | | | | - | | | | (973,014 | ) | | | - | |
Total assets | | $ | 1,068,981 | | | $ | 1,168,742 | | | $ | 76,695 | | | $ | (1,420,717 | ) | | $ | 893,701 | |
LIABILITIES AND STOCKHOLDERS' EQUITY | | | | | | | | | | | | | | | | | | | | |
Accounts payable, including intercompany | | $ | 417,593 | | | $ | 39,424 | | | $ | 4,476 | | | $ | (419,735 | ) | | $ | 41,758 | |
Current portion of long-term debt | | | 183,564 | | | | - | | | | - | | | | - | | | | 183,564 | |
Income taxes | | | 1,106 | | | | 210 | | | | 340 | | | | (1,545 | ) | | | 111 | |
Accrued insurance | | | 784 | | | | 41,075 | | | | - | | | | - | | | | 41,859 | |
Accrued compensation | | | 5,047 | | | | 42,905 | | | | 371 | | | | - | | | | 48,323 | |
Accrued legal | | | 6,031 | | | | 17,179 | | | | - | | | | - | | | | 23,210 | |
Other current liabilities | | | 2,739 | | | | 22,219 | | | | 1,379 | | | | (1,176 | ) | | | 25,161 | |
Total current liabilities | | | 616,864 | | | | 163,012 | | | | 6,566 | | | | (422,456 | ) | | | 363,986 | |
Deferred income taxes | | | - | | | | 52,548 | | | | - | | | | (25,247 | ) | | | 27,301 | |
Deferred compensation liabilities | | | - | | | | - | | | | 42,348 | | | | - | | | | 42,348 | |
Other liabilities | | | 3,227 | | | | 6,914 | | | | 1,035 | | | | - | | | | 11,176 | |
Stockholders' equity | | | 448,890 | | | | 946,268 | | | | 26,746 | | | | (973,014 | ) | | | 448,890 | |
Total liabilities and stockholders' equity | | $ | 1,068,981 | | | $ | 1,168,742 | | | $ | 76,695 | | | $ | (1,420,717 | ) | | $ | 893,701 | |
December 31, 2012 | | Parent | | | Guarantor Subsidiaries | | | Non-Guarantor Subsidiaries | | | Consolidating Adjustments | | | Consolidated | |
ASSETS | | | | | | | | | | | | | | | | | | | | |
Cash and cash equivalents | | $ | 56,342 | | | $ | 4,674 | | | $ | 8,515 | | | $ | - | | | $ | 69,531 | |
Accounts receivable, including intercompany | | | 925 | | | | 427,341 | | | | 889 | | | | (335,822 | ) | | | 93,333 | |
Inventories | | | - | | | | 6,505 | | | | 553 | | | | - | | | | 7,058 | |
Current deferred income taxes | | | - | | | | 14,633 | | | | 173 | | | | (1,147 | ) | | | 13,659 | |
Prepaid income taxes | | | 4,043 | | | | - | | | | - | | | | (1,400 | ) | | | 2,643 | |
Prepaid expenses | | | 564 | | | | 10,656 | | | | 227 | | | | - | | | | 11,447 | |
Total current assets | | | 61,874 | | | | 463,809 | | | | 10,357 | | | | (338,369 | ) | | | 197,671 | |
Investments of deferred compensation plans | | | - | | | | - | | | | 36,089 | | | | - | | | | 36,089 | |
Properties and equipment, at cost less accumulated depreciation | | | 10,984 | | | | 78,236 | | | | 2,714 | | | | - | | | | 91,934 | |
Identifiable intangible assets less accumulated amortization | | | - | | | | 57,177 | | | | - | | | | - | | | | 57,177 | |
Goodwill | | | - | | | | 461,277 | | | | 4,555 | | | | - | | | | 465,832 | |
Other assets | | | 19,025 | | | | 2,005 | | | | 13,797 | | | | (23,904 | ) | | | 10,923 | |
Investments in subsidiaries | | | 874,692 | | | | 24,298 | | | | - | | | | (898,990 | ) | | | - | |
Total assets | | $ | 966,575 | | | $ | 1,086,802 | | | $ | 67,512 | | | $ | (1,261,263 | ) | | $ | 859,626 | |
LIABILITIES AND STOCKHOLDERS' EQUITY | | | | | | | | | | | | | | | | | | | | |
Accounts payable, including intercompany | | $ | 325,916 | | | $ | 53,934 | | | $ | 4,444 | | | $ | (335,822 | ) | | $ | 48,472 | |
Income taxes | | | 1,019 | | | | 3,816 | | | | 1,503 | | | | (1,400 | ) | | | 4,938 | |
Accrued insurance | | | 1,339 | | | | 39,315 | | | | - | | | | - | | | | 40,654 | |
Accrued compensation | | | 4,119 | | | | 40,891 | | | | 447 | | | | - | | | | 45,457 | |
Accrued legal | | | 6 | | | | 1,155 | | | | - | | | | - | | | | 1,161 | |
Other current liabilities | | | 2,780 | | | | 12,748 | | | | 1,759 | | | | (1,147 | ) | | | 16,140 | |
Total current liabilities | | | 335,179 | | | | 151,859 | | | | 8,153 | | | | (338,369 | ) | | | 156,822 | |
Deferred income taxes | | | - | | | | 51,566 | | | | - | | | | (23,904 | ) | | | 27,662 | |
Long-term debt | | | 174,890 | | | | - | | | | - | | | | - | | | | 174,890 | |
Deferred compensation liabilities | | | - | | | | - | | | | 35,599 | | | | - | | | | 35,599 | |
Other liabilities | | | 3,215 | | | | 7,352 | | | | 795 | | | | - | | | | 11,362 | |
Stockholders' equity | | | 453,291 | | | | 876,025 | | | | 22,965 | | | | (898,990 | ) | | | 453,291 | |
Total liabilities and stockholders' equity | | $ | 966,575 | | | $ | 1,086,802 | | | $ | 67,512 | | | $ | (1,261,263 | ) | | $ | 859,626 | |
For the year ended December 31, 2013 | | | | | Guarantor | | | Non-Guarantor | | | Consolidating | | | | |
| | Parent | | | Subsidiaries | | | Subsidiaries | | | Adjustments | | | Consolidated | |
Net sales and service revenues | | $ | - | | | $ | 1,383,140 | | | $ | 30,189 | | | $ | - | | | $ | 1,413,329 | |
Cost of services provided and goods sold | | | - | | | | 991,816 | | | | 16,992 | | | | - | | | | 1,008,808 | |
Selling, general and administrative expenses | | | 23,055 | | | | 176,967 | | | | 12,496 | | | | - | | | | 212,518 | |
Depreciation | | | 959 | | | | 25,797 | | | | 942 | | | | - | | | | 27,698 | |
Amortization | | | 1,981 | | | | 2,709 | | | | - | | | | - | | | | 4,690 | |
Other operating expenses | | | - | | | | 26,221 | | | | - | | | | - | | | | 26,221 | |
Total costs and expenses | | | 25,995 | | | | 1,223,510 | | | | 30,430 | | | | - | | | | 1,279,935 | |
Income/(loss) from operations | | | (25,995 | ) | | | 159,630 | | | | (241 | ) | | | - | | | | 133,394 | |
Interest expense | | | (14,713 | ) | | | (504 | ) | | | 182 | | | | - | | | | (15,035 | ) |
Other (expense)/income - net | | | 16,326 | | | | (15,833 | ) | | | 4,977 | | | | - | | | | 5,470 | |
Income/(loss) before income taxes | | | (24,382 | ) | | | 143,293 | | | | 4,918 | | | | - | | | | 123,829 | |
Income tax (provision)/benefit | | | 7,729 | | | | (54,456 | ) | | | 125 | | | | - | | | | (46,602 | ) |
Equity in net income of subsidiaries | | | 93,880 | | | | 4,409 | | | | - | | | | (98,289 | ) | | | - | |
Net income | | $ | 77,227 | | | $ | 93,246 | | | $ | 5,043 | | | $ | (98,289 | ) | | $ | 77,227 | |
| | | | | | | | | | | | | | | | | | | | |
For the year ended December 31, 2012 | | | | | | Guarantor | | | Non-Guarantor | | | Consolidating | | | | | |
| | Parent | | | Subsidiaries | | | Subsidiaries | | | Adjustments | | | Consolidated | |
Net sales and service revenues | | $ | - | | | $ | 1,400,561 | | | $ | 29,482 | | | $ | - | | | $ | 1,430,043 | |
Cost of services provided and goods sold | | | - | | | | 1,017,001 | | | | 16,320 | | | | - | | | | 1,033,321 | |
Selling, general and administrative expenses | | | 22,618 | | | | 175,166 | | | | 10,872 | | | | - | | | | 208,656 | |
Depreciation | | | 942 | | | | 24,179 | | | | 888 | | | | - | | | | 26,009 | |
Amortization | | | 1,924 | | | | 2,588 | | | | - | | | | - | | | | 4,512 | |
Other operating expenses | | | - | | | | 1,126 | | | | - | | | | - | | | | 1,126 | |
Total costs and expenses | | | 25,484 | | | | 1,220,060 | | | | 28,080 | | | | - | | | | 1,273,624 | |
Income/(loss) from operations | | | (25,484 | ) | | | 180,501 | | | | 1,402 | | | | - | | | | 156,419 | |
Interest expense | | | (13,999 | ) | | | (666 | ) | | | (58 | ) | | | - | | | | (14,723 | ) |
Other (expense)/income - net | | | 17,626 | | | | (16,992 | ) | | | 3,489 | | | | - | | | | 4,123 | |
Income/(loss) before income taxes | | | (21,857 | ) | | | 162,843 | | | | 4,833 | | | | - | | | | 145,819 | |
Income tax (provision)/benefit | | | 7,001 | | | | (61,794 | ) | | | (1,722 | ) | | | - | | | | (56,515 | ) |
Equity in net income of subsidiaries | | | 104,160 | | | | 3,190 | | | | - | | | | (107,350 | ) | | | - | |
Net income | | $ | 89,304 | | | $ | 104,239 | | | $ | 3,111 | | | $ | (107,350 | ) | | $ | 89,304 | |
| | | | | | | | | | | | | | | | | | | | |
For the year ended December 31, 2011 | | | | | | Guarantor | | | Non-Guarantor | | | Consolidating | | | | | |
| | Parent | | | Subsidiaries | | | Subsidiaries | | | Adjustments | | | Consolidated | |
Net sales and service revenues | | $ | - | | | $ | 1,328,425 | | | $ | 27,545 | | | $ | - | | | $ | 1,355,970 | |
Cost of services provided and goods sold | | | - | | | | 955,628 | | | | 14,856 | | | | - | | | | 970,484 | |
Selling, general and administrative expenses | | | 21,895 | | | | 172,368 | | | | 7,997 | | | | - | | | | 202,260 | |
Depreciation | | | 945 | | | | 23,496 | | | | 806 | | | | - | | | | 25,247 | |
Amortization | | | 1,756 | | | | 2,496 | | | | - | | | | - | | | | 4,252 | |
Total costs and expenses | | | 24,596 | | | | 1,153,988 | | | | 23,659 | | | | - | | | | 1,202,243 | |
Income/(loss) from operations | | | (24,596 | ) | | | 174,437 | | | | 3,886 | | | | - | | | | 153,727 | |
Interest expense | | | (13,177 | ) | | | (587 | ) | | | (124 | ) | | | - | | | | (13,888 | ) |
Other (expense)/income - net | | | 16,507 | | | | (16,591 | ) | | | 801 | | | | - | | | | 717 | |
Income/(loss) before income taxes | | | (21,266 | ) | | | 157,259 | | | | 4,563 | | | | - | | | | 140,556 | |
Income tax (provision)/benefit | | | 6,564 | | | | (59,407 | ) | | | (1,734 | ) | | | - | | | | (54,577 | ) |
Equity in net income of subsidiaries | | | 100,681 | | | | 3,001 | | | | - | | | | (103,682 | ) | | | - | |
Net income | | $ | 85,979 | | | $ | 100,853 | | | $ | 2,829 | | | $ | (103,682 | ) | | $ | 85,979 | |
For the year ended December 31, 2013 | | | | | Guarantor | | | Non-Guarantor | | | | |
| | Parent | | | Subsidiaries | | | Subsidiaries | | | Consolidated | |
Cash Flow from Operating Activities: | | | | | | | | | | | | |
Net cash provided by operating activities | | $ | 9,592 | | | $ | 138,580 | | | $ | 2,675 | | | $ | 150,847 | |
Cash Flow from Investing Activities: | | | | | | | | | | | | | | | | |
Capital expenditures | | | (160 | ) | | | (28,272 | ) | | | (892 | ) | | | (29,324 | ) |
Business combinations, net of cash acquired | | | - | | | | (2,257 | ) | | | - | | | | (2,257 | ) |
Other sources/(uses) - net | | | (66 | ) | | | 255 | | | | 46 | | | | 235 | |
Net cash used by investing activities | | | (226 | ) | | | (30,274 | ) | | | (846 | ) | | | (31,346 | ) |
Cash Flow from Financing Activities: | | | | | | | | | | | | | | | | |
Purchases of treasury stock | | | (92,911 | ) | | | - | | | | - | | | | (92,911 | ) |
Capital stock surrendered to pay taxes on stock-based compensation | | | (5,348 | ) | | | - | | | | - | | | | (5,348 | ) |
Dividends paid to shareholders | | | (14,148 | ) | | | - | | | | - | | | | (14,148 | ) |
Proceeds from exercise of stock options | | | 17,122 | | | | - | | | | - | | | | 17,122 | |
Realized excess tax benefit on share based compensation | | | 3,982 | | | | - | | | | - | | | | 3,982 | |
Debt issuance costs | | | (1,108 | ) | | | - | | | | - | | | | (1,108 | ) |
Change in cash overdrafts payable | | | 4,578 | | | | (15,993 | ) | | | - | | | | (11,415 | ) |
Change in intercompany accounts | | | 106,082 | | | | (105,764 | ) | | | (318 | ) | | | - | |
Other sources - net | | | 48 | | | | - | | | | (836 | ) | | | (788 | ) |
Net cash provided/(used) by financing activities | | | 18,297 | | | | (121,757 | ) | | | (1,154 | ) | | | (104,614 | ) |
Net increase in cash and cash equivalents | | | 27,663 | | | | (13,451 | ) | | | 675 | | | | 14,887 | |
Cash and cash equivalents at beginning of year | | | 56,342 | | | | 4,674 | | | | 8,515 | | | | 69,531 | |
Cash and cash equivalents at end of period | | $ | 84,005 | | | $ | (8,777 | ) | | $ | 9,190 | | | $ | 84,418 | |
For the year ended December 31, 2012 | | | | | | Guarantor | | | Non-Guarantor | | | | | |
| | Parent | | | Subsidiaries | | | Subsidiaries | | | Consolidated | |
Cash Flow from Operating Activities: | | | | | | | | | | | | | | | | |
Net cash provided by operating activities | | $ | 5,267 | | | $ | 123,431 | | | $ | 3,070 | | | $ | 131,768 | |
Cash Flow from Investing Activities: | | | | | | | | | | | | | | | | |
Capital expenditures | | | (285 | ) | | | (33,944 | ) | | | (1,023 | ) | | | (35,252 | ) |
Business combinations, net of cash acquired | | | - | | | | (5,900 | ) | | | - | | | | (5,900 | ) |
Other sources/(uses) - net | | | 178 | | | | 312 | | | | (22 | ) | | | 468 | |
Net cash used by investing activities | | | (107 | ) | | | (39,532 | ) | | | (1,045 | ) | | | (40,684 | ) |
Cash Flow from Financing Activities: | | | | | | | | | | | | | | | | |
Purchases of treasury stock | | | (60,624 | ) | | | - | | | | - | | | | (60,624 | ) |
Capital stock surrendered to pay taxes on stock-based compensation | | | (4,098 | ) | | | - | | | | - | | | | (4,098 | ) |
Dividends paid to shareholders | | | (13,026 | ) | | | - | | | | - | | | | (13,026 | ) |
Proceeds from exercise of stock options | | | 12,310 | | | | - | | | | - | | | | 12,310 | |
Realized excess tax benefit on share based compensation | | | 3,435 | | | | - | | | | - | | | | 3,435 | |
Change in cash overdrafts payable | | | (5,338 | ) | | | 7,262 | | | | - | | | | 1,924 | |
Change in intercompany accounts | | | 85,935 | | | | (85,065 | ) | | | (870 | ) | | | - | |
Other sources - net | | | 118 | | | | - | | | | 327 | | | | 445 | |
Net cash provided/(used) by financing activities | | | 18,712 | | | | (77,803 | ) | | | (543 | ) | | | (59,634 | ) |
Net increase in cash and cash equivalents | | | 23,872 | | | | 6,096 | | | | 1,482 | | | | 31,450 | |
Cash and cash equivalents at beginning of year | | | 32,470 | | | | (1,422 | ) | | | 7,033 | | | | 38,081 | |
Cash and cash equivalents at end of period | | $ | 56,342 | | | $ | 4,674 | | | $ | 8,515 | | | $ | 69,531 | |
For the year ended December 31, 2011 | | | | | | Guarantor | | | Non-Guarantor | | | | | |
| | Parent | | | Subsidiaries | | | Subsidiaries | | | Consolidated | |
Cash Flow from Operating Activities: | | | | | | | | | | | | | | | | |
Net cash provided by operating activities | | $ | 12,444 | | | $ | 158,159 | | | $ | 3,740 | | | $ | 174,343 | |
Cash Flow from Investing Activities: | | | | | | | | | | | | | | | | |
Capital expenditures | | | (73 | ) | | | (28,145 | ) | | | (1,374 | ) | | | (29,592 | ) |
Business combinations, net of cash acquired | | | - | | | | (3,664 | ) | | | - | | | | (3,664 | ) |
Other sources/(uses) - net | | | (191 | ) | | | (730 | ) | | | 63 | | | | (858 | ) |
Net cash used by investing activities | | | (264 | ) | | | (32,539 | ) | | | (1,311 | ) | | | (34,114 | ) |
Cash Flow from Financing Activities: | | | | | | | | | | | | | | | | |
Purchases of treasury stock | | | (143,970 | ) | | | - | | | | - | | | | (143,970 | ) |
Capital stock surrendered to pay taxes on stock-based compensation | | | (3,916 | ) | | | - | | | | - | | | | (3,916 | ) |
Dividends paid to shareholders | | | (12,538 | ) | | | - | | | | - | | | | (12,538 | ) |
Proceeds from exercise of stock options | | | 8,036 | | | | - | | | | - | | | | 8,036 | |
Realized excess tax benefit on share based compensation | | | 3,854 | | | | - | | | | - | | | | 3,854 | |
Debt issuance costs | | | (2,657 | ) | | | - | | | | - | | | | (2,657 | ) |
Change in cash overdrafts payable | | | 9 | | | | (835 | ) | | | - | | | | (826 | ) |
Change in intercompany accounts | | | 126,040 | | | | (124,636 | ) | | | (1,404 | ) | | | - | |
Other sources - net | | | 108 | | | | - | | | | (156 | ) | | | (48 | ) |
Net cash used by financing activities | | | (25,034 | ) | | | (125,471 | ) | | | (1,560 | ) | | | (152,065 | ) |
Net increase/(decrease) in cash and cash equivalents | | | (12,854 | ) | | | 149 | | | | 869 | | | | (11,836 | ) |
Cash and cash equivalents at beginning of year | | | 45,324 | | | | (1,571 | ) | | | 6,164 | | | | 49,917 | |
Cash and cash equivalents at end of period | | $ | 32,470 | | | $ | (1,422 | ) | | $ | 7,033 | | | $ | 38,081 | |
UNAUDITED SUMMARY OF QUARTERLY RESULTS | |
| | | | | | | | | | | | | | | |
Chemed Corporation and Subsidiary Companies | | | | | | | | | | | | | | | |
(in thousands, except per share and footnote data) | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | |
| | First | | | Second | | | Third | | | Fourth | | | Total | |
For the Year Ended December 31, 2013 | | Quarter | | | Quarter | | | Quarter | | | Quarter | | | Year | |
Total service revenues and sales | | $ | 366,641 | | | $ | 357,198 | | | $ | 340,886 | | | $ | 348,604 | | | $ | 1,413,329 | |
Gross profit (excluding depreciation) | | $ | 102,334 | | | $ | 101,839 | | | $ | 97,702 | | | $ | 102,646 | | | $ | 404,521 | |
Income from operations | | $ | 38,852 | | | $ | 25,892 | | | $ | 29,210 | | | $ | 39,440 | | | $ | 133,394 | |
Interest expense | | | (4,094 | ) | | | (3,697 | ) | | | (3,500 | ) | | | (3,744 | ) | | | (15,035 | ) |
Other income/(expense)--net | | | 1,706 | | | | 1,696 | | | | (90 | ) | | | 2,158 | | | | 5,470 | |
Income before income taxes | | | 36,464 | | | | 23,891 | | | | 25,620 | | | | 37,854 | | | | 123,829 | |
Income taxes | | | (14,186 | ) | | | (9,283 | ) | | | (8,188 | ) | | | (14,945 | ) | | | (46,602 | ) |
Net income (a) | | $ | 22,278 | | | $ | 14,608 | | | $ | 17,432 | | | $ | 22,909 | | | $ | 77,227 | |
| | | | | | | | | | | | | | | | | | | | |
Earnings Per Share (a) | | | | | | | | | | | | | | | | | | | | |
Net income | | $ | 1.20 | | | $ | 0.79 | | | $ | 0.96 | | | $ | 1.31 | | | $ | 4.24 | |
Average number of shares outstanding | | | 18,522 | | | | 18,606 | | | | 18,184 | | | | 17,492 | | | | 18,199 | |
| | | | | | | | | | | | | | | | | | | | |
Diluted Earnings Per Share (a) | | | | | | | | | | | | | | | | | | | | |
Net income | | $ | 1.17 | | | $ | 0.77 | | | $ | 0.94 | | | $ | 1.28 | | | $ | 4.16 | |
Average number of shares outstanding | | | 19,000 | | | | 18,966 | | | | 18,522 | | | | 17,899 | | | | 18,585 | |
| | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | |
(a) The following amounts are included in income during the respective quarter (in thousands): | |
| | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | |
| | First | | | Second | | | Third | | | Fourth | | | Total | |
| | Quarter | | | Quarter | | | Quarter | | | Quarter | | | Year | |
Pretax (cost)/benefit: | | | | | | | | | | | | | | |
Stock option expense | | $ | (1,491 | ) | | $ | (1,612 | ) | | $ | (1,629 | ) | | $ | (1,310 | ) | | $ | (6,042 | ) |
Noncash impact of change in accounting for convertible debt | | | (2,091 | ) | | | (2,132 | ) | | | (2,174 | ) | | | (2,216 | ) | | | (8,613 | ) |
Long-term incentive compensation | | | (612 | ) | | | (494 | ) | | | (55 | ) | | | (140 | ) | | | (1,301 | ) |
Expenses of severance arrangements | | | (302 | ) | | | - | | | | - | | | | - | | | | (302 | ) |
Loss on extinguishment of debt | | | (465 | ) | | | - | | | | - | | | | - | | | | (465 | ) |
Acquisition expenses | | | (1 | ) | | | (20 | ) | | | (21 | ) | | | (20 | ) | | | (62 | ) |
Litigation Settlement | | | - | | | | (14,760 | ) | | | (11,461 | ) | | | - | | | | (26,221 | ) |
Expenses related to litigation settlements | | | (141 | ) | | | (567 | ) | | | (443 | ) | | | (274 | ) | | | (1,425 | ) |
Expenses related to securities litigation | | | (2 | ) | | | (1 | ) | | | (1 | ) | | | (105 | ) | | | (109 | ) |
Expenses/(cost recovery) related to the Office | | | | | | | | | | | | | | | | | | | | |
of Inspector General investigation | | | (1,039 | ) | | | (996 | ) | | | 591 | | | | (705 | ) | | | (2,149 | ) |
Total | | $ | (6,144 | ) | | $ | (20,582 | ) | | $ | (15,193 | ) | | $ | (4,770 | ) | | $ | (46,689 | ) |
After-tax (cost)/benefit: | | | | | | | | | | | | | | | | | | | | |
Stock option expense | | $ | (943 | ) | | $ | (1,020 | ) | | $ | (1,030 | ) | | $ | (820 | ) | | $ | (3,813 | ) |
Noncash impact of change in accounting for convertible debt | | | (1,323 | ) | | | (1,348 | ) | | | (1,375 | ) | | | (1,402 | ) | | | (5,448 | ) |
Long-term incentive compensation | | | (387 | ) | | | (313 | ) | | | (34 | ) | | | (88 | ) | | | (822 | ) |
Uncertain tax position adjustments | | | - | | | | - | | | | 1,782 | | | | - | | | | 1,782 | |
Expenses of severance arrangements | | | (184 | ) | | | - | | | | - | | | | - | | | | (184 | ) |
Loss on extinguishment of debt | | | (294 | ) | | | - | | | | - | | | | - | | | | (294 | ) |
Acquisition expenses | | | - | | | | (13 | ) | | | (12 | ) | | | (13 | ) | | | (38 | ) |
Litigation Settlement | | | - | | | | (8,967 | ) | | | (7,094 | ) | | | - | | | | (16,061 | ) |
Expenses related to litigation settlements | | | (86 | ) | | | (344 | ) | | | (269 | ) | | | (166 | ) | | | (865 | ) |
Expenses related to securities litigation | | | (1 | ) | | | (1 | ) | | | (1 | ) | | | (66 | ) | | | (69 | ) |
Expenses/(cost recovery) related to the Office | | | | | | | | | | | | | | | | | | | | |
of Inspector General investigation | | | (644 | ) | | | (618 | ) | | | 367 | | | | (438 | ) | | | (1,333 | ) |
Total | | $ | (3,862 | ) | | $ | (12,624 | ) | | $ | (7,666 | ) | | $ | (2,993 | ) | | $ | (27,145 | ) |
UNAUDITED SUMMARY OF QUARTERLY RESULTS | |
| | | | | | | | | | | | | | | |
Chemed Corporation and Subsidiary Companies | | | | | | | | | | | | | | | |
(in thousands, except per share and footnote data) | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | |
| | First | | | Second | | | Third | | | Fourth | | | Total | |
For the Year Ended December 31, 2012 | | Quarter | | | Quarter | | | Quarter | | | Quarter | | | Year | |
Total service revenues and sales | | $ | 352,943 | | | $ | 354,170 | | | $ | 354,353 | | | $ | 368,577 | | | $ | 1,430,043 | |
Gross profit (excluding depreciation) | | $ | 95,498 | | | $ | 96,802 | | | $ | 97,743 | | | $ | 106,679 | | | $ | 396,722 | |
Income from operations | | $ | 34,977 | | | $ | 39,525 | | | $ | 35,970 | | | $ | 45,947 | | | $ | 156,419 | |
Interest expense | | | (3,617 | ) | | | (3,672 | ) | | | (3,743 | ) | | | (3,691 | ) | | | (14,723 | ) |
Other income/(expense)--net | | | 2,095 | | | | (970 | ) | | | 1,840 | | | | 1,158 | | | | 4,123 | |
Income before income taxes | | | 33,455 | | | | 34,883 | | | | 34,067 | | | | 43,414 | | | | 145,819 | |
Income taxes | | | (13,010 | ) | | | (13,609 | ) | | | (13,222 | ) | | | (16,674 | ) | | | (56,515 | ) |
Net income (a) | | $ | 20,445 | | | $ | 21,274 | | | $ | 20,845 | | | $ | 26,740 | | | $ | 89,304 | |
| | | | | | | | | | | | | | | | | | | | |
Earnings Per Share (a) | | | | | | | | | | | | | | | | | | | | |
Net income | | $ | 1.08 | | | $ | 1.12 | | | $ | 1.10 | | | $ | 1.44 | | | $ | 4.72 | |
Average number of shares outstanding | | | 18,958 | | | | 18,998 | | | | 18,960 | | | | 18,628 | | | | 18,924 | |
| | | | | | | | | | | | | | | | | | | | |
Diluted Earnings Per Share (a) | | | | | | | | | | | | | | | | | | | | |
Net income | | $ | 1.06 | | | $ | 1.10 | | | $ | 1.07 | | | $ | 1.40 | | | $ | 4.62 | |
Average number of shares outstanding | | | 19,353 | | | | 19,369 | | | | 19,404 | | | | 19,053 | | | | 19,339 | |
| | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | |
(a) The following amounts are included in income during the respective quarter (in thousands): | |
| | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | |
| | First | | | Second | | | Third | | | Fourth | | | Total | |
| | Quarter | | | Quarter | | | Quarter | | | Quarter | | | Year | |
Pretax (cost)/benefit: | | | | | | | | | | | | | | |
Stock option expense | | $ | (1,938 | ) | | $ | (2,374 | ) | | $ | (2,397 | ) | | $ | (1,421 | ) | | $ | (8,130 | ) |
Noncash impact of change in accounting for convertible debt | | | (1,935 | ) | | | (1,973 | ) | | | (2,011 | ) | | | (2,052 | ) | | | (7,971 | ) |
Costs to shutdown HVAC operations | | | - | | | | - | | | | (1,126 | ) | | | - | | | | (1,126 | ) |
Acquisition expenses | | | (15 | ) | | | (20 | ) | | | (87 | ) | | | (66 | ) | | | (188 | ) |
Expenses related to litigation settlements | | | (647 | ) | | | (80 | ) | | | (116 | ) | | | (173 | ) | | | (1,016 | ) |
Expenses related to securities litigation | | | - | | | | (197 | ) | | | (68 | ) | | | (477 | ) | | | (742 | ) |
Long-term incentive compensation | | | - | | | | - | | | | - | | | | (360 | ) | | | (360 | ) |
Expenses incurred in connection with the Office | | | | | | | | | | | | | | | | | | | | |
of Inspector General investigation | | | (71 | ) | | | (195 | ) | | | (483 | ) | | | (463 | ) | | | (1,212 | ) |
Total | | $ | (4,606 | ) | | $ | (4,839 | ) | | $ | (6,288 | ) | | $ | (5,012 | ) | | $ | (20,745 | ) |
After-tax (cost)/benefit: | | | | | | | | | | | | | | | | | | | | |
Stock option expense | | $ | (1,225 | ) | | $ | (1,502 | ) | | $ | (1,516 | ) | | $ | (900 | ) | | $ | (5,143 | ) |
Noncash impact of change in accounting for convertible debt | | | (1,224 | ) | | | (1,248 | ) | | | (1,272 | ) | | | (1,297 | ) | | | (5,041 | ) |
Costs to shutdown HVAC operations | | | - | | | | - | | | | (649 | ) | | | - | | | | (649 | ) |
Acquisition expenses | | | (9 | ) | | | (12 | ) | | | (53 | ) | | | (40 | ) | | | (114 | ) |
Expenses related to litigation settlements | | | (393 | ) | | | (49 | ) | | | (70 | ) | | | (105 | ) | | | (617 | ) |
Expenses related to securities litigation | | | - | | | | (124 | ) | | | (44 | ) | | | (301 | ) | | | (469 | ) |
Long-term incentive compensation | | | - | | | | - | | | | - | | | | (228 | ) | | | (228 | ) |
Expenses incurred in connection with the Office | | | | | | | | | | | | | | | | | | | | |
of Inspector General investigation | | | (44 | ) | | | (121 | ) | | | (300 | ) | | | (287 | ) | | | (752 | ) |
Total | | $ | (2,895 | ) | | $ | (3,056 | ) | | $ | (3,904 | ) | | $ | (3,158 | ) | | $ | (13,013 | ) |
SELECTED FINANCIAL DATA | | | |
| | | | | | | | | | | | | | | |
Chemed Corporation and Subsidiary Companies | | | | | | | | | | | | | | | |
(in thousands, except per share and footnote data, ratios, percentages and personnel) | |
| | | | | | | | | | | | | | | |
| | 2013 | | | 2012 | | | 2011 | | | 2010 | | | 2009 | |
Summary of Operations | | | | | | | | | | | | | | | |
Continuing operations (a) | | | | | | | | | | | | | | | |
Service revenues and sales | | $ | 1,413,329 | | | $ | 1,430,043 | | | $ | 1,355,970 | | | $ | 1,280,545 | | | $ | 1,190,236 | |
Gross profit (excluding depreciation) | | | 404,521 | | | | 396,722 | | | | 385,486 | | | | 374,529 | | | | 355,662 | |
Depreciation | | | 27,698 | | | | 26,009 | | | | 25,247 | | | | 24,386 | | | | 21,535 | |
Amortization | | | 4,690 | | | | 4,512 | | | | 4,252 | | | | 4,657 | | | | 6,367 | |
Income from operations | | | 133,394 | | | | 156,419 | | | | 153,727 | | | | 143,522 | | | | 126,345 | |
Income from continuing operations (b) | | | 77,227 | | | | 89,304 | | | | 85,979 | | | | 81,831 | | | | 74,037 | |
Net income (b) | | | 77,227 | | | | 89,304 | | | | 85,979 | | | | 81,831 | | | | 73,784 | |
Earnings per share | | | | | | | | | | | | | | | | | | | | |
Income from continuing operations | | $ | 4.24 | | | $ | 4.72 | | | $ | 4.19 | | | $ | 3.62 | | | $ | 3.30 | |
Net income | | | 4.24 | | | | 4.72 | | | | 4.19 | | | | 3.62 | | | | 3.29 | |
Average number of shares outstanding | | | 18,199 | | | | 18,924 | | | | 20,523 | | | | 22,587 | | | | 22,451 | |
Diluted earnings per share | | | | | | | | | | | | | | | | | | | | |
Income from continuing operations | | $ | 4.16 | | | $ | 4.62 | | | $ | 4.10 | | | $ | 3.55 | | | $ | 3.26 | |
Net income | | | 4.16 | | | | 4.62 | | | | 4.10 | | | | 3.55 | | | | 3.24 | |
Average number of shares outstanding | | | 18,585 | | | | 19,339 | | | | 20,945 | | | | 23,031 | | | | 22,742 | |
Cash dividends per share | | $ | 0.76 | | | $ | 0.68 | | | $ | 0.60 | | | $ | 0.52 | | | $ | 0.36 | |
Financial Position--Year-End | | | | | | | | | | | | | | | | | | | | |
Cash and cash equivalents | | $ | 84,418 | | | $ | 69,531 | | | $ | 38,081 | | | $ | 49,917 | | | $ | 112,416 | |
Working capital/(deficit) | | | (139,330 | ) | | | 40,849 | | | | 5,353 | | | | 47,455 | | | | 62,174 | |
Current ratio | | | 0.62 | | | | 1.26 | | | | 1.04 | | | | 1.32 | | | | 1.46 | |
Properties and equipment, at cost less | | | | | | | | | | | | | | | | | | | | |
accumulated depreciation | | $ | 92,955 | | | $ | 91,934 | | | $ | 82,951 | | | $ | 79,292 | | | $ | 75,358 | |
Total assets | | | 893,701 | | | | 859,626 | | | | 795,905 | | | | 830,161 | | | | 819,470 | |
Long-term debt | | | - | | | | 174,890 | | | | 166,784 | | | | 159,208 | | | | 152,127 | |
Stockholders' equity | | | 448,890 | | | | 453,291 | | | | 413,684 | | | | 462,049 | | | | 477,162 | |
Other Statistics | | | | | | | | | | | | | | | | | | | | |
Capital expenditures | | $ | 29,324 | | | $ | 35,252 | | | $ | 29,592 | | | $ | 25,639 | | | $ | 21,496 | |
Number of employees | | | 13,952 | | | | 14,096 | | | | 13,733 | | | | 13,058 | | | | 12,308 | |
| | | | | | | | | | | | | | | | | | | | |
(a) Continuing operations exclude VITAS of Arizona, discontinued in 2006, Service America, discontinued in 2004 and Patient Care discontinued in 2002 | |
(b) The following amounts are included in income from continuing operations during the respective year (in thousands): | |
| | | | | | | | | | | | | | | | | | | | |
| | | 2013 | | | | 2012 | | | | 2011 | | | | 2010 | | | | 2009 | |
After-tax benefit/(cost): | | | | | | | | | | | | | | | | | | | | |
Stock option expense | | $ | (3,813 | ) | | $ | (5,143 | ) | | $ | (5,298 | ) | | $ | (4,909 | ) | | $ | (5,464 | ) |
Noncash impact of change in accounting for convertible debt | | | (5,448 | ) | | | (5,041 | ) | | | (4,664 | ) | | | (4,313 | ) | | | (3,988 | ) |
Long-term incentive compensation | | | (822 | ) | | | (228 | ) | | | (1,880 | ) | | | (2,957 | ) | | | (3,134 | ) |
Litigation settlements | | | (16,061 | ) | | | - | | | | - | | | | - | | | | - | |
Expneses related to litigation settlements | | | (865 | ) | | | (617 | ) | | | (1,397 | ) | | | (1,126 | ) | | | (534 | ) |
Expenses incurred in connection with the Office of Inspector | | | | | | | | | | | | | | | | | | | | |
General investigation | | | (1,333 | ) | | | (752 | ) | | | (737 | ) | | | (627 | ) | | | (363 | ) |
Acquisition expense | | | (38 | ) | | | (114 | ) | | | (75 | ) | | | (198 | ) | | | - | |
Cost to shut down HVAC operations | | | - | | | | (649 | ) | | | - | | | | - | | | | - | |
Expenses of securities litigation | | | (69 | ) | | | (469 | ) | | | - | | | | - | | | | - | |
Expenses associated with contested proxy solicitation | | | - | | | | - | | | | - | | | | - | | | | (2,525 | ) |
Non-taxable income on certain investments held in deferred | | | | | | | | | | | | | | | | | | | | |
compensation trusts | | | - | | | | - | | | | - | | | | - | | | | 1,211 | |
Income tax impact of nondeductible losses on investments | | | | | | | | | | | | | | | | | | | | |
held in deferred compensation trusts | | | - | | | | - | | | | - | | | | - | | | | (455 | ) |
Loss on extinguishment of debt | | | (294 | ) | | | - | | | | - | | | | - | | | | - | |
Severance arrangements | | | (184 | ) | | | - | | | | - | | | | - | | | | - | |
Uncertain tax position adjustments | | | 1,782 | | | | - | | | | - | | | | - | | | | - | |
Total | | $ | (27,145 | ) | | $ | (13,013 | ) | | $ | (14,051 | ) | | $ | (14,130 | ) | | $ | (15,252 | ) |
CHEMED CORPORATION AND SUBSIDIARY COMPANIES | |
UNAUDITED CONSOLIDATING STATEMENT OF INCOME | |
FOR THE YEAR ENDED DECEMBER 31, 2013 | |
(in thousands)(unaudited) | |
| | | | | | | | | |
| | | | Roto- | | | | | Chemed | |
| VITAS | | | | | | Corporate | | | Consolidated | |
2013 | | | | | | | | | | | |
Service revenues and sales | $ | 1,045,113 | | | $ | 368,216 | | | $ | - | | | $ | 1,413,329 | |
Cost of services provided and goods sold | | 813,600 | | | | 195,208 | | | | - | | | | 1,008,808 | |
Selling, general and administrative expenses | | 82,252 | | | | 102,592 | | | | 27,674 | | | | 212,518 | |
Depreciation | | 18,149 | | | | 9,014 | | | | 535 | | | | 27,698 | |
Amortization | | 2,102 | | | | 607 | | | | 1,981 | | | | 4,690 | |
Other operating expenses | | 10,500 | | | | 15,721 | | | | - | | | | 26,221 | |
Total costs and expenses | | 926,603 | | | | 323,142 | | | | 30,190 | | | | 1,279,935 | |
Income/(loss) from operations | | 118,510 | | | | 45,074 | | | | (30,190 | ) | | | 133,394 | |
Interest expense | | (182 | ) | | | (322 | ) | | | (14,531 | ) | | | (15,035 | ) |
Intercompany interest income/(expense) | | 4,288 | | | | 2,055 | | | | (6,343 | ) | | | - | |
Other income/(expense)—net | | 438 | | | | (4 | ) | | | 5,036 | | | | 5,470 | |
Income/(loss) before income taxes | | 123,054 | | | | 46,803 | | | | (46,028 | ) | | | 123,829 | |
Income taxes | | (46,910 | ) | | | (17,560 | ) | | | 17,868 | | | | (46,602 | ) |
Net income/(loss) | $ | 76,144 | | | $ | 29,243 | | | $ | (28,160 | ) | | $ | 77,227 | |
| | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | |
(a) The following amounts are included in income from continuing operations (in thousands): | |
| | | | | Roto- | | | | | | | | Chemed | |
| VITAS | | | Rooter | | | | Corporate | | | | Consolidated | |
Pretax benefit/(cost): | | | | | | | | | | | | | | | |
Stock option expense | $ | - | | | $ | - | | | $ | (6,042 | ) | | $ | (6,042 | ) |
Noncash impact of change in accounting for convertible debt | | - | | | | - | | | | (8,613 | ) | | | (8,613 | ) |
Long-term incentive compensation | | - | | | | - | | | | (1,301 | ) | | | (1,301 | ) |
Loss on extinguishment of debt | | - | | | | - | | | | (465 | ) | | | (465 | ) |
Securities litigation | | - | | | | - | | | | (109 | ) | | | (109 | ) |
Litigation settlement costs | | (10,500 | ) | | | (15,721 | ) | | | - | | | | (26,221 | ) |
Expenses related to litigation settlements | | - | | | | (1,425 | ) | | | - | | | | (1,425 | ) |
Severance arrangements | | - | | | | (302 | ) | | | - | | | | (302 | ) |
Acquisition expense | | (58 | ) | | | (4 | ) | | | - | | | | (62 | ) |
Expenses incurred in connection with the Office of Inspector | | | | | | | | | | | | | | | |
General investigation | | (2,149 | ) | | | - | | | | - | | | | (2,149 | ) |
Total | $ | (12,707 | ) | | $ | (17,452 | ) | | $ | (16,530 | ) | | $ | (46,689 | ) |
| | | | | | | | | | | | | | | |
| | | | | | Roto- | | | | | | | | Chemed | |
| VITAS | | | | Rooter | | | | Corporate | | | | Consolidated | |
After-tax benefit/(cost): | | | | | | | | | | | | | | | |
Stock option expense | $ | - | | | $ | - | | | $ | (3,813 | ) | | $ | (3,813 | ) |
Noncash impact of change in accounting for convertible debt | | - | | | | - | | | | (5,448 | ) | | | (5,448 | ) |
Long-term incentive compensation | | - | | | | - | | | | (822 | ) | | | (822 | ) |
Loss on extinguishment of debt | | - | | | | - | | | | (294 | ) | | | (294 | ) |
Securities litigation | | - | | | | - | | | | (69 | ) | | | (69 | ) |
Litigation settlement costs | | (6,510 | ) | | | (9,551 | ) | | | - | | | | (16,061 | ) |
Expenses related to litigation settlements | | - | | | | (865 | ) | | | - | | | | (865 | ) |
Severance arrangements | | - | | | | (184 | ) | | | - | | | | (184 | ) |
Acquisition expense | | (36 | ) | | | (2 | ) | | | - | | | | (38 | ) |
Expenses incurred in connection with the Office of Inspector | | | | | | | | | | | | | | | |
General investigation | | (1,333 | ) | | | - | | | | - | | | | (1,333 | ) |
Uncertain tax position adjustments | | - | | | | - | | | | 1,782 | | | | 1,782 | |
Total | $ | (7,879 | ) | | $ | (10,602 | ) | | $ | (8,664 | ) | | $ | (27,145 | ) |
CHEMED CORPORATION AND SUBSIDIARY COMPANIES | |
UNAUDITED CONSOLIDATING STATEMENT OF INCOME | |
FOR THE YEAR ENDED DECEMBER 31, 2012 | |
(in thousands)(unaudited) | |
| | | | | | | | | |
| | | | Roto- | | | | Chemed | |
| VITAS | | | Rooter | | | Corporate | | | Consolidated | |
2012 | | | | | | | | | | | |
Service revenues and sales | $ | 1,067,037 | | | $ | 363,006 | | | $ | - | | | $ | 1,430,043 | |
Cost of services provided and goods sold | | 831,321 | | | | 202,000 | | | | - | | | | 1,033,321 | |
Selling, general and administrative expenses | | 80,494 | | | | 102,366 | | | | 25,796 | | | | 208,656 | |
Depreciation | | 17,087 | | | | 8,397 | | | | 525 | | | | 26,009 | |
Amortization | | 1,956 | | | | 632 | | | | 1,924 | | | | 4,512 | |
Other operating expenses | | - | | | | 1,126 | | | | - | | | | 1,126 | |
Total costs and expenses | | 930,858 | | | | 314,521 | | | | 28,245 | | | | 1,273,624 | |
Income/(loss) from operations | | 136,179 | | | | 48,485 | | | | (28,245 | ) | | | 156,419 | |
Interest expense | | (233 | ) | | | (433 | ) | | | (14,057 | ) | | | (14,723 | ) |
Intercompany interest income/(expense) | | 3,180 | | | | 1,617 | | | | (4,797 | ) | | | - | |
Other income/(expense)—net | | 543 | | | | 6 | | | | 3,574 | | | | 4,123 | |
Income/(loss) before income taxes | | 139,669 | | | | 49,675 | | | | (43,525 | ) | | | 145,819 | |
Income taxes | | (53,092 | ) | | | (18,770 | ) | | | 15,347 | | | | (56,515 | ) |
Net income/(loss) | $ | 86,577 | | | $ | 30,905 | | | $ | (28,178 | ) | | $ | 89,304 | |
| | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | |
(a) The following amounts are included in income from continuing operations (in thousands): | |
| | | | | Roto- | | | | | | | | Chemed | |
| VITAS | | | Rooter | | | | Corporate | | | | Consolidated | |
Pretax benefit/(cost): | | | | | | | | | | | | | | | |
Stock option expense | $ | - | | | $ | - | | | $ | (8,130 | ) | | $ | (8,130 | ) |
Noncash impact of change in accounting for convertible debt | | - | | | | - | | | | (7,971 | ) | | | (7,971 | ) |
Long-term incentive compensation | | - | | | | - | | | | (360 | ) | | | (360 | ) |
Expenses of class action litigation | | - | | | | (1,016 | ) | | | - | | | | (1,016 | ) |
Expenses of securities litigation | | - | | | | - | | | | (742 | ) | | | (742 | ) |
Cost to shut down HVAC operations | | - | | | | (1,126 | ) | | | - | | | | (1,126 | ) |
Acquisition expense | | (15 | ) | | | (173 | ) | | | - | | | | (188 | ) |
Expenses incurred in connection with the Office of Inspector | | | | | | | | | | | | | | | |
General investigation | | (1,212 | ) | | | - | | | | - | | | | (1,212 | ) |
Total | $ | (1,227 | ) | | $ | (2,315 | ) | | $ | (17,203 | ) | | $ | (20,745 | ) |
| | | | | | | | | | | | | | | |
| | | | | | Roto- | | | | | | | | | |
| VITAS | | | | Rooter | | | | Corporate | | | | Consolidated | |
After-tax benefit/(cost): | | | | | | | | | | | | | | | |
Stock option expense | $ | - | | | $ | - | | | $ | (5,143 | ) | | $ | (5,143 | ) |
Noncash impact of change in accounting for convertible debt | | - | | | | - | | | | (5,041 | ) | | | (5,041 | ) |
Long-term incentive compensation | | - | | | | - | | | | (228 | ) | | | (228 | ) |
Expenses of class action litigation | | - | | | | (617 | ) | | | - | | | | (617 | ) |
Expenses of securities litigation | | - | | | | - | | | | (469 | ) | | | (469 | ) |
Cost to shut down HVAC operations | | - | | | | (649 | ) | | | - | | | | (649 | ) |
Acquisition expense | | (9 | ) | | | (105 | ) | | | - | | | | (114 | ) |
Expenses incurred in connection with the Office of Inspector | | | | | | | | | | | | | | | |
General investigation | | (752 | ) | | | - | | | | - | | | | (752 | ) |
Total | $ | (761 | ) | | $ | (1,371 | ) | | $ | (10,881 | ) | | $ | (13,013 | ) |
CHEMED CORPORATION AND SUBSIDIARY COMPANIES | |
UNAUDITED CONSOLIDATING STATEMENT OF INCOME | |
FOR THE YEAR ENDED DECEMBER 31, 2011 | |
(in thousands)(unaudited) | |
| | | | | | | | | |
| | | | Roto- | | | | Chemed | |
| VITAS | | | Rooter | | | Corporate | | | Consolidated | |
2011 | | | | | | | | | | | |
Service revenues and sales | $ | 986,272 | | | $ | 369,698 | | | $ | - | | | $ | 1,355,970 | |
Cost of services provided and goods sold | | 766,732 | | | | 203,752 | | | | - | | | | 970,484 | |
Selling, general and administrative expenses | | 75,698 | | | | 102,528 | | | | 24,034 | | | | 202,260 | |
Depreciation | | 16,583 | | | | 8,130 | | | | 534 | | | | 25,247 | |
Amortization | | 1,897 | | | | 599 | | | | 1,756 | | | | 4,252 | |
Total costs and expenses | | 860,910 | | | | 315,009 | | | | 26,324 | | | | 1,202,243 | |
Income/(loss) from operations | | 125,362 | | | | 54,689 | | | | (26,324 | ) | | | 153,727 | |
Interest expense | | (229 | ) | | | (358 | ) | | | (13,301 | ) | | | (13,888 | ) |
Intercompany interest income/(expense) | | 3,998 | | | | 2,136 | | | | (6,134 | ) | | | - | |
Other income/(expense)—net | | 62 | | | | (235 | ) | | | 890 | | | | 717 | |
Income/(loss) before income taxes | | 129,193 | | | | 56,232 | | | | (44,869 | ) | | | 140,556 | |
Income taxes | | (48,835 | ) | | | (21,353 | ) | | | 15,611 | | | | (54,577 | ) |
Net income/(loss) | $ | 80,358 | | | $ | 34,879 | | | $ | (29,258 | ) | | $ | 85,979 | |
| | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | |
(a) The following amounts are included in income from continuing operations (in thousands): | |
| | | | | | Roto- | | | | | | | | Chemed | |
| VITAS | | | | Rooter | | | | Corporate | | | | Consolidated | |
Pretax benefit/(cost): | | | | | | | | | | | | | | | |
Stock option expense | $ | - | | | $ | - | | | $ | (8,376 | ) | | $ | (8,376 | ) |
Noncash impact of change in accounting for convertible debt | | - | | | | - | | | | (7,374 | ) | | | (7,374 | ) |
Long-term incentive compensation | | - | | | | - | | | | (3,012 | ) | | | (3,012 | ) |
Expenses of class action litigation | | - | | | | (2,299 | ) | | | - | | | | (2,299 | ) |
Acquisition expense | | (147 | ) | | | 26 | | | | - | | | | (121 | ) |
Expenses incurred in connection with the Office of Inspector | | | | | | | | | | | | | | | |
General investigation | | (1,188 | ) | | | - | | | | - | | | | (1,188 | ) |
Total | $ | (1,335 | ) | | $ | (2,273 | ) | | $ | (18,762 | ) | | $ | (22,370 | ) |
| | | | | | | | | | | | | | | |
| | | | | | Roto- | | | | | | | | | |
| VITAS | | | | Rooter | | | | Corporate | | | | Consolidated | |
After-tax benefit/(cost): | | | | | | | | | | | | | | | |
Stock option expense | $ | - | | | $ | - | | | | (5,298 | ) | | | (5,298 | ) |
Noncash impact of change in accounting for convertible debt | | - | | | | - | | | | (4,664 | ) | | | (4,664 | ) |
Long-term incentive compensation | | - | | | | - | | | | (1,880 | ) | | | (1,880 | ) |
Expenses of class action litigation | | - | | | | (1,397 | ) | | | - | | | | (1,397 | ) |
Acquisition expense | | (91 | ) | | | 16 | | | | - | | | | (75 | ) |
Expenses incurred in connection with the Office of Inspector | | | | | | | | | | | | | | | |
General investigation | | (737 | ) | | | - | | | | - | | | | (737 | ) |
Total | $ | (828 | ) | | $ | (1,381 | ) | | $ | (11,842 | ) | | $ | (14,051 | ) |
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
EXECUTIVE SUMMARY
We operate through our two wholly owned subsidiaries: VITAS Healthcare Corporation (“VITAS”) and Roto-Rooter Group, Inc. (“Roto-Rooter”). VITAS focuses on hospice care that helps make terminally ill patients' final days as comfortable as possible. Through its team of doctors, nurses, home health aides, social workers, clergy and volunteers, VITAS provides direct medical services to patients, as well as spiritual and emotional counseling to both patients and their families. Roto-Rooter is focused on providing plumbing and drain cleaning services to both residential and commercial customers. Through its network of company-owned branches, independent contractors and franchisees, Roto-Rooter offers plumbing and drain cleaning service to over 90% of the U.S. population.
The following is a summary of the key operating results for the years ended December 31, 2013, 2012 and 2011 (in thousands except percentages and per share amounts):
| | 2013 | | | 2012 | | | 2011 | |
Consolidated service revenues and sales | | $ | 1,413,329 | | | $ | 1,430,043 | | | $ | 1,355,970 | |
Consolidated net income | | $ | 77,227 | | | $ | 89,304 | | | $ | 85,979 | |
Diluted EPS | | $ | 4.16 | | | $ | 4.62 | | | $ | 4.10 | |
Adjusted net income | | $ | 104,372 | | | $ | 102,317 | | | $ | 100,030 | |
Adjusted diluted EPS | | $ | 5.62 | | | $ | 5.29 | | | $ | 4.78 | |
Adjusted EBITDA | | $ | 206,850 | | | $ | 201,455 | | | $ | 197,273 | |
Adjusted EBITDA as a % of revenue | | | 14.6 | % | | | 14.1 | % | | | 14.5 | % |
Adjusted net income, adjusted diluted EPS, earnings before interest, taxes and depreciation and amortization (“EBITDA”) and Adjusted EBITDA are not measures derived in accordance with GAAP. We use Adjusted EPS as a measure of earnings for certain long-term incentive awards. We also use adjusted EBITDA to determine compliance with certain debt covenants. We provide non-GAAP measures to help readers evaluate our operating results, compare our operating performance with that of similar companies that have different capital structures and help evaluate our ability to meet future debt service, capital expenditure and working capital requirements. Our non-GAAP measures should not be considered in isolation or as a substitute for comparable measures presented in accordance with GAAP. Reconciliations of our non-GAAP measures are presented in tables following the Critical Accounting Policies section.
2013 versus 2012
The decrease in consolidated service revenues and sales from 2012 to 2013 was a result of a 1.4% increase at Roto-Rooter offset by a 2.1% decrease at VITAS. The increase at Roto-Rooter was driven by a 3.5% increase in price and mix shift offset by a decrease in job count of 1.9%. The decrease in service revenues at VITAS was a result of Medicare reimbursement rates including the effects of sequestration, declining approximately 0.5%, a $7.0 million net Medicare cap charge (compared to a reversal of $1.7 million in the same period of 2012) and level of care mix shift offset by increased average daily census (“ADC”) of 1.7%. Consolidated net income decreased 13.5% over prior year mainly as a result of the $16.1 million (after tax) in litigation settlements as well as the lower revenue at VITAS. Diluted EPS decreased mainly as a result of the decrease in earnings offset by an decrease in the number of shares outstanding. Adjusted EBITDA as a percent of revenue increased 2.7% from 2012 to 2013 mainly as a result of improved gross margins at Roto-Rooter.
2012 versus 2011
The increase in consolidated service revenues and sales from 2011 to 2012 was driven by a 8.2% increase at VITAS offset by a 1.8% decrease at Roto-Rooter. The increase at VITAS was the result of an increase in ADC of 5.5%, driven by an increase in admissions of 6.0%, increased discharges of 4.6% and Medicare price increases of approximately 2.5%. The decrease at Roto-Rooter was driven by a decrease in job count of 3.3% offset by a 2.1% increase in price and mix shift. Consolidated net income increased 3.9% over prior year mainly as a result of the increase in revenues. Diluted EPS increased as the result of increased earnings and a decrease in the number of shares outstanding. Adjusted EBITDA increased 2.1% from 2011 to 2012 mainly as a result of increased earnings.
While we have significant operations in the Northeast, we had no material casualty losses or business interruption as a result of Hurricane Sandy.
Impact of Current Market Conditions
We expect Roto-Rooter to achieve full-year 2014 revenue growth of 3.0% to 4.0%. This revenue estimate is based upon increased job pricing of approximately 2.0% and job count growth essentially equal to the prior year. Adjusted EBITDA margin for 2014 is estimated in the range of 19.0% to 20.0%.
We expect VITAS to achieve full-year 2014 revenue growth, prior to Medicare cap, of 1.0% to 3.0%. Admissions in 2014 are estimated to increase 3.0% to 4.0%. This revenue estimate includes the April 1, 2013 reduction in hospice reimbursement rates of 2.0% offset by the October 1, 2013, 0.9% increase in average hospice reimbursement rates for a net decrease of 1.1%. We also expect VITAS to have estimated Medicare contractual billing limitations of $5.6 million. Adjusted EBITDA margin, prior to Medicare cap, for 2014 is estimated to be in the range of 14.5% to 15.0%.
LIQUIDITY AND CAPITAL RESOURCES
Significant factors affecting our cash flows during 2013 and financial position at December 31, 2013, include the following:
● | Our operations generated cash of $150.8 million. |
● | We repurchased $92.9 million of our stock in the open market using cash on hand. |
● | We spent $29.3 million on capital expenditures. |
● | $2.3 million cash paid for business acquisitions. |
● | An increase in dividends paid of 8.6% to $14.1 million. |
● | A $6.6 million increase in current deferred income taxes due mainly to the accrual of litigation settlements. |
● | A reclass of our convertible notes from long-term to current as they are due in May 2014. |
● | A $31.1 million increase in other current liabilities primarily due to unpaid litigation settlements and the Medicare cap liability. |
The ratio of total debt to total capital was 29.0% at December 31, 2013, compared with 27.8% at December 31, 2012. Our current ratio was 0.62 and 1.26 at December 31, 2013 and 2012, respectively. The decrease in the current ratio is a primarily a result of the reclass of long term debt from long term liabilities to short term liabilities during 2013.
Collectively, the 2013 Credit Agreement and the Notes require us to meet certain restrictive non-financial and financial covenants. We are in compliance with all non-financial debt covenants as of December 31, 2013. The restrictive financial covenants are defined in the 2013 Credit Agreement and include maximum leverage ratios, minimum fixed charge coverage and consolidated net worth ratios, limits on operating leases and minimum asset value limits. We are in compliance with all financial debt covenants as of December 31, 2013, as follows:
Description | | Requirement | | Chemed |
| | | | |
Leverage Ratio (Consolidated Indebtedness/Consolidated Adj. | | | | |
EBITDA) | | < 3.50 to 1.00 | | 1.07 to 1.00 |
| | | | |
Fixed Charge Coverage Ratio (Consolidated Free Cash | | | | |
Flow/Consolidated Fixed Charges | | > 1.50 to 1.00 | | 2.25 to 1.00 |
| | | | |
Annual Operating Lease Commitment | | < $30.0 million | | $26.5 million |
Our 2013 Credit Agreement replaced the 2011 Credit Agreement in January 2013. We forecast to be in compliance with all debt covenants through fiscal 2014.
We have issued $35.0 million in standby letters of credit as of December 31, 2013, mainly for insurance purposes. Issued letters of credit reduce our available credit under the revolving credit agreement. As of December 31, 2013, we have approximately $315.0 million of unused lines of credit available and eligible to be drawn down under our revolving credit facility, excluding the $150 million expansion feature. We believe our cash flow from operating activities and our unused eligible lines of credit are sufficient to fund our obligations, including the convertible notes due May 2014, and operate our business in the near and long term. We continually evaluate cash utilization alternatives, including share repurchase, debt repurchase, acquisitions, and increased dividends to determine the most beneficial use of available capital resources.
CASH FLOW
Our cash flows for 2013, 2012 and 2011 are summarized as follows (in millions):
| | For the Years Ended December 31, | |
| | 2013 | | | 2012 | | | 2011 | |
Net cash provided by operating activities | | $ | 150.8 | | | $ | 131.8 | | | $ | 174.3 | |
Capital expenditures | | | (29.3 | ) | | | (35.3 | ) | | | (29.6 | ) |
Operating cash after capital expenditures | | | 121.5 | | | | 96.5 | | | | 144.7 | |
Purchase of treasury stock in the open market | | | (92.9 | ) | | | (60.5 | ) | | | (143.9 | ) |
Business combinations | | | (2.3 | ) | | | (5.9 | ) | | | (3.7 | ) |
Dividends paid | | | (14.1 | ) | | | (13.0 | ) | | | (12.5 | ) |
Proceeds from exercise of stock options | | | 17.1 | | | | 12.3 | | | | 8.0 | |
Increase/(decrease) in cash overdraft payable | | | (11.4 | ) | | | 1.9 | | | | (0.8 | ) |
Other--net | | | (3.0 | ) | | | 0.2 | | | | (3.6 | ) |
Increase/(decrease) in cash and cash equivalents | | $ | 14.9 | | | $ | 31.5 | | | $ | (11.8 | ) |
COMMITMENTS AND CONTINGENCIES
We are subject to various lawsuits and claims in the normal course of our business. In addition, we periodically receive communications from governmental and regulatory agencies concerning compliance with Medicare and Medicaid billing requirements at our VITAS subsidiary. We establish reserves for specific, uninsured liabilities in connection with regulatory and legal action that we deem to be probable and estimable. We disclose the existence of regulatory and legal actions when we believe it is reasonably possible that a loss could occur in connection with the specific action. In most instances, we are unable to make a reasonable estimate of any reasonably possible liability due to the uncertainty of the outcome and stage of litigation. We record legal fees associated with legal and regulatory actions as the costs are incurred.
In connection with the sale of DuBois Chemicals, Inc. ("DuBois") in 1991, we provided allowances and accruals relating to several long-term costs, including income tax matters, lease commitments and environmental costs. Additionally, we retained liability for casualty insurance claims for Service America and Patient Care that were incurred prior to the respective disposal dates, 2005 and 2002. In the aggregate, we believe these allowances and accruals are adequate as of December 31, 2013. Based on reviews of our environmental-related liabilities under the DuBois sale agreement, we have estimated our remaining liability to be $1.7 million. As of December 31, 2013, we are contingently liable for additional cleanup and related costs up to a maximum of $14.9 million. We do not believe it is probable that we will be required to make any payment towards this contingent liability. Thus, no provision has been recorded in accordance with the applicable accounting guidance.
In February 2010, Chemed and Roto-Rooter were named as defendants in a lawsuit filed in the United States District Court for the Eastern District of New York, Anthony Morangelli, et al., v. Chemed Corp. and Roto-Rooter Services Co., No. 10-CV-00876 (BMC). The named plaintiffs, current and former technicians employed by Roto-Rooter who were paid on a commission basis, asserted against Chemed and Roto-Rooter claims for violation of the Fair Labor Standards Act (“FLSA”) and claims for violations of the labor laws of multiple states. In June 2013 the parties reached an agreement to settle the case for $14.3 million plus applicable payroll taxes ($9.0 million after tax). As such, $14.8 million is recorded as other operating expense in the year ended December 31, 2013 Statement of Income and is included in accrued legal at December 31, 2013.
VITAS is party to a class action lawsuit filed in the Superior Court of California, Los Angeles County in September 2006 by Bernadette Santos, Keith Knoche and Joyce White, Bernadette Santos, et al. v. VITAS Healthcare Corporation of California, BC359356. This case alleges failure to pay overtime and failure to provide meal and rest periods to a purported class of California admissions nurses, chaplains and sales representatives. The case seeks payment of penalties, interest and Plaintiffs’ attorney fees. In December 2009, the trial court denied Plaintiffs’ motion for class certification. In July 2011, the Court of Appeals affirmed denial of class certification on the travel time, meal and rest period claims, and reversed the trial court’s denial on the off-the-clock and sales representation exemption claims. Plaintiffs filed an appeal of this decision. In September 2012, in response to an order of reconsideration, the Court of Appeals reiterated its previous rulings. In March 2013, the Court granted summary judgment dismissing the sales representatives’ claims as they are exempt employees. In October 2013 we reached agreement, to settle the case for $10.3 million plus applicable payroll taxes ($6.5 million aftertax). As such, $10.5 million is recorded as other operating expense in the year ended December 31, 2013 Statement of Income. This settlement was paid in 2013.
On January 12, 2012, a putative class action lawsuit was filed in the U.S. District Court for the Southern District of Ohio against the Company, Kevin McNamara, David Williams, and Timothy O’Toole, In re Chemed Corp. Securities Litigation, Civil Action No. 1:12-cv-28 (S.D. Ohio). On June 18, 2012, an amended complaint was filed alleging violation of Section 10(b) of the Securities Exchange Act of 1934 and Rule 10b-5 against all Defendants, and violation of Section 20(a) of the Securities Exchange Act of 1934 against Messrs. McNamara, Williams, and O’Toole. The suit’s allegations concern the VITAS hospice segment of the Company’s business. Plaintiffs seek, on behalf of a putative class of purchasers of Chemed Capital Stock, compensatory damages in an unspecified amount and attorneys’ fees and expenses, arising from Defendants’ alleged failure to disclose an alleged fraudulent scheme at VITAS to enroll ineligible hospice patients and to fraudulently obtain payments from the federal government. Defendants filed motions to dismiss the amended complaint on August 17, 2012, which were pending when the parties reached an agreement to settle the action. On June 7, 2013, following the filing of U.S. v. VITAS, discussed below, Plaintiffs filed a motion for leave to file a second amended complaint. Defendants opposed this motion. On September 16, 2013, Plaintiffs executed a Settlement Term Sheet with Defendants, reaching an agreement in principle to settle this case subject to Court approval. On February 6, 2014, Plaintiffs, on behalf of a putative class of purchasers of Chemed Capital Stock between February 15, 2010 and May 2, 2013, inclusive, executed a stipulation of settlement with defendants, agreeing to settle this case in full and with prejudice, and to provide Defendants with full releases of all claims that are or could have been asserted by Plaintiffs in exchange for payment of $6.0 million by our insurer into a settlement fund for the benefit of the putative settlement class (“Settlement”). The Settlement has been recorded as an accrual and offsetting prepaid in the accompanying Balance Sheet. This Settlement is subject to Court approval. Defendants agreed to enter into this Settlement in order to eliminate the burden, expense and distraction of further litigation.
In June 2011, the U.S. Attorney provided the Company with a partially unsealed qui tam complaint filed under seal in the U.S. District Court for the Western District of Texas, United States, et al. ex rel. Urick v. VITAS HME Solutions, Inc. et al., 5:08-cv-0663 (“Urick”). The U.S. Attorney filed a notice in May 2012 stating that it had decided not to intervene in the case at that time but indicating that it continues to investigate the allegations. In June 2012, the complaint was unsealed. The complaint asserts violations of the federal False Claims Act and the Texas Medicaid Fraud Prevention Act based on allegations of a conspiracy to submit to Medicare and Medicaid false claims involving hospice services for ineligible patients, unnecessary medical supplies, failing to satisfy certain prerequisites for payment, and altering patient records, including backdating patient revocations. The suit was brought by Barbara Urick, a registered nurse in VITAS’s San Antonio program, against VITAS, certain of its affiliates, and several former VITAS employees, including physicians Justo Cisneros and Antonio Cavasos and nurses Sally Schwenk, Diane Anest, and Edith Reed. In September 2012 and July 2013, the plaintiff dismissed all claims against the individual defendants. The complaint was served on the VITAS entities on April 12, 2013.
Also in June 2011, the U.S. Attorney provided the Company with a partially unsealed qui tam complaint filed under seal in the U.S. District Court for the Northern District of Illinois, United States, et al. ex rel. Spottiswood v. Chemed Corp., 1:07-cv-4566 (“Spottiswood”). In April 2012, the complaint was unsealed. The U.S. Attorney and Attorney General for the State of Illinois filed notices in April and May 2012, respectively, stating that they had decided not to intervene in the case at that time but indicating that they continue to investigate the allegations. Plaintiff filed an amended complaint in November 2012. The complaint asserts violations of the federal False Claims Act and the Illinois Whistleblower Reward and Protection Act based on allegations that VITAS fraudulently billed Medicare and Medicaid for providing unwarranted continuous care services. The suit was brought by Laura Spottiswood, a former part-time pool registered nurse at VITAS, against Chemed, VITAS, and a VITAS affiliate. The complaint was served on the defendants on April 12, 2013. On May 29 and June 4, 2013, respectively, the Court granted the government’s motion to partially intervene in Spottiswood and in Urick on the allegations that VITAS submitted or caused to be submitted false or fraudulent claims for continuous care and routine home care on behalf of certain ineligible Medicare beneficiaries. The Court also transferred them to the U.S. District Court for the Western District of Missouri under docket Nos. 4:13-cv-505 and 4:13-cv-563, respectively.
On May 2, 2013, the government filed a False Claims Act complaint against the Company and certain of its hospice-related subsidiaries in the U.S. District Court for the Western District of Missouri, United States v. VITAS Hospice Services, LLC, et al., No. 4:13-cv-00449-BCW (the “2013 Action”). Prior to that date, the Company received various subpoenas from the U.S. Department of Justice and OIG that have been previously disclosed. The 2013 Action alleges that, since at least 2002, VITAS, and since 2004, the Company, submitted or caused the submission of false claims to the Medicare program by (a) billing Medicare for continuous home care services when the patients were not eligible, the services were not provided, or the medical care was inappropriate, and (b) billing Medicare for patients who were not eligible for the Medicare hospice benefit because they did not have a life expectancy of six months or less if their illnesses ran their normal course. This complaint seeks treble damages, statutory penalties, and the costs of the action, plus interest. On August 1, 2013, the government filed its First Amended Complaint in the 2013 Action. The First Amended Complaint changed and supplemented some of the allegations, but did not otherwise expand the causes of action or the nature of the relief sought against VITAS. The defendants filed a motion to dismiss on September 24, 2013.
On May 6, 2013, the U.S. District Court for the Western District of Missouri, at the request of the government, unsealed a qui tam complaint against VITAS and VITAS Healthcare Corporation of California, United States ex rel. Charles Gonzales v. VITAS Healthcare Corporation, et al., CV 12-0761-R (“Gonzales”). The case was transferred from the Central District of California to the Western District of Missouri under docket No. 4:13-cv-344. The government partially intervened in Gonzales. The Gonzales complaint alleges that VITAS’ Los Angeles program falsely certified and recertified patients as eligible for the Medicare Hospice Benefit. It alleges violations of the False Claims Act and seeks treble damages, civil penalties, recovery of costs, attorneys’ fees and expenses, and pre- and post-judgment interest.
On September 25, 2013, the Court granted a joint motion by the government, the relators, and VITAS to consolidate the Spottiswood, Urick, and Gonzales complaints with the 2013 Action. As a result, the First Amended Complaint will govern the consolidated claims brought by the United States and the relators for all purposes. The relators and VITAS have stipulated that certain non-intervened claims will not be pursued by the relators.
VITAS has also received document subpoenas in related state matters. In February 2010, VITAS received a civil investigative demand (“CID”) from the Texas Attorney General seeking documents from January 1, 2002 through the date of the CID, and interrogatory responses in connection with an investigation of possible fraudulent submission of Medicaid claims for non-qualifying patients and fraudulent shifting of costs from VITAS to the State of Texas and the United States. The CID requested similar information sought by prior Department of Justice subpoenas, including policy and procedure manuals and information concerning Medicare and Medicaid billing, patient statistics and sales and marketing practices, together with information concerning record-keeping and retention practices, and medical records concerning 117 patients. In September 2010, VITAS received a second CID from the Texas Attorney General seeking additional documents concerning business plans and results, revocation forms for certain patients, and electronic documents of 10 current and former employees. In July 2012, VITAS received an investigative subpoena from the Florida Attorney General seeking documents previously produced in the course of prior government investigations as well as, for the period January 1, 2007 through the date of production, billing records and procedures; information concerning business results, plans, and strategies; documents concerning patient eligibility for hospice care; and certain information concerning employees and their compensation.
In November 2013, two shareholder derivative lawsuits were filed against the Company’s current and former directors, as well as certain of its officers both of which are covered by the Company’s commercial insurance. On November 6, 2013, KBC Asset Management NV filed suit in the United States Distrct Court for the District of Delaware, KBC Asset Management NV, derivatively on behalf of Chemed Corp. v. McNamara, et al., No. 13 Civ. 1854 (LPS) (D. Del.). It sued Kevin McNamara, Joel Gemunder, Patrick Grace, Thomas Hutton, Walter Krebs, Andrea Lindell, Thomas Rice, Donald Saunders, Arthur Tucker, Jr., George Walsh III, Frank Wood, Timothy O’Toole, David Williams and Ernest Mrozek, together with the Company as nominal defendant. Plaintiff alleges that since at least 2004, Chemed, through VITAS, has submitted or caused the submission of false claims to Medicare. The suit alleges a claim for breach of fiduciary duty against the individual defendants, and seeks (a) a declaration that the individual defendants breached their fiduciary duties to the Company; (b) an order requiring those defendants to pay compensatory damages, restitution and exemplary damages, in unspecified amounts, to the Company; (c) an order directing the Company to implement new policies and procedures; and (d) costs and disbursements incurred in bringing the action, including attorneys’ fees.
On November 14, 2013, Mildred A. North filed suit in the United States District Court for the Southern District of Ohio, North, derivatively on behalf of Chemed Corp. v. Kevin McNamara, el al., No. 13 Civ. 833 (MDB) (S.D. Ohio). She sued Kevin McNamara, David Williams, Timothy O’Toole, Joel Gemunder, Patrick Grace, Walter Krebs, Andrea Lindell, Thomas Rice, Donald Saunders, George Walsh III, Frank Wood and Thomas Hutton, together with the Company as nominal defendant. Plaintiff alleges that, between February 2010 and the present, the individual defendants breached their fiduciary duties as officers and directors of Chemed by, among other things, (a) allegedly causing VITAS to submit improper and ineligible claims to Medicare and Medicaid; and (b) allegedly misrepresenting the state of Chemed’s internal controls. The suit alleges claims for breach of fiduciary duty, abuse of control and gross mismanagement against the individual defendants. The complaint also alleges unjust enrichment and insider trading against Messrs. McNamara, Williams and O’Toole. Plaintiff seeks (a) a declaration that the individual defendants breached their fiduciary duties to the Company; (b) an order requiring those defendants to pay compensatory damages, restitution and exemplary damages, in unspecified amounts, to the Company; (c) an order directing the Company to implement new policies and procedures; and (d) costs and disbursements incurred in bringing the action, including attorneys’ fees.
On December 20, 2013, Plaintiff in the North action filed a motion before the Judicial Panel on Multidistrict Litigation seeking centralized treatment of her action and the KBC action in the U.S. District Court for the Southern District of Ohio. Defendants in both cases, as well as Plaintiff KBC, opposed that motion, consistent with Chemed’s By-law 8.07, which requires all derivative suits brought in Chemed’s name to proceed in federal or state court in Delaware. The MDL Panel has yet to rule on that motion. On January 29, 2014 Defendants filed motions to transfer North to Delaware under 28 U.S.C § 1404 and to stay the case until after resolution of that motion and the MDL motion.
The Company intends to defend vigorously against the allegations in each of the above lawsuits. The Company had a net recovery for these OIG investigations, due to a one-time insurance reimbursement of $1.0 million for certain legal costs, for the year ended December 31, 2013. The net costs to comply with these investigations were $1.3 million, $752,000 and $737,000 for the years ending December 31, 2013, 2012 and 2011, respectively. Regardless of the outcome of any of the preceding matters, responding to the subpoenas and dealing with the various regulatory agencies and opposing parties can adversely affect us through defense costs, potential payments, diversion of management time, and related publicity. Although the Company intends to defend them vigorously, there can be no assurance that those suits will not have a material adverse effect on the Company.
CONTRACTUAL OBLIGATIONS
The table below summarizes our debt and contractual obligations as of December 31, 2013 (in thousands):
| | | | | Less than | | | | | | | | | After | |
| | Total | | | 1 year | | | 1-3 Years | | | 4 -5 Years | | | 5 Years | |
Long-term debt obligations (a) | | $ | 186,956 | | | $ | 186,956 | | | $ | - | | | $ | - | | | $ | - | |
Interest on long-term debt | | | 1,753 | | | | 1,753 | | | | - | | | | - | | | | - | |
Operating lease obligations | | | 75,214 | | | | 26,497 | | | | 31,323 | | | | 12,991 | | | | 4,403 | |
Purchase obligations (b) | | | 41,758 | | | | 41,758 | | | | - | | | | - | | | | - | |
Other long-term obligations (c) | | | 51,671 | | | | - | | | | 4,661 | | | | 4,662 | | | | 42,348 | |
Total contractual cash obligations | | $ | 357,352 | | | $ | 256,964 | | | $ | 35,984 | | | $ | 17,653 | | | $ | 46,751 | |
| | | | | | | | | | | | | | | | | | | | |
(a) Represents the face value of the obligation. | |
(b) Purchase obligations primarily consist of accounts payable at December 31, 2013. | |
(c) Other long-term obligations comprise largely excess benefit obligations. | |
RESULTS OF OPERATIONS
2013 Versus 2012 – Consolidated Results
Set forth below are the year-to-year changes in the components of the statement of operations relating to income for 2013 versus 2012 (in thousands, except percentages):
| | Favorable/(Unfavorable) | |
| | Amount | | | Percent | |
Service revenues and sales | | | | | | |
VITAS | | $ | (21,924 | ) | | | (2 | ) % |
Roto-Rooter | | | 5,210 | | | | 1 | |
Total | | | (16,714 | ) | | | (1 | ) |
Cost of services provided and goods sold | | | 24,513 | | | | 2 | |
Selling, general and administrative expenses | | | (3,862 | ) | | | (2 | ) |
Depreciation | | | (1,689 | ) | | | (6 | ) |
Amortization | | | (178 | ) | | | (4 | ) |
Other operating expenses | | | (25,095 | ) | | | (2,229 | ) |
Income from operations | | | (23,025 | ) | | | (15 | ) |
Interest expense | | | (312 | ) | | | (2 | ) |
Other income - net | | | 1,347 | | | | 33 | |
Income before income taxes | | | (21,990 | ) | | | (15 | ) |
Income taxes | | | 9,913 | | | | 18 | |
Net income | | $ | (12,077 | ) | | | (14 | ) |
The VITAS segment revenue decrease is the result of the following (dollars in thousands):
| | Amount | | | Percent | |
Routine homecare | | $ | 12,959 | | | | 2 | % |
Continuous care | | | (16,654 | ) | | | (10 | ) |
General inpatient | | | (9,526 | ) | | | (8 | ) |
Medicare cap | | | (8,703 | ) | | | (511 | ) |
| | $ | (21,924 | ) | | | (2 | ) |
The decrease in VITAS’ revenue from 2012 to 2013 was a result of increased ADC of 1.7%, offset by a Medicare reimbursement rate decrease and level of car mix shift. For 2013, VITAS recorded a net Medicare cap charge of $7.0 million related to eliminating the Medicare Cap billing limitation recorded in the fourth quarter of 2012 offset by two programs’ projected Medicare Cap liability. This compares to $1.7 million in additional revenue recorded in 2012. The ADC increase was driven by a 2.4% increase in routine homecare offset by a decrease of 8.2% in continuous care and a 5.2% decrease in general inpatient. ADC is a key measure we use to monitor volume growth in our hospice programs. Changes in total program admissions, discharges and average length of stay for our patients are the main drivers of changes in ADC.
The Roto-Rooter segment revenue increase is the result of the following (dollars in thousands):
| | Amount | | | Percent | |
Plumbing | | $ | (308 | ) | | | - | % |
Sewer and drain cleaning | | | 2,783 | | | | 2 | |
Contractor operations | | | 4,508 | | | | 16 | |
HVAC operations | | | (1,109 | ) | | | (100 | ) |
Other | | | (664 | ) | | | (3 | ) |
| | $ | 5,210 | | | | 1 | |
Plumbing revenues for 2013 were essentially flat compared to 2012 due to a 1.8% decrease in the number of jobs performed offset by a 1.7% increase in the average price per job. Sewer and drain cleaning revenues increased from 2012 as a result of a 4.2% increase in average price per job offset by a 1.4% decrease in the number of jobs performed. Contractor operations revenue increased 15.8% as a result of performance by recent acquisitions and higher job count. HVAC operations decreased as a result of the shut-down of Roto-Rooter’s one remaining HVAC operation, as discussed in Footnote 21.
The consolidated gross margin was 28.6% in 2013 versus 27.7% in 2012. On a segment basis, VITAS’ gross margin was 22.2% in 2013 and 22.1% in 2012. Roto-Rooter’s gross margin was 47.0% in 2013 and 44.4% in 2012. The increase in Roto-Rooter’s gross margin is the result of higher revenue, lower healthcare and casualty insurance costs and reduced field operating expenses.
Selling, general and administrative expenses (“SG&A”) for 2013 comprise (in thousands):
| | 2013 | | | 2012 | |
SG&A expenses before long-term incentive | | | | | | |
compensation, OIG expenses and the impact | | | | | | |
of market gains of deferred compensation plans | | $ | 204,086 | | | $ | 203,585 | |
Long-term incentive compensation | | | 1,301 | | | | 360 | |
Expenses related to OIG investigation | | | 2,149 | | | | 1,212 | |
Impact of market value gains on liabilities | | | | | | | | |
held in deferred compensation trusts | | | 4,982 | | | | 3,499 | |
Total SG&A expenses | | $ | 212,518 | | | $ | 208,656 | |
Depreciation expense increased $1.7 million (6.5%) in 2013 mainly due to an increase in capital expenditures in the prior year.
Other operating expenses comprise (in thousands):
| | 2013 | | | 2012 | |
| | | | | | |
Litigation settlement of VITAS segment (a) | | $ | 10,500 | | | $ | - | �� |
Settlements of Roto-Rooter segment (b) | | | 15,721 | | | | - | |
Severance and other operating costs related | | | | | | | | |
to closing Roto-Rooter's HVAC business | | | - | | | | 1,126 | |
Total other operating expenses | | $ | 26,221 | | | $ | 1,126 | |
(a) | Santos claims discussed in Note 10. |
(b) | Morangelli claims discussed in Note 10 and estimated settlement of certain customer claims. |
Interest expense increased $312,000 (2.1%) from 2012 to 2013 primarily as a result of the increase in amortization of bond discount expense and the loss on extinguishment of debt resulting from the replacement of the previous Credit Agreement in January 2013.
Other income-net for 2013 and 2012 comprise (in thousands):
| | 2013 | | | 2012 | |
Market value gains on assets held in deferred | | | | | | |
compensation trusts | | $ | 4,982 | | | $ | 3,499 | |
Loss on disposal of property and equipment | | | (320 | ) | | | (347 | ) |
Interest income | | | 847 | | | | 809 | |
Other | | | (39 | ) | | | 162 | |
Total other income | | $ | 5,470 | | | $ | 4,123 | |
Our effective tax rate was 37.6% in 2013 compared to 38.8% for 2012. This is a result of a $1.8 million credit related to the expiration of tax statutes for uncertain tax positions recorded in prior years.
Net income for both periods include the following aftertax adjustments that increased/ (reduced) aftertax earnings (in thousands):
| | 2013 | | | 2012 | |
VITAS | | | | | | |
Costs associated with the OIG investigation | | $ | (1,333 | ) | | $ | (752 | ) |
Litigation settlements | | | (6,510 | ) | | | - | |
Acquisition expense | | | (36 | ) | | | (9 | ) |
Roto-Rooter | | | | | | | | |
Expenses related to litigation settlements | | | (865 | ) | | | (617 | ) |
Litigation settlements | | | (9,551 | ) | | | - | |
Acquisition expense | | | (2 | ) | | | (105 | ) |
Expenses of severance arrangements | | | (184 | ) | | | - | |
Costs to shut down HVAC operations | | | - | | | | (649 | ) |
Corporate | | | | | | | | |
Long-term incentive compensation | | | (822 | ) | | | (228 | ) |
Noncash impact of change in accounting of convertible debt | | | (5,448 | ) | | | (5,041 | ) |
Costs related to securities litigation | | | (69 | ) | | | (469 | ) |
Stock option expense | | | (3,813 | ) | | | (5,143 | ) |
Uncertain tax position adjustments | | | 1,782 | | | | - | |
Loss on extinguishment of debt | | | (294 | ) | | | - | |
Total | | $ | (27,145 | ) | | $ | (13,013 | ) |
2013 Versus 2012 – Segment Results
The change in net income for 2013 versus 2012 is due to (in thousands, except percentages):
| | Increase/(Decrease) | |
| | Amount | | | Percent | |
VITAS | | $ | (10,433 | ) | | | (12 | ) % |
Roto-Rooter | | | (1,662 | ) | | | (5 | ) |
Corporate | | | 18 | | | | - | |
| | $ | (12,077 | ) | | | (14 | ) |
RESULTS OF OPERATIONS
2012 Versus 2011 – Consolidated Results
Set forth below are the year-to-year changes in the components of the statement of income for 2012 versus 2011 (in thousands, except percentages):
| | Favorable/(Unfavorable) | |
| | Amount | | | Percent | |
Service revenues and sales | | | | | | |
VITAS | | $ | 80,765 | | | | 8 | % |
Roto-Rooter | | | (6,692 | ) | | | (2 | ) |
Total | | | 74,073 | | | | 6 | |
Cost of services provided and goods sold | | | (62,837 | ) | | | (6 | ) |
Selling, general and administrative expenses | | | (6,396 | ) | | | (3 | ) |
Depreciation | | | (762 | ) | | | (3 | ) |
Amortization | | | (260 | ) | | | (6 | ) |
Other operating expenses | | | (1,126 | ) | | | - | |
Income from operations | | | 2,692 | | | | 2 | |
Interest expense | | | (835 | ) | | | (6 | ) |
Other income - net | | | 3,406 | | | | 475 | |
Income before income taxes | | | 5,263 | | | | 4 | |
Income taxes | | | (1,938 | ) | | | (4 | ) |
Net income | | $ | 3,325 | | | | 4 | |
The VITAS segment revenue increase is the result of the following (dollars in thousands):
| | Amount | | | Percent | |
Routine homecare | | $ | 60,118 | | | | 8 | % |
Continuous care | | | 13,597 | | | | 9 | |
General inpatient | | | 3,752 | | | | 3 | |
Medicare cap | | | 3,298 | | | | 207 | |
| | $ | 80,765 | | | | 8 | |
The increase in VITAS’ revenue from 2011 to 2012 was a result of increased ADC of 5.5% driven by an increase in admissions of 6.0%, increased discharges of 4.6% and Medicare price increases of approximately 2.5%. The ADC increase was driven by a 5.6% increase in routine homecare, an increase of 5.6% in continuous care, and a 2.9% increase in general inpatient. ADC is a key measure we use to monitor volume growth in our hospice programs. Changes in total program admissions, discharges and average length of stay for our patients are the main drivers of changes in ADC. The Medicare cap amount recorded in 2012 relates to the reversal of $2,578,000, net of Medicare cap liability for the 2012 measurement period recorded in the fourth quarter of 2011 offset by $873,000 in Medicare cap liability for three programs’ projected 2013 measurement period liability.
The Roto-Rooter segment revenue decrease is the result of the following (dollars in thousands):
| | Amount | | | Percent | |
Plumbing | | $ | (5,053 | ) | | | (3 | ) % |
Sewer and drain cleaning | | | (432 | ) | | | - | |
Contractor operations | | | 1,811 | | | | 7 | |
HVAC operations | | | (2,301 | ) | | | (67 | ) |
Other | | | (717 | ) | | | (3 | ) |
| | $ | (6,692 | ) | | | (2 | ) |
Plumbing revenues for 2012 decreased from 2011 due to a 1.8% decrease in the number of jobs performed and a 0.04% decrease in the average price per job. Sewer and drain cleaning revenues for 2012 were flat over 2011 due to a 4.1% increase in the average price per job offset by a 3.9% decrease in the number of jobs performed. Contractor operations revenue increased 6.8% as a result of performance by recent acquisitions and higher job count. HVAC operations decreased as a result of the shut-down of Roto-Rooter’s one remaining HVAC operation, as discussed in Footnote 21.
The consolidated gross margin was 27.7% in 2012 versus 28.4% in 2011. On a segment basis, VITAS’ gross margin was 22.1% in 2012 and 22.3% in 2011. Roto-Rooter’s gross margin was 44.4% in 2012 and 44.9% in 2011. The decrease in Roto-Rooter’s gross margin is primarily the result of increased medical costs combined with lower revenue.
Selling, general and administrative expenses (“SG&A”) for 2012 comprise (in thousands):
| | 2012 | | | 2011 | |
SG&A expenses before long-term incentive | | | | | | |
compensation, OIG expenses and the impact | | | | | | |
of market gains of deferred compensation plans | | $ | 204,045 | | | $ | 197,712 | |
Long-term incentive compensation | | | 360 | | | | 3,012 | |
Expenses related to OIG investigation | | | 752 | | | | 737 | |
Impact of market value gains on liabilities | | | | | | | | |
held in deferred compensation trusts | | | 3,499 | | | | 799 | |
Total SG&A expenses | | $ | 208,656 | | | $ | 202,260 | |
Normal salary increases and revenue related expenses between periods account for the 3.2% increase in SG&A expenses before long-term incentive compensation, OIG expenses and the impact of market gains of deferred compensation plans
Depreciation expense increased $762,000 (3.0%) in 2012 mainly due to an increase in capital expenditures.
Interest expense increased $835,000 (6.0%) from 2011 to 2012 primarily as a result of the increase in amortization of bond discount expense.
Other income-net for 2012 and 2011 comprise (in thousands):
| | 2012 | | | 2011 | |
Market value gains on assets held in deferred | | | | | | |
compensation trusts | | $ | 3,499 | | | $ | 799 | |
Loss on disposal of property and equipment | | | (347 | ) | | | (441 | ) |
Interest income | | | 809 | | | | 426 | |
Other | | | 162 | | | | (67 | ) |
Total other income | | $ | 4,123 | | | $ | 717 | |
Our effective tax rate was 38.8% in 2012 which is flat when compared to 2011.
Net income for both periods include the following aftertax adjustments that increased/ (reduced) aftertax earnings (in thousands):
| | 2012 | | | 2011 | |
VITAS | | | | | | |
Costs associated with the OIG investigation | | $ | (752 | ) | | $ | (737 | ) |
Acquisition expense | | | (9 | ) | | | (91 | ) |
Roto-Rooter | | | | | | | | |
Costs related to litigation settlements | | | (617 | ) | | | (1,397 | ) |
Acquisition expense | | | (105 | ) | | | 16 | |
Costs to shut down HVAC operations | | | (649 | ) | | | - | |
Corporate | | | | | | | | |
Long-term incentive compensation | | | (228 | ) | | | (1,880 | ) |
Noncash impact of change in accounting of convertible debt | | | (5,041 | ) | | | (4,664 | ) |
Costs related to securities litigation | | | (469 | ) | | | - | |
Stock option expense | | | (5,143 | ) | | | (5,298 | ) |
Total | | $ | (13,013 | ) | | $ | (14,051 | ) |
2012 Versus 2011 – Segment Results
The change in net income for 2012 versus 2011 is due to (in thousands, except percentages):
| | Increase/(Decrease) | |
| | Amount | | | Percent | |
VITAS | | $ | 6,219 | | | | 8 | % |
Roto-Rooter | | | (3,974 | ) | | | (11 | ) |
Corporate | | | 1,080 | | | | 4 | |
| | $ | 3,325 | | | | 4 | |
CRITICAL ACCOUNTING POLICIES
Revenue Recognition
For both the Roto-Rooter and VITAS segments, service revenues and sales are recognized when the earnings process has been completed. Generally, this occurs when services are provided or products are delivered. Sales of Roto-Rooter products, including drain cleaning machines and drain cleaning solution, comprise less than 3% of our total service revenues and sales for each of the three years in the period ended December 31, 2013.
VITAS recognizes revenue at the estimated net realizable amount due from third-party payers, which are primarily Medicare and Medicaid. Payers may deny payment for services in whole or in part on the basis that such services are not eligible for coverage and do not qualify for reimbursement. We estimate denials each period and make adequate provision in the financial statements. The estimate of denials is based on historical trends and known circumstances and generally does not vary materially from period to period on an aggregate basis. Medicare billings are subject to certain limitations, as described below.
VITAS is subject to certain limitations on Medicare payments for services. Specifically, if the number of inpatient care days any hospice program provides to Medicare beneficiaries exceeds 20% of the total days of Medicare hospice care such program provides to all patients for an annual period beginning September 28, the days in excess of the 20% figure may be reimbursed only at the routine homecare rate. We have never had a program reach the inpatient cap. The majority of our programs have expected cushion in excess of 75% of the inpatient cap for the 2013 measurement period. Due to the significant cushion at each program, we do not anticipate it to be reasonably likely that any program will be subject to the inpatient cap in the foreseeable future.
VITAS is also subject to a Medicare annual per-beneficiary cap. Compliance with the Medicare cap is measured in one of two ways based on a provider by provider election. The “stream lined” method compares the total Medicare payments received under a Medicare provider number with respect to services provided to all Medicare hospice care beneficiaries in the program or programs covered by that Medicare provider number between November 1 of each year and October 31 of the following year with the product of the per-beneficiary cap amount and the number of Medicare beneficiaries electing hospice care for the first time from that hospice program or programs during the relevant period.
The “proportional” method compares the total Medicare payments received under a Medicare provider number with respect to services provided to all Medicare hospice care beneficiaries in the program or programs covered by the Medicare provider number between September 28 and September 27 of the following year with the product of the per beneficiary cap amount and a pro-rated number of Medicare beneficiaries receiving hospice services from that program during the same period. The pro-rated number of Medicare beneficiaries is calculated based on the ratio of days the beneficiary received hospice services during the measurement period to the total number of days the beneficiary received hospice services.
We actively monitor each of our hospice programs, by provider number, as to their specific admissions, discharge rate and median length of stay data in an attempt to determine whether they are likely to exceed the Medicare cap. Should we determine that a provider number is likely to exceed the Medicare cap based on projected trends, we attempt to institute corrective action to influence the patient mix or to increase patient admissions. However, should we project our corrective action will not prevent that program from exceeding its Medicare cap, we estimate the amount of revenue recognized during the period that will require repayment to the Federal government under the Medicare cap and record that amount as a reduction in service revenue.
Our estimate of the Medicare cap liability is particularly sensitive to allocations made by our fiscal intermediary relative to patient transfers between hospices. We are allocated a percentage of the Medicare cap based on the total days a patient spent in hospice care. The allocation for patient transfers cannot be determined until a patient dies. As the number of days a patient spends in hospice is based on a future event, this allocation process may take several years. If the actual relationship of transfers in and transfers out for a given measurement period proves to be different for any program at or near a billing limitation, our estimate of the liability would increase or decrease on a dollar-for-dollar basis. While our method has historically been materially accurate, each program can vary during a given measurement period.
During the year ended December 31, 2013, we reversed Medicare cap liability for amounts recorded in the fourth quarter of 2012 for three programs’ projected 2013 measurement period liability. During 2013 this reversal was offset by the Medicare cap liability for two programs’ projected 2014 measurement period liability. For the year ended December 31, 2012, we recorded pretax charges in continuing operations for the estimated Medicare cap liability for three programs’ projected liability through year end for the 2013 measurement period. This amount was subsequently reversed during the 2013 fiscal year due to increased admission. Shown below is the Medicare cap liability activity for the years end December 31, 2013 and 2012 (in thousands):
| | 2013 | | | 2012 | |
Beginning Balance January 1, | | $ | 1,261 | | | $ | 2,965 | |
2014 measurement period | | | 3,881 | | | | - | |
2013 measurement period | | | 3,181 | | | | 874 | |
2012 measurement period | | | - | | | | (2,578 | ) |
2010 measurement period | | | (63 | ) | | | - | |
Ending Balance December 31, | | $ | 8,260 | | | $ | 1,261 | |
Insurance Accruals
For the Roto-Rooter segment and Chemed’s Corporate Office, we self-insure for all casualty insurance claims (workers’ compensation, auto liability and general liability). As a result, we closely monitor and frequently evaluate our historical claims experience to estimate the appropriate level of accrual for self-insured claims. Our third-party administrator (“TPA”) processes and reviews claims on a monthly basis. Currently, our exposure on any single claim is capped at $750,000. In developing our estimates, we accumulate historical claims data for the previous 10 years to calculate loss development factors (“LDF”) by insurance coverage type. LDFs are applied to known claims to estimate the ultimate potential liability for known and unknown claims for each open policy year. LDFs are updated annually. Because this methodology relies heavily on historical claims data, the key risk is whether the historical claims are an accurate predictor of future claims exposure. The risk also exists that certain claims have been incurred and not reported on a timely basis. To mitigate these risks, in conjunction with our TPA, we closely monitor claims to ensure timely accumulation of data and compare claims trends with the industry experience of our TPA.
For the VITAS segment, we self-insure for workers’ compensation claims. Currently, VITAS’ exposure on any single claim is capped at $1,000,000. For VITAS’ self-insurance accruals for workers’ compensation, the valuation methods used are similar to those used internally for our other business units.
Our casualty insurance liabilities are recorded gross before any estimated recovery for amounts exceeding our stop loss limits. Estimated recoveries from insurance carriers are recorded as accounts receivable. Claims experience adjustments to our casualty and workers’ compensation accrual for the years ended December 31, 2013, 2012 and 2011 were net, pretax debits/(credits) of ($1,487,000), ($790,000) and ($17,000) respectively.
As an indication of the sensitivity of the accrued liability to reported claims, our analysis indicates that a 1% across-the-board increase or decrease in the amount of projected losses would increase or decrease the accrued insurance liability at December 31, 2013, by $2.4 million or 5.8%. While the amount recorded represents our best estimate of the casualty and workers’ compensation insurance liability, we have calculated, based on historical claims experience, the actual loss could reasonably be expected to increase or decrease by approximately $3.0 million as of December 31, 2013.
Income Taxes
Deferred taxes are provided on an asset and liability method whereby deferred tax assets are recognized for deductible temporary differences and operating loss carry-forwards and deferred tax liabilities are recognized for taxable temporary differences. Temporary differences are the differences between the reported amount of assets and liabilities and their tax basis. Deferred tax assets are reduced by a valuation allowance when, in our opinion, it is more likely than not that some portion or all of the deferred tax assets will not be realized due to insufficient taxable income within the carryback or carryforward period available under the tax laws. Deferred tax assets and liabilities are adjusted for the effects of changes in laws and rates on the date of enactment.
We are subject to income taxes in the federal and most state jurisdictions. We are periodically audited by various taxing authorities. Significant judgment is required to determine our provision for income taxes. We adopted FASB’s authoritative guidance on accounting for uncertainty in income taxes, which prescribes a comprehensive model for how to recognize, measure, present and disclose in financial statements uncertain tax positions taken or expected to be taken on a tax return. Upon adoption of this guidance, the financial statements reflect expected future tax consequences of such uncertain positions assuming the taxing authorities’ full knowledge of the position and all relevant facts.
Goodwill and Intangible Assets
Identifiable, definite-lived intangible assets arise from purchase business combinations and are amortized using either an accelerated method or the straight-line method over the estimated useful lives of the assets. The selection of an amortization method is based on which method best reflects the economic pattern of usage of the asset.
The date of our annual goodwill and indefinite-lived intangible asset impairment analysis is October 1. The VITAS trade name is considered to have an indefinite life. We also capitalize the direct costs of obtaining licenses to operate either hospice programs or plumbing operations subject to a minimum capitalization threshold. These costs are amortized over the life of the license using the straight line method. Certificates of Need (CON), which are required in certain states for hospice operations, are generally granted without expiration and thus, we believe them to be indefinite-lived assets subject to impairment testing.
We consider that RRC, RRSC and VITAS are appropriate reporting units for testing goodwill impairment. We consider RRC and RRSC as separate reporting units but one operating segment. This is appropriate as they each have their own set of general ledger accounts that can be analyzed at “one level below an operating segment” per the definition of a reporting unit in FASB guidance.
In July 2012, the FASB issued Accounting Standards Update “ASU” No. 2012-02 – Intangibles Goodwill and Other which provides additional guidance related to the impairment testing of indefinite-lived intangible assets. ASU No. 2012–02 allows an entity to first assess qualitative factors to determine whether it is necessary to perform further impairment testing. The revised guidance was effective for fiscal years beginning after September 15, 2012 but early adoption was permitted. Our impairment testing date is October 1 of each year and we adopted the new guidelines in the third quarter of 2012
We completed our qualitative analysis for impairment of goodwill and our indefinite-lived intangible assets as of October 1, 2013. Based on our assessment, we do not believe that it is more likely than not that our reporting units’ or indefinite-lived assets fair values are less than their carrying values.
Stock-based Compensation Plans
Stock-based compensation cost is measured at the grant date, based on the fair value of the award and recognized as expense over the employee’s requisite service period on a straight-line basis. We estimate the fair value of stock options using the Black-Scholes valuation model. We estimate the fair value and derived service periods of market based awards using a Monte Carlo simulation approach in a risk neutral framework. We determine expected term, volatility, dividend yield and forfeiture rate based on our historical experience. We believe that historical experience is the best indicator of these factors.
Contingencies
We are subject to various lawsuits and claims in the normal course of our business. In addition, we periodically receive communications from governmental and regulatory agencies concerning compliance with Medicare and Medicaid billing requirements at our VITAS subsidiary. We establish reserves for specific, uninsured liabilities in connection with regulatory and legal action that we deem to be probable and estimable. We record legal fees associated with legal and regulatory actions as the costs are incurred. We disclose material loss contingencies that probable but not reasonably estimable and those that are at least reasonably possible.
Consolidating Summary of Adjusted EBITDA | |
| | | | | | | | | | | | |
Chemed Corporation and Subsidiary Companies | |
(in thousands) | | | | | | | | | | | Chemed | |
2013 | | VITAS | | | Roto-Rooter | | | Corporate | | | Consolidated | |
| | | | | | | | | | | | |
Net income/(loss) | | $ | 76,144 | | | $ | 29,243 | | | $ | (28,160 | ) | | $ | 77,227 | |
Add/(deduct): | | | | | | | | | | | | | | | | |
Interest expense | | | 182 | | | | 322 | | | | 14,531 | | | | 15,035 | |
Income taxes | | | 46,910 | | | | 17,560 | | | | (17,868 | ) | | | 46,602 | |
Depreciation | | | 18,149 | | | | 9,014 | | | | 535 | | | | 27,698 | |
Amortization | | | 2,102 | | | | 607 | | | | 1,981 | | | | 4,690 | |
EBITDA | | | 143,487 | | | | 56,746 | | | | (28,981 | ) | | | 171,252 | |
Add/(deduct): | | | | | | | | | | | | | | | | |
Intercompany interest/(expense) | | | (4,288 | ) | | | (2,055 | ) | | | 6,343 | | | | - | |
Interest income | | | (750 | ) | | | (41 | ) | | | (56 | ) | | | (847 | ) |
Expenses related to OIG investigation | | | 2,149 | | | | - | | | | - | | | | 2,149 | |
Acquisition expenses | | | 58 | | | | 4 | | | | - | | | | 62 | |
Litigation Settlement | | | 10,500 | | | | 15,721 | | | | - | | | | 26,221 | |
Expenses related to litigation settlements | | | - | | | | 1,425 | | | | - | | | | 1,425 | |
Advertising cost adjustment | | | - | | | | (1,166 | ) | | | - | | | | (1,166 | ) |
Expenses of severance arrangements | | | - | | | | 302 | | | | - | | | | 302 | |
Stock option expense | | | - | | | | - | | | | 6,042 | | | | 6,042 | |
Long-term incentive compensation | | | - | | | | - | | | | 1,301 | | | | 1,301 | |
Expenses related to securities litigation | | | - | | | | - | | | | 109 | | | | 109 | |
Adjusted EBITDA | | $ | 151,156 | | | $ | 70,936 | | | $ | (15,242 | ) | | $ | 206,850 | |
| | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | Chemed | |
2012 | | VITAS | | | Roto-Rooter | | | Corporate | | | Consolidated | |
| | | | | | | | | | | | | | | | |
Net income/(loss) | | $ | 86,577 | | | $ | 30,905 | | | $ | (28,178 | ) | | $ | 89,304 | |
Add/(deduct): | | | | | | | | | | | | | | | | |
Interest expense | | | 233 | | | | 433 | | | | 14,057 | | | | 14,723 | |
Income taxes | | | 53,092 | | | | 18,770 | | | | (15,347 | ) | | | 56,515 | |
Depreciation | | | 17,087 | | | | 8,397 | | | | 525 | | | | 26,009 | |
Amortization | | | 1,956 | | | | 632 | | | | 1,924 | | | | 4,512 | |
EBITDA | | | 158,945 | | | | 59,137 | | | | (27,019 | ) | | | 191,063 | |
Add/(deduct): | | | | | | | | | | | | | | | | |
Intercompany interest/(expense) | | | (3,180 | ) | | | (1,617 | ) | | | 4,797 | | | | - | |
Interest income | | | (703 | ) | | | (30 | ) | | | (76 | ) | | | (809 | ) |
Legal expenses of OIG investigation | | | 1,212 | | | | - | | | | - | | | | 1,212 | |
Acquisition expenses | | | 15 | | | | 173 | | | | - | | | | 188 | |
Expenses of securities litigation | | | - | | | | - | | | | 742 | | | | 742 | |
Long-term incentive compensation | | | - | | | | - | | | | 360 | | | | 360 | |
Expenses of class action litigation | | | - | | | | 1,016 | | | | - | | | | 1,016 | |
Cost to shut down HVAC operations | | | - | | | | 1,126 | | | | - | | | | 1,126 | |
Stock option expense | | | - | | | | - | | | | 8,130 | | | | 8,130 | |
Advertising cost adjustment | | | - | | | | (1,573 | ) | | | - | | | | (1,573 | ) |
Adjusted EBITDA | | $ | 156,289 | | | $ | 58,232 | | | $ | (13,066 | ) | | $ | 201,455 | |
| | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | Chemed | |
2011 | | VITAS | | | Roto-Rooter | | | Corporate | | | Consolidated | |
| | | | | | | | | | | | | | | | |
Net income/(loss) | | $ | 80,358 | | | $ | 34,879 | | | $ | (29,258 | ) | | $ | 85,979 | |
Add/(deduct): | | | | | | | | | | | | | | | | |
Interest expense | | | 229 | | | | 358 | | | | 13,301 | | | | 13,888 | |
Income taxes | | | 48,835 | | | | 21,353 | | | | (15,611 | ) | | | 54,577 | |
Depreciation | | | 16,583 | | | | 8,130 | | | | 534 | | | | 25,247 | |
Amortization | | | 1,897 | | | | 599 | | | | 1,756 | | | | 4,252 | |
EBITDA | | | 147,902 | | | | 65,319 | | | | (29,278 | ) | | | 183,943 | |
Add/(deduct): | | | | | | | | | | | | | | | | |
Intercompany interest/(expense) | | | (3,998 | ) | | | (2,136 | ) | | | 6,134 | | | | - | |
Interest income | | | (295 | ) | | | (40 | ) | | | (91 | ) | | | (426 | ) |
Legal expenses of OIG investigation | | | 1,188 | | | | - | | | | - | | | | 1,188 | |
Long-term incentive compensation | | | - | | | | - | | | | 3,012 | | | | 3,012 | |
Expenses of class action litigation | | | - | | | | 2,299 | | | | - | | | | 2,299 | |
Acquisition expenses | | | 147 | | | | (26 | ) | | | - | | | | 121 | |
Stock option expense | | | - | | | | - | | | | 8,376 | | | | 8,376 | |
Advertising cost adjustment | | | - | | | | (1,240 | ) | | | - | | | | (1,240 | ) |
Adjusted EBITDA | | $ | 144,944 | | | $ | 64,176 | | | $ | (11,847 | ) | | $ | 197,273 | |
CHEMED CORPORATION AND SUBSIDIARY COMPANIES | |
RECONCILIATION OF ADJUSTED NET INCOME | |
(in thousands, except per share data)(unaudited) | |
| | | | | | | | | |
| | For the Years Ended December 31, | |
| | 2013 | | | 2012 | | | 2011 | |
Net income as reported | | $ | 77,227 | | | $ | 89,304 | | | $ | 85,979 | |
| | | | | | | | | | | | |
Add/(deduct) after-tax cost of: | | | | | | | | | | | | |
Non-cash expense of change in accounting for convertible | | | 5,448 | | | | 5,041 | | | | 4,664 | |
Stock option expense | | | 3,813 | | | | 5,143 | | | | 5,298 | |
Expenses related to OIG investigation | | | 1,333 | | | | 752 | | | | 737 | |
Expenses realated to litigation settlements | | | 865 | | | | 617 | | | | 1,397 | |
Long-term incentive compensation | | | 822 | | | | 228 | | | | 1,880 | |
Expenses related to securities litigation | | | 69 | | | | 469 | | | | - | |
Acquisition expenses | | | 38 | | | | 114 | | | | 75 | |
Litigation settlements | | | 16,061 | | | | - | | | | - | |
Uncertain tax position adjustments | | | (1,782 | ) | | | - | | | | - | |
Loss on extinguishment of debt | | | 294 | | | | - | | | | - | |
Expenses of severance arrangements | | | 184 | | | | - | | | | - | |
Expenses to shut down HVAC operations | | | - | | | | 649 | | | | - | |
Adjusted net income | | $ | 104,372 | | | $ | 102,317 | | | $ | 100,030 | |
| | | | | | | | | | | | |
Earnings Per Share As Reported | | | | | | | | | | | | |
Net income | | $ | 4.24 | | | $ | 4.72 | | | $ | 4.19 | |
Average number of shares outstanding | | | 18,199 | | | | 18,924 | | | | 20,523 | |
Diluted Earnings Per Share As Reported | | | | | | | | | | | | |
Net income | | $ | 4.16 | | | $ | 4.62 | | | $ | 4.10 | |
Average number of shares outstanding | | | 18,585 | | | | 19,339 | | | | 20,945 | |
| | | | | | | | | | | | |
| | | | | | | | | | | | |
Adjusted Earnings Per Share | | | | | | | | | | | | |
Net income | | $ | 5.74 | | | $ | 5.41 | | | $ | 4.87 | |
Average number of shares outstanding | | | 18,199 | | | | 18,924 | | | | 20,523 | |
Adjusted Diluted Earnings Per Share | | | | | | | | | | | | |
Net income | | $ | 5.62 | | | $ | 5.29 | | | $ | 4.78 | |
Average number of shares outstanding | | | 18,585 | | | | 19,339 | | | | 20,945 | |
| | | | | | | | | | | | |
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 December 31, | | | Year Ended December 31, | |
OPERATING STATISTICS | | 2013 | | | 2012 | | | 2013 | | | 2012 | |
Net revenue ($000) | | | | | | | | | | | | |
Homecare | | $ | 198,325 | | | $ | 201,266 | | | $ | 791,735 | | | $ | 778,776 | |
Inpatient | | | 25,788 | | | | 28,013 | | | | 104,968 | | | | 114,494 | |
Continuous care | | | 35,943 | | | | 44,581 | | | | 155,409 | | | | 172,063 | |
Total before Medicare cap allowance | | $ | 260,056 | | | $ | 273,860 | | | $ | 1,052,112 | | | $ | 1,065,333 | |
Medicare cap allowance | | | (3,838 | ) | | | (873 | ) | | | (6,999 | ) | | | 1,704 | |
Total | | $ | 256,218 | | | $ | 272,987 | | | $ | 1,045,113 | | | $ | 1,067,037 | |
Net revenue as a percent of total | | | | | | | | | | | | | | | | |
before Medicare cap allowance | | | | | | | | | | | | | | | | |
Homecare | | | 76.3 | % | | | 73.5 | % | | | 75.2 | % | | | 73.1 | % |
Inpatient | | | 9.9 | | | | 10.2 | | | | 10.0 | | | | 10.7 | |
Continuous care | | | 13.8 | | | | 16.3 | | | | 14.8 | | | | 16.2 | |
Total before Medicare cap allowance | | | 100.0 | | | | 100.0 | | | | 100.0 | | | | 100.0 | |
Medicare cap allowance | | | (1.5 | ) | | | (0.3 | ) | | | (0.7 | ) | | | 0.2 | |
Total | | | 98.5 | % | | | 99.7 | % | | | 99.3 | % | | | 100.2 | % |
Average daily census (days) | | | | | | | | | | | | | | | | |
Homecare | | | 10,353 | | | | 10,352 | | | | 10,449 | | | | 10,016 | |
Nursing home | | | 2,862 | | | | 3,007 | | | | 2,911 | | | | 3,025 | |
Routine homecare | | | 13,215 | | | | 13,359 | | | | 13,360 | | | | 13,041 | |
Inpatient | | | 433 | | | | 451 | | | | 438 | | | | 462 | |
Continuous care | | | 537 | | | | 655 | | | | 585 | | | | 637 | |
Total | | | 14,185 | | | | 14,465 | | | | 14,383 | | | | 14,140 | |
| | | | | | | | | | | | | | | | |
Total Admissions | | | 15,445 | | | | 16,004 | | | | 62,858 | | | | 63,777 | |
Total Discharges | | | 15,396 | | | | 16,120 | | | | 62,999 | | | | 63,196 | |
Average length of stay (days) | | | 82.6 | | | | 80.3 | | | | 81.6 | | | | 78.8 | |
Median length of stay (days) | | | 15.0 | | | | 15.0 | | | | 15.0 | | | | 15.0 | |
ADC by major diagnosis | | | | | | | | | | | | | | | | |
Neurological | | | 38.9 | % | | | 33.9 | % | | | 37.7 | % | | | 34.2 | % |
Cancer | | | 17.2 | | | | 17.2 | | | | 17.1 | | | | 17.5 | |
Cardio | | | 14.3 | | | | 11.1 | | | | 13.2 | | | | 11.3 | |
Respiratory | | | 7.8 | | | | 6.5 | | | | 7.6 | | | | 6.6 | |
Other | | | 21.8 | | | | 31.3 | | | | 24.4 | | | | 30.4 | |
Total | | | 100.0 | % | | | 100.0 | % | | | 100.0 | % | | | 100.0 | % |
Admissions by major diagnosis | | | | | | | | | | | | | | | | |
Neurological | | | 21.3 | % | | | 18.5 | % | | | 20.7 | % | | | 19.1 | % |
Cancer | | | 33.8 | | | | 33.3 | | | | 33.2 | | | | 33.3 | |
Cardio | | | 13.4 | | | | 11.3 | | | | 13.1 | | | | 11.1 | |
Respiratory | | | 8.7 | | | | 8.3 | | | | 9.2 | | | | 8.2 | |
Other | | | 22.8 | | | | 28.6 | | | | 23.8 | | | | 28.3 | |
Total | | | 100.0 | % | | | 100.0 | % | | | 100.0 | % | | | 100.0 | % |
Direct patient care margins | | | | | | | | | | | | | | | | |
Routine homecare | | | 53.8 | % | | | 54.4 | % | | | 52.6 | % | | | 52.5 | % |
Inpatient | | | 5.0 | | | | 10.5 | | | | 5.5 | | | | 11.6 | |
Continuous care | | | 16.1 | | | | 18.3 | | | | 15.9 | | | | 19.2 | |
Homecare margin drivers (dollars per patient day) | | | | | | | | | | | | | | | | |
Labor costs | | $ | 53.85 | | | $ | 53.28 | | | $ | 55.17 | | | $ | 55.03 | |
Drug costs | | | 7.54 | | | | 7.61 | | | | 7.54 | | | | 8.09 | |
Home medical equipment | | | 6.38 | | | | 6.68 | | | | 6.61 | | | | 6.83 | |
Medical supplies | | | 2.99 | | | | 2.78 | | | | 2.97 | | | | 2.77 | |
Inpatient margin drivers (dollars per patient day) | | | | | | | | | | | | | | | | |
Labor costs | | $ | 334.50 | | | $ | 330.20 | | | $ | 338.51 | | | $ | 323.09 | |
Continuous care margin drivers (dollars per patient day) | | | | | | | | | | | | | | | | |
Labor costs | | $ | 589.51 | | | $ | 583.46 | | | $ | 591.54 | | | $ | 574.64 | |
Bad debt expense as a percent of revenues | | | 0.9 | % | | | 0.6 | % | | | 0.9 | % | | | 0.8 | % |
Accounts receivable -- | | | | | | | | | | | | | | | | |
Days of revenue outstanding- excluding unapplied Medicare payments | | | 36.5 | | | | 35.9 | | | N.A. | | | N.A. | |
Days of revenue outstanding- including unapplied Medicare payments | | | 25.9 | | | | 25.2 | | | N.A. | | | N.A. | |
SAFE HARBOR STATEMENT UNDER THE PRIVATE SECURITIES LITIGATION REFORM ACT OF 1995 REGARDING FORWARD-LOOKING INFORMATION
In addition to historical information, this report contains forward-looking statements and performance trends that are based upon assumptions subject to certain known and unknown risks, uncertainties, contingencies and other factors. Such forward-looking statements and trends include, but are not limited to, the impact of laws and regulations on our operations, our estimate of future effective income tax rates and the recoverability of deferred tax assets. Variances in any or all of the risks, uncertainties, contingencies, and other factors from our assumptions could cause actual results to differ materially from these forward-looking statements and trends. Our ability to deal with the unknown outcomes of these events, many of which are beyond our control, may affect the reliability of our projections and other financial matters.
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