LHCG - Earnings call transcript Q1 2020

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Operator

Thank you for standing by, and welcome to the LHC Group Q1 2020 Earnings Conference Call. All lines have been placed on a listen-only mode. [Operator Instructions]

I would now like to turn the call over to Mr. Eric Elliott, Senior Vice President of Finance and Investor Relations. ahead. go Please

Eric Elliott

everyone and supplemental to the all deck and ultimately Tequila call Quarterly the everyone. like some I call, XXXX. well I’d the earnings the information of Thank last that release you good we quarter to the welcome night. Relations found impact be page. COVID-XX release, Hopefully Investor on XX, March this available when of quarter copy also The section Results conference a a a LHC page. on as to copy of as this first our earnings like you, of our supplemental of would can ended on morning transcript received the of highlight Group’s for and posted earnings XX-Q have

deck adjustments. of Our and of all supplemental reconciliations our breakdown includes

will these We to refer measures during today. call our non-GAAP

some and Officer. and from moment, comments Keith we’ll a Chairman Proffitt, have Josh Myers, In Officer; prepared Chief Executive Chief Financial

are be We our who Dr. Officer Chief our Keith Strategy Chief Bruce Doga will Officer Ben and along Josh Medical during Greenstein, with and Q&A. joined available also by

start, to included this press statements meaning the call Securities Reform like everyone that Private Litigation in information, our our I Act. release forward-looking and we in supplemental in within statements would conference and financial remind constitute Before may of the

impact are and including and and on differ described not beyond. our filings cause earnings of XX-K but quarterly uncertainties our and factors number magnitude release file. the annual related include, statements forward and to our that set projections fully or from Form our are and X-K risk a to, uncertainties. for results Form forward-looking COVID-XX materially limited SEC could more and the pandemic Actual from projected and the as Form in our results Certain of actual could comments estimates financial differ XXXX of statements of because These in our such those regarding results risk factors materially XX-Q

on this LHC obligation Group shall reflect no have to call the information subsequent provided events. to update

to I’m LHC introduce of CEO Keith pleased and Now Myers. the Chairman Group,

Keith Myers

Eric. Thank in morning’s dialing thank and call. you, participating this for you, in And everyone,

Let a courageous you members to during you level these are of family for every at LHC with organization all Group me our special work unprecedented thank begin the doing times.

one nothing Your I'm short is support humbled energy, part care honored be enthusiasm, others for to desire and of another amazing. for your and of to team.

the to Rather all direct upfront country distinct like on also earnings would want say the LHC Week nurses periods this our group to comments who I are Nurses frontlines of on family throughout this in National the fighting call, of time. to COVID-XX I to and highlights nurses usual pandemic. focus two Happy than

double-digit where experienced organic guidance is key XX, XXXX. X in the growth strong through Health and overall quality March January first XXXX satisfaction we patient admissions, The growth QX, from showing for improvement QX, trending year-over-year and above measures XXXX and earnings Home in period EBITDA

call this to that of validating but be exceeding will expect expectations All PDGM together is the I our let's model turn what period. about; second care most

period XX in period second our follows the where an of beginning group first as see of the to March pandemic. XXXX Xnd, impact I LHC to internal began relates it earnest XXth and patient preparations to as refer we from Although COVID-XX we began will COVID-XX the on admission on for March March our the

position proven our daily framework meeting we of PDGM or to From taken first we With that replicated beginning report the Xth partners, with the either steps have preparation. force COVID-XX be task partners We the of force a COVID-XX work early with regard we that force. integration for of began I'm to task today that efforts the daily federal time preparedness Family held multidisciplinary frontline well have meetings. pleased worked and to Almost our recent past sources to necessary hospital March at the on our closely March held preparation twice part and since well and model stream us basic referral by until us creating and We the of in the and payers, at solution pandemic local national state the governmental levels. many task our to working our

quickly COVID-XX their it have revenue. But will our start to country. took census, from that and weeks the move on our discuss admissions adequate it clinicians understand serve our we and fully members the us impact inventory PPE later to as relates we the to our a patients we Josh source As few protect and had was employees to to throughout family knew the patients and of levels going to

other gloves, every the every items of with clinician The to patients. clinically caring positive or one to of gloves patient us encounter were in-person kits NXX for with include suspected isolation not full allow adequate two COVID-XX and top among PPE our positive. gown, shield, priorities clinician a provide by stream covering our These and facemask shoe or appropriate were encounter and face kits work to two, to provide COVID-XX PPE for every patient source PPE in-person for suspected covering patients PPE mask, pair that head and

for suppliers peers and our of us Although well all throughout have of good we locations and at alternate our in vendors to and reduced experienced COVID-XX time abroad from all patients our production goals both allowed treating at we able PPE encounters achieve availability identify place was this in subsequent domestically PPE successfully as stocked our primary We barring setbacks all same healthcare in for our locations any chain and unseen of stream our throughout PPE accepting supply that mask remain to and allocations to patient organization. the sourcing orders. the work policies implement universal glove

Immediately on our completed current entire of task guidelines. CDC to prior Group tremendous we initiated a of put based employee phase to effort beginning pre-screening daily workforce all step Our day. of LHC the thereafter of response we first also work that initial a a included COVID-XX week A following ahead. our an every meeting pre-screening the Sharply pre-screening every of employees. force day us

relates daily average April ADC on point of a Xth a or decline high census XX. of it a XXX,XXX saw COVID-XX we March to on to X.X from As low XX,XXX induced

a already was to ADC has low in April which of the Wednesday increase May to begun from the that and X.X% XX,XXX back XXth Our May to April as XXth from low rebound represents ADC X X. point up

a our asset; our Last support priority to but employees. we not made greatest focus it least

that us on apart unprecedented taking an care can of is way. I intensely from say I often this at employees. While focused taking group organization. of Well, we foundational were care of pressure that differentiators our that principle our employee our our sure one one believe first in patients we culture made LHC focused day We people humbly core as that sets pandemic COVID-XX an say greatest tested has

initiatives, burden These the of experienced arm, the relieve was experience place employees put of initiatives addition LHC financial their main Group our earlier LHC ensuring to some when in PPE COVID-XX programs group a through due employees described charitable response I criteria purpose to Hurricane in we've receive other of the addition pandemic. they include XXXX In in CX Katrina lives. safety the help first two financial and our in to the fund several employees support our founded help for or related our to new which which hardships XXX is COVID-XX continues to

board forward executive one generously purpose team, this Members to stepped employees new The of for directors LHC from purpose our fund have throughout to help contributions funded of COVID-XX another. Group is criteria fund the our from related and others fellow fund. family

PTO for an March of PTO certain XXX% afforded opportunity an we in amount employee's the employees special a cash month value. our Second, of of a in for

program. our enhancements Third, disbursement Employee our modifications benefits we the Fourth, parameters Program. on of our to offering afforded loan provided the we by made expanded and Assistance employees and XXX-K to

Fifth, of due to patient wages COVID-XX have make and direct frontline wage employees restore wages on we protect lower for for volumes. announced gross giving gross to a the designed experienced whole who temporary effects employees care supplement

communication finally our email changes related of to we manner. manning provide that and policy inbox from all and better directives, to questions informed continue on and And to to COVID-XX employees through answer for COVID-XX employees a my to procedural arise update employees be timely special daily resources prepared all in

no not We more from history and consolidation over for a driven source implementation both with to growth. throughout XX strategies inorganic next as of prior growth to of of strategy. years. resulting expect largely several Home sources continue be XXXX referral to could We defined execution overall improved received organic market with Health pleased we've referring We fully PDGL. LHC believe in the of Turning in and referral XXXX our X,XXX by the referrals is our market from consolidation To-date Group growth months. and execution the this new

we've understandably, LOI M&A JV in to regard hospital experienced and closings the months. couple pipeline last With of over our executions delays and

hand COVID-XX ever of than an leveraging as delivery before. integral the part healthcare joint capabilities On our during partners more experienced our we've other existing venture team fully their

year As greater growth our powerful growth Hospice. these future. potential When health That systems the XXXX into ventures and pipeline absorption for between even a some remainder said to Home of well market and and of in balanced result joint Health growth of Health opportunities that Home from we is lies robust the historic M&A organic opportunity this that the fully and we and add very remains expect into ahead and beyond. hospitals are sources

been the my chambers during White call conclude Before CMS, HHS appreciation expressing me Congress, remarks and over by unique House, let Josh very turning has CDC by the support and my provided to both times. for challenging these the the of that prepared

cover lead to of to sequestration few policies want suspension expenses relief that revenues through Medicare cut, X% during COVID-XX and to and year the and receipt I helpful the which policy lost funds for and pandemic are hopefully COVID-XX highlights home Josh care to of related end In going support extremely a will of areas attributable forward. better acknowledge addition will includes traditional the recovery financial temporary

are The and by first certified Home Congress to Health and notable Act order the physician highlight in practitioners is that assistants services. authorized nurse CARES permanently

For order business. of Home and Health regard emergency, face-to-face care nurse conduct to physician the first time practitioners and plan can the follow and without assistants a

home emergency. telecommunications monitoring were during the HHS Act also to remote encourage including the of of CARES patient in time the the the We pleased use directed

While not us use rule to in from reimbursed giving in direction is in increased technology a emergency a the yet the and benefit has right remote an resulted HHS separately step flexibilities this home.

One assessments, and families one permanent a flexibilities should as the make or chart conduct re-certifications homebound consider patients and for period. authority emergency value temporary review during its us includes determinations change evident. by Policymakers these the remotely this initial to of making become to

nurse lead or recent during emergency. practitioner conduct physician we Further, realized a from the a of regulatory recertification Act period to the our with CARES eligibility other to patients weeks benefit Hospice along think home in will provisions CMS future telehealth benefit face-to-face via informed time now over to greater and the permits for flexibilities policies. the in These

once Group my recognize would want commitment of again to growth and in throughout development performance and possible. founding their service for and I to many our for and mission our opportunities closing, that the be thank whom of unwavering do XX,XXX colleagues not continued than we partners In country all without consistent LHC more our healthcare excellence

provide financial and some our Josh to here's outlook. on our Josh? results Now color

Josh Proffitt

morning Keith all Thank good everyone. you for Thank and our joining you call.

appreciate remarks by personnel all day. the each prepared begin how country they saying As I and of do our what the my and support clinical every much and always across professionals I

others. an put a You our country of true as part flattening to of your above the to curve to country in have integral and the much these be during and and truly a times and we of of you during COVID-XX you It honored solution is be serving being are give pandemic. humbled gone team. others to of Again self beyond privilege historic for serve our part so a this yourself above part

positive provide our this to from to periods implications Keith have framed want saw trends how for to results distinct and to we comments mid-March I and extremely some trends between the the as we it mid-April to additional activity begun the with his all going forward. and and finally see color on mid-April financial mid-March relates continue since January with the then

encourage deck my financial is financial Consistent our with this the with supplemental performance. as information provides practice, I to morning. website among our on to posted it past review comments detail breakdown this all on additional sector you details supplemental

the focus managing the to will I'm happy steps quarterly trends. address we cost comments the any pandemic well full are advantage of new context short on help taking we my We are understand the to on well-positioned answer prepared before of going to and the to growth the remain the innovation balance most to the results in also us. historic term I questions of opportunities but as the ensuring that of in lies take during home to with accelerate care the the delivery both opportunities as stats the

this release Starting $X.XX and is organic current reported recall with $X.X Family growth First quarter and our agencies; by it important COVID-XX of per impacted was wage period aggregate share. associated being a adjustments in as for of combined. that few PPE, approximately diluted items. earnings our calculated additional to Also expenses with across noted in our the legacy or million purchases legacy LHC and Almost housekeeping now all is supplies

the or lifts in limitations quarter to CARES Act share certain diluted benefited purposes. per related tax a $X.X from for benefit deduction $X.XX of which million also the tax We

to income above we reported offset us we projected revenues Family virus the range to end utilize and EPS top are and for Specifically the Even some range. our the pandemic now operating amidst EBITDA associated with guidance challenges of fully with our of prior Corona net this losses able within acquisition. and taxable Almost

For the actually in we pace top to our end on quarter the of through EBITDA. revenue, March admissions, EPS XX, period X growth, XXXX and guidance organic exceed January first were

period compared January note and of of included the February two-months organic last Health admissions as period XX% for the and stats for two-months year. of to February period that was Certain January Home

strong Florida at regions, XX.X% Although all of of that period. to really organic our cylinders growth growth double-digit specifically we two in was to hitting organic on high single-digit call out with excited all months the were for I'm pacing state that

prior incredible those you down January COVID-XX see Health XX% two with you break February. organic to first will not XX% separately growth in see organic months admissions followed but only by you momentum If of Home will building in growth

March expand you is of Health period distinct the the organic which Home XXXX. growth over the XX% to first we same experience in period period still XXth, If in through Keith X full to alluded digit that double admission January

highest growth Home Health XXXX. of the XX,XXX daily Coming that March momentum off all admission average X, census of mark on hits

Turning continued and period organic and at throughout remain COVID-XX January levels strong to in the over through XX the and same X Hospice. from XXXX. Hospice March census the remaining X,XXX Hospice, X,XXX admissions was period to entire to X.X% steady pre-COVID-XX between date.

we from to of to centers and Turning recently a skilled have physicians less to ambulatory coordinators. had headwinds at country, orders nursing facilities, lockdown now surgery direct lessen. across referral the the Due pausing sources restrictions to period procedures access offices March various XX through number care we hospitals, the begun XX, visitation many and experienced April that and of and elective

their home patients Some of and Corona allowing also clinicians the virus. families of in to fears exposure potential due were apprehensive to

sources CMS or encounters and specifically our to able remote not maintain counting other with our end them our is visits through for threshold, patient our communication LUPA and of to relationships QX. period means and revenue for of telehealth Health increased were distinct but however thereby percentage LUPA during telehealth start We reimbursing admission with Home the referral the at this reducing for towards QX

XXth XX points was. data might few period help this April of impactful March quantify for how A

of are March that Home X,XXX. First we per am On Health our around point report Health averaging to Health for the currently seeing X,XXX with XXth, rebound hit were we of April X X,XXX Home admissions over admissions in week week pleased I an XX. improvement week week of of XX. January admissions and week the up we X,XXX through from were improvement XX April number to back X.X% Home low last April for week over that in

number evident to March virus visits had in week. ending At XXX the COVID-XX. week when monitor Health visits. to highest related code of ending during due and week COVID-XX pandemic, resulting outset electronic in visits Corona The its the medical It the XX become and hit March new started began records missed XX created visits quickly X,XXX the and Home we that we missed a point to our track immediately increased missed of missed to

As to in week with to over admissions though down ending week visits to for missed X,XXX XX. March see last COVID-XX improvement reductions starting XX.X% due are we visits missed with week week the over

of saw week to XX.X% normal, April last to rate X% during digits return admissions. this Health and number We now LUPA Home with week. to trending total back Our is down the us levels pre-COVID-XX between but ending X it single around expecting is spiked to X% X% of

a our to track XXX began the and due COVID-XX to patients Home of EMR in declined also due hit Health admission that The We week COVID-XX. to a number monitor admission new patients number declined implemented refusal of March of to ending code and that XXst. high patient

other seeing due of with an over ending XXst. the with to stats XX key being March to well the that as right only we direction refusals As week improvement COVID-XX trending in patient number the week XX.X% are or down last

Home went on point XX,XXX Health average high the of daily a X census low March XX,XXX point to XX. of on April a from

seeing now since for XX,XXX yesterday's census a up XX X.X% number again Health back that are improvement that low to with Home April growing mark. We

and to we Texas restrictions to Home represents approximately this sign of These states begin medical While admissions May volume. recent listing XX% have as of this to our regain Florida. of the the procedures normal. at the procedure as in QX regard much returning Health XX With elective high from steps point we in elective before on XXth allowing procedures depending as is orders to Xth of get XX to ground on elective have a XX positive our volume Monday stay April states to March back taken of early operation home as lifting

patient prior to around XX.X% XXth Our telehealth XX%. of Also from and be and now XX. occupancy are resulted March over emergency January per with through from X,XXX a rate per LTACH around of visits from through to bright current now admission an spot XX,XXX our this LTACHs XXth March per approximately public to XX,XXX to day of for week in averaged are extended Post day important health March to revenue to rate which which receiving we for number has patient July of is LTACHs day the occupancy full January our increase the end continue every March due a XX per period to patient XX in patient remote reimbursement patient relief. since note an reimbursement X XX X,XXX

To April ending bottom Corona Health that we recap, the and spikes key appears through shelter from are that we've week once all census hit barring no weekly the improvement a in of though incremental seen remain in and point round or current XX stats. operational the Home material orders cases and country place this second the our orders week growth listed of throughout virus as on it

referral had to earlier. to that regard months pacing the growth for at our the a on resuming with new like us of And Home organic Health would momentum first I further mentioned a little Keith two that XX% expand the year, sources growth admissions

and of March. in sources feedback velocity market in the The of receive a expecting follows. of referral entered this satisfaction February. XXX of exit This we industry-leading how were referral as May these far with we early breakdown sources X,XXX growth X,XXX very the so to extremely regaining our positive January. quality in for gain April sources XXXX. combined month potential we we the X,XXX trend momentum week and of far scores alone. in solid of believe referral sources new the new referral from XXXX continue the our bodes is well indicator the month XXXX new into share referral month by fueling sources first in month new X,XXX of is thus of new already in month as

had of previously COVID-XX While to for withdraw a for we Many inability issued we believe exceed our ultimately formal prudent serve, achieving to difficult to guidance previous throughout for are not in back factors there the be are many as ramp not which the at at and have time or well pandemic our orders orders or first the virus for the guidance year the second strong is lifted, whether in later pace were causing be financial there will quarter such elective on the start the on curve begin case another is reasonably procedures exceeding spike predict will and to a estimate control the flattening a it or beyond we due will factors. such to our year. operating the XXXX wave and at to the and our pace of further the clearly results impact whether other up shelter-in-place year, this pace Corona markets to which guidance

continue While this balancing remain we reduction with maximum ensuring pandemic and initiatives XXXX people cost position pillar PDGM. and to with velocity, exit during our in we associated our a with prioritizing

We have offset impact cost containment the initiatives help COVID-XX lower number the and volumes. of implemented cost of pandemic to related some a of the also

time also staff positions. In throughout March, and We and all to office spending. throughout flex our our furloughs enacted while began employee we increased home non-essential discretionary moving G&A select support travel eliminating

team year. total executive and home able we our In be team, $XX during save estimate of cost all leaders this office their of a will containment and balance XX% leadership XX% approximately initiatives other the to us the of our salary up Additionally, all are flexing million time. minimum these all of members for to of

million application from LHC as April calculation a to CARES contains pandemic. related The and passed into applied without On As virus the aware, provider received by caused operations President issues Act Act service Corona provisions Act, relief the March revenue. CARES by for healthcare the providers medicare signed XXth Group formulated Group’s you to are fund LHC on $XX.X XXth, fee CARES law was and Trump.

to evaluated prepared and the details for reimburse the lost attributable pandemic being used, are that virus. and program revenues or for are shall the specified are Corona of the respond granular to related still funds recipient healthcare be expenses While specific to

to and Group well timing the the depend LHC rules full and the provider fund as and relief the utilize federal of relief COVID-XX within million impact retain from on as of program of ability the LHC nature guidelines $XX.X this of The will Group itself. magnitude, economic

In XXX and addition, we million Medicare program withholding as centers provider for Medicare full until accelerated the beginning by The receive days also for program funds by days been under are totaling of the the as the program to CARES funds A accelerated requires payment Services interest-free payments accelerated advanced accelerated $XXX.X recouped payment fee medicare and receipt the the for provided Medicare Medicaid The XXX payments Act. within currently for the requires that after by providers Part has future payments time Medicare receipt. repay service currently such recouped. the claims and

taxes the employer's security also payment XX, of act and due the to of employers XX. XXXX March otherwise would portion defer December social CARES deposit The that between and permits be

May and The law period million XX, X us of half in to Medicare temporarily approximately other the for permits XXXX positive of estimate payments XXXX. December half XXXX. end end the We also the deposit employers CARES cash The of through of the of by XXXX. Act benefit deferred to those $XX by sequestration the suspends instead

by revenue payments result to estimate million to to impact for $XX approximately million us expect As can to providers Medicare receive approximately increase which positive we healthcare X% service for during $XX in be this a an period. fee

of XX the page the supplemental all to liquidity quarter and our of we've now deck updated for end. metrics Turning debt

We up $XXX an for credit and feature have over liquidity of cash our million additional million capacity. facility on $XXX.X to of accordion availability with

end quarter at leverage times. Our X.X was

flow and free ended an PDGM of note XX increase cash expected. main XX, RAPs reduction the accounts million million due first was in for driver months receivable March of XXXX. was three quarter which the You negative was this $XX.X will that for The to

XX DSOS fourth first to to quarter. days as Also increased the quarter by compared XX XX the in expected in days

first this XX% We new low EBITDA expect of lower settle in a remainder had facility-based at a in to In XX experienced XXXX. quarter. days quarter, of We rate to the rate margin. segment in normal of the XX our occupancy the

As at I mentioned earlier occupancy. approximately we are XX% currently

that facility the The Ochsner presence and $XXX,XXX other post issues shore a expanded cost New north our was with of as on partnership we with associated QX Orleans approximately affected Health. startup of acute

modest bear after from in home reported The the losses in operational a Almost We and HCBS community-based locations. conversion office headwind billing system our platform how overhead year allocations. long is year earlier single recent but cause and last would HCBS and weakness to related third-party Our old Family across segment all conversion temporary Family-wide the this this late in Almost discussed would fruit the term. to

around in dropped March associated to XXX,XXX about quarter April prior of number per week. to we the of XXX,XXX XXX,XXX billable averaged revenue a billable negative During COVID-XX January much to low the to with point from XXth week XXth, March adjustments That experienced hours. year $XXX,XXX XXth impact also had with we hours April lower XX. revenue through of and also an related impact

this We pacing over week. and XXX,XXX see number continued improved this back are currently to

conversion HCBS the been. service the unforeseen momentum service it the behind With has begin us and XXXX line the the ever throughout should see digression from line those we headwinds in the year to strongest barring gain and and enter COVID-XX,

demonstrate we we times these LHC historic opportunity with of and continued work all how attractive for experience Home in we to as existing joint of sit have partnerships such ventures quality even from highest These entire did care the larger to three is well partners we last the much how vital ago. new in weeks in months to partnerships the for a with most When a setting. combined stakeholders are integrating and how across extensions been more opportunity here Healthcare much cost-effective to today of than care, growth delivering the we our continuum few have with

it earlier, in to As of the experience future the focus likely Keith and to we mentioned COVID-XX. suffice will also them our ventures say finalizing momentum of partners joint the front most new accelerate but due delays will having justified pandemic believe after we in

this course and ahead our Home up XXXX been get face agencies to of and had we opportunity the the year the second through successful of RAP other be acceleration smaller quicker been the expected of care With this have point the our highly we when into historic half payments. in of of in might schedule to the PDGM than describing COVID-XX until in the performing an Of industry should PDGM in and the the due Health even impact volumes fragmented model pandemic struggling has in management even place consolidation elimination us planned.

reopening just get of We and leading and absorption. I unlike the and There incremental with scores This start and practice stronger proposition expect that able earning the still emboldened, a ever patient mid-April What year of a that is encouraging satisfaction to through is quality our market respond we an to team, predicted. mission we trends been and the to have growth but business also it other I'm uncertainty in so have since recovery any as organic is inorganic us this our vital have pleased picture. is our culture seen value an as inspiration to has described but been the draw to timing any than growth see there to before. about paint an could as pandemic far honestly intact

you. floor questions. remarks. prepared open are Thank to for concludes we ready our That Tequila, the

Operator

America. first with Your Kevin from comes Fischbeck line question Instructions] the of Bank of [Operator

Kevin Fischbeck

Any exactly highlighted. just Great. on little I sources that indicated referral through? increase? COVID it's they there is is, were it they're Do ability big to there think indication color supplier? there to treat prior new you your get color I with patients? a your any wanted a such sense or have a their that you why coming why been Is Have Thanks. issues

Keith Myers

Keith. is This

of there but First all related some the of saw related that is be consolidation build-up of to single heard physician it's know are to percentage there's any January We in specific, honestly, comes of sources our like quality certainly others. not because I component it PDGM. sure mean measured a I greater to than don't COVID-XX trend. And related I of impact that. versus that's and related certainly what haven't percentage I'm efforts result referral all we not as anything new what is to much it up of one this but to have how don't COVID-XX

Keith Myers

put it many there a Well, I to to new guess same time guys way around their are to mean out how last you year? way is into like the there always you X,XXX that get added that is context then number to sources. I maybe compare referral trying

Kevin Fischbeck

Josh, have that We be. you would There do do, number?

Josh Proffitt

here a compare me provide of just Josh. this in don't you. to I Kevin with have back to higher could I but it's relative offline front have I'm definitely Yes, and you but baseline right that number confident that circle I is don't you. that for

Keith Myers

And run. we standard report so a this is

quareter which interesting what higher what know would standard attention So up be it with it we follow know I -- pay it's made but is don't us to a is to report it was it it. but

Kevin Fischbeck

we the demand guys think are you about of when concept a and then you That's and think do seeing okay. unknowns about pent-up and How momentum expect come And to a obviously the lot of lot of back. obviously volume you Okay. uncertainties. rebound

So and there will above-average period get a that you answer because lot don't to if volumes when there be you was utilization I fully but think of caveats of mean this COVID that demand? return to you Thanks. we agree do pent-up back coming that think normal

Josh Proffitt

alluded now the elective is That of starting seeing to now our happen. for really This of XX% Great just began medical back and in and referral to Kevin. procedures and which states a April the volume. kind late represents opening lot about XX that we're ours highlights Yes I up Josh. prepared is of my in of remarks trend question I states hit

spot-on back occurring that is and Home the we those talking from referrals in I in scheduled the that I've elective our anywhere on procedure. pent-up hospital next And say occur the lot elective so during out months the placed it's a joint mentioned do procedures pretty admissions now admission Health looked a to did few that of X% as to our that lockdown flow believe the so we demand see you're volume typically X% of period and evident get procedures what being should not think there and into post are I'll and past being of schedule over and I are at lot that a partners venture

hospitals knock-pop back pent-up that manifests the that a QX. into discharge see as So from probably from demand QX going a into we will half of

Kevin Fischbeck

Okay. Great. Thank you.

Operator

Your next question Deutsche comes from line up Bank. Justin Bowers with

Justin Bowers

should and issues I the detailed DC I questions had related COVID the peers some well if and Part are having they quarter there. be everyone in an really and secondarily clear Part and any the to And higher-level that in up about some was policy reimbursement payment firing patients. of then all Keith, was of you're some disclosures how this. to the what stop morning points their your Home kind provided were bigger the under and we you've Health? that with if and patients there difference those growth conversation me It for between just of wondering A I will constituents? on wasn't as area good of partnership Hi, thinking this congrats add-on or and getting appreciate terms on B

Keith Myers

Sure. I'll DC. to of part first that relates take that the

lack initial of that they're was way at least a and positioned to beneficial and attached we are, discussion if of and time that that for a make consultants versus been our from up-to-date buckets on been forth those balanced were input the back that came of that roughly long-term. funding well I so staff some time term, up and short sure there clear and in of about process and of keep opportunities DC trying strings XX% to all call the have important to that the us in in two and an us think they spent and is the in In you and that's clearing there understanding efforts also will are that perspective relief have track. helping spent that short-term providers a in in have what to clarity

and like, to stay term been we long in being a didn't I probably on to always strategy regard all to Josh I'm so term mind of now with trying and that haven't extender to sure part opened and DC going be balanced long that in of you thinking partnership something the utilization permanent of the that wanted a telehealth things we that type take about completely the forward. so make we're encourage focus long appropriately doors we've maybe to them. that's policy keeping hopefully can take

Josh Proffitt

Yes. and for listening. thanks Great question, Justin

to regard to your little With COVID-XX Health reimbursement patients, want I then of for to piece second it. no add for maybe benefit. and The it head-on is one reimbursement wrinkle Home hit additional question, there the

the So period you're XX-day under payment COVID-XX paid add-on. getting reimbursement with no a be still for the model would PDGM new whatever related for PDGM

the was intended homebound the What in regulatory status. that meet the element the patients of I contraindicated treatment for their physician medically patient by as will that now time say that, the leave of a ensure then criteria the period of the home to pandemic was changes purposes one if is advised additional to during homebound home pandemic to they

positivity to susceptible suspection that either be would to as underlying you contraindicated be well medically health COVID-XX. conditions that would or for So COVID-XX as make

want as I that although reimbursement clarification make to So did well. related, that's not

Justin Bowers

about quick the we little about one or just variable a help the and year just home structure think thinking the bit rest specifically? then with that And we -- what trying we're follow-up. run and How quarter about like rate versus can you like think it. should us marry to and for house cost fixed the the Got of G&A how --

Keith Myers

Yes.

good another question. So

you've On probably costs right side G&A. the about Health XX% in QX now Home of got our

and run some headwinds puts some with XX% I of down well over headwinds. that PDGM revenue pre-PDGM revenue experienced old XX.X% was that episode of world would part of -- depression So some for that we across the from quarter the as say perspective. of kind the to We closer into typically that in the as reimbursement

to So get I that to but levels I my across would to back organization $XX remarks about the to some year G&A and I are that think fall prepared of to flexing lined and about as in out normal for cost million things even it initiatives up the continue the going always we aggregate some throughout primarily that in whole of relates other should you are COVID is doing you're line. see tell improve that and then the

Justin Bowers

you. Thank Appreciate it. Okay.

Keith Myers

Yes. Thanks Justin.

Operator

line question Stephens. next Your from Scott of with Fidel comes

Scott Fidel

Hi, Good morning everyone. thanks.

the whether I now get that into discussion for in Interested more and more that. CMS some that know the on and for there's a accounting corresponds just of insight want and question guidance a quarter First bit give to lot you to treatment us the could may look of to for if much expected a funding of out able just to for a obviously you any you've that? had, of have second just the terms grant on figure you apply increased right costs revenue maybe the is terms towards XQ, give sort or been insights into think certain of able the since sort how numbers type and loss only we're you you still for of be if example you CARES run those part and on now quarter, April maybe if in

Keith Myers

questions. great Scott, Yes

healthcare is in was FAQs today the the of be by alluded call of in with out which around that really you be Services of the open that items that for of provider as how to start that to expenses some some the well reported specifically your getting clarity conjunction us and issued lingering it revenue providers having as clarity in to So benefits expenses HHS for recoup funds have able long back put revenues and to kind of exceed there Health as we in middle loss increased and that retained some specifically does not of fund there and increased Department way both were I'll you our to loss intend more the that the are and one be which providers by question the one tracked maybe will is amount. we're be that were relief new gives published CMS FAQ the mentioned going yesterday of questions they Human the with and some and the their as answers additional able

you as imagine integrity chief those revenue tell the by most one internal this and pull number officer very to have one I'll the retention we're controls allocation from go was we led receive of about we're decision. chief our of tracking the the of could forward as develop we then of confidence government, side and officer, from internal our immediately you funds the revenues, together up we by expenses in task doing when like force the environment what funds, the funds perspective, the from guess of accounting from day streams our accounting and because sub so a provider of what that I thinking lost audit will receipt back the work that and you the controls funds CMS around head the of specific internal to reports that

and tell all the we it expenses; as your the you the released the to the we a loss funds. there's of then in be we'll the very on I those discussion pull qualify have you and QX far digging able the before it actively April decisions conditions for do have just color confident the that that of it allocated of piece terms there's without attribute time month FAQs I finalized are of revenues in yet. know we we at really how have have into to that and accounting of discussion we loss you, you yesterday or Is quantifying and around the As other April can other revenues P&L a it around it. will question in in feel by and use was end time number of in additional do don't heightened lot that that revenues for income would time pull the what of and be the report the loss you out the it believe QX much at finalized one based month the all at into you around guidance and to is and

Scott Fidel

all how the at very my guidance understandably you are to understand and Obviously relates expectations year, just of of as first nicely to that you confidence thinking withdrew were more that just you the the two the this guided just thinking point about you had ramp you the you year through probably question performance conceptually, ahead uncertainties talked just lot that so signaled of running business and the months more talking ramp. ramp a trends COVID we about have though, confidence that that it interested dynamics I That's relative just it. around initial around COVID create around Got course interested now follow-up underlying guess over been to helpful. these achieving with Then that around the how just in you the that uncertainty had thoughts in of had the but of that pre-COVID?

Keith Myers

the of prepared tell much so the being back speak confidence level I've but confidence confidence absolutely I've Yes. you got throughout one of operations is even And Scott. results around because tape pre-execution now higher teams of in to continued to so level, confidence the got our year into was question, the signaled then. to our to the the our clinical the great of communicate in all as we we say team, and country PDGM high had coming thing efforts was the tails it but than to January prior

kind March. were that gate If in well of our led implementation January of you of we our PDGM COVID, and half take of out first were the good having start effect schedule of the coming under February the how the disruption a and out under key marching from measures all ahead census and of in of we model of success to

monitoring continue with in concurrently any day each infrastructure that and have we every metrics daily internal of support way managing pivoted monitoring our metrics. our operations all our works and PDGM leadership from that has those and against not We

portfolio. schedule ramp across So for PDGM continued I'm with pleased COVID that Home of the report business to even entire is the Health ahead around underlying the

back be our in ramp ramp December that in level that end at census be start say to our of only census the guided Scott things got is momentum toward XXXX of the the in off projected of if then we've all versus mind really because and to where had where we would of where kind the the So originally higher my to talked to is the it execution. growth about get I've here we about up even December variable

Scott Fidel

it. Got

you. Okay. Great. Thank

Operator

Morgan question line comes next The Markets. with of RBC the Capital Frank from

Frank Morgan

what Family the that to as appreciate in on Florida the any there terms driving XX% you complete around really there look tweaks any is impressive that integration and morning. the that? at Good are there you the growth details in same-store color color specifically going conversions beyond and of have curious around that, about Almost just but remaining

Josh Proffitt

to is and community The would there services piece Family, Great a to extended concurrently the With efforts. last of for is of remaining EMR puzzle area of just single say the monitor based Almost integration operational one was continuing the to questions. kind remaining. improvement Yes and utilization additional that Frank. regard we're the This billing Josh. the is I conversion agencies. AFAM to I operational watch would overall segment the home highlight and metric no the an that for system integration from

percentage more standards. we home standpoint, the fully LPN implementation up and once to trained to Group now We've see are of start Frank there and home locations converted to pleased PDGM that we Home instance care I'm report headwind educated of utilization education closely Family of would passed base got our from AFAM even a been saying to climb the and Almost the Health and to start to that kind that LPN agencies, LHC XX%. all AFAM

out may XX% XX% LPN it utilization to XX% You LPN there up XX% then got improve percentage. another get to to started and still to we've they recall at to XX% LHC

core So I area. say we're operations but I going improving wouldn't that's continue just say in that to would that integration. that's

really So good about that. we feel

Frank Morgan

in And out Florida, same-store you need XX % there? then to call the growth

Josh Proffitt

was running it where pleased there president division the last in We see such this report counterpart. end all starting we of signs highlight her and that for due announced I Florida they were is to mentioned did we year, folks pleased of it, I both mean a of state our of the operations Florida year Florida. I toward the us, back positive we to separate of we, business and think Yes. coming credit are the the added President from to division Sales state that half now out and to for of in just were

go previously such level added and So higher just important to have quality and some other on producing they division armed do off We metrics We've for out the geographies a them some really and really street Florida with better do go information plan not combined only to an out with that much there. business. of better also us. things with the daily sell added results in but grow to that down resource and feet doubled go better president route was the and initiative and

efforts be there. going not more the on could So with pleased

Josh Proffitt

of was those not fully specific push make that so I might for in want It's to wanted competitive that, We we to completed numerous markets to sure growth intentionally were one everyone -- is a because trending the want last us year, surprise integration. integration. in scores to direction. do not this make said quality we we it's to, during Florida just add just to wanted Florida, with we really sure sure we didn't Florida make right times were

very partner you confirming big surprising, didn’t feel But but in it seeing results. when have there. quarter waited strong in we're the after a present we that really in and we really, I begin Lin, to say, a fourth until really push I and Sales, a we not ‘XX to it’s division we operator new it's sales As a Florida its up said put it's didn’t XXXX. with I'm

think that I we you? said didn’t

Josh Proffitt

said, that yes. Yes, was

Keith Myers

Did help, Frank? that

Frank Morgan

but back come like good. a and things a have And say really follow-up question, of lot we my these on And on shot, just COVID. good on let's here very this just sounds long X.X the did

are you of on there to you need so Thanks. any or if what how spike other see unfortunate around is would know you thoughts address again. anything Based kind this have incremental we significantly would to it that now, do

Keith Myers

I'll this Keith. is take I that. mean, Frank,

think training was a this of spring a I heck camp.

think for to in all in I home in manage PPE put fluctuations things us of have we Home the are Health. and place that about centers not to been

were those in I think put all place.

and I certainly back be just be volume. we think prepared just It see have response our LHC wobbling not much would ramp But believe would but up better would it whole effect what I to you and would the space. some think quicker cause we'd to the much

Josh Proffitt

I would of Keith. Yes, maybe that And to is add a is real thing we said the it this one as affected about been really those more. Cutting encouraging past X.X as or is as there pandemic whether you pieces one Frank, talking to not by essentially for remain and we weeks that is hear terrible care it the few as are COVID-XX it. for focused that

stronger some areas sharpened has once of will really even made pandemic the in and operational has bear us subsides. us It fruit core even that our

through that Some have of learnt we the ways it.

further it's whether little a has into anything, with made innovation a a pandemic, stronger. it pushes venture us healthcare bit joint really us As or that partner

Frank Morgan

or fiscal That's deeper?

Keith Myers

lay you in to clinical I Dr. things? Doga, for some can ask this specific

Benjamin Doga

all March nationwide XX or suspected and country in agencies care we COVID-XX on today PPE Xst, locations with our in patients well XXX Certainly. taking COVID-XX seeing patients in Keith throughout and began Thank April yes. went XXXX over Keith as states. local you, confirmed of mentioned of

through may of So, I the and into those what January summer to talk the to specifically year. next quarter fourth numbers happen about mentioned

From it to Josh into the COVID-XX to have a visit not that length has by every our developed patients that get a visit just for model. that or program this on we PPE standpoint, of on our stay, ensure suspected estimated go their mission for completing Keith mentioned we every onsite each codes would entire visit was we COVID-XX mass based distribution and PPE employees, and and is full for patient automated identify and PPE out confirmed every that has productivity

daily care the because of have that into of of January even in anticipation of we're hand PPE for number compared so, increase a and significant And available patients in both on increased XXXX.

standpoint that us shelf do if clinician off are we that there So, to you tremendous from for support this with with along of PPE only that the are allowed we a had going but our things our into take combination see the that programs. pilot IT in many not mentioned, team had we X.X standpoint clinicians prepared and

be patients that deploy Are common home us are forward, to go immediately currently going for from if or place already to the for in the patients we'll in to place, two able for them of and on much and hospitals programs basis that healthcare. to meet day-to-day of they need traditional offices utilize development implement to able a needed. are payers in be ready needs physician and But that and allowed has those and round

Frank Morgan

Thank you, that's very helpful.

Operator

next Jefferies. Tanquilut with comes the Brian Your of from question line

Brian Tanquilut

about ask overall, on with seen based Keith, got morning guys. But with you start mean what really my management good Josh like going now. It bullish to would how I the I'm thinking teams for I you've Hey, XXXX questions usual are sounds right PDGM. is XXXX I outlook. in the

where better could it thinking that about to you think you obviously through it XXXX right would if Do manage walking be how a or you and be are now. going bit you is us but were thinking it's

Keith Myers

more Brian. talking you you're Can about? specifically, Okay, bill it

Brian Tanquilut

[Indiscernible].

Just of one that.

Keith Myers

say that, again? What's

Brian Tanquilut

XXXX, earnings color.

Keith Myers

under Earnings the color. have rather no I now would four patients. more four our transfer of month Yes, all two with again so where I fall, it my of Because if I With in patients PDGM today modeling full modeling guess. we months view XXXX, were it other be than belt, positive.

with owe credit quality of the to level, COVID-XX mean working At model and well. Frank every say IP Dr. is but if three Dill more of that staff situation entire pointed, just not months, to the and we're Hence receptivity I would so, I to clinical but clinical much not PDGM a the team. all every facing and scores incredibly me Dave

a PDGM work to pivoted Because regard they there is did that with on lot to that of before March XX. they

he's is time basis, I actual. more So, I'm those right, looking Josh projected it. think he's more and versus really and there linger and looking bullish real I is on number much, And in out living go don’t Josh

So, right. that's I think

hospitals perspective. and our that's to part, a and with lot health going financial our working very would I a On working think of systems we numbers important was the partners to our continue. the spend say as I consolidation And from with time said, strategy XX% of well joint venture all

Meaning Home that imagine. that and a over are for they and who be But money they that the years them boots home would take leveraging Health, that agency not health much over ways ground losing Home the we Health struggled quality. less to manage never on could in now, on

So, to more it there, going it. I on so think bullish lead actually super to volume

Brian Tanquilut

in I And also organic question my Medicare ADC was is then, that. -- quarter. for and got appreciate let a during think Yes, here follow-up the I X.X% It down about was down Medicare you previous quarter. me

there's we you're where mix Is are the way good if between of patient? or MA? a agnostic on pair be view at patient kind Medicare a -- Medicare the the So, admissions, point strategy, to that traditional versus about thinking

Keith Myers

we I partnership I I'm before. Alright, payer a it really concerned like mean far not of payers' we're say so we with looks The it. agnostic, have especially go about a question. that more that's the than less concerned says but less working with are relationship most today, larger about now we're aware to it. ever good wouldn’t did Yes,

than less feel we years vendors ago. like did five we And

still but best it. in improvements the we're think so, budget making describe And way to that's I our

Brian Tanquilut

for guess Josh. question I and that. appreciate I the last

think as mix or per that you with revenue LUPA, just you're How about down go PDGM matter. break then So, you would X%. patients I episode, of between of down the impact that and

Keith Myers

Yes.

is PDGM $XXX out, terms in of It's implement we and that So, pressure of said as about in dollars. model. that as on I'll headwind you it terms down to continue pointed percent, about do right roughly of you it half

for were PDGM end PDGM. into described I'll as negatively $XXX we to per and from the three to January So, episodes prepared bribe you try that leaves because explain. revenue of coming and out a early tell I'll left you effort the figure episode with but of are to crossover and year, adoption February's It's pieces other hard the contributors say the our be impacted

bit down. going first As last pressure And the alluded in just related a really lines a drag of COVID got back the our of I quarter. little and look, we out the was have that two percentage of to and And the ramp-up ramp LUPA you then supplemental if in the that weeks to, lot you've now quarter. the in a deck LUPAs kind it's think

the other piece it. That would to be

X% to to and So, headwind COVID-XX. remainder X% and I'll due the is you PDGM is X% say will about crossover X% to other if episodes

Brian Tanquilut

you. thank Alright,

Keith Myers

Yes.

Operator

question comes with the Larew Blair. of line Matt William from next Your

Matt Larew

Hi, good morning.

unique spot partnerships present terms to this. with alluded systems, a health showing your the you're of relationship peers in amongst past in You're vendor here

gave some volume I'm the over So, just weeks curious, trends. six past you us

cases up Did the partners capacity? better And joint and hospital what look hearing them. volume that differently them create state and trends thinking the about with prioritizing reopening help those health equipped you system maybe rebound, venture that those partners sense then, of are better in positioned been in from the as to you they're have were you're how

Keith Myers

Yes, you observation. high to just have maybe level Josh give good I'll up. that back that's a question. some data

the hospitals, The Obviously health numbers down. to and first hospitals. as were hospital as centers from through, it relates referral

discharges from much as have in number. well. lot we don’t the with as But have community from coming and made up distortion of admitted the were being referrals hospital our So, of patients think as that obviously I opposed We don’t that a down I partners hospital. it.

of to we patients Because that from hospital. that the may the have patients conservative to the definitely have have Many gone hospital. more got the in seeing patients been been much and which came about directly admitted and were us community diversion would

the us the are of with refer many physicians partners. hospital And to that affiliated

part that about think -- benefit. some With second of to the was question? the I So, second offered regard part

Matt Larew

same Yes, in days about of procedures thinking reopening. those getting just early from of online. back lot I'm about the partners hearing what you're

Keith Myers

Yes.

everyone those but procedures that to, part I we're here have there mean of opening you let will I'll pent with and needed most for thing going is if is take demand that else up me, Save and been back those said. see that delayed. up So, we're that has Josh, we there data you in procedures -- same are

my this so there. out this is is quite made personal it just And wife put public, I'll but

Genter then and COVID the And So, right related. shared of we experience everything publicly. in this, this middle personally this

this breast share I'll So, cancer now, in Genter was with diagnosed February.

scheduled on Orleans. she surgery XX. scheduled at surgery And had the and surgery And New she XXth discharged a home. was March and and was came there Austin have we And at and

was Had she now, would And Josh, still those be surgery waiting of talking now. XXth, DCIS, that on surgery. an had in she so one emergency would people not that now? queue it right about Genter wasn’t the be we're

Josh Proffitt

point for XX% And we the to community. has down Slot versus trend institutional here some A got to just maybe would that and I XX% on you to that Matt. XX% of recently. run macro you'd Yes, tend

question. so thing part Keith And that's very the large your described in of that base just because and the

some and would and market. give which you of our system some more the is settings I with just hospital anecdote health that in maybe rural urban market more

great that's example. just a to Austin, Now Keith alluded

has New early very been for Orleans the the one on coronavirus of pandemic. hotspot

Orleans been same every of some that those hospitals like larger And really round situation market. the hospitals market with has New situation, and we are, the but not Austin others has some and working same and every not have in the clock those hospital the

for but of and outside We’ve ready we do. patients decompress some with be been also and not would their only monitoring to some working to for do them typical things that other the surge what scope a patient potential be

say is yet giving is our when its this sharper, again us prove partners. refining to our it So I us and making to again, really opportunities sales

Keith Myers

piece If I well. could one as add just

partners are hospitals with. do well both as work we JV our JV we with not but business a still as lot that of As

COVID the to back go to you If in intended the homes. of outbreak, they focus nursing beginning

proportion traditional of post-acute, would for had the to all patients so, that of of go SNIFS sudden to another And a site care. look

as with able taking cooperation really have would these the gone our where relationship be as to clinical patients patients take designed protocol otherwise combination in. to protocols were of the SNIFS well of hospital. not that's that hospitals out we SNIFS. came And to

case that partners We with our many after to would preferring not the into or go to far believe were that's hospitalization able to patients and likely home hospital trend the closely the that exist nursing them. to be be working not a will Families the in to hospital and take future. go to

work to take to as And post-acute go an we did need last entire to patients. generation SNIFS with for same Maybe the to about we're partners able the the year. our way to about those rethinking prepared be

Matt Larew

and to follow-up I And Bruce and and going thinking. takeaway. perhaps referred my been into one just good is was able refer diversion systems and home expectation discussed would Yes, from actually the on was home. change to SNIFS question or to to choosing course sort temporary bound thing perspective Keith ask long-term Then for you Keith your Bruce hospitals the the of refer of to then have

the what the think patient play and things lot those What role what you there. health sort going pre both there Of that about, of care. of most staying & really most in a on broadening can at is are encouraged home the in post-acute do you power terms

Keith Myers

Bruce?

Bruce Greenstein

the from recognition Yes. safest as a the after go telemedicines site home most to Both combination There's hospital care that increased the of and get. of as care been the dramatic to institutions in other use preferred of is the preferred not well a to givers. other

for to to and patient acuity, homing care low-end that that those is perfect the same We've a shown up and that monitoring not qualified. home would on the maybe their able suspected be be delivery is for the place have just quite are to of COVID that

patients And SNIFS that divert then to home. them would designed on before gone we've to bring would to programs to SNIFS the otherwise seeing where we're end, deeper have now patients the and that otherwise the have gone

now home about see we that place get of overall, for we long about So, the is to preferred healthcare a you about go Keith healthcare. your getting saying time. rather a the as place other when place we has after the it care site it quite that think think been instead go, think Home to than as something as

economy. many both to we their that visit parts really is as myriad care health telemedicine run other involved with home being primary to home And do healthcare nurses our in that And assist central and able place of the there. physicians quarterback and specialist their

to to have did or us seek And better related physician's well COVID recover designing systems right to health symptom, and COVID. to the their well. as a As they monitor to they so and get health for monitor direct then patients hopefully is to they the spec and programs and or asking a being place if to have care office do to to department payers new both able emergency we the need there manage them don’t can needs the are that if come as

Matt Larew

you. Thank

Operator

with from line comes The the The question next Company. Bill of Sutherland Benchmark

Bill Sutherland

you bounce at Hi thank back thinking kind that per morning you, and good what revenue everybody. look The I decline, as that when episode quarter you day. your of from Josh, at are the mean do progress returns, you here

Josh Proffitt

answer able to I'm you wasn’t That's it --. I Because be trying it. clear real Yes, hard you for not a a to would to give for that dodge COVID-XX, answer. If Bill. one and

Bill Sutherland

Yes, say I'm should sorry. ex-COVID, I guess I

Josh Proffitt

Okay, think in rate measurable QX, trajectory we're from PDGM ex-COVID. into the pressure be the heading that a still no ramp impact I real standpoint. Then, would there on

then projected three X% than QX back or you in will forward. that neutralize did and X% that we that impact QX less So, be

crossover take So, those. if drug down won't January it the any have obviously the mix, you the you which of piece more of February, was that COVID out in and other episodes

how it. that's about So, I think

Bill Sutherland

tax? great. on PT quickie And percentages that's or utilization. the have then one your you extended for for assistance Do Okay,

Josh Proffitt

Yes.

to about we’re in have we family to almost XX% and for XX% before. up PTAs the for been So, more XX%

LIC So, XX there and benchmark that’s XX% probably anywhere the between XX. to is

Bill Sutherland

of Great. a missed visits was percentage I'm I kind of your On elsewhere. curious statistics, total seeing if you on than were have the you for to visits reasons just missed ADC, color And as that? as lower the they study

Josh Proffitt

I do. And great, intuitive kind question. of

I had your getting the other and and your right it adequate heard So, you gloves that with XX who surgical of this the urgency missed reaction equipped PPE masks, kind pieces all visits attributable to expectation. and our If being organization real masks, fully parts loop to the lower time whether the than a and it. clinicians real is ensuing of

process, companywide policy extremely early the for And glove every implemented we on mask in a visit. and

change you out. I as soon as rolled mean see could I the got numbers So,

So, fun. I adoption think that was early that the telltale of really

want that? to add Ben, to you anything

Benjamin Doga

our very Sure, well March all a questionnaire a dive for in did points early deep of Keith once and we Two employees was as said. on other risk. mentioned,

what the visit. a for of things program and us nature. gloves to prior that coming of all patients we're know and patient we're be We our the when an can opportunity implemented to gave family you also screening we on educate That using the

were process well we And comfort. through also assuring them as that going patients as some screening the gave the them

the clinicians. and early So, about about one. healthcare second residents was And talk to living Limiting that'll there access was a one there. patients facilities and programs number be and our complete much on the

at with you We in the went of facility. on times. plan patients pressure phone to the it a of known standpoint. That help by that that sociological at could standpoint, availability psychological time caring with medical process But puts at all that were contact the the we us some made those you any care for those

within that to Included, especially we to are help those created that our to for available those through walls. programs continue patients you care hospice

that were to in And those healthcare so, many we for in back the seeing of some areas come were asked patients. clinicians first

and opportunity. and all of just walls patients plan work that those work those of for the on times think that you're that then with screening to front-end here I inside at the patients both were and employees So, gave that us families. those the And the availability

Bill Sutherland

think if seeing especially just to what's you're is -- there going color. is kind for get Great, Keith, on you telehealth move much thanks. of telehealth by may happening soon great reimbursement, one other that's last how then. you it the guess hear pairs, good How as And and reimbursed curious a in I as on time there reimbursement, they far

Keith Myers

for a With that But recognized just at to about I'm an think being reimbursement. ask on recognized than Bruce that. it specific to telehealth episode. I'll on let's it. reimbursement service, talk regard within it could a quite optimistic, Yes, rather D.C. I tag be Washington service as team

It certain situations in and be could available maybe improvement. visit in would, be, place would would it percentage to some encounters could an the that limitations stand like with Anything telehealth. and on of an what in be it of

the in about that's And we highly I'm team was earlier talking that going And that the question it would that that also in if we're Washington what what not. our of D.C. are about, in this we're focus confident specific with moving partnership the include direction. about

I think they thing. would tell you same the

to that that, in bothered fall of think the If best -- I I definitely to year? moving But Probably we're mean going do I payers. I not. it's the you're think And direction. on quite chief. the Bruce, in person this if about other answer happen Come

Bruce Greenstein

that for Keith just so stand differently for from We're me said administration's there happy where thankful. very terms Well, telehealth is side this we directive. other We're use is providers. quite telehealth what paying they're of a for just say it to of recognized, on in CMS the the

and They can't for made done for that policy tele about We visit. They and quickly. think home struck it is do context they methodology good all be did allow able home we health. that they in to explicit very we're the of use to what tele-mechanisms view the balance a but recognized very health be a

some some on later requirements. quite could out was which hipper flexibility the you helpful. carry directive XXth that And or visits of XXth methods tele relax They also that in a gave March

And so, we and company deployed in well. very working quickly across business the that's telehealth several lines

is We feel training the families, care training high to of that where like make gets delivered we're offices, how our training benefit the complement physicians' we're in of both that home. employees, quality this the

So, we're quite pleased.

do we we're in far. and a position today dialogue productive in having very it's forward we're good HHS And we're a like moving to expect position Washington. with feel good continue And the and been with we so CMS;

For great visit payers, we're as for a to quite we're is seeing United decisions it very lot and is made We some pleased. same quickly. and the be it. paying same example progress a tele private of the One call an visit in-person Healthcare, also allowing Payers that parity. recognized

And for involve to some for and standup we're about. COVID that is monitoring. audio being payers programs again both monitoring cases and We're They're this prepared. that by something in remote patient. it's we're pleased approached video suspected And a also several requiring

patients cases are have want and those To home Pulse temperature be and in Before itself have want have health dealing to they importance that Ox. the for for would COVID or patients, monitoring. multiple qualify with measured disease other often. they chronic they and Thanks remote

in of So, recognition We is again what the you the of changed use the bottle and is put has for visits can't be been video. for the back telemetry healthcare something not tele this great of phone The our this rest the will and lives. both has believe unlearn. of genie system that

the tele The primary care be And is specialty of care, use for from for healthcare desirable will and of monitoring meta-point forever. care, me moving home changed most in-home site telemedicine service and is again, the forward. the from

in home to they there's I see don’t than be forever. be patients we'll to home. that to in want a no where And health patients think able treating change industry help better their

Bill Sutherland

and Okay, all everybody. stay for the Thanks color safe.

Bruce Greenstein

Thanks, Bill.

Keith Myers

any And We the everyone with and for up much member the will to dive. was the the if a always to catching management and with meantime quarter. Elliott for in take of then if put questions deeper forward you thanks need us question. be -- is thanks That's you we in last team Well, dialing have any contact look us, next so touch you for he in giving as can Eric time.

Thank you, so much.

Josh Proffitt

safe! be guys, Thanks

Operator

does This conclude call. today's you. Thank conference

may You now disconnect.

LHC (LHCG) 9 May 202020 Q1 Earnings call transcript