NYSE:CHE Chemed Q2 2023 Earnings Report $580.52 -0.86 (-0.15%) Closing price 04/17/2025 03:59 PM EasternExtended Trading$582.02 +1.51 (+0.26%) As of 04/17/2025 04:07 PM Eastern Extended trading is trading that happens on electronic markets outside of regular trading hours. This is a fair market value extended hours price provided by Polygon.io. Learn more. Earnings HistoryForecast Chemed EPS ResultsActual EPS$4.71Consensus EPS $5.09Beat/MissMissed by -$0.38One Year Ago EPS$4.84Chemed Revenue ResultsActual Revenue$553.80 millionExpected Revenue$562.54 millionBeat/MissMissed by -$8.74 millionYoY Revenue Growth+4.20%Chemed Announcement DetailsQuarterQ2 2023Date7/26/2023TimeAfter Market ClosesConference Call DateThursday, July 27, 2023Conference Call Time10:00AM ETUpcoming EarningsChemed's Q1 2025 earnings is scheduled for Wednesday, April 23, 2025, with a conference call scheduled on Thursday, April 24, 2025 at 10:00 AM ET. Check back for transcripts, audio, and key financial metrics as they become available.Conference Call ResourcesConference Call AudioConference Call TranscriptSlide DeckPress Release (8-K)Quarterly Report (10-Q)Earnings HistoryCompany ProfileSlide DeckFull Screen Slide DeckPowered by Chemed Q2 2023 Earnings Call TranscriptProvided by QuartrJuly 27, 2023 ShareLink copied to clipboard.There are 7 speakers on the call. Operator00:00:00Morning. Our conference call this morning will review the financial results for the Q2 of 2023 ended June 30, 2023. Before we begin, let me remind you that the Safe Harbor provisions of the Private Securities Litigation Reform Act of 1995 apply to this conference call. During the course of this call, the company will make various remarks concerning management's expectations, predictions, plans and prospects that constitute forward looking statements. Actual results may differ materially from these projected by those forward looking statements as a result of a variety of factors, including those identified in the company's news release of July 26 and in various other filings with the SEC. Operator00:00:40You are cautioned that any forward looking statements reflect management's current view only and that the company undertakes no obligation to revise or update such statements in the future. In addition, management may also discuss non GAAP operating performance results during today's call, including earnings before interest, taxes, depreciation and amortization, or EBITDA, and adjusted EBITDA. A reconciliation of these non GAAP results is provided in the company's press release dated July 26, which is available on the company's website at chemed.com. I would now like to turn I would now like to introduce our speakers for today, Kevin McNamara, President and Chief Executive Officer of Chemed Corporation Dave Williams, Executive Vice President and Chief Financial Officer of Chemed and Nick Westfall, President and Chief Executive Officer of Chemed's Healthcare Corporation subsidiary. I will now turn the call over to Kevin McNamara. Speaker 100:01:32Thank you, Holly. Good morning. Welcome to Chemed Corporation's Q2 2023 conference call. I will begin with highlights for the quarter, and Dave and Nick will follow-up with additional operating details. I will then open up the call for questions. Speaker 100:01:48Our Q2 2023 operating results released last night reflect significant improvement in VITAS' operational metrics post pandemic. In the quarter, our admissions increased 5.9% over the prior period. These strengthening admissions continue to drive higher patient census. In the Q2, our average daily census, or ADC, expanded 10.77, an increase of 6.2% when compared to the prior year and 3.2% when compared with the Q1 of 2023. VITAS' improving operating metrics are a direct result of our retention and hiring program launched July 1 last year. Speaker 100:02:31This program was designed to stabilize turnover in our tenured staff as well expand patient capacity. Since July 1, 2022, Our staffing has methodically increased on a sequential basis over this 12 month period. This increase in staffing and related patient capacity has been converted into increased admissions and census. The retention program has generated an aggregate increase of 784 licensed Healthcare professionals, the majority of which are licensed nurses. Over the last four quarters, VITAS has increased bedside professionals on a net sequential basis by 172, 103, 203, 209, respectively. Speaker 100:03:17The majority of the expanded capacity from the 309 net hires in the Q2 of 2023 is forecast to benefit admissions and census growth in the second half of the year. On June 30, 2023, our end of the month census was 18,000 542 patients. This compares to our June 30, 2022 ending census of 17,360 for a net increase of 1182 patients. This raw patient increase translates into $84,000,000 of annualized billable revenue. Our revised guidance does assume sequential ADC growth to moderate in the second half of twenty twenty three when compared to the 1st 6 months of the year. Speaker 100:04:01Now let's turn to Roto Rooter. By all indications, Roto Rooter is encountering what I can only describe as headwinds on consumer spending. As noted during our Q1 teleconference call, in the last few weeks of the Q1, we observed an increase in weekly revenue volatility, indicating a potential softening in consumer demand. Since March, we have observed increased weakness in weekly call volume and revenue. This weakness has continued throughout the Q2. Speaker 100:04:30Overall, our call volume is down approximately 13% when compared to the prior year quarter. Although call volume is a crude measurement, it does indicate consumers are moderating their behavior in terms of discretionary plumbing and drain cleaning services. Road order has offset a portion of the softening demand with material increase in close rates. Our call centers conversion rate, The rate at which a call is converted into a technician scheduled ticket has increased 2 30 basis points. Our technician conversion rate, the percentage of time a tech arrives at the home or business and converts a scheduled ticket into billable work, has increased 160 basis points. Speaker 100:05:12These improved conversion rates have materially reduced the impact of softening consumer demand. We've seen some recent signs of improvement in overall demand over the last few weeks. However, our guidance assumes Roto Rooter continues to be modestly impacted by consumer spending headwinds for the remainder of the year. To summarize, I'm pleased with the accelerated improvement in VITAS post pandemic. Our increased growth in licensed healthcare professionals, Strong admissions and corresponding growth in patient census has positioned VITAS to return to normalized operating metrics in early 2024. Speaker 100:05:47Roto Rooter is well positioned in spite of economic headwinds on consumer spending. We anticipate continued expansion of market share by pressing Roto Rooter's core competitive advantages in terms of excellent brand awareness, customer response time, 20 fourseven call centers and aggressive Internet presence. With that, I would like to turn this teleconference over to David. Speaker 200:06:09Thanks, Kevin. VITAS' net revenue was $321,000,000 in Q2 of 2023, an increase of 7.8% when compared to the prior year period. This revenue increase is comprised primarily The 6.2% increase in our days of care, a geographically weighted average Medicare reimbursement rate increase of approximately 2.7%, partially offset by 100 basis points from sequestration. The combination of Medicare CAF and other contra revenue Changes negatively impacted revenue growth by 10 basis points in the quarter. Average revenue per patient per day in the Q2 of $2,220.02 which is 170 basis some 178 basis points above the prior year period. Speaker 200:06:59Reimbursement for reaching home care and high acuity care averaged $172.91 $1,031.58 respectively. During the quarter, high acuity days of care were 2.8% of total days of care, essentially equal to the prior year quarter. The gross margin and adjusted EBITDA for VITAS were both negatively impacted by CMS reimplementing sequestration, which reduced these margins by 100 basis points when compared to the prior year quarter. Gross margin in the Q2 of 2023, excluding Medicare cap And the retention bonus program was 22.7%. This was 143 basis point increase when compared to the Q2 of 2022. Speaker 200:07:47Our adjusted EBITDA excluding Medicare cap totaled $50,700,000 in the quarter, an increase of 1.4%. Adjusted EBITDA margin in the quarter, excluding Medicare cap, was 15.7%, which is 101 basis points below the prior year period, really all of which is contributed to sequestration. As Kevin noted earlier, VITAS increased the licensed healthcare staff by 309 professionals in the quarter. This results in total license staff increasing by 784 professionals since the inception of the retention program on July 1, 'twenty 2. The increase of 309 net professionals hired during the quarter of 2023, think of it as basically underutilized labor capacity, is estimated to have negatively impact margins in the 2nd quarter by approximately 80 basis points. Speaker 200:08:43Now let's turn to Roto Rooter. Roto Rooter generated revenue of $233,000,000 in the Q2 of 2023, which is a decline of 0.2% when compared to the prior year quarter. Roto Rooter's branch commercial revenue in the quarter totaled $55,500,000 which is an increase of 1.3% over the prior year. The aggregate commercial revenue growth consisted of drain cleaning revenue Declining 3%, plumbing increasing 5.4%, excavation increasing 2.9% and water restoration increasing 9.7%. Roto Rooter's branch residential revenue in the quarter totaled $158,000,000 which is a decline of 1.1% over the prior year period. Speaker 200:09:28The aggregate residential revenue growth consisted of drain cleaning decreasing 8.6%, Plumbing declining 2.8%, excavation expanding 3.8% and water restoration increasing 2.5%. Roto Rooter's gross margin in the quarter was 52.3%, which is an 89 basis point decline when compared to the Q2 of 'twenty 2. Adjusted EBITDA in the Q2 of 2023 totaled $65,900,000 a decrease of 4.5 percent And the adjusted EBITDA margin in the quarter was 28.3%, 128 basis points below the prior year period. Now let's take a look at our guidance. VITAS' 2023 revenue prior to Medicare cap is estimated to increase 8.5% to 9.5% when compared to 2022. Speaker 200:10:23VITAS' forecasted full year revenue growth is negatively impacted by 75 basis points as a result of the sequestration relief in the first half of twenty twenty two compared to a full year of sequestration in 2023. ADC is estimated to increase 6.5% to 7.5% and full year adjusted EBITDA margin prior to Medicare GAAP and accrued bonuses related to our retention program is estimated to be between 16.5% 17%, And we're currently estimating $11,000,000 of Medicare cap billing limits in calendar year 2023. Roto Rooter is forecasted to achieve full year 2023 revenue growth of 1% to 2%, and Roto Rooter's adjusted EBITDA margin for 2023 is expected to be between 28% 28.5%. So based on this discussion, Our full year 2023 earnings per diluted share, excluding non cash expense for stock options, tax benefits from stock option exercises, Costs related to certain litigation settlements in our retention bonus program is estimated to be in the range of $19.90 to $20.10 Current 2023 guidance assumes an effective corporate tax rate and adjusted earnings of 24.7 percent and a diluted share count of 15,200,000 shares. For comparison, Roto Rooter's 2022 reported adjusted earnings per diluted share was $19.75 I'll now turn this call over to Nick Westfall, President and Chief Executive Officer of our VITAS Healthcare Business segment. Speaker 300:12:12Thanks, David. As Kevin discussed, we implemented a targeted retention and hiring bonus program at VITAS effective July 1, 2022. This program was focused on licensed nurses, including admission nurses, nurse managers, home health aids and social workers. These one time retention bonuses range from $2,000 to $15,000 per licensed healthcare professional. The total 12 month forward looking cost of this program, including payroll taxes and government mandated overtime calculations is estimated at $43,000,000 All retention bonus payments are individually cliff vested and paid out after the employee has successfully completed 12 months of continuous employment. Speaker 300:12:59From an economic perspective, approximately $37,000,000 of this retention program was to maintain existing staffing The additional $6,000,000 is estimated retention bonuses represent bedside capacity expansion. This additional $6,000,000 in retention bonuses has helped to contribute to ADC increasing $11.82 when comparing the month of June to its prior year. On an annualized basis, this 11.82 increase in patient census will generate annual revenue of approximately $84,000,000 During the Q2, we expanded our licensed healthcare professional staff by 309 employees, bringing the total licensed healthcare staffing expansion attributed to this program to 784. In the Q2 of 2023, our average daily census was 18,392 patients, an increase of 10.77 or 6.2 percent when compared to the prior year and an increase of 5.62 or 3.2% sequentially. The sequential monthly ADC growth in the Q4 of 2022, the Q1 of 2023 And now the Q2 of 2023 is very encouraging given the timing lag of increased staffing when which then generates subsequent admission and census expansion. Speaker 300:14:21In the Q2 of 2023, total VITAS admissions were 15,611. This is a 5.9% increase when compared to the Q2 of 2022 and a 5.3% improvement when compared to the Q4 of 2022. In the quarter, our nursing home admissions increased 13.7%, assisted facility admissions expanded 3.9%, Hospital direct admissions increased 4.5% and our home based patient admissions expanded 3.8% when compared to the prior period, all four segments increasing positively. Our average length of stay in the quarter was 99.5 days. This compares to 103.7 days in the Q2 of 2022 99.9 days in the Q1 of 2023. Speaker 300:15:09Our median length of stay was 16 days in the quarter in comparison to 17 days in the Q2 of 2022 and 15 days in the Q1 of 2023. To recap what our team has recently accomplished, we now generated 4 quarters of sequential growth in licensed healthcare workers And 3 quarters of sequential growth in ADC. We have developed what I believe is a very sustainable path to building back our capacity, patient base and overall operating performance to pre pandemic levels and beyond. With that, I'd like to turn this call back over to Kevin. Speaker 100:15:42Thank you, Nick. I will now open this teleconference to questions. Speaker 400:15:47Thank you. And our first question comes from Ben Hendricks of RBC Capital Markets. Speaker 500:16:20Hi, this is Mike Murray on for Ben. Starting with Roto Rooter, could you remind us of your mix of discretionary versus Non discretionary jobs. And do you believe this deferred maintenance could become a tailwind in 2024? Or do you think more people are doing the jobs Speaker 200:16:40Well, Ben, the definition of discretionary is in the minds of the consumer. But with that said, well under 10% of our volume, we consider discretionary, well under. But Again, it's up to the consumer to decide. What we have seen is an increase, though, in non discretionary jobs to discretionary jobs On a relative basis. So what we're doing is the more severe phone calls are still coming in. Speaker 200:17:09Again, that's well over 90% of our volume. But the customers are clearly self selecting on the annoying toilet that's constantly running the upper tank because of a bad seal or valve. Those are the things that you could defer or attempt to do yourself. So the small, annoying projects. But we actually have seen an increase In bigger jobs over really the last 6 months. Speaker 200:17:35But very little is discretionary. We're a grudge purchase in the 1st place. No one gets this purchase satisfaction of getting your house back today where it was 2 days ago. So the fact is people call us because of necessity and that's just down just a hair. Speaker 100:17:54And I would say, Dave, that the what you have is what we describe as discretionary or putting something off. It's putting something off A couple of months, not permanently. So but it's hard to say. You're getting at a question which is A tough one. When you look at a drop in call volume like we had, I mean, again, if you Our best thinking on it is that we had a period of 18 months where Wages was not keeping pace with inflation and there was a significant gap. Speaker 100:18:35And That had an outsize effect on consumer decisions. We take comfort of the fact that that's turning around at this point. And we have a very basic business in Roto Rooter. There's no sense in any way that we're losing market Power, the network door share, our close rates are higher than they've been, Not surprisingly because people are more incentivized to push for every sale. It's something that we look at. Speaker 100:19:13We look at the softness as being not confined to one region, which would suggest to us that It's an issue that's outside of our control. It's not The soft is not due to having turnover at a couple of big branches. It's more pervasive than that. But at the same time, What Dave is really suggesting is to the extent when you have these really non discretionary problems, It's going to take somebody to fix it eventually, and there's no reason for us to believe that they're any less likely to call rotator. Speaker 200:19:53And I just have to say, call volume is up significantly from pre pandemic levels. I mean, obviously, double digit. But It does look like the consumer is a little exhausted. And I think this has happened a couple times in the last 20 years. I think I can point to Post the Great Recession in 2010, and there was some disruption around 2,001. Speaker 200:20:19But this doesn't happen very often and it does take kind of a it takes a very, very broad geographic kind of disruption and I think that's what we're seeing In all four of our regions throughout the country, the softness is everywhere. Speaker 100:20:33Yes, that's true. And another thing, a question you haven't asked, It just seemed like it came on pretty quickly. I mean, obviously, from our previous call 3 months ago, we said we noticed it in the last month The Q1. It was many of the effects were probably already starting to land For Roto Rooter, however, it was covered up by unusual weather patterns, Which basically had business going through the roof the 1st 2 months of the Q1. It's something some of these forces that we see at work are more than they didn't just pop up In the Q2, they were probably already having some effect by the Q1. Speaker 100:21:25But again, so unusual weather in Q1 kept everybody working around the clock then. So then when the weather moderated, we had A fairly severe difference. So again, we're one good thing about having the Roto Rooter business, It's got, as Dave indicated earlier, great brand awareness, great marketing position. One thing we haven't said is that one of the biggest limitations to Red River's business is workforce And our workforce has never been stronger. We're prepared for an uptick. Speaker 100:22:07We probably have 2 larger workforce given the current call volume, but again, there's been a lot of effort and expense in developing that workforce. So we give ground right in that regard. So we're We're not alarmed in any respect with the River business. Speaker 200:22:27And Ben, to your question on a tailwind, the answer is probably these jobs will come to WASS. But in light of what we've seen, call it, in March and then in the second quarter, we have gotten conservative on the Roto Rooter guidance. We're actually guiding to typically, we see seasonality where Q3 tends to be all the quarters are relatively But Q3 tends to be down a couple points from Q2. Q4 actually on average has been up as much as 7% for seasonality from Q3 to Q4. We were also very conservative, and we guided that sequential growth from Q3 to Q4 of this year to be only up a little under 3% Because we don't know what's happening with the consumer spending. Speaker 200:23:10We think we put forward conservative but realistic guidance for Roto Rooter. We're encouraged by what we see in July relative to our guidance. But with all that said, We're waiting to see a sigh of relief in other consumer spending categories to say this is just an anomaly. But Ben, we haven't seen that yet. Right now, we're going under the assumption that consumer is a little exhausted and they're going to avoid spending on Roto Rooter To the extent they can. Speaker 200:23:41But like I said, 95 plus percent of our volume is unavoidable. Speaker 500:23:48Okay. And just a follow-up to that. How does the magnitude of the decline in call volumes compare to past consumer cycles? And In those instances, how quickly did it take for demand to return? Speaker 200:24:12The call volumes unusually we've never seen call volume with the kind of spikes we've had. So this is actually an unusual drop. And we've never seen weakness in demand go beyond 12 months. Speaker 100:24:27Okay, cool. That's an outside But I'm Speaker 200:24:32just throwing one out there. It's always been a very short lived cycle And it doesn't happen often, but it does happen. Like I said, the Great Recession and nineeleven And then kind of the dotcom blow up in 1992,000 as well. Those are the ones that come to mind, but it doesn't happen often. Speaker 500:24:54Okay. All right. Thanks for the color. Just real quick shifting to VITAS. You just hit the 1 year mark on your hiring and Retention program, have you seen a pickup in turnover for the tenured employees so far? Speaker 500:25:09And then on the flip side of that, has hiring Slowed materially since the retention program ended Speaker 300:25:17So Mike, this is Nick. The answer to both of those The answer is no. So we have not seen a material pickup to turnover. What I will say, we're still in the 1st month related to it. We always like to say 1 month never makes a trend, but we feel good about it. Speaker 300:25:33And for all prior commentary, all the things that weren't Relegated to just the financial payment, but cultural enhancement, other items that tend to keep people with an organization Is what was the driving force for some of those confident comments in the prior quarters about the expiration of the program. And then in regards to hiring, the hiring rate has We've been able to hire successfully where we need to on a market by market basis. And so we feel confident in our ability to do that going forward. Speaker 200:26:06Mike, nothing stops NIF where it's appropriate to have a small retention program in a market for certain disciplines. It's just not going to be necessary to carve it out or even call it out. At this point, we believe we can do it. We're necessary on a very small basis that you guys won't even see. Okay. Speaker 100:26:25All right. Speaker 500:26:26That's helpful. Thank you. And just one final one. Given the repayment of your debt during the quarter, How are you thinking about share repurchases in the back half of the year? Speaker 200:26:37We still think share repurchase is what appears to be the best way to Return capital to shareholders. At the same time, with what the Fed did yesterday, We're now getting about 5.5 percent pretax on our overnight money. And so from that standpoint, it's no longer the 10 basis Points of nothing we used to get 2 years ago. So we actually aren't penalized by sitting on cash because of the overnight return. That's Basically, right now, all kept with JPMorgan Chase. Speaker 200:27:10But share repurchase is a continued part of our capital deployment. And we'll do so. Yes. Every quarter we anticipate it. Speaker 100:27:18Okay. All right. Speaker 500:27:19That's all I had. Thank you. Speaker 400:27:22Thank you. And our next question comes from Joanna Gajuk of Bank of America. Please proceed. Speaker 600:27:52Yes, good morning. Thank you so much for taking the questions here. So I guess first on Vida, Things are going there pretty nicely and you raised your guidance and I expect a 9% revenue growth, call it, year over year. So how should we think about this growth going forward? Is it a sustainable growth rate? Speaker 600:28:17And also with This could both at that rate when it comes especially for census, right, if census returns to 2019, which seems like We are very close to that. How should we think about margins if that was to happen? Speaker 200:28:37Regarding margins, very, very encouraged with where we are now. If you actually think about the headwinds we created by excess capacity, unutilized labor, because that'll be utilized in Q3 of this year, the 309 People we hired. Actually, it does look like we're going to get to our target fairly comfortably to that, Call it that 17.5 percent adjusted EBITDA margin we enjoyed in the Q4 of 2019 seems very achievable Within 2024, I don't want to get too optimistic beyond that, but it's encouraging. And regarding our guidance for the second half We actually assume census growth moderates, the second half of the year compared to the first where we'll add about 75% of the census we added in the first half, we're assuming in our guidance we add pro rata throughout the second half of this year. So we expect the momentum to continue, but we conservatively estimate it to slow a little bit from the first half. Speaker 200:29:39Nick, anything else we should add on that? Speaker 300:29:41No, I don't think so. Just as a reminder, if you start comparing pre pandemic to Exiting pandemic dynamics, there's a lot of different variables inside of it, right? Just to not to recap it, but it's about a 3 year window. And one of the other aspects and you can see it through the distribution of pre admit institutions, while we continue to service the entire community of where we're at, The community access initiative will continue and is effectively baked into our approach on a go forward basis in every market. We'll see what that translates into for 2024 and beyond, but it puts us at a good it should put us at a good jump off point at the end of the year. Speaker 200:30:24I'd also say as we talked about this in past quarters, when we look at census, we actually follow it in buckets. And we look at it as 10 year buckets. So how many patients have been with us, 0 to 30 days, 31 to 60, 61 to 90, and we do that all the way out. And obviously during the pandemic when we had weak admissions, the 13% of our patients who lived past 6 months, that actually Got bled off during the past 3 years, or really 2 years. And really, over the past three quarters, Nick and his team have really started Material growth in all of those aged out buckets. Speaker 200:31:05So the path that we're returning on and We lose money on half of our patients, 13% or so make it past 6 months. We are doing a great job of filling the statistical outlier buckets of beyond 180 days. So that's another indirect way of saying that the Momentum we've picked up in the recovery is on a really, really solid foundation of census. Speaker 300:31:33And last comment, just to relay why that's important not only for VITAS but the overall industry and also for the Medicare Trust Fund is There's recent independent literature. We're out on the hill today continuing to educate. And what it helps to further illustrate is for the entire hospice industry, There's a need for earlier access. And the more there's earlier access, there's more total cost of care savings to the Medicare Trust Fund, including Past 12 months with almost 11% cost savings. So I bring it up because hopefully that trend continues consistently for the industry because it's significantly beneficial for the Medicare Trust Fund. Speaker 600:32:14Great. And I guess if I may, just to follow-up on that point, right. The Medicare rate updated proposal, right, it came out with this pushback from the industry clearly arguing this should be Instead of a one time adjustment for the market basket as it's been below cost inflation the prior 2 years. So I guess to think there are any traction on having CMS actually act on it or do you need Congress To do something along these lines? And what do you expect in the final regulation that should come out any day? Speaker 300:32:53So I think that commentary with it, we'll see. It's fully within CMS's authority To do so, there's all indications the final rule itself will be issued in the very near future. And so as opposed to Speculating we'll sit back and see. The ongoing calculation as we've alluded to significantly lags reality. Since it's pegged against the hospital market basket index it impacts more than just the hospice industry, right? Speaker 300:33:23It impacts the hospitals by definition as well. And time will tell. I think the important piece going back to the value of the study is The fact that hospice is one of arguably the only industry that is returns money to the Medicare Trust Fund inside of healthcare is one that we hope CMS hears and our congressional leadership hears so that they continue to support ongoing Reimbursement because of the value of the benefit for the overall country and to the Medicare Trust Fund. Speaker 200:33:57Yes. But Joanna, your point is a good one. Our association estimates With the proposed rule that CMS put out a couple months ago, they've held back on a little over 5% of increase based on an Inflation measurement on the market basket. Obviously, that impacts the entire industry, but it's existential for the small players who lack Scale, which is over 50% of the provider numbers out there. So frankly, one of the reasons we are picking up, licensed healthcare staff And expanding our census is because our small mom and pop competition, which exists in every market, they're truly struggling because they lack scale And that 500 basis points of inflation is kicking their butt. Speaker 200:34:40And so right now, CMS, by holding back on reimbursement, It's creating opportunities for the players who have scale to expand market share. And that's what we're going to do, but we really wish CMS would true up the inflation. We'll take the share, but it's a tough way to get it. Speaker 600:34:58No. And I guess it begs the question, would you be interested in buying out I guess at this point you're just saying that it's cost effective or more cost effective to just hire weighted workers? Speaker 200:35:11Massively more cost effective. As Kevin said in our prepared remarks, it costs us $6,000,000 incremental in this retention bonus to expand our workforce. And that creates, based on just on the expanded census we've enjoyed through today, That's $84,000,000 of revenue that it costs us $6,000,000 to acquire. If we had under pre pandemic, we would have paid anywhere from $100,000,000 to $204,000,000 in revenue, which obviously we didn't do because we thought those were crazy valuations. But right now we're getting it through competition. Speaker 100:35:46And the problem with Buying the hospices, they're almost always too small to be profitable based on what we think is we think it's tied to quality, but to the extent that we're a big public company, we have to have safeguards and Provide all levels of service and whatnot on the too low a census base, That's just not economically feasible. Speaker 200:36:14But acquisitions aren't off the table, Joanna. We could see doing a footprint that gets us in an area we're not in, And it would even be a multiple for that, but then we have to average down that multiple by basically increasing the size of whatever we acquire Through market competition. So we'll Speaker 100:36:32And any county in Florida that we're not. Speaker 200:36:34Yes. Actually California and Florida typically are very successful in that regard. But we're not opposed to it. But at the same time, you know we're very serious about protecting shareholders' capital. If we put it at risk, there better be a commensurate return. Speaker 600:36:52Right. That makes sense, obviously. And I'm sure people you alluded to it and Obviously, sitting on the cash sheet is not a bad idea, I guess, as of now. Just switching to the rotors, so I appreciate the commentary You assume this weakness, I guess, continues, but I guess it sounds like July may be indicating Some changes there. So, yes, what would have to happen, I guess, in your mind for kind of the call volume, I guess, to return or Or kind of reverse this trend? Speaker 600:37:29Kind of what you're looking out there in the market to kind of Be able to say like, Ellie, this is happening or it will happen soon. Speaker 100:37:39Well, this is a tough one. That's a tough one. It comes down Why does the phone not ring? Sometimes we know why the phone does ring and it's because it's Raining in some part of the country and whatnot and causing all sorts of havoc, which is good for the Roto Root business, But tough on the people. But generally thinking why does it ring, why does it not ring, The only thing we can point to is, let's say, Internet marketing. Speaker 100:38:11That drives The sales that we have. To the extent that we have various measures, I mean, of course, I don't want to get too far in the weeds, but There's the natural search, which is free, which you hope Rotor pops up and that's tied to Their algorithm and there's all sorts of things that you do. You have bricks and mortar stores to get better coverage. You do well on that. There's paid search. Speaker 100:38:44There's one measure of paid search, which is You want to make sure that you show up on the first page more frequently. And the vexing thing is that We're doing better than that than we ever have. In other words, we're showing up on the 1st page of paid search more often. We're just continuing to refine that and hope to even improve that. But to the extent that search to the entire category Is we believe down substantially. Speaker 100:39:20It's The reverse of the converse of the phrase, the rising creek covers a lot of stumps. The creek is in the whole category It's down for people starting the search. But to answer your question, one thing we can do is we can have our fingers crossed And hope the economic conditions improve so that there's more people searching for plumbing and drain cleaning, number 1. But then number 2 is something that we Continue to do and we've had some success with based on some of our quoted metrics being better placed on the Internet to Capture more of the eyes to consider Roto Rooter. So your question is a tough one. Speaker 100:40:05It's vexing to Roto Rooter. And I say with some trepidation that if it comes down to Running a business that involves keeping your fingers crossed and hoping demand comes back, that's a tough way to run the business. And we're putting that aside Right now and doing what we can on the marketing side. Speaker 200:40:27You certainly can't ignore the significant increase in call center close rates and technician close rates at the residents Has, like I said, materially offset that we call demand, but not completely. Speaker 100:40:38And that just shows, as we said, In Roto Rooter, Roto Rooter has been around for a long time. They have good management, the good management that goes, it says right to the field. If you've said to us 6 months ago, which you did, what are the issues in the road? We said we had an unprecedented 18 month Period where we had some of our top branch managers hired away by private equity. Now that's largely stopped for a variety of reasons. Speaker 100:41:11And we said at the time, our softness really, the fact that we had new managers in the number of locations, an unusually high number of New locations where we had new managers. And again, time has helped settle that, but the softness we see is more pervasive, More tied to overall economic conditions. And we think, we think, based Kind of our research that some of the factors that caused that are ameliorating. So, but we don't kid ourselves When we're talking about big economic conditions, it's hard to draw too many Too many conclusions based on what almost by definition is insufficient data. Speaker 600:42:01And the last question here to that end. So would you expect cost cutting? Are you doing anything differently given the cost volume being down? And I guess what are Speaker 100:42:12the things you Speaker 200:42:13do, right? Speaker 600:42:13You Speaker 100:42:13got to remember, John, one of the thing about rotary rooters, we do not quote a price over the phone. We don't advertise the price. I mean, the way that in other words, somebody calls us, they have no idea what road we're going to charge for the issue. We send somebody out, they give a written estimate for what it costs. That's the first time that the customer sees the price. Speaker 100:42:39And actually, as Dave said, our close rate once first of all, when somebody calls The close rate, the conversion rate by the person on the phone is higher. When we send the technician out who mentions Price for the first time, those close rates are going higher. So, no, the cost cutting side, we think an important Aspect of Roadrunner is make sure that we protect margins and especially in inflationary periods, we make sure we get price increases That reflect the inflation. And that again, that's another success area. We think we have gotten that price increase. Speaker 100:43:19Price cutting doesn't really work for Roto Rooter. We don't advertise. Some plumbers advertise, we'll fix any drain for $99 Now That's not the case. I mean, then they find out that there's a $50 charge for this and a $50 charge for that. And they say, And not your drain, no, your drain is an exception. Speaker 100:43:40But we don't do that. So cost cutting on the rotary side It would only come from something I referred to earlier and that is we've built our workforce Through a lot of training and expense, and we're probably a little too high given our current call volume. And to the extent that we're not going to lay anybody off or anybody, but to accept that there's turnover would be a little less aggressive And filling those spaces caused by the termination, probably. I mean, if you said, if our workforce was up 4% Year to date, it's traded down to being up 1% or 2%. I think that would be very reasonable and that would be the cost cutting. Speaker 100:44:29Of course, a company like Rotor, labor is everything. So that would have the effect of cost cutting, but it would be Passive rather than active. Speaker 200:44:40Yes. And generally, it's semantics, but I mean, our approach on cost cutting is we don't cut costs. We reengineer costs out of the system. What can we do for less money or hopefully less money and do a better job doing various things? But reengineering is the sustainable way to drive down your expenses, not just through stress you start whacking expenses. Speaker 200:45:04That usually Helps in the short term and hurts in the long term. So we're much fans of 3, 6, 9 months engineering various costs downward, but not just wacky. Speaker 600:45:17Appreciate the call. Thank you so much for taking the questions. Speaker 400:45:22Thank you. At this time, I'd like to turn the conference back To Kevin McNamara for closing remarks. Speaker 100:45:29Okay. My remarks are limited to thanking everyone for Your kind attention and we'll continue to work and again make a recovery from an unusual Unusually tough quarter for us, but again, we think we're still on a winning wicket. And thank you, everyone. Speaker 400:45:50This concludes today's conference call. Thank you for participating and you may now disconnect.Read morePowered by Conference Call Audio Live Call not available Earnings Conference CallChemed Q2 202300:00 / 00:00Speed:1x1.25x1.5x2x Earnings DocumentsSlide DeckPress Release(8-K)Quarterly report(10-Q) Chemed Earnings HeadlinesHere's How Much $1000 Invested In Chemed 15 Years Ago Would Be Worth TodayApril 15, 2025 | benzinga.comQ4 Earnings Highs And Lows: Chemed (NYSE:CHE) Vs The Rest Of The Senior Health, Home Health & Hospice StocksApril 15, 2025 | finance.yahoo.comTrump’s Top Secret $9 Trillion AI SuperweaponJeff Brown spotted Nvidia at $1. Now he’s revealing a new AI superweapon — and the Musk-connected stocks that could benefit.April 20, 2025 | Brownstone Research (Ad)Positive Outlook for Chemed’s Roto-Rooter Segment Justifies Buy Rating Amid Rising Demand and Revenue GrowthApril 14, 2025 | tipranks.comChemed Corporation (CHE) Shares Retreated by -13% During TimesSquare U.S. FOCUS Growth Strategy’s Holding PeriodApril 7, 2025 | insidermonkey.comChemed (CHE): Buy, Sell, or Hold Post Q4 Earnings?April 3, 2025 | msn.comSee More Chemed Headlines Get Earnings Announcements in your inboxWant to stay updated on the latest earnings announcements and upcoming reports for companies like Chemed? Sign up for Earnings360's daily newsletter to receive timely earnings updates on Chemed and other key companies, straight to your email. Email Address About ChemedChemed (NYSE:CHE) provides hospice and palliative care services to patients through a network of physicians, registered nurses, home health aides, social workers, clergy, and volunteers primarily in the United States. The company operates in VITAS and Roto-Rooter segments. It offers plumbing, drain cleaning, excavation, water restoration, and other related services to residential and commercial customers through company-owned branches, independent contractors, and franchisees. The company was incorporated in 1970 and is headquartered in Cincinnati, Ohio.View Chemed ProfileRead more More Earnings Resources from MarketBeat Earnings Tools Today's Earnings Tomorrow's Earnings Next Week's Earnings Upcoming Earnings Calls Earnings Newsletter Earnings Call Transcripts Earnings Beats & Misses Corporate Guidance Earnings Screener Earnings By Country U.S. Earnings Reports Canadian Earnings Reports U.K. Earnings Reports Latest Articles Archer Aviation Unveils NYC Network Ahead of Key Earnings Report3 Reasons to Like the Look of Amazon Ahead of EarningsTesla Stock Eyes Breakout With Earnings on DeckJohnson & Johnson Earnings Were More Good Than Bad—Time to Buy? Why Analysts Boosted United Airlines Stock Ahead of EarningsLamb Weston Stock Rises, Earnings Provide Calm Amidst ChaosIntuitive Machines Gains After Earnings Beat, NASA Missions Ahead Upcoming Earnings Tesla (4/22/2025)Intuitive Surgical (4/22/2025)Verizon Communications (4/22/2025)Canadian National Railway (4/22/2025)Novartis (4/22/2025)RTX (4/22/2025)3M (4/22/2025)Capital One Financial (4/22/2025)General Electric (4/22/2025)Danaher (4/22/2025) Get 30 Days of MarketBeat All Access for Free Sign up for MarketBeat All Access to gain access to MarketBeat's full suite of research tools. Start Your 30-Day Trial MarketBeat All Access Features Best-in-Class Portfolio Monitoring Get personalized stock ideas. Compare portfolio to indices. Check stock news, ratings, SEC filings, and more. Stock Ideas and Recommendations See daily stock ideas from top analysts. Receive short-term trading ideas from MarketBeat. Identify trending stocks on social media. Advanced Stock Screeners and Research Tools Use our seven stock screeners to find suitable stocks. Stay informed with MarketBeat's real-time news. Export data to Excel for personal analysis. Sign in to your free account to enjoy these benefits In-depth profiles and analysis for 20,000 public companies. Real-time analyst ratings, insider transactions, earnings data, and more. Our daily ratings and market update email newsletter. Sign in to your free account to enjoy all that MarketBeat has to offer. Sign In Create Account Your Email Address: Email Address Required Your Password: Password Required Log In or Sign in with Facebook Sign in with Google Forgot your password? Your Email Address: Please enter your email address. Please enter a valid email address Choose a Password: Please enter your password. Your password must be at least 8 characters long and contain at least 1 number, 1 letter, and 1 special character. Create My Account (Free) or Sign in with Facebook Sign in with Google By creating a free account, you agree to our terms of service. This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
There are 7 speakers on the call. Operator00:00:00Morning. Our conference call this morning will review the financial results for the Q2 of 2023 ended June 30, 2023. Before we begin, let me remind you that the Safe Harbor provisions of the Private Securities Litigation Reform Act of 1995 apply to this conference call. During the course of this call, the company will make various remarks concerning management's expectations, predictions, plans and prospects that constitute forward looking statements. Actual results may differ materially from these projected by those forward looking statements as a result of a variety of factors, including those identified in the company's news release of July 26 and in various other filings with the SEC. Operator00:00:40You are cautioned that any forward looking statements reflect management's current view only and that the company undertakes no obligation to revise or update such statements in the future. In addition, management may also discuss non GAAP operating performance results during today's call, including earnings before interest, taxes, depreciation and amortization, or EBITDA, and adjusted EBITDA. A reconciliation of these non GAAP results is provided in the company's press release dated July 26, which is available on the company's website at chemed.com. I would now like to turn I would now like to introduce our speakers for today, Kevin McNamara, President and Chief Executive Officer of Chemed Corporation Dave Williams, Executive Vice President and Chief Financial Officer of Chemed and Nick Westfall, President and Chief Executive Officer of Chemed's Healthcare Corporation subsidiary. I will now turn the call over to Kevin McNamara. Speaker 100:01:32Thank you, Holly. Good morning. Welcome to Chemed Corporation's Q2 2023 conference call. I will begin with highlights for the quarter, and Dave and Nick will follow-up with additional operating details. I will then open up the call for questions. Speaker 100:01:48Our Q2 2023 operating results released last night reflect significant improvement in VITAS' operational metrics post pandemic. In the quarter, our admissions increased 5.9% over the prior period. These strengthening admissions continue to drive higher patient census. In the Q2, our average daily census, or ADC, expanded 10.77, an increase of 6.2% when compared to the prior year and 3.2% when compared with the Q1 of 2023. VITAS' improving operating metrics are a direct result of our retention and hiring program launched July 1 last year. Speaker 100:02:31This program was designed to stabilize turnover in our tenured staff as well expand patient capacity. Since July 1, 2022, Our staffing has methodically increased on a sequential basis over this 12 month period. This increase in staffing and related patient capacity has been converted into increased admissions and census. The retention program has generated an aggregate increase of 784 licensed Healthcare professionals, the majority of which are licensed nurses. Over the last four quarters, VITAS has increased bedside professionals on a net sequential basis by 172, 103, 203, 209, respectively. Speaker 100:03:17The majority of the expanded capacity from the 309 net hires in the Q2 of 2023 is forecast to benefit admissions and census growth in the second half of the year. On June 30, 2023, our end of the month census was 18,000 542 patients. This compares to our June 30, 2022 ending census of 17,360 for a net increase of 1182 patients. This raw patient increase translates into $84,000,000 of annualized billable revenue. Our revised guidance does assume sequential ADC growth to moderate in the second half of twenty twenty three when compared to the 1st 6 months of the year. Speaker 100:04:01Now let's turn to Roto Rooter. By all indications, Roto Rooter is encountering what I can only describe as headwinds on consumer spending. As noted during our Q1 teleconference call, in the last few weeks of the Q1, we observed an increase in weekly revenue volatility, indicating a potential softening in consumer demand. Since March, we have observed increased weakness in weekly call volume and revenue. This weakness has continued throughout the Q2. Speaker 100:04:30Overall, our call volume is down approximately 13% when compared to the prior year quarter. Although call volume is a crude measurement, it does indicate consumers are moderating their behavior in terms of discretionary plumbing and drain cleaning services. Road order has offset a portion of the softening demand with material increase in close rates. Our call centers conversion rate, The rate at which a call is converted into a technician scheduled ticket has increased 2 30 basis points. Our technician conversion rate, the percentage of time a tech arrives at the home or business and converts a scheduled ticket into billable work, has increased 160 basis points. Speaker 100:05:12These improved conversion rates have materially reduced the impact of softening consumer demand. We've seen some recent signs of improvement in overall demand over the last few weeks. However, our guidance assumes Roto Rooter continues to be modestly impacted by consumer spending headwinds for the remainder of the year. To summarize, I'm pleased with the accelerated improvement in VITAS post pandemic. Our increased growth in licensed healthcare professionals, Strong admissions and corresponding growth in patient census has positioned VITAS to return to normalized operating metrics in early 2024. Speaker 100:05:47Roto Rooter is well positioned in spite of economic headwinds on consumer spending. We anticipate continued expansion of market share by pressing Roto Rooter's core competitive advantages in terms of excellent brand awareness, customer response time, 20 fourseven call centers and aggressive Internet presence. With that, I would like to turn this teleconference over to David. Speaker 200:06:09Thanks, Kevin. VITAS' net revenue was $321,000,000 in Q2 of 2023, an increase of 7.8% when compared to the prior year period. This revenue increase is comprised primarily The 6.2% increase in our days of care, a geographically weighted average Medicare reimbursement rate increase of approximately 2.7%, partially offset by 100 basis points from sequestration. The combination of Medicare CAF and other contra revenue Changes negatively impacted revenue growth by 10 basis points in the quarter. Average revenue per patient per day in the Q2 of $2,220.02 which is 170 basis some 178 basis points above the prior year period. Speaker 200:06:59Reimbursement for reaching home care and high acuity care averaged $172.91 $1,031.58 respectively. During the quarter, high acuity days of care were 2.8% of total days of care, essentially equal to the prior year quarter. The gross margin and adjusted EBITDA for VITAS were both negatively impacted by CMS reimplementing sequestration, which reduced these margins by 100 basis points when compared to the prior year quarter. Gross margin in the Q2 of 2023, excluding Medicare cap And the retention bonus program was 22.7%. This was 143 basis point increase when compared to the Q2 of 2022. Speaker 200:07:47Our adjusted EBITDA excluding Medicare cap totaled $50,700,000 in the quarter, an increase of 1.4%. Adjusted EBITDA margin in the quarter, excluding Medicare cap, was 15.7%, which is 101 basis points below the prior year period, really all of which is contributed to sequestration. As Kevin noted earlier, VITAS increased the licensed healthcare staff by 309 professionals in the quarter. This results in total license staff increasing by 784 professionals since the inception of the retention program on July 1, 'twenty 2. The increase of 309 net professionals hired during the quarter of 2023, think of it as basically underutilized labor capacity, is estimated to have negatively impact margins in the 2nd quarter by approximately 80 basis points. Speaker 200:08:43Now let's turn to Roto Rooter. Roto Rooter generated revenue of $233,000,000 in the Q2 of 2023, which is a decline of 0.2% when compared to the prior year quarter. Roto Rooter's branch commercial revenue in the quarter totaled $55,500,000 which is an increase of 1.3% over the prior year. The aggregate commercial revenue growth consisted of drain cleaning revenue Declining 3%, plumbing increasing 5.4%, excavation increasing 2.9% and water restoration increasing 9.7%. Roto Rooter's branch residential revenue in the quarter totaled $158,000,000 which is a decline of 1.1% over the prior year period. Speaker 200:09:28The aggregate residential revenue growth consisted of drain cleaning decreasing 8.6%, Plumbing declining 2.8%, excavation expanding 3.8% and water restoration increasing 2.5%. Roto Rooter's gross margin in the quarter was 52.3%, which is an 89 basis point decline when compared to the Q2 of 'twenty 2. Adjusted EBITDA in the Q2 of 2023 totaled $65,900,000 a decrease of 4.5 percent And the adjusted EBITDA margin in the quarter was 28.3%, 128 basis points below the prior year period. Now let's take a look at our guidance. VITAS' 2023 revenue prior to Medicare cap is estimated to increase 8.5% to 9.5% when compared to 2022. Speaker 200:10:23VITAS' forecasted full year revenue growth is negatively impacted by 75 basis points as a result of the sequestration relief in the first half of twenty twenty two compared to a full year of sequestration in 2023. ADC is estimated to increase 6.5% to 7.5% and full year adjusted EBITDA margin prior to Medicare GAAP and accrued bonuses related to our retention program is estimated to be between 16.5% 17%, And we're currently estimating $11,000,000 of Medicare cap billing limits in calendar year 2023. Roto Rooter is forecasted to achieve full year 2023 revenue growth of 1% to 2%, and Roto Rooter's adjusted EBITDA margin for 2023 is expected to be between 28% 28.5%. So based on this discussion, Our full year 2023 earnings per diluted share, excluding non cash expense for stock options, tax benefits from stock option exercises, Costs related to certain litigation settlements in our retention bonus program is estimated to be in the range of $19.90 to $20.10 Current 2023 guidance assumes an effective corporate tax rate and adjusted earnings of 24.7 percent and a diluted share count of 15,200,000 shares. For comparison, Roto Rooter's 2022 reported adjusted earnings per diluted share was $19.75 I'll now turn this call over to Nick Westfall, President and Chief Executive Officer of our VITAS Healthcare Business segment. Speaker 300:12:12Thanks, David. As Kevin discussed, we implemented a targeted retention and hiring bonus program at VITAS effective July 1, 2022. This program was focused on licensed nurses, including admission nurses, nurse managers, home health aids and social workers. These one time retention bonuses range from $2,000 to $15,000 per licensed healthcare professional. The total 12 month forward looking cost of this program, including payroll taxes and government mandated overtime calculations is estimated at $43,000,000 All retention bonus payments are individually cliff vested and paid out after the employee has successfully completed 12 months of continuous employment. Speaker 300:12:59From an economic perspective, approximately $37,000,000 of this retention program was to maintain existing staffing The additional $6,000,000 is estimated retention bonuses represent bedside capacity expansion. This additional $6,000,000 in retention bonuses has helped to contribute to ADC increasing $11.82 when comparing the month of June to its prior year. On an annualized basis, this 11.82 increase in patient census will generate annual revenue of approximately $84,000,000 During the Q2, we expanded our licensed healthcare professional staff by 309 employees, bringing the total licensed healthcare staffing expansion attributed to this program to 784. In the Q2 of 2023, our average daily census was 18,392 patients, an increase of 10.77 or 6.2 percent when compared to the prior year and an increase of 5.62 or 3.2% sequentially. The sequential monthly ADC growth in the Q4 of 2022, the Q1 of 2023 And now the Q2 of 2023 is very encouraging given the timing lag of increased staffing when which then generates subsequent admission and census expansion. Speaker 300:14:21In the Q2 of 2023, total VITAS admissions were 15,611. This is a 5.9% increase when compared to the Q2 of 2022 and a 5.3% improvement when compared to the Q4 of 2022. In the quarter, our nursing home admissions increased 13.7%, assisted facility admissions expanded 3.9%, Hospital direct admissions increased 4.5% and our home based patient admissions expanded 3.8% when compared to the prior period, all four segments increasing positively. Our average length of stay in the quarter was 99.5 days. This compares to 103.7 days in the Q2 of 2022 99.9 days in the Q1 of 2023. Speaker 300:15:09Our median length of stay was 16 days in the quarter in comparison to 17 days in the Q2 of 2022 and 15 days in the Q1 of 2023. To recap what our team has recently accomplished, we now generated 4 quarters of sequential growth in licensed healthcare workers And 3 quarters of sequential growth in ADC. We have developed what I believe is a very sustainable path to building back our capacity, patient base and overall operating performance to pre pandemic levels and beyond. With that, I'd like to turn this call back over to Kevin. Speaker 100:15:42Thank you, Nick. I will now open this teleconference to questions. Speaker 400:15:47Thank you. And our first question comes from Ben Hendricks of RBC Capital Markets. Speaker 500:16:20Hi, this is Mike Murray on for Ben. Starting with Roto Rooter, could you remind us of your mix of discretionary versus Non discretionary jobs. And do you believe this deferred maintenance could become a tailwind in 2024? Or do you think more people are doing the jobs Speaker 200:16:40Well, Ben, the definition of discretionary is in the minds of the consumer. But with that said, well under 10% of our volume, we consider discretionary, well under. But Again, it's up to the consumer to decide. What we have seen is an increase, though, in non discretionary jobs to discretionary jobs On a relative basis. So what we're doing is the more severe phone calls are still coming in. Speaker 200:17:09Again, that's well over 90% of our volume. But the customers are clearly self selecting on the annoying toilet that's constantly running the upper tank because of a bad seal or valve. Those are the things that you could defer or attempt to do yourself. So the small, annoying projects. But we actually have seen an increase In bigger jobs over really the last 6 months. Speaker 200:17:35But very little is discretionary. We're a grudge purchase in the 1st place. No one gets this purchase satisfaction of getting your house back today where it was 2 days ago. So the fact is people call us because of necessity and that's just down just a hair. Speaker 100:17:54And I would say, Dave, that the what you have is what we describe as discretionary or putting something off. It's putting something off A couple of months, not permanently. So but it's hard to say. You're getting at a question which is A tough one. When you look at a drop in call volume like we had, I mean, again, if you Our best thinking on it is that we had a period of 18 months where Wages was not keeping pace with inflation and there was a significant gap. Speaker 100:18:35And That had an outsize effect on consumer decisions. We take comfort of the fact that that's turning around at this point. And we have a very basic business in Roto Rooter. There's no sense in any way that we're losing market Power, the network door share, our close rates are higher than they've been, Not surprisingly because people are more incentivized to push for every sale. It's something that we look at. Speaker 100:19:13We look at the softness as being not confined to one region, which would suggest to us that It's an issue that's outside of our control. It's not The soft is not due to having turnover at a couple of big branches. It's more pervasive than that. But at the same time, What Dave is really suggesting is to the extent when you have these really non discretionary problems, It's going to take somebody to fix it eventually, and there's no reason for us to believe that they're any less likely to call rotator. Speaker 200:19:53And I just have to say, call volume is up significantly from pre pandemic levels. I mean, obviously, double digit. But It does look like the consumer is a little exhausted. And I think this has happened a couple times in the last 20 years. I think I can point to Post the Great Recession in 2010, and there was some disruption around 2,001. Speaker 200:20:19But this doesn't happen very often and it does take kind of a it takes a very, very broad geographic kind of disruption and I think that's what we're seeing In all four of our regions throughout the country, the softness is everywhere. Speaker 100:20:33Yes, that's true. And another thing, a question you haven't asked, It just seemed like it came on pretty quickly. I mean, obviously, from our previous call 3 months ago, we said we noticed it in the last month The Q1. It was many of the effects were probably already starting to land For Roto Rooter, however, it was covered up by unusual weather patterns, Which basically had business going through the roof the 1st 2 months of the Q1. It's something some of these forces that we see at work are more than they didn't just pop up In the Q2, they were probably already having some effect by the Q1. Speaker 100:21:25But again, so unusual weather in Q1 kept everybody working around the clock then. So then when the weather moderated, we had A fairly severe difference. So again, we're one good thing about having the Roto Rooter business, It's got, as Dave indicated earlier, great brand awareness, great marketing position. One thing we haven't said is that one of the biggest limitations to Red River's business is workforce And our workforce has never been stronger. We're prepared for an uptick. Speaker 100:22:07We probably have 2 larger workforce given the current call volume, but again, there's been a lot of effort and expense in developing that workforce. So we give ground right in that regard. So we're We're not alarmed in any respect with the River business. Speaker 200:22:27And Ben, to your question on a tailwind, the answer is probably these jobs will come to WASS. But in light of what we've seen, call it, in March and then in the second quarter, we have gotten conservative on the Roto Rooter guidance. We're actually guiding to typically, we see seasonality where Q3 tends to be all the quarters are relatively But Q3 tends to be down a couple points from Q2. Q4 actually on average has been up as much as 7% for seasonality from Q3 to Q4. We were also very conservative, and we guided that sequential growth from Q3 to Q4 of this year to be only up a little under 3% Because we don't know what's happening with the consumer spending. Speaker 200:23:10We think we put forward conservative but realistic guidance for Roto Rooter. We're encouraged by what we see in July relative to our guidance. But with all that said, We're waiting to see a sigh of relief in other consumer spending categories to say this is just an anomaly. But Ben, we haven't seen that yet. Right now, we're going under the assumption that consumer is a little exhausted and they're going to avoid spending on Roto Rooter To the extent they can. Speaker 200:23:41But like I said, 95 plus percent of our volume is unavoidable. Speaker 500:23:48Okay. And just a follow-up to that. How does the magnitude of the decline in call volumes compare to past consumer cycles? And In those instances, how quickly did it take for demand to return? Speaker 200:24:12The call volumes unusually we've never seen call volume with the kind of spikes we've had. So this is actually an unusual drop. And we've never seen weakness in demand go beyond 12 months. Speaker 100:24:27Okay, cool. That's an outside But I'm Speaker 200:24:32just throwing one out there. It's always been a very short lived cycle And it doesn't happen often, but it does happen. Like I said, the Great Recession and nineeleven And then kind of the dotcom blow up in 1992,000 as well. Those are the ones that come to mind, but it doesn't happen often. Speaker 500:24:54Okay. All right. Thanks for the color. Just real quick shifting to VITAS. You just hit the 1 year mark on your hiring and Retention program, have you seen a pickup in turnover for the tenured employees so far? Speaker 500:25:09And then on the flip side of that, has hiring Slowed materially since the retention program ended Speaker 300:25:17So Mike, this is Nick. The answer to both of those The answer is no. So we have not seen a material pickup to turnover. What I will say, we're still in the 1st month related to it. We always like to say 1 month never makes a trend, but we feel good about it. Speaker 300:25:33And for all prior commentary, all the things that weren't Relegated to just the financial payment, but cultural enhancement, other items that tend to keep people with an organization Is what was the driving force for some of those confident comments in the prior quarters about the expiration of the program. And then in regards to hiring, the hiring rate has We've been able to hire successfully where we need to on a market by market basis. And so we feel confident in our ability to do that going forward. Speaker 200:26:06Mike, nothing stops NIF where it's appropriate to have a small retention program in a market for certain disciplines. It's just not going to be necessary to carve it out or even call it out. At this point, we believe we can do it. We're necessary on a very small basis that you guys won't even see. Okay. Speaker 100:26:25All right. Speaker 500:26:26That's helpful. Thank you. And just one final one. Given the repayment of your debt during the quarter, How are you thinking about share repurchases in the back half of the year? Speaker 200:26:37We still think share repurchase is what appears to be the best way to Return capital to shareholders. At the same time, with what the Fed did yesterday, We're now getting about 5.5 percent pretax on our overnight money. And so from that standpoint, it's no longer the 10 basis Points of nothing we used to get 2 years ago. So we actually aren't penalized by sitting on cash because of the overnight return. That's Basically, right now, all kept with JPMorgan Chase. Speaker 200:27:10But share repurchase is a continued part of our capital deployment. And we'll do so. Yes. Every quarter we anticipate it. Speaker 100:27:18Okay. All right. Speaker 500:27:19That's all I had. Thank you. Speaker 400:27:22Thank you. And our next question comes from Joanna Gajuk of Bank of America. Please proceed. Speaker 600:27:52Yes, good morning. Thank you so much for taking the questions here. So I guess first on Vida, Things are going there pretty nicely and you raised your guidance and I expect a 9% revenue growth, call it, year over year. So how should we think about this growth going forward? Is it a sustainable growth rate? Speaker 600:28:17And also with This could both at that rate when it comes especially for census, right, if census returns to 2019, which seems like We are very close to that. How should we think about margins if that was to happen? Speaker 200:28:37Regarding margins, very, very encouraged with where we are now. If you actually think about the headwinds we created by excess capacity, unutilized labor, because that'll be utilized in Q3 of this year, the 309 People we hired. Actually, it does look like we're going to get to our target fairly comfortably to that, Call it that 17.5 percent adjusted EBITDA margin we enjoyed in the Q4 of 2019 seems very achievable Within 2024, I don't want to get too optimistic beyond that, but it's encouraging. And regarding our guidance for the second half We actually assume census growth moderates, the second half of the year compared to the first where we'll add about 75% of the census we added in the first half, we're assuming in our guidance we add pro rata throughout the second half of this year. So we expect the momentum to continue, but we conservatively estimate it to slow a little bit from the first half. Speaker 200:29:39Nick, anything else we should add on that? Speaker 300:29:41No, I don't think so. Just as a reminder, if you start comparing pre pandemic to Exiting pandemic dynamics, there's a lot of different variables inside of it, right? Just to not to recap it, but it's about a 3 year window. And one of the other aspects and you can see it through the distribution of pre admit institutions, while we continue to service the entire community of where we're at, The community access initiative will continue and is effectively baked into our approach on a go forward basis in every market. We'll see what that translates into for 2024 and beyond, but it puts us at a good it should put us at a good jump off point at the end of the year. Speaker 200:30:24I'd also say as we talked about this in past quarters, when we look at census, we actually follow it in buckets. And we look at it as 10 year buckets. So how many patients have been with us, 0 to 30 days, 31 to 60, 61 to 90, and we do that all the way out. And obviously during the pandemic when we had weak admissions, the 13% of our patients who lived past 6 months, that actually Got bled off during the past 3 years, or really 2 years. And really, over the past three quarters, Nick and his team have really started Material growth in all of those aged out buckets. Speaker 200:31:05So the path that we're returning on and We lose money on half of our patients, 13% or so make it past 6 months. We are doing a great job of filling the statistical outlier buckets of beyond 180 days. So that's another indirect way of saying that the Momentum we've picked up in the recovery is on a really, really solid foundation of census. Speaker 300:31:33And last comment, just to relay why that's important not only for VITAS but the overall industry and also for the Medicare Trust Fund is There's recent independent literature. We're out on the hill today continuing to educate. And what it helps to further illustrate is for the entire hospice industry, There's a need for earlier access. And the more there's earlier access, there's more total cost of care savings to the Medicare Trust Fund, including Past 12 months with almost 11% cost savings. So I bring it up because hopefully that trend continues consistently for the industry because it's significantly beneficial for the Medicare Trust Fund. Speaker 600:32:14Great. And I guess if I may, just to follow-up on that point, right. The Medicare rate updated proposal, right, it came out with this pushback from the industry clearly arguing this should be Instead of a one time adjustment for the market basket as it's been below cost inflation the prior 2 years. So I guess to think there are any traction on having CMS actually act on it or do you need Congress To do something along these lines? And what do you expect in the final regulation that should come out any day? Speaker 300:32:53So I think that commentary with it, we'll see. It's fully within CMS's authority To do so, there's all indications the final rule itself will be issued in the very near future. And so as opposed to Speculating we'll sit back and see. The ongoing calculation as we've alluded to significantly lags reality. Since it's pegged against the hospital market basket index it impacts more than just the hospice industry, right? Speaker 300:33:23It impacts the hospitals by definition as well. And time will tell. I think the important piece going back to the value of the study is The fact that hospice is one of arguably the only industry that is returns money to the Medicare Trust Fund inside of healthcare is one that we hope CMS hears and our congressional leadership hears so that they continue to support ongoing Reimbursement because of the value of the benefit for the overall country and to the Medicare Trust Fund. Speaker 200:33:57Yes. But Joanna, your point is a good one. Our association estimates With the proposed rule that CMS put out a couple months ago, they've held back on a little over 5% of increase based on an Inflation measurement on the market basket. Obviously, that impacts the entire industry, but it's existential for the small players who lack Scale, which is over 50% of the provider numbers out there. So frankly, one of the reasons we are picking up, licensed healthcare staff And expanding our census is because our small mom and pop competition, which exists in every market, they're truly struggling because they lack scale And that 500 basis points of inflation is kicking their butt. Speaker 200:34:40And so right now, CMS, by holding back on reimbursement, It's creating opportunities for the players who have scale to expand market share. And that's what we're going to do, but we really wish CMS would true up the inflation. We'll take the share, but it's a tough way to get it. Speaker 600:34:58No. And I guess it begs the question, would you be interested in buying out I guess at this point you're just saying that it's cost effective or more cost effective to just hire weighted workers? Speaker 200:35:11Massively more cost effective. As Kevin said in our prepared remarks, it costs us $6,000,000 incremental in this retention bonus to expand our workforce. And that creates, based on just on the expanded census we've enjoyed through today, That's $84,000,000 of revenue that it costs us $6,000,000 to acquire. If we had under pre pandemic, we would have paid anywhere from $100,000,000 to $204,000,000 in revenue, which obviously we didn't do because we thought those were crazy valuations. But right now we're getting it through competition. Speaker 100:35:46And the problem with Buying the hospices, they're almost always too small to be profitable based on what we think is we think it's tied to quality, but to the extent that we're a big public company, we have to have safeguards and Provide all levels of service and whatnot on the too low a census base, That's just not economically feasible. Speaker 200:36:14But acquisitions aren't off the table, Joanna. We could see doing a footprint that gets us in an area we're not in, And it would even be a multiple for that, but then we have to average down that multiple by basically increasing the size of whatever we acquire Through market competition. So we'll Speaker 100:36:32And any county in Florida that we're not. Speaker 200:36:34Yes. Actually California and Florida typically are very successful in that regard. But we're not opposed to it. But at the same time, you know we're very serious about protecting shareholders' capital. If we put it at risk, there better be a commensurate return. Speaker 600:36:52Right. That makes sense, obviously. And I'm sure people you alluded to it and Obviously, sitting on the cash sheet is not a bad idea, I guess, as of now. Just switching to the rotors, so I appreciate the commentary You assume this weakness, I guess, continues, but I guess it sounds like July may be indicating Some changes there. So, yes, what would have to happen, I guess, in your mind for kind of the call volume, I guess, to return or Or kind of reverse this trend? Speaker 600:37:29Kind of what you're looking out there in the market to kind of Be able to say like, Ellie, this is happening or it will happen soon. Speaker 100:37:39Well, this is a tough one. That's a tough one. It comes down Why does the phone not ring? Sometimes we know why the phone does ring and it's because it's Raining in some part of the country and whatnot and causing all sorts of havoc, which is good for the Roto Root business, But tough on the people. But generally thinking why does it ring, why does it not ring, The only thing we can point to is, let's say, Internet marketing. Speaker 100:38:11That drives The sales that we have. To the extent that we have various measures, I mean, of course, I don't want to get too far in the weeds, but There's the natural search, which is free, which you hope Rotor pops up and that's tied to Their algorithm and there's all sorts of things that you do. You have bricks and mortar stores to get better coverage. You do well on that. There's paid search. Speaker 100:38:44There's one measure of paid search, which is You want to make sure that you show up on the first page more frequently. And the vexing thing is that We're doing better than that than we ever have. In other words, we're showing up on the 1st page of paid search more often. We're just continuing to refine that and hope to even improve that. But to the extent that search to the entire category Is we believe down substantially. Speaker 100:39:20It's The reverse of the converse of the phrase, the rising creek covers a lot of stumps. The creek is in the whole category It's down for people starting the search. But to answer your question, one thing we can do is we can have our fingers crossed And hope the economic conditions improve so that there's more people searching for plumbing and drain cleaning, number 1. But then number 2 is something that we Continue to do and we've had some success with based on some of our quoted metrics being better placed on the Internet to Capture more of the eyes to consider Roto Rooter. So your question is a tough one. Speaker 100:40:05It's vexing to Roto Rooter. And I say with some trepidation that if it comes down to Running a business that involves keeping your fingers crossed and hoping demand comes back, that's a tough way to run the business. And we're putting that aside Right now and doing what we can on the marketing side. Speaker 200:40:27You certainly can't ignore the significant increase in call center close rates and technician close rates at the residents Has, like I said, materially offset that we call demand, but not completely. Speaker 100:40:38And that just shows, as we said, In Roto Rooter, Roto Rooter has been around for a long time. They have good management, the good management that goes, it says right to the field. If you've said to us 6 months ago, which you did, what are the issues in the road? We said we had an unprecedented 18 month Period where we had some of our top branch managers hired away by private equity. Now that's largely stopped for a variety of reasons. Speaker 100:41:11And we said at the time, our softness really, the fact that we had new managers in the number of locations, an unusually high number of New locations where we had new managers. And again, time has helped settle that, but the softness we see is more pervasive, More tied to overall economic conditions. And we think, we think, based Kind of our research that some of the factors that caused that are ameliorating. So, but we don't kid ourselves When we're talking about big economic conditions, it's hard to draw too many Too many conclusions based on what almost by definition is insufficient data. Speaker 600:42:01And the last question here to that end. So would you expect cost cutting? Are you doing anything differently given the cost volume being down? And I guess what are Speaker 100:42:12the things you Speaker 200:42:13do, right? Speaker 600:42:13You Speaker 100:42:13got to remember, John, one of the thing about rotary rooters, we do not quote a price over the phone. We don't advertise the price. I mean, the way that in other words, somebody calls us, they have no idea what road we're going to charge for the issue. We send somebody out, they give a written estimate for what it costs. That's the first time that the customer sees the price. Speaker 100:42:39And actually, as Dave said, our close rate once first of all, when somebody calls The close rate, the conversion rate by the person on the phone is higher. When we send the technician out who mentions Price for the first time, those close rates are going higher. So, no, the cost cutting side, we think an important Aspect of Roadrunner is make sure that we protect margins and especially in inflationary periods, we make sure we get price increases That reflect the inflation. And that again, that's another success area. We think we have gotten that price increase. Speaker 100:43:19Price cutting doesn't really work for Roto Rooter. We don't advertise. Some plumbers advertise, we'll fix any drain for $99 Now That's not the case. I mean, then they find out that there's a $50 charge for this and a $50 charge for that. And they say, And not your drain, no, your drain is an exception. Speaker 100:43:40But we don't do that. So cost cutting on the rotary side It would only come from something I referred to earlier and that is we've built our workforce Through a lot of training and expense, and we're probably a little too high given our current call volume. And to the extent that we're not going to lay anybody off or anybody, but to accept that there's turnover would be a little less aggressive And filling those spaces caused by the termination, probably. I mean, if you said, if our workforce was up 4% Year to date, it's traded down to being up 1% or 2%. I think that would be very reasonable and that would be the cost cutting. Speaker 100:44:29Of course, a company like Rotor, labor is everything. So that would have the effect of cost cutting, but it would be Passive rather than active. Speaker 200:44:40Yes. And generally, it's semantics, but I mean, our approach on cost cutting is we don't cut costs. We reengineer costs out of the system. What can we do for less money or hopefully less money and do a better job doing various things? But reengineering is the sustainable way to drive down your expenses, not just through stress you start whacking expenses. Speaker 200:45:04That usually Helps in the short term and hurts in the long term. So we're much fans of 3, 6, 9 months engineering various costs downward, but not just wacky. Speaker 600:45:17Appreciate the call. Thank you so much for taking the questions. Speaker 400:45:22Thank you. At this time, I'd like to turn the conference back To Kevin McNamara for closing remarks. Speaker 100:45:29Okay. My remarks are limited to thanking everyone for Your kind attention and we'll continue to work and again make a recovery from an unusual Unusually tough quarter for us, but again, we think we're still on a winning wicket. And thank you, everyone. Speaker 400:45:50This concludes today's conference call. Thank you for participating and you may now disconnect.Read morePowered by