Chemed Reports Third-Quarter 2017 Results
-Increases Full-Year Guidance-
Consolidated operating results:
- Revenue increased 6.3% to
$417 million - GAAP Earnings-per-Share of
$2.13 , an increase of 31.5% - Adjusted Diluted EPS of
$2.15 an increase of 24.3%
VITAS segment operating results:
- Net Patient Revenue of
$289 million , an increase of 2.2% - Average Daily Census (ADC) of 16,652 an increase of 2.8%
- Admissions of 16,000, a decrease of 1.0%
- Net Income of
$26.5 million , an increase of 26.6% - Adjusted EBITDA of
$43.9 million , an increase of 13.7%
- Revenue of
$128 million , an increase of 17.1% - Net Income of
$16.0 million , an increase of 24.7% - Adjusted EBITDA of
$28.8 million , an increase of 21.3% - Adjusted EBITDA margin of 22.4%, an increase of 77 basis points
VITAS
Net revenue for VITAS was
In the third quarter of 2017, VITAS had a 24.4/75.6 RHC Days-of-Care ratio and generated approximately
VITAS did not incur any Medicare Cap billing limitations in the quarter. At
Of VITAS’ 30 unique Medicare provider numbers, 28 provider numbers have a Medicare Cap cushion of 10% or greater and two provider numbers had a cap cushion between 5% and 10% for the 2017 Medicare Cap period.
Average revenue per patient per day in the quarter was
The third quarter of 2017 gross margin was 23.1%, which, excluding 2016 Medicare Cap, is a 240-basis point improvement when compared to the third quarter of 2016.
Selling, general and administrative expense was
Roto-Rooter’s plumbing and drain cleaning business generated sales of
Roto-Rooter’s gross margin in the quarter was 48.7%, an 86 basis point improvement when compared to the third quarter of 2016. Adjusted EBITDA in the third quarter of 2017 totaled
Chemed Consolidated
As of
In
During the quarter, the Company repurchased 50,000 shares of Chemed stock for
Updated Guidance for 2017
Revenue growth for VITAS in 2017, prior to Medicare Cap, is estimated to be in the range of 2% to 3%. Admissions and Average Daily Census in 2017 are estimated to expand approximately 2% to 3% and full-year Adjusted EBITDA margin, prior to Medicare Cap, is estimated to be 15.0%. We are currently estimating
Based upon the above, full-year 2017 adjusted earnings per diluted share, excluding non-cash expense for stock options, costs related to litigation, and other discrete items, is estimated to be in the range of
Conference Call
Chemed will host a conference call and webcast at
A taped replay of the conference call will be available beginning approximately 24 hours after the call's conclusion. It can be accessed by dialing (855) 859-2056 for
Chemed operates in the residential and commercial plumbing and drain cleaning industry under the brand name
This press release contains information about Chemed’s EBITDA, Adjusted EBITDA and Adjusted Diluted EPS, which are not measures derived in accordance with GAAP and which exclude components that are important to understanding Chemed’s financial performance. In reporting its operating results, Chemed provides EBITDA, Adjusted EBITDA and Adjusted Diluted EPS measures to help investors and others evaluate the Company’s operating results, compare its operating performance with that of similar companies that have different capital structures and evaluate its ability to meet its future debt service, capital expenditures and working capital requirements. Chemed’s management similarly uses EBITDA, Adjusted EBITDA and Adjusted Diluted EPS to assist it in evaluating the performance of the Company across fiscal periods and in assessing how its performance compares to its peer companies. These measures also help Chemed’s management to estimate the resources required to meet Chemed’s future financial obligations and expenditures. Chemed’s EBITDA, Adjusted EBITDA and Adjusted Diluted EPS should not be considered in isolation or as a substitute for comparable measures calculated and presented in accordance with GAAP. We calculated Adjusted EBITDA Margin by dividing Adjusted EBITDA by service revenue and sales. A reconciliation of Chemed’s net income to its EBITDA, Adjusted EBITDA and Adjusted Diluted EPS is presented in the tables following the text of this press release.
Forward-Looking Statements
Certain statements contained in this press release and the accompanying tables are "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995. The words "believe," "expect," "hope," "anticipate," "plan" and similar expressions identify forward-looking statements, which speak only as of the date the statement was made. Chemed does not undertake and specifically disclaims any obligation to publicly update or revise any forward-looking statements, whether as a result of new information, future events or otherwise. These statements are based on current expectations and assumptions and involve various risks and uncertainties, which could cause Chemed's actual results to differ from those expressed in such forward-looking statements.
These risks and uncertainties arise from, among other things, possible changes in regulations governing the hospice care or plumbing and drain cleaning industries; periodic changes in reimbursement levels and procedures under Medicare and Medicaid programs; difficulties predicting patient length of stay and estimating potential Medicare reimbursement obligations; challenges inherent in Chemed's growth strategy; the current shortage of qualified nurses, other healthcare professionals and licensed plumbing and drain cleaning technicians; Chemed’s dependence on patient referral sources; and other factors detailed under the caption "Description of Business by Segment" or "Risk Factors" in Chemed’s most recent report on form 10-Q or 10-K and its other filings with the
| CHEMED CORPORATION AND SUBSIDIARY COMPANIES | ||||||||||||||||||||||||
| CONSOLIDATED STATEMENT OF INCOME | ||||||||||||||||||||||||
| (in thousands, except per share data)(unaudited) | ||||||||||||||||||||||||
| Three Months Ended |
Nine Months Ended |
|||||||||||||||||||||||
| 2017 | 2016 | 2017 | 2016 | |||||||||||||||||||||
| Service revenues and sales | $ | 417,444 | $ | 392,607 | $ | 1,238,367 | $ | 1,173,405 | ||||||||||||||||
| Cost of services provided and goods sold | 288,047 | 281,658 | 859,039 | 836,348 | ||||||||||||||||||||
| Selling, general and administrative expenses (aa) | 66,919 | 59,373 | 205,031 | 181,046 | ||||||||||||||||||||
| Depreciation | 8,819 | 8,614 | 26,545 | 25,619 | ||||||||||||||||||||
| Amortization | 33 | 91 | 111 | 274 | ||||||||||||||||||||
| Other operating expenses | (371 | ) | - | 91,138 | 4,491 | |||||||||||||||||||
| Total costs and expenses | 363,447 | 349,736 | 1,181,864 | 1,047,778 | ||||||||||||||||||||
| Income from operations | 53,997 | 42,871 | 56,503 | 125,627 | ||||||||||||||||||||
| Interest expense | (1,048 | ) | (1,018 | ) | (3,164 | ) | (2,831 | ) | ||||||||||||||||
| Other income--net (bb) | 1,323 | 1,640 | 5,439 | 1,933 | ||||||||||||||||||||
| Income before income taxes | 54,272 | 43,493 | 58,778 | 124,729 | ||||||||||||||||||||
| Income taxes | (18,835 | ) | (16,664 | ) | (15,153 | ) | (48,175 | ) | ||||||||||||||||
| Net income | $ | 35,437 | $ | 26,829 | $ | 43,625 | $ | 76,554 | ||||||||||||||||
| Earnings Per Share | ||||||||||||||||||||||||
| Net income | $ | 2.22 | $ | 1.66 | $ | 2.72 | $ | 4.66 | ||||||||||||||||
| Average number of shares outstanding | 15,976 | 16,166 | 16,068 | 16,443 | ||||||||||||||||||||
| Diluted Earnings Per Share | ||||||||||||||||||||||||
| Net income | $ | 2.13 | $ | 1.62 | $ | 2.60 | $ | 4.54 | ||||||||||||||||
| Average number of shares outstanding | 16,676 | 16,559 | 16,763 | 16,851 | ||||||||||||||||||||
| (aa) | Selling, general and administrative ("SG&A") expenses comprise (in thousands): | |||||||||||||||||||||||
| Three Months Ended |
Nine Months Ended |
|||||||||||||||||||||||
| 2017 | 2016 | 2017 | 2016 | |||||||||||||||||||||
| SG&A expenses before long-term incentive | ||||||||||||||||||||||||
| compensation, expenses related to the O.I.G. | ||||||||||||||||||||||||
| investigation and the impact of market value | ||||||||||||||||||||||||
| adjustments related to deferred compensation | ||||||||||||||||||||||||
| plans | $ | 63,463 | $ | 56,475 | $ | 191,213 | $ | 174,183 | ||||||||||||||||
| Market value adjustments related to | ||||||||||||||||||||||||
| deferred compensation plans | 1,417 | 1,656 | 5,619 | 1,857 | ||||||||||||||||||||
| Long-term incentive compensation | 1,104 | 643 | 3,021 | 901 | ||||||||||||||||||||
| Expenses related to the O.I.G. investigation | 935 | 599 | 5,178 | 4,105 | ||||||||||||||||||||
| Total SG&A expenses | $ | 66,919 | $ | 59,373 | $ | 205,031 | $ | 181,046 | ||||||||||||||||
| (bb) | Other income--net comprises (in thousands): | |||||||||||||||||||||||
| Three Months Ended |
Nine Months Ended |
|||||||||||||||||||||||
| 2017 | 2016 | 2017 | 2016 | |||||||||||||||||||||
| Market value adjustments related to | ||||||||||||||||||||||||
| deferred compensation plans | $ | 1,417 | $ | 1,656 | $ | 5,619 | $ | 1,857 | ||||||||||||||||
| Loss on disposal of property and equipment | (146 | ) | (134 | ) | (481 | ) | (224 | ) | ||||||||||||||||
| Interest income | 51 | 119 | 297 | 301 | ||||||||||||||||||||
| Other | 1 | (1 | ) | 4 | (1 | ) | ||||||||||||||||||
| Total other income--net | $ | 1,323 | $ | 1,640 | $ | 5,439 | $ | 1,933 | ||||||||||||||||
| CHEMED CORPORATION AND SUBSIDIARY COMPANIES | ||||||||||||||||||||
| CONSOLIDATED BALANCE SHEET | ||||||||||||||||||||
| (in thousands, except per share data)(unaudited) | ||||||||||||||||||||
| |
||||||||||||||||||||
| 2017 | 2016 | |||||||||||||||||||
| Assets | ||||||||||||||||||||
| Current assets | ||||||||||||||||||||
| Cash and cash equivalents | $ | 18,871 | $ | 21,285 | ||||||||||||||||
| Accounts receivable less allowances | 91,483 | 86,006 | ||||||||||||||||||
| Inventories | 5,658 | 6,101 | ||||||||||||||||||
| Prepaid income taxes | 3,621 | 5,069 | ||||||||||||||||||
| Prepaid expenses | 15,678 | 14,498 | ||||||||||||||||||
| Total current assets | 135,311 | 132,959 | ||||||||||||||||||
| Investments of deferred compensation plans held in trust | 60,445 | 55,158 | ||||||||||||||||||
| Properties and equipment, at cost less accumulated depreciation | 143,148 | 119,994 | ||||||||||||||||||
| Identifiable intangible assets less accumulated amortization | 54,793 | 55,067 | ||||||||||||||||||
| |
473,024 | 472,418 | ||||||||||||||||||
| Deferred income taxes | 21,893 | 10 | ||||||||||||||||||
| Other assets | 6,845 | 6,870 | ||||||||||||||||||
| Total Assets | $ | 895,459 | $ | 842,476 | ||||||||||||||||
| Liabilities | ||||||||||||||||||||
| Current liabilities | ||||||||||||||||||||
| Accounts payable | $ | 34,752 | $ | 42,844 | ||||||||||||||||
| Current portion of long-term debt | 10,000 | 8,125 | ||||||||||||||||||
| Income taxes | 12,349 | - | ||||||||||||||||||
| Accrued insurance | 44,584 | 46,233 | ||||||||||||||||||
| Accrued compensation | 53,857 | 48,391 | ||||||||||||||||||
| Accrued legal | 91,450 | 1,495 | ||||||||||||||||||
| Other current liabilities | 22,382 | 20,369 | ||||||||||||||||||
| Total current liabilities | 269,374 | 167,457 | ||||||||||||||||||
| Deferred income taxes | - | 15,586 | ||||||||||||||||||
| Long-term debt | 72,500 | 102,500 | ||||||||||||||||||
| Deferred compensation liabilities | 59,389 | 54,455 | ||||||||||||||||||
| Other liabilities | 16,494 | 15,276 | ||||||||||||||||||
| Total Liabilities | 417,757 | 355,274 | ||||||||||||||||||
| Stockholders' Equity | ||||||||||||||||||||
| Capital stock | 34,514 | 34,174 | ||||||||||||||||||
| Paid-in capital | 668,573 | 625,961 | ||||||||||||||||||
| Retained earnings | 988,895 | 930,184 | ||||||||||||||||||
| |
(1,216,509 | ) | (1,105,620 | ) | ||||||||||||||||
| Deferred compensation payable in Company stock | 2,229 | 2,503 | ||||||||||||||||||
| Total Stockholders' Equity | 477,702 | 487,202 | ||||||||||||||||||
| Total Liabilities and Stockholders' Equity | $ | 895,459 | $ | 842,476 | ||||||||||||||||
| CHEMED CORPORATION AND SUBSIDIARY COMPANIES | ||||||||||||||||||
| CONSOLIDATED STATEMENT OF CASH FLOWS | ||||||||||||||||||
| (in thousands)(unaudited) | ||||||||||||||||||
| Nine Months Ended |
||||||||||||||||||
| 2017 |
2016 |
|||||||||||||||||
| Cash Flows from Operating Activities | ||||||||||||||||||
| Net income | $ | 43,625 | $ | 76,554 | ||||||||||||||
| Adjustments to reconcile net income to net cash provided | ||||||||||||||||||
| by operating activities: | ||||||||||||||||||
| Depreciation and amortization | 26,656 | 25,893 | ||||||||||||||||
| Provision for uncollectible accounts receivable | 12,953 | 12,132 | ||||||||||||||||
| Stock option expense | 7,738 | 6,259 | ||||||||||||||||
| Benefit for deferred income taxes | (36,175 | ) | (5,530 | ) | ||||||||||||||
| Potential litigation settlement | 90,000 | - | ||||||||||||||||
| Noncash early retirement expense | - | 1,747 | ||||||||||||||||
| Amortization of restricted stock awards |
933 |
1,415 | ||||||||||||||||
| Noncash directors' compensation | 766 | 541 | ||||||||||||||||
| Noncash long-term incentive compensation | 2,888 | 837 | ||||||||||||||||
| Amortization of debt issuance costs | 387 | 390 | ||||||||||||||||
| Changes in operating assets and liabilities, excluding | ||||||||||||||||||
| amounts acquired in business combinations: | ||||||||||||||||||
| Decrease in accounts receivable | 27,534 | 8,061 | ||||||||||||||||
| Decrease in inventories | 97 | 213 | ||||||||||||||||
| Increase in prepaid expenses | (2,573 | ) | (1,646 | ) | ||||||||||||||
| Increase/(decrease) in accounts payable and | ||||||||||||||||||
| other current liabilities | 2,448 | (5,471 | ) | |||||||||||||||
| Increase in income taxes | 12,432 | 8,587 | ||||||||||||||||
| Increase in other assets | (6,238 | ) | (5,694 | ) | ||||||||||||||
| Increase in other liabilities | 6,046 | 6,835 | ||||||||||||||||
| Excess tax benefit on share-based compensation | - | (2,974 | ) | |||||||||||||||
| Other sources | 1,472 | 204 | ||||||||||||||||
| Net cash provided by operating activities |
190,989 |
128,353 | ||||||||||||||||
| Cash Flows from Investing Activities | ||||||||||||||||||
| Capital expenditures | (50,247 | ) | (29,708 | ) | ||||||||||||||
| Business combinations, net of cash acquired | (525 | ) | - | |||||||||||||||
| Other sources/(uses) | 116 | (114 | ) | |||||||||||||||
| Net cash used by investing activities | (50,656 | ) | (29,822 | ) | ||||||||||||||
| Cash Flows from Financing Activities | ||||||||||||||||||
| Payments on revolving line of credit | (203,700 | ) | (85,200 | ) | ||||||||||||||
| Proceeds from revolving line of credit | 183,700 | 110,200 | ||||||||||||||||
| Purchases of treasury stock | (94,640 | ) | (102,313 | ) | ||||||||||||||
| Dividends paid | (12,879 | ) | (12,215 | ) | ||||||||||||||
| Proceeds from exercise of stock options | 11,625 | 4,625 | ||||||||||||||||
| Decrease in cash overdrafts payable | (8,139 | ) | 2,092 | |||||||||||||||
| Capital stock surrendered to pay taxes on stock-based compensation | (7,637 | ) | (7,051 | ) | ||||||||||||||
| Payments on other long-term debt | (6,250 | ) | (5,625 | ) | ||||||||||||||
| Excess tax benefit on share-based compensation | - | 2,974 | ||||||||||||||||
| Other sources |
1,148 |
540 | ||||||||||||||||
| Net cash used by financing activities |
(136,772 |
) | (91,973 | ) | ||||||||||||||
| Increase in Cash and Cash Equivalents | 3,561 | 6,558 | ||||||||||||||||
| Cash and cash equivalents at beginning of year | 15,310 | 14,727 | ||||||||||||||||
| Cash and cash equivalents at end of period | $ | 18,871 | $ | 21,285 | ||||||||||||||
| CHEMED CORPORATION AND SUBSIDIARY COMPANIES | |||||||||||||||||||||
| CONSOLIDATING STATEMENT OF INCOME | |||||||||||||||||||||
| FOR THE THREE MONTHS ENDED |
|||||||||||||||||||||
| (in thousands)(unaudited) | |||||||||||||||||||||
| Chemed | |||||||||||||||||||||
| VITAS | |
Corporate | Consolidated | ||||||||||||||||||
| 2017 | |||||||||||||||||||||
| Service revenues and sales | $ | 288,951 | $ | 128,493 | $ | - | $ | 417,444 | |||||||||||||
| Cost of services provided and goods sold | 222,119 | 65,928 | - | 288,047 | |||||||||||||||||
| Selling, general and administrative expenses (a) | 23,783 | 33,694 | 9,442 | 66,919 | |||||||||||||||||
| Depreciation | 4,529 | 4,268 | 22 | 8,819 | |||||||||||||||||
| Amortization | - | 33 | - | 33 | |||||||||||||||||
|
Other operating expenses (a) |
(371 | ) | - | - | (371 | ) | |||||||||||||||
| Total costs and expenses | 250,060 | 103,923 | 9,464 | 363,447 | |||||||||||||||||
| Income/(loss) from operations | 38,891 | 24,570 | (9,464 | ) | 53,997 | ||||||||||||||||
|
Interest expense |
(53 | ) | (73 | ) | (922 | ) | (1,048 | ) | |||||||||||||
| Intercompany interest income/(expense) | 2,950 | 1,378 | (4,328 | ) | - | ||||||||||||||||
| Other income/(expense)—net | (86 | ) | (8 | ) | 1,417 | 1,323 | |||||||||||||||
| Income/(loss) before income taxes | 41,702 | 25,867 | (13,297 | ) | 54,272 | ||||||||||||||||
| Income taxes (a) | (15,248 | ) | (9,833 | ) | 6,246 | (18,835 | ) | ||||||||||||||
| Net income/(loss) | $ | 26,454 | $ | 16,034 | $ | (7,051 | ) | $ | 35,437 | ||||||||||||
| 2016 | |||||||||||||||||||||
|
Service revenues and sales (b) |
$ | 282,865 | $ | 109,742 | $ | - | $ | 392,607 | |||||||||||||
| Cost of services provided and goods sold | 224,410 | 57,248 | - | 281,658 | |||||||||||||||||
|
Selling, general and administrative expenses (b) |
21,775 | 28,635 | 8,963 | 59,373 | |||||||||||||||||
| Depreciation | 4,751 | 3,731 | 132 | 8,614 | |||||||||||||||||
| Amortization | 14 | 77 | - | 91 | |||||||||||||||||
| Total costs and expenses | 250,950 | 89,691 | 9,095 | 349,736 | |||||||||||||||||
| Income/(loss) from operations | 31,915 | 20,051 | (9,095 | ) | 42,871 | ||||||||||||||||
|
Interest expense |
(59 | ) | (78 | ) | (881 | ) | (1,018 | ) | |||||||||||||
| Intercompany interest income/(expense) | 1,810 | 800 | (2,610 | ) | - | ||||||||||||||||
| Other income/(expense)—net | (1 | ) | (14 | ) | 1,655 | 1,640 | |||||||||||||||
| Income/(loss) before income taxes | 33,665 | 20,759 | (10,931 | ) | 43,493 | ||||||||||||||||
|
Income taxes (b) |
(12,762 | ) | (7,904 | ) | 4,002 | (16,664 | ) | ||||||||||||||
| Net income/(loss) | $ | 20,903 | $ | 12,855 | $ | (6,929 | ) | $ | 26,829 | ||||||||||||
The "Footnotes to Financial Statements" are integral parts of this financial information.
| CHEMED CORPORATION AND SUBSIDIARY COMPANIES | |||||||||||||||||||||
| CONSOLIDATING STATEMENT OF INCOME | |||||||||||||||||||||
| FOR THE NINE MONTHS ENDED |
|||||||||||||||||||||
| (in thousands)(unaudited) | |||||||||||||||||||||
| Chemed | |||||||||||||||||||||
| VITAS | |
Corporate | Consolidated | ||||||||||||||||||
| 2017 | |||||||||||||||||||||
|
Service revenues and sales (a) |
$ | 855,977 | $ | 382,390 | $ | - | $ | 1,238,367 | |||||||||||||
| Cost of services provided and goods sold | 663,565 | 195,474 | - | 859,039 | |||||||||||||||||
| Selling, general and administrative expenses (a) | 72,608 | 100,917 | 31,506 | 205,031 | |||||||||||||||||
| Depreciation | 14,048 | 12,322 | 175 | 26,545 | |||||||||||||||||
| Amortization | 14 | 97 | - | 111 | |||||||||||||||||
|
Other operating expenses (a) |
91,138 | - | - | 91,138 | |||||||||||||||||
| Total costs and expenses | 841,373 | 308,810 | 31,681 | 1,181,864 | |||||||||||||||||
| Income/(loss) from operations | 14,604 | 73,580 | (31,681 | ) | 56,503 | ||||||||||||||||
|
Interest expense |
(161 | ) | (259 | ) | (2,744 | ) | (3,164 | ) | |||||||||||||
| Intercompany interest income/(expense) | 8,478 | 4,035 | (12,513 | ) | - | ||||||||||||||||
| Other income/(expense)—net | (95 | ) | (85 | ) | 5,619 | 5,439 | |||||||||||||||
| Income/(loss) before income taxes | 22,826 | 77,271 | (41,319 | ) | 58,778 | ||||||||||||||||
| Income taxes (a) | (8,029 | ) | (29,555 | ) | 22,431 | (15,153 | ) | ||||||||||||||
| Net income/(loss) | $ | 14,797 | $ | 47,716 | $ | (18,888 | ) | $ | 43,625 | ||||||||||||
| 2016 | |||||||||||||||||||||
|
Service revenues and sales (b) |
$ | 839,131 | $ | 334,274 | $ | - | $ | 1,173,405 | |||||||||||||
| Cost of services provided and goods sold | 662,371 | 173,977 | - | 836,348 | |||||||||||||||||
|
Selling, general and administrative expenses (b) |
69,197 | 87,890 | 23,959 | 181,046 | |||||||||||||||||
| Depreciation | 14,346 | 10,860 | 413 | 25,619 | |||||||||||||||||
| Amortization | 41 | 233 | - | 274 | |||||||||||||||||
|
Other operating expenses (b) |
4,491 | - | - | 4,491 | |||||||||||||||||
| Total costs and expenses | 750,446 | 272,960 | 24,372 | 1,047,778 | |||||||||||||||||
| Income/(loss) from operations | 88,685 | 61,314 | (24,372 | ) | 125,627 | ||||||||||||||||
|
Interest expense |
(176 | ) | (264 | ) | (2,391 | ) | (2,831 | ) | |||||||||||||
| Intercompany interest income/(expense) | 5,840 | 2,614 | (8,454 | ) | - | ||||||||||||||||
| Other income/(expense)—net | 76 | (2 | ) | 1,859 | 1,933 | ||||||||||||||||
| Income/(loss) before income taxes | 94,425 | 63,662 | (33,358 | ) | 124,729 | ||||||||||||||||
|
Income taxes (b) |
(35,887 | ) | (24,446 | ) | 12,158 | (48,175 | ) | ||||||||||||||
| Net income/(loss) | $ | 58,538 | $ | 39,216 | $ | (21,200 | ) | $ | 76,554 | ||||||||||||
The "Footnotes to Financial Statements" are integral parts of this financial information.
| CHEMED CORPORATION AND SUBSIDIARY COMPANIES | |||||||||||||||||||||||
| CONSOLIDATING SUMMARY OF EBITDA | |||||||||||||||||||||||
| FOR THE THREE MONTHS ENDED |
|||||||||||||||||||||||
| (in thousands)(unaudited) | |||||||||||||||||||||||
| Chemed | |||||||||||||||||||||||
| VITAS | |
Corporate | Consolidated | ||||||||||||||||||||
| 2017 | |||||||||||||||||||||||
| Net income/(loss) | $ | 26,454 | $ | 16,034 | $ | (7,051 | ) | $ | 35,437 | ||||||||||||||
| Add/(deduct): | |||||||||||||||||||||||
| Interest expense | 53 | 73 | 922 | 1,048 | |||||||||||||||||||
| Income taxes | 15,248 | 9,833 | (6,246 | ) | 18,835 | ||||||||||||||||||
| Depreciation | 4,529 | 4,268 | 22 | 8,819 | |||||||||||||||||||
| Amortization | - | 33 | - | 33 | |||||||||||||||||||
| EBITDA | 46,284 | 30,241 | (12,353 | ) | 64,172 | ||||||||||||||||||
| Add/(deduct): | |||||||||||||||||||||||
| Intercompany interest expense/(income) | (2,950 | ) | (1,378 | ) | 4,328 | - | |||||||||||||||||
| Interest income | (48 | ) | (4 | ) | - | (52 | ) | ||||||||||||||||
| Expenses related to OIG investigation | 935 | - | - | 935 | |||||||||||||||||||
| Program closure expenses | (371 | ) | - | - | (371 | ) | |||||||||||||||||
| Amortization of stock awards | 72 | 67 | 156 | 295 | |||||||||||||||||||
| Advertising cost adjustment (c) | - | (162 | ) | - | (162 | ) | |||||||||||||||||
|
Stock option expense |
- | - | 1,683 | 1,683 | |||||||||||||||||||
| Long-term incentive compensation | - | - | 1,104 | 1,104 | |||||||||||||||||||
| Adjusted EBITDA | $ | 43,922 | $ | 28,764 | $ | (5,082 | ) | $ | 67,604 | ||||||||||||||
| 2016 | |||||||||||||||||||||||
| Net income/(loss) | $ | 20,903 | $ | 12,855 | $ | (6,929 | ) | $ | 26,829 | ||||||||||||||
| Add/(deduct): | |||||||||||||||||||||||
| Interest expense | 59 | 78 | 881 | 1,018 | |||||||||||||||||||
| Income taxes | 12,762 | 7,904 | (4,002 | ) | 16,664 | ||||||||||||||||||
| Depreciation | 4,751 | 3,731 | 132 | 8,614 | |||||||||||||||||||
| Amortization | 14 | 77 | - | 91 | |||||||||||||||||||
| EBITDA | 38,489 | 24,645 | (9,918 | ) | 53,216 | ||||||||||||||||||
| Add/(deduct): | |||||||||||||||||||||||
| Intercompany interest expense/(income) | (1,810 | ) | (800 | ) | 2,610 | - | |||||||||||||||||
| Interest income | (108 | ) | (11 | ) | - | (119 | ) | ||||||||||||||||
| Expenses related to OIG investigation | 599 | - | - | 599 | |||||||||||||||||||
| Net expenses related to litigation settlements | 1,149 | - | - | 1,149 | |||||||||||||||||||
| Medicare cap sequestration adjustment | 228 | - | - | 228 | |||||||||||||||||||
| Amortization of stock awards | 85 | 76 | 279 | 440 | |||||||||||||||||||
| Advertising cost adjustment (c) | - | (188 | ) | - | (188 | ) | |||||||||||||||||
|
Stock option expense |
- | - | 1,419 | 1,419 | |||||||||||||||||||
| Long-term incentive compensation | - | - | 643 | 643 | |||||||||||||||||||
| Adjusted EBITDA | $ | 38,632 | $ | 23,722 | $ | (4,967 | ) | $ | 57,387 | ||||||||||||||
The "Footnotes to Financial Statements" are integral parts of this financial information.
| CHEMED CORPORATION AND SUBSIDIARY COMPANIES | |||||||||||||||||||||||
| CONSOLIDATING SUMMARY OF EBITDA | |||||||||||||||||||||||
| FOR THE NINE MONTHS ENDED |
|||||||||||||||||||||||
| (in thousands)(unaudited) | |||||||||||||||||||||||
| Chemed | |||||||||||||||||||||||
| VITAS | |
Corporate | Consolidated | ||||||||||||||||||||
| 2017 | |||||||||||||||||||||||
| Net income/(loss) | $ | 14,797 | $ | 47,716 | $ | (18,888 | ) | $ | 43,625 | ||||||||||||||
| Add/(deduct): | |||||||||||||||||||||||
| Interest expense | 161 | 259 | 2,744 | 3,164 | |||||||||||||||||||
| Income taxes | 8,029 | 29,555 | (22,431 | ) | 15,153 | ||||||||||||||||||
| Depreciation | 14,048 | 12,322 | 175 | 26,545 | |||||||||||||||||||
| Amortization | 14 | 97 | - | 111 | |||||||||||||||||||
| EBITDA | 37,049 | 89,949 | (38,400 | ) | 88,598 | ||||||||||||||||||
| Add/(deduct): | |||||||||||||||||||||||
| Intercompany interest expense/(income) | (8,478 | ) | (4,035 | ) | 12,513 | - | |||||||||||||||||
| Interest income | (267 | ) | (29 | ) | - | (296 | ) | ||||||||||||||||
| Potential litigation settlement | 90,000 | - | - | 90,000 | |||||||||||||||||||
| Medicare cap sequestration adjustment | 105 | - | - | 105 | |||||||||||||||||||
| Program closure expenses | 1,138 | - | - | 1,138 | |||||||||||||||||||
| Expenses related to OIG investigation | 5,178 | - | - | 5,178 | |||||||||||||||||||
| Amortization of stock awards | 220 | 203 | 510 | 933 | |||||||||||||||||||
| Advertising cost adjustment (c) | - | (707 | ) | - | (707 | ) | |||||||||||||||||
| Expenses related to litigation settlements | - | 213 | - | 213 | |||||||||||||||||||
| Stock option expense | - | - | 7,738 | 7,738 | |||||||||||||||||||
| Long-term incentive compensation | - | - | 3,021 | 3,021 | |||||||||||||||||||
| Adjusted EBITDA | $ | 124,945 | $ | 85,594 | $ | (14,618 | ) | $ | 195,921 | ||||||||||||||
| 2016 | |||||||||||||||||||||||
| Net income/(loss) | $ | 58,538 | $ | 39,216 | $ | (21,200 | ) | $ | 76,554 | ||||||||||||||
| Add/(deduct): | |||||||||||||||||||||||
| Interest expense | 176 | 264 | 2,391 | 2,831 | |||||||||||||||||||
| Income taxes | 35,887 | 24,446 | (12,158 | ) | 48,175 | ||||||||||||||||||
| Depreciation | 14,346 | 10,860 | 413 | 25,619 | |||||||||||||||||||
| Amortization | 41 | 233 | - | 274 | |||||||||||||||||||
| EBITDA | 108,988 | 75,019 | (30,554 | ) | 153,453 | ||||||||||||||||||
| Add/(deduct): | |||||||||||||||||||||||
| Intercompany interest expense/(income) | (5,840 | ) | (2,614 | ) | 8,454 | - | |||||||||||||||||
| Interest income | (256 | ) | (45 | ) | - | (301 | ) | ||||||||||||||||
| Early retirement expenses | 4,491 | - | - | 4,491 | |||||||||||||||||||
| Expenses related to OIG investigation | 4,105 | - | - | 4,105 | |||||||||||||||||||
| Amortization of stock awards | 302 | 230 | 883 | 1,415 | |||||||||||||||||||
| Medicare cap sequestration adjustment | 228 | - | - | 228 | |||||||||||||||||||
| Advertising cost adjustment (c) | - | (1,353 | ) | - | (1,353 | ) | |||||||||||||||||
| Net expenses related to litigation settlements | 1,149 | 44 | - | 1,193 | |||||||||||||||||||
| Long-term incentive compensation | - | - | 901 | 901 | |||||||||||||||||||
| Stock option expense | - | - | 6,259 | 6,259 | |||||||||||||||||||
| Adjusted EBITDA | $ | 113,167 | $ | 71,281 | $ | (14,057 | ) | $ | 170,391 | ||||||||||||||
The "Footnotes to Financial Statements" are integral parts of this financial information.
| CHEMED CORPORATION AND SUBSIDIARY COMPANIES | ||||||||||||||||||||
| RECONCILIATION OF ADJUSTED NET INCOME | ||||||||||||||||||||
| (in thousands, except per share data)(unaudited) | ||||||||||||||||||||
| Three Months Ended |
Nine Months Ended |
|||||||||||||||||||
| 2017 | 2016 | 2017 | 2016 | |||||||||||||||||
| Net income as reported | $ | 35,437 | $ | 26,829 | $ | 43,625 | $ | 76,554 | ||||||||||||
| Add/(deduct) after-tax cost of: | ||||||||||||||||||||
| Potential litigation settlement | - | - | 55,800 | - | ||||||||||||||||
| Excess tax benefits on stock compensation | (1,783 | ) | - | (8,121 | ) | - | ||||||||||||||
| Stock option expense | 1,064 | 897 | 4,892 | 3,958 | ||||||||||||||||
| Long-term incentive compensation | 699 | 406 | 1,911 | 570 | ||||||||||||||||
| Expenses of OIG investigation | 578 | 370 | 3,198 | 2,535 | ||||||||||||||||
| Program closure expenses | (223 | ) | - | 675 | - | |||||||||||||||
| Expenses related to litigation settlements | - | - | 129 | 27 | ||||||||||||||||
| Medicare cap sequestration adjustments | - | 141 | 65 | 141 | ||||||||||||||||
| Early retirement expenses | - | - | - | 2,840 | ||||||||||||||||
| Adjusted net income | $ | 35,772 | $ | 28,643 | $ | 102,174 | $ | 86,625 | ||||||||||||
| Diluted Earnings Per Share As Reported | ||||||||||||||||||||
| Net income | $ | 2.13 | $ | 1.62 | $ | 2.60 | $ | 4.54 | ||||||||||||
| Average number of shares outstanding | 16,676 | 16,559 | 16,763 | 16,851 | ||||||||||||||||
| Adjusted Diluted Earnings Per Share | ||||||||||||||||||||
| Adjusted net income | $ | 2.15 | $ | 1.73 | $ | 6.10 | $ | 5.14 | ||||||||||||
| Average number of shares outstanding | 16,676 | 16,559 | 16,763 | 16,851 | ||||||||||||||||
The "Footnotes to Financial Statements" are integral parts of this financial information.
| CHEMED CORPORATION AND SUBSIDIARY COMPANIES | ||||||||||||||||||||||||||
| OPERATING STATISTICS FOR VITAS SEGMENT | ||||||||||||||||||||||||||
| FOR THE THREE AND NINE MONTHS ENDED |
||||||||||||||||||||||||||
| (unaudited) | ||||||||||||||||||||||||||
| Three Months Ended |
Nine Months Ended |
|||||||||||||||||||||||||
| OPERATING STATISTICS | 2017 | 2016 | 2017 | 2016 | ||||||||||||||||||||||
| Net revenue ( |
||||||||||||||||||||||||||
| Homecare | $ | 236,565 | $ | 225,348 | $ | 693,359 | $ | 659,477 | ||||||||||||||||||
| Inpatient | 22,516 | 23,850 | 68,439 | 73,856 | ||||||||||||||||||||||
| Continuous care | 29,870 | 33,895 | 94,426 | 106,026 | ||||||||||||||||||||||
| Total before Medicare cap allowance | $ | 288,951 | $ | 283,093 | $ | 856,224 | $ | 839,359 | ||||||||||||||||||
| Medicare cap allowance | - | (228 | ) | (247 | ) | (228 | ) | |||||||||||||||||||
| Total | $ | 288,951 | $ | 282,865 | $ | 855,977 | $ | 839,131 | ||||||||||||||||||
| Net revenue as a percent of total before Medicare cap allowance | ||||||||||||||||||||||||||
| Homecare | 81.9 | % | 79.6 | % | 81.0 | % | 78.6 | % | ||||||||||||||||||
| Inpatient | 7.8 | 8.4 | 8.0 | 8.8 | ||||||||||||||||||||||
| Continuous care | 10.3 | 12.0 | 11.0 | 12.6 | ||||||||||||||||||||||
| Total before Medicare cap allowance | 100.0 | 100.0 | 100.0 | 100.0 | ||||||||||||||||||||||
| Medicare cap allowance | - | (0.1 | ) | - | - | |||||||||||||||||||||
| Total | 100.0 |
% |
99.9 | % | 100.0 | % | 100.0 | % | ||||||||||||||||||
| Average daily census ("ADC") (days) | ||||||||||||||||||||||||||
| Homecare | 12,596 | 12,223 | 12,444 | 11,972 | ||||||||||||||||||||||
| Nursing home | 3,254 | 3,077 | 3,148 | 3,028 | ||||||||||||||||||||||
| Routine homecare | 15,850 | 15,300 | 15,592 | 15,000 | ||||||||||||||||||||||
| Inpatient | 354 | 394 | 358 | 406 | ||||||||||||||||||||||
| Continuous care | 448 | 507 | 475 | 530 | ||||||||||||||||||||||
| Total | 16,652 | 16,201 | 16,425 | 15,936 | ||||||||||||||||||||||
| Total Admissions | 16,000 | 16,157 | 49,874 | 49,205 | ||||||||||||||||||||||
| Total Discharges | 15,726 | 15,690 | 49,074 | 48,403 | ||||||||||||||||||||||
| Average length of stay (days) | 89.5 | 87.7 | 87.9 | 85.2 | ||||||||||||||||||||||
| Median length of stay (days) | 16.0 | 16.0 | 16.0 | 16.0 | ||||||||||||||||||||||
| ADC by major diagnosis | ||||||||||||||||||||||||||
| Cerebro | 35.6 | % | 32.9 | % | 35.0 | % | 32.2 | % | ||||||||||||||||||
| Neurological | 18.9 | 20.7 | 19.4 | 21.3 | ||||||||||||||||||||||
| Cardio | 16.6 | 17.1 | 16.6 | 17.3 | ||||||||||||||||||||||
| Cancer | 14.4 | 15.5 | 14.8 | 15.3 | ||||||||||||||||||||||
| Respiratory | 7.9 | 7.8 | 7.9 | 7.8 | ||||||||||||||||||||||
| Other | 6.6 | 6.0 | 6.3 | 6.1 | ||||||||||||||||||||||
| Total | 100.0 | % | 100.0 | % | 100.0 | % | 100.0 | % | ||||||||||||||||||
| Admissions by major diagnosis | ||||||||||||||||||||||||||
| Cerebro | 22.0 | % | 21.2 | % | 21.9 | % | 20.9 | % | ||||||||||||||||||
| Neurological | 10.0 | 11.0 | 10.5 | 11.0 | ||||||||||||||||||||||
| Cancer | 31.5 | 33.3 | 30.8 | 31.9 | ||||||||||||||||||||||
| Cardio | 14.9 | 14.4 | 15.1 | 15.3 | ||||||||||||||||||||||
| Respiratory | 10.6 | 9.0 | 10.9 | 10.1 | ||||||||||||||||||||||
| Other | 11.0 | 11.1 | 10.8 | 10.8 | ||||||||||||||||||||||
| Total | 100.0 | % | 100.0 | % | 100.0 | % | 100.0 | % | ||||||||||||||||||
| Direct patient care margins (e) | ||||||||||||||||||||||||||
| Routine homecare | 52.4 | % | 51.4 | % | 52.2 | % | 51.8 | % | ||||||||||||||||||
| Inpatient | 3.4 | (2.4 | ) | 4.4 | 2.7 | |||||||||||||||||||||
| Continuous care | 17.3 | 12.2 | 16.9 | 13.7 | ||||||||||||||||||||||
| Homecare margin drivers (dollars per patient day) | ||||||||||||||||||||||||||
| Labor costs | $ | 56.48 | $ | 56.53 | $ | 57.20 | $ | 56.51 | ||||||||||||||||||
| Combined drug, home medical equipment and | ||||||||||||||||||||||||||
| medical supplies cost | 14.67 | 16.30 | 14.77 | 15.90 | ||||||||||||||||||||||
| Inpatient margin drivers (dollars per patient day) | ||||||||||||||||||||||||||
| Labor costs | $ | 362.48 | $ | 360.35 | $ | 369.77 | $ | 346.61 | ||||||||||||||||||
| Continuous care margin drivers (dollars per patient day) | ||||||||||||||||||||||||||
| Labor costs | $ | 579.31 | $ | 618.15 | $ | 584.82 | $ | 609.08 | ||||||||||||||||||
| Bad debt expense as a percent of revenues | 1.1 | % | 1.2 | % | 1.1 | % | 1.2 | % | ||||||||||||||||||
| Accounts receivable -- | ||||||||||||||||||||||||||
| Days of revenue outstanding- excluding unapplied Medicare payments | 34.6 | 38.4 | n.a. | n.a. | ||||||||||||||||||||||
| Days of revenue outstanding- including unapplied Medicare payments | 19.9 | 20.7 | n.a. | n.a. | ||||||||||||||||||||||
The "Footnotes to Financial Statements" are integral parts of this financial information.
| CHEMED CORPORATION AND SUBSIDIARY COMPANIES | |||||||||||||||||||||||||
| FOOTNOTES TO FINANCIAL STATEMENTS | |||||||||||||||||||||||||
| FOR THE THREE AND NINE MONTHS ENDED |
|||||||||||||||||||||||||
| (unaudited) | |||||||||||||||||||||||||
| (a) | Included in the results of operations for 2017 are the following significant credits/(charges) which may not be indicative of ongoing operations | ||||||||||||||||||||||||
| (in thousands): | |||||||||||||||||||||||||
| Three Months Ended |
|||||||||||||||||||||||||
| VITAS | Corporate | Consolidated | |||||||||||||||||||||||
| Selling, general and administrative expenses: | |||||||||||||||||||||||||
| Expenses related to OIG investigation | $ | (935 | ) | $ | - | $ | (935 | ) | |||||||||||||||||
| Stock option expense | - | (1,683 | ) | (1,683 | ) | ||||||||||||||||||||
| Long-term incentive compensation | - | (1,104 | ) | (1,104 | ) | ||||||||||||||||||||
| Other operating expenses: | |||||||||||||||||||||||||
| Program closure expenses | 371 | - | 371 | ||||||||||||||||||||||
| Pretax impact on earnings | (564 | ) | (2,787 | ) | (3,351 | ) | |||||||||||||||||||
| Excess tax benefits on stock compensation | - | 1,783 | 1,783 | ||||||||||||||||||||||
| Income tax benefit on the above | 209 | 1,024 | 1,233 | ||||||||||||||||||||||
| After-tax impact on earnings | $ | (355 | ) | $ | 20 | $ | (335 | ) | |||||||||||||||||
| Nine Months Ended |
|||||||||||||||||||||||||
| VITAS | |
Corporate | Consolidated | ||||||||||||||||||||||
| Service revenues and sales: | |||||||||||||||||||||||||
| Medicare cap sequestration adjustment | $ | (105 | ) | $ | - | $ | - | $ | (105 | ) | |||||||||||||||
| Selling, general and administrative expenses: | |||||||||||||||||||||||||
| Expenses related to OIG investigation | (5,178 | ) | - | - | (5,178 | ) | |||||||||||||||||||
| Expenses related to litigation settlements | - | (213 | ) | - | (213 | ) | |||||||||||||||||||
| Stock option expense | - | - | (7,738 | ) | (7,738 | ) | |||||||||||||||||||
| Long-term incentive compensation | - | - | (3,021 | ) | (3,021 | ) | |||||||||||||||||||
| Other operating expenses: | |||||||||||||||||||||||||
| Potential litigation settlement | (90,000 | ) | - | - | (90,000 | ) | |||||||||||||||||||
| Program closure expenses | (1,138 | ) | - | - | (1,138 | ) | |||||||||||||||||||
| Pretax impact on earnings | (96,421 | ) | (213 | ) | (10,759 | ) | (107,393 | ) | |||||||||||||||||
| Excess tax benefits on stock compensation | - | - | 8,121 | 8,121 | |||||||||||||||||||||
| Income tax benefit on the above | 36,683 | 84 | 3,956 | 40,723 | |||||||||||||||||||||
| After-tax impact on earnings | $ | (59,738 | ) | $ | (129 | ) | $ | 1,318 | $ | (58,549 | ) | ||||||||||||||
| (b) | Included in the results of operations for 2016 are the following significant credits/(charges) which may not be indicative of ongoing operations | ||||||||||||||||||||||||
| (in thousands): | |||||||||||||||||||||||||
| Three Months Ended September 30, 2016 | |||||||||||||||||||||||||
| VITAS | Corporate | Consolidated | |||||||||||||||||||||||
| Service revenues and sales: | |||||||||||||||||||||||||
| Medicare cap sequestration adjustment | $ | (228 | ) | $ | - | $ | (228 | ) | |||||||||||||||||
| Selling, general and administrative expenses: | |||||||||||||||||||||||||
| Expenses related to OIG investigation | (599 | ) | - | (599 | ) | ||||||||||||||||||||
| Stock option expense | - | (1,419 | ) | (1,419 | ) | ||||||||||||||||||||
| Long-term incentive compensation | - | (643 | ) | (643 | ) | ||||||||||||||||||||
| Pretax impact on earnings | (827 | ) | (2,062 | ) | (2,889 | ) | |||||||||||||||||||
| Income tax benefit on the above | 316 | 759 | 1,075 | ||||||||||||||||||||||
| After-tax impact on earnings | $ | (511 | ) | $ | (1,303 | ) | $ | (1,814 | ) | ||||||||||||||||
| Nine Months Ended September 30, 2016 | |||||||||||||||||||||||||
| VITAS | |
Corporate | Consolidated | ||||||||||||||||||||||
| Service revenues and sales: | |||||||||||||||||||||||||
| Medicare cap sequestration adjustment | $ | (228 | ) | $ | - | $ | - | $ | (228 | ) | |||||||||||||||
| Selling, general and administrative expenses: | |||||||||||||||||||||||||
| Expenses related to OIG investigation | (4,105 | ) | - | - | (4,105 | ) | |||||||||||||||||||
| Expenses related to litigation settlements | - | (44 | ) | - | (44 | ) | |||||||||||||||||||
| Stock option expense | - | - | (6,259 | ) | (6,259 | ) | |||||||||||||||||||
| Long-term incentive compensation | - | - | (901 | ) | (901 | ) | |||||||||||||||||||
| Other operating expenses: | |||||||||||||||||||||||||
| Early retirement expenses | (4,491 | ) | - | - | (4,491 | ) | |||||||||||||||||||
| Pretax impact on earnings | (8,824 | ) | (44 | ) | (7,160 | ) | (16,028 | ) | |||||||||||||||||
| Income tax benefit on the above | 3,308 | 17 | 2,632 | 5,957 | |||||||||||||||||||||
| After-tax impact on earnings | $ | (5,516 | ) | $ | (27 | ) | $ | (4,528 | ) | $ | (10,071 | ) | |||||||||||||
| (c) |
Under Generally Accepted Accounting Principles ("GAAP"), the |
|
|
Similarly, for the first nine months of 2017 and 2016, GAAP advertising expense for |
||
| (d) |
VITAS has 10 large (greater than 450 ADC), 16 medium (greater than 200 but less than 450 ADC) and 18 small (less than 200 ADC) hospice programs. Of VITAS' 30 unique Medicare provider numbers, 28 provider numbers have a Medicare cap cushion of 10% or greater during the first nine months of the current cap year and two provider number has a Medicare cap cushion between 5% and 10%. |
|
| (e) | Amounts exclude indirect patient care and administrative costs, as well as Medicare Cap billing limitation. |
View source version on businesswire.com: http://www.businesswire.com/news/home/20171026006432/en/
Source:


Erie Indemnity Reports Third Quarter 2017 Results
Nevada Dems Issues Statement on New Congressional Budget Office Score
Advisor News
- How much could failure to fund Social Security cost average Americans?
- How can more Americans achieve financial independence?
- Savers vs. spenders: How money management attitudes impact financial confidence
- Demonstrating the value of life insurance to Gen Z
- Poor money habits are a dealbreaker in a new relationship
More Advisor NewsAnnuity News
- Canvas steps into the direct-to-consumer market that has yet to take off
- The next growth phase in life/annuities depends on modernization
- CA judge certifies class action in teachers’ lawsuit over in-plan annuity fees
- Globe Life Inc. (NYSE: GL) Records 52-Week High Thursday Morning
- AM Best Managing Director Joins ‘Target Topics’ Podcast to Discuss State of Delegated Underwriting Authority Enterprises Market
More Annuity NewsHealth/Employee Benefits News
- Covered California rates to jump nearly 10% as thousands struggle to afford coverage
- A Tale of Two Behavioral Health Systems, or How the State Border Determines Who Gets Access to Mental Healthcare
- Recent Findings from Iwate Medical University Provide New Insights into Science (Nonlinear Associations Between Sleep Duration and Incident LTCI Certification in Older Adults: Findings From the Iwate-Kenpoku Cohort Study): Science
- Researchers from Capital Medical University Detail New Studies and Findings in the Area of Managed Care (Factors Contributing To the Enrollment of Ambiguous Medical Insurance Cases: a Retrospective Study At a Tertiary Hospital In Beijing): Managed Care
- Studies from Cornell University Further Understanding of Managed Care (IRA Reforms To Medicare Part D Reinsurance Were Associated With Plan Exits And Higher Premiums, 2024-25): Managed Care
More Health/Employee Benefits NewsLife Insurance News
- USAA introduces Secure Start whole life program for children
- Best’s Market Segment Report: AM Best Maintains Stable Outlook on South Korea’s Non-Life Insurance Market
- Horace Mann Strengthens Customer Relationships and Accelerates Long-Term Growth Through Transactions with Medical Mutual of Ohio
- Regulators: ‘No firm conclusions’ from first offshore reinsurance filings
- Allianz Life Study Finds Americans Struggle to Shift From Retirement Saving to Spending
More Life Insurance News