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10-K - FORM 10-K - CHEMED CORPl38929e10vk.htm
EX-21 - EX-21 - CHEMED CORPl38929exv21.htm
EX-24 - EX-24 - CHEMED CORPl38929exv24.htm
EX-23 - EX-23 - CHEMED CORPl38929exv23.htm
EX-12 - EX-12 - CHEMED CORPl38929exv12.htm
EX-31.2 - EX-31.2 - CHEMED CORPl38929exv31w2.htm
EX-31.3 - EX-31.3 - CHEMED CORPl38929exv31w3.htm
EX-31.1 - EX-31.1 - CHEMED CORPl38929exv31w1.htm
EX-32.3 - EX-32.3 - CHEMED CORPl38929exv32w3.htm
EX-32.1 - EX-32.1 - CHEMED CORPl38929exv32w1.htm
EX-32.2 - EX-32.2 - CHEMED CORPl38929exv32w2.htm
Exhibit 13
Chemed Corporation and Subsidiary Companies
Financial Review
Contents
         
Report of Independent Registered Public Accounting Firm
    2  
 
       
Consolidated Statement of Income
    3  
 
       
Consolidated Balance Sheet
    4  
 
       
Consolidated Statement of Cash Flows
    5  
 
       
Consolidated Statement of Changes in Stockholders’ Equity
    6  
 
       
Notes to Consolidated Financial Statements
    7  
 
       
Unaudited Summary of Quarterly Results
    32  
 
       
Selected Financial Data
    34  
 
       
Unaudited Consolidating Statements of Income
    35  
 
       
Management’s Discussion and Analysis of Financial Conditions and Results of Operations
    38  
 
       
Officers’ and Directors’ Listing and Corporate Information
  IBC
MANAGEMENT’S REPORT ON INTERNAL CONTROL OVER FINANCIAL REPORTING
     The Company’s management is responsible for establishing and maintaining adequate internal control over financial reporting, as that term is defined in Exchange Act Rules 13a-15(f) and 15d-15(f). A company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles. A company’s internal control over financial reporting includes those policies and procedures that (i) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and disposition of the assets of the company; (ii) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and expenditures of the company are being made only in accordance with authorization of management and directors of the company; and (iii) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the Company’s assets that could have a material effect on the financial statements.
     Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.
     The Company’s management, including the President and Chief Executive Officer, Executive Vice President and Chief Financial Officer and Vice President and Controller, has conducted an evaluation of the effectiveness of its internal control over financial reporting as of December 31, 2009, based on the framework established in Internal Control—Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (“COSO”). Based on this evaluation, management concluded that internal control over financial reporting was effective as of December 31, 2009, based on criteria in Internal Control—Integrated Framework issued by COSO.
     PricewaterhouseCoopers LLP, our independent registered public accounting firm, has audited the effectiveness of the Company’s internal control over financial reporting as of December 31, 2009, as stated in their report which appears on page 2.

1


 

Chemed Corporation and Subsidiary Companies
Report of Independent Registered Public Accounting Firm
To the Board of Directors and Stockholders of Chemed Corporation
In our opinion, the accompanying consolidated balance sheet and the related consolidated statements of income, stockholders’ equity and cash flows present fairly, in all material respects, the financial position of Chemed Corporation and its subsidiaries at December 31, 2009 and 2008, and the results of their operations and their cash flows for each of the three years in the period ended December 31, 2009 in conformity with accounting principles generally accepted in the United States of America. Also in our opinion, the Company maintained, in all material respects, effective internal control over financial reporting as of December 31, 2009, based on criteria established in Internal Control — Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). The Company’s management is responsible for these financial statements, for maintaining effective internal control over financial reporting and for its assessment of the effectiveness of internal control over financial reporting, included in the accompanying Management’s Report on Internal Control over Financial Reporting. Our responsibility is to express opinions on these financial statements and on the Company’s internal control over financial reporting based on our integrated audits. We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audits to obtain reasonable assurance about whether the financial statements are free of material misstatement and whether effective internal control over financial reporting was maintained in all material respects. Our audits of the financial statements included examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements, assessing the accounting principles used and significant estimates made by management, and evaluating the overall financial statement presentation. Our audit of internal control over financial reporting included obtaining an understanding of internal control over financial reporting, assessing the risk that a material weakness exists, and testing and evaluating the design and operating effectiveness of internal control based on the assessed risk. Our audits also included performing such other procedures as we considered necessary in the circumstances. We believe that our audits provide a reasonable basis for our opinions.
As discussed in Note 2 to the consolidated financial statements, the Company changed the manner in which it accounts for convertible debt instruments that may be settled in cash upon conversion, including partial cash settlement, effective January 1, 2009.
A company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles. A company’s internal control over financial reporting includes those policies and procedures that (i) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the company; (ii) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and expenditures of the company are being made only in accordance with authorizations of management and directors of the company; and (iii) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the company’s assets that could have a material effect on the financial statements.
Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.
     
/s/ PricewaterhouseCoopers LLP
 
PricewaterhouseCoopers LLP
   
Cincinnati, Ohio
   
February 26, 2010
   

2


 

Chemed Corporation and Subsidiary Companies
CONSOLIDATED STATEMENT OF INCOME
Chemed Corporation and Subsidiary Companies
(in thousands, except per share data)
                         
For the Years Ended December 31,   2009     2008     2007  
 
Continuing Operations
                       
Service revenues and sales
  $ 1,190,236     $ 1,148,941     $ 1,100,058  
 
                 
Cost of services provided and goods sold (excluding depreciation)
    834,574       810,547       767,066  
Selling, general and administrative expenses
    197,426       175,333       184,060  
Depreciation
    21,535       21,581       20,118  
Amortization
    6,367       5,924       5,270  
Other operating expenses—net (Note 6)
    3,989       2,699       789  
 
                 
Total costs and expenses
    1,063,891       1,016,084       977,303  
 
                 
Income from operations
    126,345       132,857       122,755  
Interest expense
    (11,599 )     (12,123 )     (14,921 )
Gain/(loss) on extinguishment of debt (Note 2)
          3,406       (13,798 )
Other income/(expense)—net (Note 10)
    5,874       (8,736 )     4,125  
 
                 
Income before income taxes
    120,620       115,404       98,161  
Income taxes (Note 11)
    (46,583 )     (47,035 )     (37,721 )
 
                 
Income from continuing operations
    74,037       68,369       60,440  
Discontinued Operations, Net of Income Taxes (Note 8)
    (253 )     (1,088 )     1,201  
 
                 
Net Income
  $ 73,784     $ 67,281     $ 61,641  
 
                 
 
                       
Earnings Per Share (Note 15)
                       
Income from continuing operations
  $ 3.30     $ 2.97     $ 2.46  
 
                 
Net Income
  $ 3.29     $ 2.92     $ 2.51  
 
                 
Diluted Earnings Per Share (Note 15)
                       
Income from continuing operations
  $ 3.26     $ 2.93     $ 2.41  
 
                 
Net Income
  $ 3.24     $ 2.88     $ 2.46  
 
                 
Average Number of Shares Outstanding (Note 15)
                       
Earnings per share
    22,451       23,058       24,520  
 
                 
Diluted earnings per share
    22,742       23,374       25,077  
 
                 
The Notes to Consolidated Financial Statements are integral parts of this statement.

3


 

Chemed Corporation and Subsidiary Companies
CONSOLIDATED BALANCE SHEET
Chemed Corporation and Subsidiary Companies
(in thousands, except shares and per share data)
                 
December 31,   2009     2008  
 
Assets
               
Current assets
               
Cash and cash equivalents (Note 9)
  $ 112,416     $ 3,628  
Accounts receivable less allowances of $12,595 (2008 - $10,320)
    53,461       98,076  
Inventories
    7,543       7,569  
Current deferred income taxes (Note 11)
    13,701       15,392  
Prepaid expenses
    11,137       11,268  
 
           
Total current assets
    198,258       135,933  
Investments of deferred compensation plans held in trust (Notes 14 and 16)
    24,158       22,628  
Properties and equipment, at cost, less accumulated depreciation (Note 12)
    75,358       76,962  
Identifiable intangible assets less accumulated amortization of $25,349 (2008 - $21,272) (Note 5)
    57,920       61,303  
Goodwill (Note 5)
    450,042       448,721  
Other assets
    13,734       14,075  
 
           
Total Assets
  $ 819,470     $ 759,622  
 
           
 
               
Liabilities
               
Current liabilities
               
Accounts payable
  $ 52,071     $ 52,810  
Current portion of long-term debt (Note 2)
          10,169  
Income taxes (Note 11)
    63       2,181  
Accrued insurance
    35,161       35,994  
Accrued compensation
    34,662       40,741  
Other current liabilities
    14,127       12,180  
 
           
Total current liabilities
    136,084       154,075  
Deferred income taxes (Note 11)
    25,924       22,477  
Long-term debt (Note 2)
    152,127       158,210  
Deferred compensation liabilities (Note 14)
    23,637       22,417  
Other liabilities
    4,536       5,612  
Commitments and contingencies (Notes 13, 18 and 19)
               
 
           
Total Liabilities
    342,308       362,791  
 
           
Stockholders’ Equity
               
Capital stock — authorized 80,000,000 shares $1 par; issued 29,890,628 shares (2008 - 29,514,877 shares)
    29,891       29,515  
Paid-in capital
    335,890       313,516  
Retained earnings
    403,366       337,739  
Treasury stock - 7,275,070 shares (2008 - 7,100,475 shares), at cost
    (293,941 )     (285,977 )
Deferred compensation payable in Company stock (Note 14)
    1,956       2,038  
 
           
Total Stockholders’ Equity
    477,162       396,831  
 
           
Total Liabilities and Stockholders’ Equity
  $ 819,470     $ 759,622  
 
           
The Notes to Consolidated Financial Statements are integral parts of this statement.

4


 

Chemed Corporation and Subsidiary Companies
CONSOLIDATED STATEMENT OF CASH FLOWS
Chemed Corporation and Subsidiary Companies
(in thousands)
                         
For the Years Ended December 31,   2009     2008     2007  
 
Cash Flows from Operating Activities
                       
Net income
  $ 73,784     $ 67,281     $ 61,641  
Adjustments to reconcile net income to net cash provided by operations:
                       
Depreciation and amortization
    27,902       27,505       25,388  
Provision for uncollectible accounts receivable
    10,833       9,820       8,373  
Stock option expense
    8,639       7,303       4,665  
Amortization of discount on covertible notes
    6,617       6,560       3,940  
Provision for deferred income taxes (Note 11)
    4,979       (2,772 )     6,771  
Noncash portion of long-term incentive compensation
    4,385             6,154  
Amortization of debt issuance costs
    632       618       923  
Discontinued operations (Note 8)
    253       1,088       (1,201 )
Noncash loss/(gain) on early extinguishment of debt
          (3,406 )     7,235  
Loss on impairment of equipment
          2,699        
Changes in operating assets and liabilities, excluding amounts acquired in business combinations:
                       
Decrease/(increase) in accounts receivable
    33,754       (6,659 )     (18,299 )
Decrease/(increase) in inventories
    29       (898 )     (18 )
Decrease/(increase) in prepaid expenses
    (455 )     305       (549 )
Increase/(decrease) in accounts payable and other current liabilities
    (8,109 )     5,585       (8,416 )
Increase/(decrease) in income taxes
    623       (776 )     6,321  
Decrease/(increase) in other assets
    (1,678 )     5,480       (3,655 )
Increase/(decrease) in other liabilities
    272       (6,423 )     4,426  
Excess tax benefit on share-based compensation
    (1,955 )     (2,422 )     (3,091 )
Other sources/(uses)
    327       1,195       (1,024 )
 
                 
Net cash provided by operating activities
    160,832       112,083       99,584  
 
                 
Cash Flows from Investing Activities
                       
Capital expenditures
    (21,496 )     (26,094 )     (26,640 )
Business combinations, net of cash acquired (Note 7)
    (1,919 )     (11,200 )     (1,079 )
Proceeds from sales of property and equipment
    1,577       387       3,104  
Net proceeds/(uses) of discontinued operations (Note 8)
    (630 )     8,824       (5,402 )
Other uses
    (374 )     (544 )     (1,701 )
 
                 
Net cash used by investing activities
    (22,842 )     (28,627 )     (31,718 )
 
                 
Cash Flows from Financing Activities
                       
Repayment of long-term debt (Note 2)
    (14,669 )     (18,713 )     (225,709 )
Net change in revolving line of credit
    (8,200 )     8,200        
Dividends paid
    (8,157 )     (5,543 )     (5,888 )
Purchases of treasury stock (Note 21)
    (4,225 )     (69,788 )     (131,704 )
Increase/(decrease) in cash overdraft payable
    2,891       (856 )     (919 )
Excess tax benefit on share-based compensation
    1,955       2,422       3,091  
Proceeds from exercise of stock options (Note 3)
    545       291       2,467  
Proceeds from issuance of long-term debt (Note 2)
                245,106  
Purchase of note hedges (Note 2)
                (55,100 )
Proceeds from conversion feature of debt, net of costs (Note 2)
                53,206  
Proceeds from issuance of warrants (Note 2)
                27,614  
Debt issuance costs
                (5,261 )
Other sources/(uses)
    658       (829 )     945  
 
                 
Net cash used by financing activities
    (29,202 )     (84,816 )     (92,152 )
 
                 
Increase/(decrease) in cash and cash equivalents
    108,788       (1,360 )     (24,286 )
Cash and cash equivalents at beginning of year
    3,628       4,988       29,274  
 
                 
 
                       
Cash and cash equivalents at end of year
  $ 112,416     $ 3,628     $ 4,988  
 
                 
The Notes to Consolidated Financial Statements are integral parts of this statement.

5


 

Chemed Corporation and Subsidiary Companies
CONSOLIDATED STATEMENT OF CHANGES IN STOCKHOLDERS’ EQUITY
Chemed Corporation and Subsidiary Companies
(in thousands, except per share data)
                                                 
                                    Deferred        
                                    Compensation        
                            Treasury     Payable in        
    Capital     Paid-in     Retained     Stock-     Company        
    Stock     Capital     Earnings     at Cost     Stock     Total  
 
Balance at December 31, 2006
  $ 28,850     $ 252,639     $ 215,517     $ (78,064 )   $ 2,419     $ 421,361  
Cumulative effect of change in accounting principle as of January 1, 2007 (Notes 1 and 11)
                4,731                   4,731  
Net income
                61,641                   61,641  
Dividends paid ($.24 per share)
                (5,888 )                 (5,888 )
Stock awards and exercise of stock options (Note 3)
    411       21,141             (7,032 )           14,520  
Purchases of treasury stock (Note 21)
                      (127,881 )           (127,881 )
Purchase of note hedges (Note 2)
          (55,100 )                       (55,100 )
Proceeds from conversion feature of debt, net of costs (Note 2)
          53,206                         53,206  
Proceeds from issuance of warrants (Note 2)
          27,614                         27,614  
Other
          1,598             (64 )     62       1,596  
 
                                   
Balance at December 31, 2007
    29,261       301,098       276,001       (213,041 )     2,481       395,800  
Net income
                67,281                   67,281  
Dividends paid ($.24 per share)
                (5,543 )                 (5,543 )
Stock awards and exercise of stock options (Note 3)
    254       15,752             (6,253 )           9,753  
Purchases of treasury stock (Note 21)
                      (67,125 )           (67,125 )
Repurchase of conversion feature of notes
          (2,117 )                       (2,117 )
Other
          (1,217 )           442       (443 )     (1,218 )
 
                                   
Balance at December 31, 2008
    29,515       313,516       337,739       (285,977 )     2,038       396,831  
Net income
                73,784                   73,784  
Dividends paid ($.36 per share)
                (8,157 )                 (8,157 )
Stock awards and exercise of stock options (Note 3)
    376       21,741             (7,305 )           14,812  
Purchases of treasury stock (Note 21)
                      (742 )           (742 )
Other
          633             83       (82 )     634  
 
                                   
Balance at December 31, 2009
  $ 29,891     $ 335,890     $ 403,366     $ (293,941 )   $ 1,956     $ 477,162  
 
                                   
The Notes to Consolidated Financial Statements are integral parts of this statement.

6


 

Chemed Corporation and Subsidiary Companies
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Chemed Corporation and Subsidiary Companies
1.   Summary of Significant Accounting Policies
     NATURE OF OPERATIONS
     We operate through our two wholly owned subsidiaries: VITAS Healthcare Corporation (“VITAS”) and Roto-Rooter Group, Inc. (“Roto-Rooter”). VITAS focuses on hospice care that helps make terminally ill patients’ final days as comfortable as possible. Through its team of doctors, nurses, home health aides, social workers, clergy and volunteers, VITAS provides direct medical services to patients, as well as spiritual and emotional counseling to both patients and their families. Roto-Rooter is focused on providing plumbing and drain cleaning services to both residential and commercial customers. Through its network of company-owned branches, independent contractors and franchisees, Roto-Rooter offers plumbing and drain cleaning service to over 90% of the U.S. population.
     PRINCIPLES OF CONSOLIDATION
     The consolidated financial statements include the accounts of Chemed Corporation and its wholly owned subsidiaries. All significant intercompany transactions have been eliminated.
     We have analyzed the provisions of the Financial Accounting Standards Board (“FASB”) authoritative guidance on the consolidation of variable interest entities relative to our contractual relationships with Roto-Rooter’s independent contractors and franchisees. The guidance requires the primary beneficiary of a Variable Interest Entity (“VIE”) to consolidate the accounts of the VIE. Based upon the guidance provided by the FASB, we have concluded that certain of the independent contractors may be VIEs. We believe consolidation, if required, of the accounts of any independent contractor for which we might be the primary beneficiary would not materially impact our financial position, results of operations or cash flow. The franchisees are not VIEs.
     CASH EQUIVALENTS
     Cash equivalents comprise short-term, highly liquid investments, including money market funds, that have original maturities of three months or less.
     ACCOUNTS AND LOANS RECEIVABLE AND CONCENTRATION OF RISK
     Accounts and loans receivable are recorded at the principal balance outstanding less estimated allowances for uncollectible accounts. For the Roto-Rooter segment, allowances for trade accounts receivable are generally provided for accounts more than 90 days past due, although collection efforts continue beyond that time. Due to the small number of loans receivable outstanding, allowances for loan losses are determined on a case-by-case basis. For the VITAS segment, allowances for accounts receivable are provided on accounts based on expected collection rates by payer types. The expected collection rate is based on both historical averages and known current trends. Final write-off of overdue accounts or loans receivable is made when all reasonable collection efforts have been made and payment is not forthcoming. We closely monitor our receivables and periodically review procedures for granting credit to attempt to hold losses to a minimum.
     As of December 31, 2009 and 2008, approximately 43% and 68%, respectively, of VITAS’ total accounts receivable balance were due from Medicare and 39% and 23%, respectively, of VITAS’ total accounts receivable balance were due from various state Medicaid programs. Combined accounts receivable from Medicare and Medicaid represent 76% of the net accounts receivable in the accompanying consolidated balance sheet as of December 31, 2009.
     As of December 31, 2009, VITAS has approximately $9.9 million in unbilled revenue included in accounts receivable (December 31, 2008 — $13.9 million). The unbilled revenue at VITAS relates to hospice programs currently undergoing focused medical reviews (“FMR”). During FMR, surveyors working on behalf of the U.S. Federal government review certain patient files for compliance with Medicare regulations. During the time the patient file is under review, we are unable to bill for care provided to those patients. We make appropriate provisions to reduce our accounts receivable balance for any governmental or other payer reviews resulting in denials of patient service revenue. We believe our hospice programs comply with all payer requirements at the time of billing. However, we cannot predict whether future billing reviews or similar audits by payers will result in material denials or reductions in revenue.
     INVENTORIES
     Substantially all of the inventories are either general merchandise or finished goods. Inventories are stated at the lower of cost or market. For determining the value of inventories, cost methods that reasonably approximate the first-in, first-out (“FIFO”) method are used.

7


 

Chemed Corporation and Subsidiary Companies
     DEPRECIATION AND PROPERTIES AND EQUIPMENT
     Depreciation of properties and equipment is computed using the straight-line method over the estimated useful lives of the assets. Leasehold improvements are amortized over the lesser of the remaining lease terms (excluding option terms) or their useful lives. Expenditures for maintenance, repairs, renewals and betterments that do not materially prolong the useful lives of the assets are expensed as incurred. The cost of property retired or sold and the related accumulated depreciation are removed from the accounts, and the resulting gain or loss is reflected currently in income.
     Expenditures for major software purchases and software developed for internal use are capitalized and depreciated using the straight-line method over the estimated useful lives of the assets. For software developed for internal use, external direct costs for materials and services and certain internal payroll and related fringe benefit costs are capitalized in accordance with the FASB’s authoritative guidance on accounting for the costs of computer software developed or obtained for internal use.
     The weighted average lives of our property and equipment at December 31, 2009, were:
         
Buildings
    11.9   yrs.
Transportation equipment
    15.6  
Machinery and equipment
    5.6  
Computer software
    4.0  
Furniture and fixtures
    4.8  
     GOODWILL AND INTANGIBLE ASSETS
     Identifiable, definite-lived intangible assets arise from purchase business combinations and are amortized using either an accelerated method or the straight-line method over the estimated useful lives of the assets. The selection of an amortization method is based on which method best reflects the economic pattern of usage of the asset. The VITAS trade name is considered to have an indefinite life. Goodwill and the VITAS trade name are tested at least annually for impairment.
     The weighted average lives of our identifiable, definite-lived intangible assets at December 31, 2009, were:
         
Covenants not to compete
    6.4   yrs.
Reacquired franchise rights
    7.8  
Referral networks
    10.0  
Customer lists
    13.3  
     LONG-LIVED ASSETS
     If we believe a triggering event may have occurred that indicates a possible impairment of our long-lived assets, we perform an estimate and valuation of the future benefits of our long-lived assets (other than goodwill and the VITAS trade name) based on key financial indicators. If the projected undiscounted cash flows of a major business unit indicate that property and equipment or identifiable, definite-lived intangible assets have been impaired, a write-down to fair value is made.
     OTHER ASSETS
     Debt issuance costs are included in other assets and are amortized using the effective interest method over the life of the debt.
     We capitalize the direct costs of obtaining licenses to operate either hospice programs or plumbing operations subject to a minimum capitalization threshold. These costs are amortized over the life of the license using the straight-line method. Certain licenses are granted without an expiration and thus, we believe them to be indefinite-lived assets subject to impairment testing on at least an annual basis.
     REVENUE RECOGNITION
     Both the VITAS segment and Roto-Rooter segment recognize service revenues and sales when the earnings process has been completed. Generally, this occurs when services are provided or products are delivered. Sales of Roto-Rooter products, including drain cleaning machines and drain cleaning solution, comprise less than 3% of our total service revenues and sales for each of the three years in the period ended December 31, 2009.

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     VITAS recognizes revenue at the estimated realizable amount due from third-party payers, which are primarily Medicare and Medicaid. Payers may deny payment for services in whole or in part on the basis that such services are not eligible for coverage and do not qualify for reimbursement. We estimate denials each period and make adequate provision in the financial statements. The estimate of denials is based on historical trends and known circumstances and does not vary materially from period to period on an aggregate basis. Medicare billings are subject to certain limitations, as described below.
     VITAS is subject to certain limitations on Medicare payments for services. Specifically, if the number of inpatient care days any hospice program provides to Medicare beneficiaries exceeds 20% of the total days of hospice care such program provided to all Medicare patients for an annual period beginning September 28, the days in excess of the 20% figure may be reimbursed only at the routine homecare rate. None of VITAS’ hospice programs exceeded the payment limits on inpatient services in 2009, 2008 or 2007.
     VITAS is also subject to a Medicare annual per-beneficiary cap (“Medicare cap”). Compliance with the Medicare cap is measured by comparing the total Medicare payments received under a Medicare provider number with respect to services provided to all Medicare hospice care beneficiaries in the program or programs covered by that Medicare provider number between November 1 of each year and October 31 of the following year with the product of the per-beneficiary cap amount and the number of Medicare beneficiaries electing hospice care for the first time from that hospice program or programs from September 28 through September 27 of the following year.
     We actively monitor each of our hospice programs, by provider number, as to their specific admission, discharge rate and median length of stay data in an attempt to determine whether revenues are likely to exceed the annual per-beneficiary Medicare cap. Should we determine that revenues for a program are likely to exceed the Medicare cap based on projected trends, we attempt to institute corrective actions, which include changes to the patient mix and increased patient admissions. However, should we project our corrective action will not prevent that program from exceeding its Medicare cap, we estimate the amount of revenue recognized during the period that will require repayment to the Federal government under the Medicare cap and record the amount as a reduction to service revenue.
     Our estimate of the Medicare cap liability is particularly sensitive to allocations made by our fiscal intermediary relative to patient transfers between hospices. We are allocated a percentage of the Medicare cap based on the days a patient spent in our care as compared to the total days a patient spent in all hospice care. The allocation for patient transfers cannot be determined until a patient dies. As the number of days a patient spends in hospice is based on a future event, this allocation process may take several years. Therefore, we use only first-time Medicare admissions in our estimate of the Medicare cap billing limitation. This method assumes that credit received for patients who transfer into our program will be offset by credit lost from patients who transfer out of our program. The amount we record is our best estimate of the liability as of the date of the financial statements but could change as more patient information becomes available.
     During the years ended December 31, 2009, 2008 and 2007, we recorded pretax charges in continuing operations of $1.6 million, $235,000 and $242,000, respectively, for the estimated Medicare cap liability. The amount recorded in 2009 relates to two programs’ projected liability through year end for the 2010 measurement period. The majority of the liability relates to one program which is VITAS’ largest hospice program. We are currently pursuing the corrective actions mentioned above to attempt to mitigate the liability before the end of the measurement period. The amount recorded in 2008 relates to one program’s liability through year end for the 2009 measurement period. This amount was subsequently reversed during the 2009 fiscal year due to improved admission trends. The amount recorded in 2007 relates primarily to retroactive billings for prior-measurement periods due to patients who transferred between multiple hospice providers. The components of the pretax charge in 2009 are as follows (in thousands):
         
2010 Measurement period
  $ 1,783  
2009 Measurement period
    (235 )
2008 Measurement period
     
Retroactive billings
    95  
 
     
Total
  $ 1,643  
 
     
     The U.S. government revises hospice reimbursement rates on an annual basis using the Hospice Wage Index (HWI) and the Consumer Price Index plus a phase out of the Budget Neutrality Adjustment Factor (BNAF). The HWI is geographically adjusted to reflect local differences in wages. The BNAF is a portion of inflation calculated in prior years that is being eliminated or phased out over a seven year period. In August 2008, the U.S. government announced

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a 25% reduction in the BNAF for its fiscal 2009 (October 2008 through September 2009) pursuant to a three year phase-out of the BNAF. The February 2009 American Recovery and Reinvestment Act mandated a one year delay in the BNAF phase-out. In August 2009, the Centers for Medicare and Medicaid Services (CMS) revised the phase-out schedule of the BNAF. CMS reduced the increase in hospice reimbursement by 10% of the BNAF effective October 1, 2009. The remaining 90% of the BNAF will be phased out over the next six years by revising the October 1 reimbursement adjustment by 15% of the original BNAF inflation factor. Based upon this revised schedule, 100% of the BNAF will be eliminated on October 1, 2015. As a result, included in the twelve months ended December 31, 2009, is $1.95 million of revenue for the retroactive price increase related to services provided by VITAS in the fourth quarter of 2008.
     CHARITY CARE
     VITAS provides charity care, in certain circumstances, to patients without charge when management of the hospice program determines that the patient does not have the financial wherewithal to make payment. There is no revenue or associated accounts receivable in the accompanying consolidated financial statements related to charity care.
     Using the applicable Medicare billing rate for the respective levels of care, charity care provided during the years ended December 31, 2009, 2008 and 2007 was $8.6 million, $9.2 million and $9.9 million, respectively.
     SALES TAX
     The Roto-Rooter segment collects sales tax from customers when required by state and federal laws. We record the amount of sales tax collected net in the accompanying consolidated statement of income.
     GUARANTEES
     In the normal course of business, Roto-Rooter enters into various guarantees and indemnifications in our relationships with customers and others. These arrangements include guarantees of services for periods ranging from one day to one year and product satisfaction guarantees. Mainly due to our technicians being commission-based, guarantees and indemnifications do not materially impact our financial condition, results of operations or cash flows. Therefore, no liability for guarantees has been recorded as of December 31, 2009 or 2008.
     OPERATING EXPENSES
     Cost of services provided and goods sold (excluding depreciation) includes salaries, wages and benefits of service providers and field personnel, material costs, medical supplies and equipment, pharmaceuticals, insurance costs, service vehicle costs and other expenses directly related to providing service revenues or generating sales. Selling, general and administrative expenses include salaries, wages, stock option expense and benefits of selling, marketing and administrative employees, advertising expenses, communications and branch telephone expenses, office rent and operating costs, legal, banking and professional fees and other administrative costs. The cost associated with VITAS sales personnel is included in cost of services provided and goods sold (excluding depreciation).
     ADVERTISING
     We expense the production costs of advertising the first time the advertising takes place. The costs of telephone directory listings are expensed when the directories are placed in circulation. These directories are generally in circulation for approximately one year, at which point they are typically replaced by the publisher with a new directory. We generally pay for directory placement assuming it is in circulation for one year. If the directory is in circulation for less than or greater than one year, we receive a credit or additional billing, as necessary. We do not control the timing of when a new directory is placed in circulation. Advertising expense in continuing operations for the year ended December 31, 2009, was $27.0 million (2008 – $26.8 million; 2007 — $26.0 million).
     COMPUTATION OF EARNINGS PER SHARE
     Earnings per share are computed using the weighted average number of shares of capital stock outstanding. Diluted earnings per share reflect the dilutive impact of our outstanding stock options and nonvested stock awards. Stock options whose exercise price is greater than the average market price of our stock are excluded from the computation of diluted earnings per share.
     STOCK-BASED COMPENSATION PLANS
     Stock-based compensation cost is measured at the grant date, based on the fair value of the award and recognized as expense over the employee’s requisite service period on a straight-line basis.

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     INSURANCE ACCRUALS
     For our Roto-Rooter segment and Corporate Office, we self-insure for all casualty insurance claims (workers’ compensation, auto liability and general liability). As a result, we closely monitor and frequently evaluate our historical claims experience to estimate the appropriate level of accrual for self-insured claims. Our third-party administrator (“TPA”) processes and reviews claims on a monthly basis. Currently, our exposure on any single claim is capped at $500,000. In developing our estimates, we accumulate historical claims data for the previous 10 years to calculate loss development factors (“LDF”) by insurance coverage type. LDFs are applied to known claims to estimate the ultimate potential liability for known and unknown claims for each open policy year. LDFs are updated annually. Because this methodology relies heavily on historical claims data, the key risk is whether the historical claims are an accurate predictor of future claims exposure. The risk also exists that certain claims have been incurred and not reported on a timely basis. To mitigate these risks, in conjunction with our TPA, we closely monitor claims to ensure timely accumulation of data and compare claims trends with the industry experience of our TPA.
     For the VITAS segment, we self-insure for workers’ compensation claims. Currently, VITAS’ exposure on any single claim is capped at $750,000. For VITAS’ self-insurance accruals for workers’ compensation, the valuation methods used are similar to those used internally for our other business units.
     Our casualty insurance liabilities are recorded gross before any estimated recovery for amounts exceeding our stop loss limits. Estimated recoveries from insurance carriers are recorded as accounts receivable.
     TAXES ON INCOME
     Deferred taxes are provided on an asset and liability method whereby deferred tax assets are recognized for deductible temporary differences and operating loss carry-forwards and deferred tax liabilities are recognized for taxable temporary differences. Temporary differences are the differences between the reported amount of assets and liabilities and their tax basis. Deferred tax assets are reduced by a valuation allowance when, in our opinion, it is more likely than not that some portion or all of the deferred tax assets will not be realized. Deferred tax assets and liabilities are adjusted for the effects of changes in laws and rates on the date of enactment.
     We are subject to income taxes in Canada, U.S. Federal and most state jurisdictions. Significant judgment is required to determine our provision for income taxes. Our financial statements reflect expected future tax consequences of such uncertain positions assuming the taxing authorities’ full knowledge of the position and all relevant facts.
     ESTIMATES
     The preparation of consolidated financial statements in conformity with accounting principles generally accepted in the United States requires us to make estimates and assumptions that affect amounts reported in the consolidated financial statements and accompanying notes. Actual results could differ from those estimates. Disclosures of aftertax expenses and adjustments are based on estimates of the effective income tax rates for the applicable segments.
     RECENT ACCOUNTING STATEMENTS
     In June 2009, the FASB issued additional guidance related to the consolidation of VIEs, which makes significant changes to the model for determining who should consolidate an entity and also addresses how often this assessment should be performed. The determination of who should consolidate a VIE will be based on both quantitative and qualitative factors relating to control, as well as risks and benefits of ownership. This guidance is effective in 2010 for calendar-year companies and is to be adopted through a cumulative-effect adjustment. Based on our analysis, we believe that neither Roto-Rooter’s independent contractors nor franchisees qualify as VIEs under the new guidance.
2.   Long-Term Debt and Lines of Credit
     A summary of our long-term debt follows (in thousands):
                 
    December 31,  
    2009     2008  
Convertible Notes due 2014
  $ 152,127     $ 145,510  
Term loan due 2007-2012
          14,500  
Revolving line of credit
          8,200  
Other
          169  
 
           
Subtotal
    152,127       168,379  
Less current portion
          (10,169 )
 
           
Long-term debt, less current portion
  $ 152,127     $ 158,210  
 
           

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     In May 2008, the FASB issued authoritative guidance for accounting for convertible debt instruments that may be settled in cash upon conversion including partial cash settlement. This guidance requires all convertible debentures classified as Instruments B or C, as defined, to separately account for the debt and equity pieces of the instrument. Convertible debentures classified as Instruments B may be settled in either stock or cash equivalent to the conversion value and convertible debentures classified as Instruments C must settle the accreted value of the obligation in cash and may satisfy the excess conversion value in either cash or stock. At inception of the convertible instrument, cash flows related to the convertible instrument are to be discounted using a market rate of interest. We adopted the provisions of the guidance on January 1, 2009 and applied the guidance retrospectively. Upon adoption, the Notes had a discount of approximately $55.1 million. For 2008 and 2007 interest expense increased and retained earnings decreased $6.1 million and $3.7 million, respectively ($4.0 million and $2.3 million respectively, net of income taxes). The increase in interest expense results in a reduction in EPS and diluted EPS of $0.20 and $0.09 in 2008 and 2007, respectively.
     The following amounts are included in our consolidated balance sheet related to the Notes (in thousands):
                 
    December 31,  
    2009     2008  
Principal amount of convertible debentures
  $ 186,956     $ 186,956  
Unamortized debt discount
    (34,829 )     (41,446 )
 
           
Carrying amount of convertible debentures
  $ 152,127     $ 145,510  
 
           
Additional paid in capital (net of tax)
  $ 31,310     $ 31,310  
 
           
     The following amounts comprise interest expense included in our consolidated income statement (in thousands):
                         
    December 31,  
    2009     2008     2007  
Cash interest expense
  $ 4,350     $ 4,945     $ 10,058  
Non-cash amortization of debt discount
    6,617       6,560       3,940  
Amortization of debt costs
    632       618       923  
 
                 
Total interest expense
  $ 11,599     $ 12,123     $ 14,921  
 
                 
     The unamortized debt discount will be amortized using the effective interest method over the remaining life of the Notes. The effective rate on the Notes after adoption of the standard is 6.875%.
     The average interest rate for our long-term debt was 1.9% and 2.1% for the years ended December 31, 2009 and 2008, respectively.
     In the fourth quarter of 2008, we purchased approximately $13.0 million face value of our Convertible Notes due 2014 for approximately $8.5 million. This resulted in a pre-tax net gain of $3.4 million comprised of $3.7 million related to the purchase of the Convertible Notes partially offset by $300,000 in the write-off of unamortized debt issuance costs. The net gain was recorded as a gain on extinguishment of debt in the accompanying statement of income in 2008.
     2007 REFINANCING
     On May 2, 2007, we entered into a new senior secured credit facility with JPMorgan Chase Bank (the “2007 Facility”) to replace our existing credit facility. The 2007 Facility includes a $100 million term loan, a $175 million revolving credit facility and a $100 million expansion feature. The facility has a 5-year maturity with principal payments on the term loan due quarterly and on the revolving credit facility due at maturity. Interest is payable quarterly at a floating rate equal to our choice of various indices plus a specified margin based on our leverage ratio. The interest rate at the inception of the agreement was LIBOR plus 0.875%. In connection with replacing the existing credit facility, we wrote-off approximately $2.3 million in deferred debt costs. This write-off was recorded as loss on extinguishment of debt in the accompanying statement of income in 2007.
     On May 4, 2007, we used the proceeds from the 2007 Facility to fund the redemption of our $150 million 8.75% Senior Notes due 2011. The redemption was made pursuant to the terms of the indenture at a price of 104.375% plus accrued but unpaid interest. In connection with the redemption, we wrote-off approximately $4.8 million in deferred debt costs. The premium payment of $6.6 million and the write-off of deferred debt costs was recorded as loss on extinguishment of debt in the accompanying statement of income in 2007.

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     On May 8, 2007, we entered into a Purchase Agreement with J.P. Morgan Securities Inc. and Citigroup Global Markets Inc. (the “Initial Purchasers”) for issuance and sale of $180 million in aggregate principal amount of our 1.875% Senior Convertible Notes due 2014 (the “Notes”). On May 9, 2007, the Initial Purchasers exercised an over-allotment option to purchase an additional $20 million in aggregate principal amount of Notes. On May 14, 2007, a total of $200 million in aggregate principal amount of the Notes were sold to the Initial Purchasers at a price of $1,000 per Note, less an underwriting fee of $27.50 per Note.
     We received approximately $194 million in net proceeds from the sale of the Notes after paying underwriting fees, legal and other expenses. Proceeds from the offering were used to purchase treasury shares of our stock, as discussed in Note 21 and to pay down a portion of the 2007 Facility. We pay interest on the Notes on May 15 and November 15 of each year, beginning on November 15, 2007. The Notes mature on May 15, 2014. The Notes are guaranteed on an unsecured senior basis by each of our subsidiaries that are a borrower or a guarantor under any senior credit facility, as defined in the Indenture. The Notes are convertible, under certain circumstances, into our Capital Stock at an initial conversion rate of 12.3874 shares per $1,000 principal amount of Notes. This conversion rate is equivalent to an initial conversion price of approximately $80.73 per share. Prior to March 1, 2014, holders may convert their Notes under certain circumstances. On and after March 1, 2014, the Notes will be convertible at any time prior to the close of business three days prior to the stated maturity date of the Notes. Upon conversion of a Note, if the conversion value is $1,000 or less, holders will receive cash equal to the lesser of $1,000 or the conversion value of the number of shares of our Capital Stock. If the conversion value exceeds $1,000, in addition to this, holders will receive shares of our Capital Stock for the excess amount. The Indenture contains customary terms and covenants that upon certain events of default, including without limitation, failure to pay when due any principal amount, a fundamental change or certain cross defaults in other agreements or instruments, occurring and continuing; either the trustee or the holders of 25% in aggregate principal amount of the Notes may declare the principal of the Notes and any accrued and unpaid interest through the date of such declaration immediately due and payable. In the case of certain events of bankruptcy or insolvency relating to any significant subsidiary or to us, the principal amount of the Notes and accrued interest automatically becomes due and payable.
     The conversion rate on the Notes is adjusted upon certain corporate events including a quarterly dividend payment in excess of $0.06 per share. In August 2009 and November 2009, we declared quarterly dividends of $0.12 per share. This has the effect of changing the conversion rate to 12.4213 ($80.51 per share) at December 31, 2009.
     Pursuant to the FASB’s guidance on accounting for derivative instruments indexed to, and potentially settled in a company’s own stock as well as the guidance on the meaning of “indexed to a company’s own stock,” the Notes are accounted for as convertible debt in the accompanying consolidated balance sheet and the embedded options within the Notes have not been accounted for as separate derivatives. On August 17, 2007, we filed a shelf registration statement, that became immediately effective, to register the Notes and Capital Stock issuable upon conversion.
     On May 8, 2007, we entered into a purchased call transaction and a warrant transaction (written call) with JPMorgan Chase, National Association and Citibank, N.A. (the “Counterparties”). The purchased call options cover approximately 2,477,000 shares of our Capital Stock, which under most circumstances represents the maximum number of shares of Capital Stock that underlie the Notes. Concurrently with entering into the purchased call options, we entered into warrant transactions with each of the Counterparties. Pursuant to the warrant transactions, we sold to the Counterparties warrants to purchase in the aggregate approximately 2,477,000 shares of our Capital Stock. In most cases, the sold warrants may not be exercised prior to the maturity of the Notes.
     The purchased call options and sold warrants are separate contracts with the Counterparties, are not part of the terms of the Notes and do not affect the rights of holders under the Notes. A holder of the Notes will not have any rights with respect to the purchased call options or the sold warrants. The purchased call options are expected to reduce the potential dilution upon conversion of the Notes if the market value per share of the Capital Stock at the time of exercise is greater than the conversion price of the Notes at time of exercise. The sold warrants have an exercise price of $105.44 and are expected to result in some dilution should the price of our Capital Stock exceed this exercise price.
     Our net cost for these transactions was approximately $27.3 million. Pursuant to FASB’s authoritative guidance, the purchased call option and the sold warrants are accounted for as equity transactions. Therefore, our net cost was recorded as a decrease in stockholders’ equity in the accompanying consolidated balance sheet.
     Since May 2007, we have repaid the $100 million term note under the 2007 Facility using cash on hand. The only required long-term debt payment ($152.1 million) is for the Convertible Notes due in 2014.

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     During 2009, 2008 and 2007, interest totaling $258,000, $659,000 and $951,000, respectively, was capitalized. Summarized below are the total amounts of interest paid during the years ended December 31 (in thousands):
         
2009
  $ 4,667  
2008
    5,628  
2007
    15,466  
     DEBT COVENANTS
     Collectively, the 2007 Facility and the Notes require us to meet certain restrictive financial covenants, in addition to non-financial covenants, including maximum leverage ratios, minimum fixed charge coverage and consolidated net worth ratios, limits on operating leases and minimum asset value limits. We are in compliance with all debt covenants, financial and non-financial, as of December 31, 2009. We have issued $28.8 million in standby letters of credit as of December 31, 2009, mainly for insurance purposes. Issued letters of credit reduce our available credit under the revolving credit agreement. As of December 31, 2009, we have approximately $146.2 million of unused lines of credit available and eligible to be drawn down under our revolving credit facility, excluding the expansion feature.
3.   Stock-Based Compensation Plans
          We provide employees the opportunity to acquire our stock through a number of plans, as follows:
    We have five stock incentive plans under which 6,700,000 shares can be issued to key employees through a grant of stock awards and/or options to purchase shares. The Compensation/Incentive Committee (“CIC”) of the Board of Directors administers these plans. All options granted under these plans provide for a purchase price equal to the market value of the stock at the date of grant. The latest plan, covering a total of 3,000,000 shares, was adopted in May 2006 and amended in August 2006. The plans are not qualified, restricted or incentive plans under the U.S. Internal Revenue Code. The terms of each plan differ slightly; however, stock options issued under the plans generally have a maximum term of 10 years. Under one plan, adopted in 1999, up to 500,000 shares may be issued to employees who are not our officers or directors.
 
    In May 2002, our shareholders approved the adoption of the Executive Long-Term Incentive Plan (“LTIP”) covering our officers and key employees. The CIC periodically approves a pool of shares to be awarded based on stock price hurdles, EBITDA targets and a discretionary component for the LTIP.
 
      In May 2009, the CIC approved a new stock-price target portion of the Company’s LTIP. The new stock price hurdles are as follows:
                 
Stock       Shares to
Price       be
Hurdle       Issued
$ 54.00    
 
    22,500  
$ 58.00    
 
    33,750  
$ 62.00    
 
    33,750  
       
 
       
Total  
 
    90,000  
       
 
       
      The stock price hurdles must be achieved during 30 trading days out of any 60 trading day period during the three years ending February 28, 2012.
 
      In October 2009, we met the cumulative EBITDA target established in 2007 and on November 10, 2009 the CIC approved a stock grant of 96,200 shares and the related allocation to participants. The pretax cost of the stock grant was $5.0 million and is included in selling, general and administrative expenses in the accompanying consolidated statement of income.
 
      In November 2009, the CIC approved a pool of shares to be awarded based on new EBITDA targets. The participants of the LTIP may be awarded 80,000 shares of capital stock if we attain Adjusted EBITDA of either $640 million for the three-year period beginning January 1, 2010, or $825 million for the four-year period beginning January 1, 2010. The CIC also established a discretionary pool of 37,000 shares of capital stock.
 
      There were no share-based awards made from the LTIP in fiscal 2008.

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    We maintain an Employee Stock Purchase Plan (“ESPP”). The ESPP allows eligible participants to purchase our shares through payroll deductions at current market value. We pay administrative and broker fees associated with the ESPP. Shares purchased for the ESPP are purchased on the open market and credited directly to participants’ accounts. In accordance with the FASB’s guidance, the ESPP is non-compensatory.
     For the years ended December 31, 2009, 2008 and 2007, we recorded $2.3 million, $1.9 million and $1.2 million, respectively, in amortization expense in the accompanying statement of income for stock-based compensation related to the amortization of restricted stock awards granted. For the years ended December 31, 2009, 2008 and 2007, we recorded $8.6 million, $7.3 million and $4.7 million, respectively, in selling, general and administrative expenses for stock-based compensation related to stock options granted. There were no capitalized stock-based compensation costs for any period presented.
     As of December 31, 2009, approximately $3.9 million of total unrecognized compensation costs related to non-vested stock awards are expected to be recognized over a weighted average period of 1.9 years. As of December 31, 2009, approximately $8.9 million of total unrecognized compensation costs related to non-vested stock options are expected to be recognized over a weighted average period of 1.7 years.
     The following table summarizes stock option and award activity:
                                 
          Stock Awards  
    Stock Options             Weighted  
            Weighted             Average  
    Number     Average     Number     Grant-  
    of     Exercise     of     Date  
    Shares     Price     Shares     Price  
Stock-based compensation shares:
                               
Outstanding at January 1, 2009
    2,175,159     $ 40.99       137,216     $ 46.80  
Granted
    508,600       44.02       160,199       44.54  
Exercised/Vested
    (216,732 )     20.47       (126,260 )     42.72  
Canceled/Forfeited
    (14,800 )     52.89       (1,180 )     21.78  
 
                           
Outstanding at December 31, 2009
    2,452,227     $ 43.36       169,975     $ 47.87  
 
                       
Vested at December 31, 2009
    1,458,866     $ 42.75                  
 
                           
     The weighted average contractual life of outstanding and exercisable options was 6.0 years at December 31, 2009.
     Options outstanding at December 31, 2009, were in the following exercise price ranges:
                         
            Weighted    
    Number   Average   Aggregate
    of   Exercise   Intrinsic
Exercise Price Range   Options   Price   Value
$16.10 to $27.18
    362,742     $ 20.23     $ 10,062,000  
$27.19 to $40.78
    763,268     $ 35.12     $ 9,808,000  
$40.79 to $70.00
    1,326,217     $ 54.43     $  
     The total intrinsic value of stock options exercised during the years ended December 31, 2009, 2008 and 2007 was $5.1 million, $5.2 million and $7.8 million, respectively. The total intrinsic value of stock options that were vested as of December 31, 2009, 2008 and 2007 was $15.5 million, $11.3 million and $33.5 million, respectively. The total intrinsic value of stock awards vested during the years ended December 31, 2009, 2008 and 2007 was $5.6 million, $3.4 million and $8.0 million, respectively. The total cash received from employees as a result of employee stock option exercises for the years ended December 31, 2009, 2008 and 2007 was $545,000, $291,000 and $2.5 million, respectively. In connection with these exercises, the excess tax benefits realized for the years ended December 31, 2009, 2008 and 2007, were $2.0 million, $2.4 million and $3.1 million, respectively. We settle employee stock options with newly issued shares.

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     We estimate the fair value of stock options using the Black-Scholes valuation model, consistent with the provisions of the FASB’s and the Securities and Exchange Commission‘s (“SEC”) guidance. We determine expected term, volatility, dividend yield and forfeiture rate based on our historical experience. We believe that historical experience is the best indicator of these factors. For purposes of determining the key assumptions and the related fair value of the options granted, we analyzed the participants of the LTIP separately from the other stock option recipients. The assumptions we used to value the 2009, 2008 and 2007 grants are as follows:
                                                 
    2009   2008   2007
    LTIP           LTIP           LTIP    
    Participants   All Others   Participants   All Others   Participants   All Others
             
Stock price on date of issuance
  $ 44.02     $ 44.02     $ 33.75     $ 33.75     $ 67.96     $ 67.96  
Grant date fair value per share
  $ 14.95     $ 12.49     $ 11.18     $ 10.18     $ 25.18     $ 21.87  
Number of options granted
    320,000       188,600       325,000       183,600       320,000       150,600  
Expected term (years)
    5.7       4.1       5.7       4.3       5.8       4.3  
Risk free rate of return
    1.91 %     1.44 %     3.08 %     2.92 %     4.74 %     4.76 %
Volatility
    35.0 %     35.0 %     31.8 %     34.0 %     30.4 %     31.3 %
Dividend yield
    0.6 %     0.6 %     0.7 %     0.7 %     0.4 %     0.4 %
Forfeiture rate
          5.5 %           5.20 %           5.20 %
4.   Segments and Nature of the Business
     Our segments include the VITAS segment and the Roto-Rooter segment. Relative contributions of each segment to service revenues and sales were 72% and 28%, respectively, in 2009 and 69% and 31%, respectively, in 2008. The vast majority of our service revenues and sales from continuing operations are generated from business within the United States.
     The reportable segments have been defined along service lines, which is consistent with the way the businesses are managed. In determining reportable segments, the Roto-Rooter Services and Roto-Rooter Franchising and Products operating units of the Roto-Rooter segment have been aggregated on the basis of possessing similar operating and economic characteristics. The characteristics of these operating segments and the basis for aggregation are reviewed annually. Accordingly, the reportable segments are defined as follows:
    The VITAS segment provides hospice services for patients with severe, life-limiting illnesses. This type of care is aimed at making the terminally ill patient’s end of life as comfortable and pain-free as possible. Hospice care is typically available to patients who have been initially certified or re-certified as terminally ill (i.e., a prognosis of six months or less) by their attending physician, if any, and the hospice physician. VITAS offers all levels of hospice care in a given market, including routine home care, inpatient care and continuous care. Over 90% of VITAS’ revenues are derived through the Medicare and Medicaid reimbursement programs.
 
    The Roto-Rooter segment provides repair and maintenance services to residential and commercial accounts using the Roto-Rooter registered service marks. Such services include plumbing and sewer, drain and pipe cleaning. They are delivered through company-owned and operated territories, independent contractor-operated territories and franchised locations. This segment also manufactures and sells products and equipment used to provide such services.
 
    We report corporate administrative expenses and unallocated investing and financing income and expense not directly related to either segment as “Corporate”. Corporate administrative expense includes the stewardship, accounting and reporting, legal, tax and other costs of operating a publicly held corporation. Corporate investing and financing income and expenses include the costs and income associated with corporate debt and investment arrangements. Beginning on January 1, 2008, the income statement impact of our deferred compensation plans covering Roto-Rooter employees has been classified as a Corporate activity. Historically, the income statement impact has been recorded as a Roto-Rooter activity. Due to the volatility in the capital markets, Roto-Rooter’s operational results were being distorted in our management reporting as a result of the activity of the deferred compensation plans. Our Chief Operating Decision Maker (“CODM”), determined that the income statement impact of Roto-Rooter’s deferred compensation plans is more appropriately classified as a Corporate activity. Our internal management reporting documents have been changed to reflect this determination. The table below has been reclassified to conform all periods presented.

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Chemed Corporation and Subsidiary Companies
     Segment data for our continuing operations are set forth below (in thousands):
                         
    For the Years Ended December 31,  
    2009     2008     2007  
Revenues by Type of Service
                       
VITAS
                       
Routine homecare
  $ 615,408     $ 585,891     $ 546,872  
Continuous care
    141,272       124,894       115,801  
General inpatient
    97,356       97,895       92,995  
Estimated BNAF
    1,950              
Medicare cap
    (1,643 )     (235 )     (242 )
 
                 
Total segment
    854,343       808,445       755,426  
 
                 
Roto-Rooter
                       
Sewer and drain cleaning
    136,503       146,150       151,111  
Plumbing repair and maintenance
    151,072       145,831       143,021  
Independent contractors
    21,620       21,968       22,070  
HVAC repair and maintenance
    4,031       4,059       3,929  
Other products and services
    22,667       22,488       24,501  
 
                 
Total segment
    335,893       340,496       344,632  
 
                 
Total service revenues and sales
  $ 1,190,236     $ 1,148,941     $ 1,100,058  
 
                 
Aftertax Segment Earnings/(Loss)
                       
VITAS
  $ 72,157     $ 64,719     $ 59,833  
Roto-Rooter
    33,246       33,592       38,971  
 
                 
Total
    105,403       98,311       98,804  
Corporate
    (31,366 )     (29,942 )     (38,364 )
Discontinued operations
    (253 )     (1,088 )     1,201  
 
                 
Net income
  $ 73,784     $ 67,281     $ 61,641  
 
                 
Interest Income
                       
VITAS
  $ 4,582     $ 5,336     $ 7,405  
Roto-Rooter
    2,587       3,824       5,370  
 
                 
Total
    7,169       9,160       12,775  
Corporate
    83       489       2,776  
Intercompany eliminations
    (6,829 )     (8,907 )     (12,247 )
 
                 
Total interest income
  $ 423     $ 742     $ 3,304  
 
                 
Interest Expense
                       
VITAS
  $ 374     $ 155     $ 146  
Roto-Rooter
    186       246       495  
 
                 
Total
    560       401       641  
Corporate
    11,039       11,722       14,280  
 
                 
Total interest expense
  $ 11,599     $ 12,123     $ 14,921  
 
                 
Income Tax Provision
                       
VITAS
  $ 43,921     $ 38,710     $ 35,722  
Roto-Rooter
    20,493       20,742       24,145  
 
                 
Total
    64,414       59,452       59,867  
Corporate
    (17,831 )     (12,417 )     (22,146 )
 
                 
Total income tax provision
  $ 46,583     $ 47,035     $ 37,721  
 
                 

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Chemed Corporation and Subsidiary Companies
                         
    For the Years Ended December 31,  
    2009     2008     2007  
Identifiable Assets
                       
VITAS
  $ 476,621     $ 523,178     $ 527,809  
Roto-Rooter
    191,254       188,003       185,982  
 
                 
Total
    667,875       711,181       713,791  
Corporate
    151,595       48,441       55,154  
 
                 
Total identifiable assets
  $ 819,470     $ 759,622     $ 768,945  
 
                 
Additions to Long-Lived Assets
                       
VITAS
  $ 14,913     $ 8,797     $ 20,435  
Roto-Rooter
    8,067       18,906       9,341  
 
                 
Total
    22,980       27,703       29,776  
Corporate
    448       9,492       193  
 
                 
Total additions to long-lived assets
  $ 23,428     $ 37,195     $ 29,969  
 
                 
Depreciation and Amortization
                       
VITAS
  $ 17,228     $ 16,984     $ 15,430  
Roto-Rooter
    8,182       8,344       8,419  
 
                 
Total
    25,410       25,328       23,849  
Corporate
    2,492       2,177       1,539  
 
                 
Total depreciation and amortization
  $ 27,902     $ 27,505     $ 25,388  
 
                 
5.   Goodwill and Intangible Assets
     Amortization of definite-lived intangible assets from continuing operations was $4.0 million for each of the years ended December 31, 2009, 2008 and 2007, respectively. The following is a schedule by year of projected amortization expense for definite-lived intangible assets (in thousands):
         
2010
  $ 2,091  
2011
    1,292  
2012
    1,289  
2013
    1,289  
2014
    328  
Thereafter
    272  
     The balance in identifiable intangible assets comprises the following (in thousands):
                         
    Gross     Accumulated     Net Book  
    Asset     Amortization     Value  
December 31, 2009
                       
Referral networks
  $ 21,200     $ (16,240 )   $ 4,960  
Covenants not to compete
    9,092       (8,006 )     1,086  
Customer lists
    1,227       (1,060 )     167  
Reacquired franchise Rights
    450       (43 )     407  
 
                 
Subtotal — definite-lived intangibles
    31,969       (25,349 )     6,620  
VITAS trade name
    51,300             51,300  
 
                 
Total
  $ 83,269     $ (25,349 )   $ 57,920  
 
                 
 
                       
December 31, 2008
                       
Referral networks
  $ 21,140     $ (13,445 )   $ 7,695  
Covenants not to compete
    8,911       (6,813 )     2,098  
Customer lists
    1,223       (1,013 )     210  
 
                 
Subtotal — definite-lived intangibles
    31,274       (21,271 )     10,003  
VITAS trade name
    51,300             51,300  
 
                 
Total
  $ 82,574     $ (21,271 )   $ 61,303  
 
                 

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Chemed Corporation and Subsidiary Companies
     The date of our annual goodwill and indefinite-lived intangible asset impairment analysis is October 1. For all reporting units included in continuing operations, the impairment tests indicated that the fair value of our goodwill exceeds its carrying amount. Our goodwill and VITAS trade name are not impaired.
     We consider that Roto-Rooter Co. (RRC), Roto-Rooter Services Co. (RRSC) and VITAS are appropriate reporting units. We consider RRC and RRSC as separate reporting units but one operating segment. This is appropriate as they each have their own set of general ledger accounts that can be analyzed at “one level below an operating segment” per the definition of a reporting unit in FASB guidance.
     We used two methods to estimate the business enterprise value of each reporting unit – (a) a comparison to key enterprise value ratios of publicly traded market competitors and (b) an allocation of total Chemed market value at October 1, 2009 to each reporting unit. The final estimate of the business enterprise value of each reporting unit was determined using a simple average of the two methods.
     For valuing the VITAS tradename, we performed a discounted cash flow analysis on the expected theoretical royalty cash stream from the VITAS tradename.
6.   Other Operating Expenses — Net
     Other expenses from continuing operations include the following pretax charges (in thousands):
                         
    For the Year Ended December 31,  
    2009     2008     2007  
Costs related to a contested proxy solicitation
  $ 3,989     $     $  
Impairment of long-lived assets
          2,699        
Cost related to class action litigation
                1,927  
Gain on sale of property
                (1,138 )
 
                 
Total other expenses
  $ 3,989     $ 2,699     $ 789  
 
                 
     For the twelve-month period ended December 31, 2009, we recorded pretax expenses of $4.0 million related to the costs of a contested proxy solicitation.
     In December 2008, the Executive Committee of the Board of Directors authorized us to place a 29 year-old, eight passenger Hawker jet for sale. We determined that this asset met the definition of held for sale under the FASB’s guidance on, accounting for the impairment or disposal of long-lived assets. As a result, we discontinued depreciation on the jet and wrote-down the asset to its fair value less selling costs resulting in a pre-tax charge to other operating expenses — net of approximately $2.7 million. In March 2009, we sold the jet and recognized a $112,000 gain on disposal.
7.   Business Combinations
     During 2009, we completed two business combinations within the Roto-Rooter segment for $1.9 million in cash to increase our market penetration in Detroit, Michigan and Grand Rapids, Michigan. We made no acquisitions within the VITAS segment during 2009. The purchase price of these acquisitions was allocated as follows (in thousands):
         
Working capital
  $ (13 )
Identifiable intangible assets
    690  
Goodwill
    1,067  
Other assets and liabilities — net
    175  
 
     
 
  $ 1,919  
 
     
     During 2008, we completed four business combinations within the Roto-Rooter segment for $11.2 million in cash to increase our market penetration in Colorado Springs, Colorado; Dayton, Ohio; Eugene, Oregon; and Topeka, Kansas. We made no acquisitions within the VITAS segment during 2008.
     During 2007, we completed one business combination within the Roto-Rooter segment for $1.1 million in cash to increase our market penetration in Burlington, Vermont. We made no acquisitions within the VITAS segment during 2007.

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Chemed Corporation and Subsidiary Companies
     The unaudited pro forma results of operations, assuming purchase business combinations completed in 2009 and 2008 were completed on January 1, 2008, and do not materially impact the accompanying consolidated financial statements. The results of operations of each of the above business combinations are included in our results of operations from the date of the respective acquisition. The allocations of purchase price are immaterial to the accompanying consolidated financial statements.
8.   Discontinued Operations
     Discontinued operations comprise (in thousands, except per share amounts):
                         
    For the Years Ended December 31,  
    2009     2008     2007  
Phoenix (2006):
                       
Income/(loss) before income taxes
  $     $     $ 1,938  
Income taxes
                (737 )
 
                 
Income/(loss) from operations, net of income taxes
                1,201  
 
                 
 
                       
Adjustment to accruals of operations discontinued in prior years:
                       
Casualty insurance costs
    (400 )     (1,719 )      
 
                 
Loss before income taxes
    (400 )     (1,719 )      
All other income taxes
    147       631        
 
                 
Total adjustments
    (253 )     (1,088 )      
 
                 
 
                       
Total discontinued operations
  $ (253 )   $ (1,088 )   $ 1,201  
 
                 
 
                       
Earnings/(loss) per share
  $ (0.01 )   $ (0.05 )   $ 0.05  
 
                 
 
                       
Diluted earnings/(loss) per share
  $ (0.02 )   $ (0.05 )   $ 0.05  
 
                 
     In December 2009 and 2008, we recorded a $400,000 and $1.7 million pre-tax charge, respectively, for residual casualty insurance claims related to our discontinued operations.
     In September 2006, our Board of Directors approved and we announced our intention to exit the hospice market in Phoenix, Arizona. In October 2007, we received notification from the Federal government’s fiscal intermediary regarding our Medicare cap liabilities related to the 2006 measurement period. The notification revealed that we were over accrued at our discontinued Phoenix operation by $1.9 million. We recorded the reversal of this over accrual and its related tax effects in discontinued operations during the year ended December 31, 2007. As of December 31, 2009, we have $198,000 accrued for potential retroactive billings related to the Medicare Cap for Phoenix.
     At December 31, 2009 and 2008, the accrual for our estimated liability for potential environmental cleanup and related costs arising from the sale of DuBois amounted to $1.7 million. Of the 2009 balance, $826,000 is included in other current liabilities and $901,000 is included in other liabilities (long-term). We are contingently liable for additional DuBois-related environmental cleanup and related costs up to a maximum of $14.9 million. On the basis of a continuing evaluation of the potential liability, we believe it is not probable this additional liability will be paid. Accordingly, no provision for this contingent liability has been recorded. The potential liability is not insured, and the recorded liability does not assume the recovery of insurance proceeds. Also, the environmental liability has not been discounted because it is not possible to reliably project the timing of payments. We believe that any adjustments to our recorded liability will not materially adversely affect our financial position, results of operations or cash flows.
     Revenues generated by discontinued operations were $1.9 million for the year ended December 31, 2007. There were no revenues generated by discontinued operations for the years ended December 31, 2009 and 2008.
     At December 31, 2009, other current liabilities include accruals of $1.0 million and other liabilities (long-term) include accruals of $1.2 million for costs related to discontinued operations. The estimated timing of payments of these liabilities follows (in thousands):
         
2010
  $ 1,043  
2011
    300  
Thereafter
    832  
 
     
 
  $ 2,175  
 
     

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Chemed Corporation and Subsidiary Companies
9.   Cash Overdrafts and Cash Equivalents
     Included in accounts payable are cash overdrafts of $11.7 million and $8.8 million as of December 31, 2009 and 2008, respectively.
     From time to time throughout the year, we invest excess cash in money market funds or repurchase agreements directly with major commercial banks. We do not physically hold the collateral for repurchase agreements, but the term is less than 10 days. We closely monitor the creditworthiness of the institutions with which we invest our overnight funds and the quality of the collateral underlying those investments. We had $109.3 million in cash equivalents as of December 31, 2009. There were no cash equivalents as of December 31, 2008. The weighted average rate of return for our cash equivalents was 0.3% in 2009 and 2.3% in 2008.
10.   Other Income/ (Expense) —Net
     Other income/ (expense)—net from continuing operations comprises the following (in thousands):
                         
    For the Years Ended December31,  
    2009     2008     2007  
Market value gains/(losses) on assets held in deferred compensation trust
  $ 5,802     $ (9,140 )   $ 963  
(Loss)/gain on disposal of property and equipment
    (369 )     (415 )     (286 )
Interest Income
    423       742       3,304  
Other — net
    18       77       144  
 
                 
Total other income
  $ 5,874     $ (8,736 )   $ 4,125  
 
                 
          The offset for market value gains or losses on assets held in deferred compensation trust is recorded in selling, general and administrative expenses.
11.   Income Taxes
          The provision for income taxes comprises the following (in thousands):
                         
    For the Years Ended December 31,  
    2009     2008     2007  
Continuing Operations:
                       
Current
                       
U.S. federal
  $ 36,182     $ 42,914     $ 26,458  
U.S. state and local
    4,960       6,226       3,995  
Foreign
    462       667       497  
Deferred
                       
U.S. federal, state and local
    4,980       (2,710 )     6,715  
Foreign
    (1 )     (62 )     56  
 
                 
Total
  $ 46,583     $ 47,035     $ 37,721  
 
                 
Discontinued Operations:
                       
Current U.S. federal
  $ (65 )   $ (735 )   $ 647  
Current U.S. state and local
    (5 )     (55 )     90  
Deferred U.S. federal, state and local
    (77 )     159        
 
                 
Total
  $ (147 )   $ (631 )   $ 737  
 
                 

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Chemed Corporation and Subsidiary Companies
     A summary of the temporary differences that give rise to deferred tax assets/ (liabilities) follows (in thousands):
                 
    2009     2008  
Accrued liabilities
  $ 23,609     $ 25,094  
Stock compensation expense
    7,991       4,825  
Allowance for uncollectible accounts receivable
    1,862       1,839  
State net operating loss carryforwards
    1,439       1,567  
Other
    2,420       3,245  
 
           
Deferred income tax assets
    37,321       36,570  
 
           
Amortization of intangible assets
    (37,975 )     (35,791 )
Accelerated tax depreciation
    (9,495 )     (6,325 )
Currents assets
    (1,179 )     (1,103 )
Other
    (623 )     (172 )
 
           
Deferred income tax liabilities
    (49,272 )     (43,391 )
 
           
Net deferred income tax liabilities
  $ ( 11,951 )   $ (6,821 )
 
           
     Included in other assets at December 31, 2009, are deferred income tax assets of $272,000 (2008 — $264,000). At December 31, 2009 and 2008, state net operating loss carryforwards were $26.6 million and $28.5 million, respectively. These net operating losses will expire, in varying amounts, between 2010 and 2029. Based on our history of operating earnings, we have determined that our operating income will, more likely than not, be sufficient to ensure realization of our deferred income tax assets.
     The cumulative effect upon adoption of FASB’s guidance on accounting for uncertain income taxes was to reduce our accrual for uncertain tax positions by approximately $4.7 million, which has been recorded in retained earnings as of January 1, 2007, in the accompanying financial statements. After adoption, we had approximately $1.3 million in unrecognized tax benefits. The majority of this amount would affect our effective tax rate, if recognized in a future period. The years ended December 31, 2006, and forward remain open for review for Federal income tax purposes. The earliest open year relating to any of our material state jurisdictions is the fiscal year ended December 31, 2004. During the next twelve months, we do not anticipate a material net change in unrecognized tax benefits.
     As permitted by this guidance, we classify interest related to our accrual for uncertain tax positions in separate interest accounts. As of December 31, 2009 and 2008, we have approximately $149,000 and $152,000, respectively, accrued in interest payable related to uncertain tax positions. These accruals are included in other current liabilities in the accompanying consolidated balance sheet. Net interest expense related to uncertain tax positions included in interest expense in the accompanying consolidated statement of income is not material.
     A roll forward of the significant changes to our unrecognized tax benefits is as follows (in thousands):
                         
    2009     2008     2007  
Balance at January 1,
  $ 1,202     $ 1,169     $ 1,281  
Unrecognized tax benefits due to positions taken in current year
    136       413       178  
Gross change due to positions taken in prior years
          53        
Decrease due to settlement with taxing authorities
    (214 )     (174 )     (40 )
Decrease due to expiration of statute of limitations
    (93 )     (259 )     (250 )
Other
    (21 )            
 
                 
Balance at December 31,
  $ 1,010     $ 1,202     $ 1,169  
 
                 

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Chemed Corporation and Subsidiary Companies
     The difference between the actual income tax provision for continuing operations and the income tax provision calculated at the statutory U.S. federal tax rate is explained as follows (in thousands):
                         
    2009     2008     2007  
Income tax provision calculated using the statutory rate of 35%
  $ 42,217     $ 40,391     $ 34,356  
State and local income taxes, less federal income tax effect
    3,837       3,928       3,265  
Impact of deferred compensation plans
    (190 )     3,084       (186 )
Tax accrual adjustments
    (111 )     107       (87 )
Other —net
    830       (475 )     373  
 
                 
Income tax provision
  $ 46,583     $ 47,035     $ 37,721  
 
                 
Effective tax rate
    38.6 %     40.8 %     38.4 %
 
                 
     Summarized below are the total amounts of income taxes paid during the years ended December 31 (in thousands):
         
2009
  $ 40,872  
2008
    50,535  
2007
    24,345  
     Provision has not been made for additional taxes on $35.1 million of undistributed earnings of our domestic subsidiaries. Should we elect to sell our interest in all of these businesses rather than to effect a tax-free liquidation, additional taxes amounting to approximately $12.9 million would be incurred based on current income tax rates.
12.   Properties and Equipment
          A summary of properties and equipment follows (in thousands):
                 
    December 31,  
    2009     2008  
Land
  $ 1,360     $ 1,355  
Buildings
    29,699       28,150  
Transportation equipment
    17,318       19,329  
Machinery and equipment
    53,017       48,378  
Computer software
    26,147       25,154  
Furniture and fixtures
    45,133       41,711  
Projects under development
    17,865       14,574  
 
           
Total properties and equipment
    190,539       178,651  
Less accumulated depreciation
    (115,181 )     (101,689 )
 
           
Net properties and equipment
  $ 75,358     $ 76,962  
 
           
     The net book value of computer software at December 31, 2009 and 2008, was $9.1 million and $5.6 million, respectively. Depreciation expense for computer software was $4.2 million, $4.3 million and $4.4 million for the years ended December 31, 2009, 2008 and 2007, respectively.
13.   Lease Arrangements
     We have operating leases that cover our corporate office headquarters, various warehouse and office facilities, office equipment and transportation equipment. The remaining terms of these leases range from one year to eight years, and in most cases we expect that these leases will be renewed or replaced by other leases in the normal course of business. We have no significant capital leases as of December 31, 2009 or 2008.

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     The following is a summary of future minimum rental payments and sublease rentals to be received under operating leases that have initial or remaining noncancelable terms in excess of one year at December 31, 2009 (in thousands):
         
2010
  $ 16,579  
2011
    12,659  
2012
    9,288  
2013
    6,991  
2014
    4,207  
Thereafter
    3,669  
 
     
Total minimum rental payments
    53,393  
Less: minimum sublease rentals
    (123 )
 
     
Net minimum rental payments
  $ 53,270  
 
     
     Total rental expense incurred under operating leases for continuing operations follows (in thousands):
                         
    For the Years Ended December 31,  
    2009     2008     2007  
Total rental payments
  $ 21,219     $ 18,867     $ 17,307  
Less sublease rentals
    (270 )     (265 )     (260 )
 
                 
Net rental expense
  $ 20,949     $ 18,602     $ 17,047  
 
                 
14.   Pension and Retirement Plans
     Retirement obligations under various plans cover substantially all full-time employees who meet age and/or service eligibility requirements. The major plans providing retirement benefits to our employees are defined contribution plans. Expenses charged to continuing operations for our retirement and profit-sharing plans, excess benefit plans and other similar plans were $15.1 million, $2.7 million and $12.8 million for the years ended December 31, 2009, 2008 and 2007, respectively. These expenses include the impact of market gains and losses on assets held in deferred compensation plans.
     We have excess benefit plans for key employees whose participation in the qualified plans is limited by U.S. Employee Retirement Income Security Act requirements. Benefits are determined based on theoretical participation in the qualified plans. Benefits are only invested in mutual funds, and participants are not permitted to diversify accumulated benefits in shares of our stock. Trust assets invested in shares of our stock are included in treasury stock, and the corresponding liability is included in a separate component of stockholders’ equity. At December 31, 2009, these trusts held 102,027 shares or $1.9 million of our stock (2008 – 108,416 shares or $2.0 million). The diversified assets of our excess benefit and deferred compensation plans, all of which are invested in various mutual funds, totaled $24.2 million at December 31, 2009 (2008 — $22.6 million).

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15.   Earnings Per Share
          The computation of earnings per share follows (in thousands, except per share data):
                                                 
             
    Income from Continuing Operations     Net Income  
For the Years Ended                   Earnings                     Earnings  
December 31,   Income     Shares     per Share     Income     Shares     per Share  
2009
                                               
Earnings
  $ 74,037       22,451     $ 3.30     $ 73,784       22,451     $ 3.29  
 
                                           
Dilutive stock options
          229                     229          
Nonvested stock awards
          62                     62          
 
                                       
Diluted earnings
  $ 74,037       22,742     $ 3.26     $ 73,784       22,742     $ 3.24  
 
                                   
 
                                               
2008
                                               
 
                                               
Earnings
  $ 68,369       23,058     $ 2.97     $ 67,281       23,058     $ 2.92  
 
                                           
Dilutive stock options
          287                     287          
Nonvested stock awards
          29                     29          
 
                                       
Diluted earnings
  $ 68,369       23,374     $ 2.93     $ 67,281       23,374     $ 2.88  
 
                                   
 
                                               
2007
                                               
Earnings
  $ 60,440       24,520     $ 2.46     $ 61,641       24,520     $ 2.51  
 
                                           
Dilutive stock options
          456                     456          
Nonvested stock awards
          101                     101          
 
                                       
Diluted earnings
  $ 60,440       25,077     $ 2.41     $ 61,641       25,077     $ 2.46  
 
                                   
     During 2009, 819,917 stock options were excluded from the computation of diluted earnings per share as their exercise prices were greater than the average market price during most of the year. During 2008, 827,917 stock options were so excluded. During 2007, 290,096 stock options were so excluded.
     Diluted earnings per share may be impacted in future periods as the result of the issuance of our $200 million Notes and related purchased call options and sold warrants. Per FASB’s authoritative guidance on the effect of contingently convertible instruments on diluted earnings per share and convertible bonds with issuer option to settle for cash upon conversion, we will not include any shares related to the Notes in our calculation of diluted earnings per share until our average stock price for a quarter exceeds the current conversion price. We would then include in our diluted earnings per share calculation those shares issuable using the treasury stock method. The amount of shares issuable is based upon the amount by which the average stock price for the quarter exceeds the conversion price. The purchased call option does not impact the calculation of diluted earnings per share, as it is always anti-dilutive. The sold warrants become dilutive when our average stock price for a quarter exceeds the strike price of the warrant.

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     The following table provides examples of how changes in our stock price impact the number of shares that would be included in our diluted earnings per share calculation. It also shows the impact on the number of shares issuable upon conversion of the Notes and settlement of the purchased call options and sold warrants:
                                                 
            Shares           Total Treasury   Shares Due   Incremental
            Underlying 1.875%           Method   to the Company   Shares Issued by
Share       Convertible   Warrant   Incremental   under Notes   the Company
Price       Notes   Shares   Shares (a)   Hedges   upon Conversion (b)
$ 80.73    
 
    6,411             6,411       (6,858 )     (447 )
$ 90.73    
 
    255,949             255,949       (273,807 )     (17,858 )
$ 100.73    
 
    461,080             461,080       (493,250 )     (32,170 )
$ 110.73    
 
    629,160       118,682       747,842       (673,057 )     74,785  
$ 120.73    
 
    769,396       314,621       1,084,017       (823,077 )     260,940  
$ 130.73    
 
    888,178       480,584       1,368,762       (950,146 )     418,616  
 
a)   Represents the number of incremental shares that must be included in the calculation of fully diluted shares under U.S. GAAP.
 
b)   Represents the number of incremental shares to be issued by the Company upon conversion of the Notes assuming concurrent settlement of the note hedges and warrants.
16.   Financial Instruments
     We adopted the provisions of the FASB’s authoritative guidance on fair value measurements. This statement defines a hierarchy which prioritizes the inputs in fair value measurements. Level 1 measurements are measurements using quoted prices in active markets for identical assets or liabilities. Level 2 measurements use significant other observable inputs. Level 3 measurements are measurements using significant unobservable inputs which require a company to develop its own assumptions. In recording the fair value of assets and liabilities, companies must use the most reliable measurement available. There was no impact on our financial position or results of operations upon partial adoption of this authoritative guidance.
     The following shows the carrying value, fair value and the hierarchy for our financial instruments as of December 31, 2009 (in thousands):
                                 
            Fair Value Measure
            Quoted Prices in   Significant    
            Active Markets   Other   Significant
            for Identical   Observable   Unobservable
    Carrying Value   Assets (Level 1)   Inputs (Level 2)   Inputs (Level 3)
Mutual fund investments of deferred compensation plans held in trust
  $ 24,158     $ 24,158     $     $  
Long-term debt
    152,127       163,587              
     For cash and cash equivalents, accounts receivable and accounts payable, the carrying amount is a reasonable estimate of fair value because of the liquidity and short-term nature of these instruments.
17.   Loans Receivable from Independent Contractors
     At December 31, 2009, we had contractual arrangements with 62 independent contractors to provide plumbing repair and drain cleaning services under sublicensing agreements using the Roto-Rooter name in lesser-populated areas of the United States and Canada. The arrangements give the independent contractors the right to conduct a plumbing and drain cleaning business using the Roto-Rooter name in a specified territory in exchange for a royalty based on a percentage of labor sales, generally approximately 40%. We also pay for certain telephone directory advertising in these areas, lease certain capital equipment and provide operating manuals to serve as resources for operating a plumbing and drain cleaning business. The contracts are generally cancelable upon 90 days’ written notice (without cause) or upon a few days notice (with cause). The independent contractors are responsible for running the businesses as they believe best.
     Our maximum exposure to loss from arrangements with our independent contractors at December 31, 2009 is approximately $1.3 million (2008 — $1.6 million). The exposure to loss is mainly the result of loans provided to the

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Chemed Corporation and Subsidiary Companies
independent contractors. In most cases, these loans are partially secured by receivables and equipment owned by the independent contractor. The interest rates on the loans range from zero to 8% per annum, and the remaining terms of the loans range from 2.5 months to 5.4 years at December 31, 2009. During 2009, we recorded revenues of $21.6 million (2008 — $22.0 million; 2007 — $22.1 million) and pretax profits of $9.5 million (2008 — $9.5 million; 2007 — $9.0 million) from our independent contractors.
18.   Litigation
     VITAS is party to a class action lawsuit filed in the Superior Court of California, Los Angeles County, in September 2006 by Bernadette Santos, Keith Knoche and Joyce White (“Santos”). This case alleges failure to pay overtime and failure to provide meal and rest periods to a purported class of California admissions nurses, chaplains and sales representatives. The case seeks payment of penalties, interest and Plaintiffs’ attorney fees. VITAS contests these allegations. In December 2009, the trial court denied Plaintiffs’ motion for class certification. The lawsuit is in its early stages and we are unable to estimate our potential liability, if any, with respect to these allegations.
     Regardless of outcome, defense of litigation adversely affects us through defense costs, diversion of our time and related publicity. In the normal course of business, we are a party to various claims and legal proceedings. We record a reserve for these matters when an adverse outcome is probable and the amount of the potential liability is reasonably estimable.
19.   Regulatory Matters
     In April 2005, the Office of Inspector General (“OIG”) for the Department of Health and Human Services served VITAS with civil subpoenas relating to VITAS’ alleged failure to appropriately bill Medicare and Medicaid for hospice services. As part of this investigation, the OIG selected medical records for 320 past and current patients from VITAS’ three largest programs for review. It also sought policies and procedures dating back to 1998 covering admissions, certifications, recertifications and discharges. During the third quarter of 2005 and again in May 2006, the OIG requested additional information from us. The Court dismissed a related qui tam complaint filed in U.S. District Court for the Southern District of Florida with prejudice in July 2007. The plaintiffs appealed this dismissal, which the Court of Appeals affirmed. The government continues to investigate the complaint’s allegations. In March 2009, we received a letter from the government reiterating the basis of their investigation.
     In May 2009, VITAS received an administrative subpoena from the U.S. Department of Justice requesting VITAS deliver to the OIG documents, patient records, and policy and procedure manuals for headquarters and its Texas programs concerning hospice services provided for the period January 1, 2003 to the date of the letter. In August 2009, the OIG selected medical records for 59 past and current patients from a Texas program for review. In February 2010, VITAS received a companion civil investigative demand from the state of Texas Attorney General’s Office, seeking related documents. Based on the early stage of the investigation and the limited information we have at this time, we cannot predict the outcome of this investigation. We believe that we are in material compliance with Medicare and Medicaid rules and regulations applicable to hospice providers.
     The costs to comply with either of these investigations were not material for any period presented. We are unable to predict the outcome of these matters or the impact, if any, that the investigation may have on our business, results of operations, liquidity or capital resources. Regardless of outcome, responding to the subpoenas can adversely affect us through defense costs, diversion of our time and related publicity.
20.   Related Party Transactions
     VITAS has two pharmacy services agreements (“Agreements”) with Omnicare, Inc. and its subsidiaries (“OCR”) whereby OCR provides specified pharmacy services for VITAS and its hospice patients in geographical areas served by both VITAS and OCR. The Agreements renew automatically for one-year terms. Either party may cancel the Agreements at the end of any term by giving 90 days prior written notice. VITAS made purchases from OCR of $33.1 million, $32.9 million and $33.6 million for the years ended December 31, 2009, 2008 and 2007, respectively. VITAS’ accounts payable to OCR and its subsidiaries are not material at December 31, 2009 and 2008.
     Mr. Joel F. Gemunder, President and Chief Executive Officer of OCR., and Ms. Andrea Lindell are directors of both OCR and the Company. Mr. Kevin J. McNamara, President, Chief Executive Officer and a director of the Company, is a director emeritus of OCR. We believe that the terms of these agreements are no less favorable to VITAS than we could negotiate with an unrelated party.

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21.   Capital Stock Transactions
     On April 26, 2007, our Board of Directors authorized a $150 million stock repurchase program. On May 19, 2008 our Board of Directors authorized an additional $56 million to the April 2007 stock repurchase program. For the year ended December 31, 2009, we repurchased 15,900 shares at a weighted average cost per share of $46.65 under the April 2007 program. For the year ended December 31, 2008, we repurchased 1.7 million shares at a weighted average cost per share of $39.73 under the April 2007 program.

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22. Guarantor Subsidiaries
     Our 1.875% Senior Convertible Notes issued on May 14, 2007, are fully and unconditionally guaranteed on an unsecured, joint and severally liable basis by our 100% owned subsidiaries. The equity method has been used with respect to the parent company’s (Chemed) investment in subsidiaries. No consolidating adjustment column is presented for the condensed consolidating statement of cash flow since there were no signficant consolidating entries for the periods presented. The following condensed, consolidating financial data present the composition of the parent company, the guarantor subsidiaries and the non-guarantor subsidiaries as of December 31, 2009 and 2008, and for the years ended December 31, 2009, 2008 and 2007 (in thousands):
                                         
            Guarantor     Non-Guarantor     Consolidating        
December 31, 2009   Parent     Subsidiaries     Subsidiaries     Adjustments     Consolidated  
ASSETS
                                       
Cash and cash equivalents
  $ 109,331     $ (1,221 )   $ 4,306     $     $ 112,416  
Accounts receivable, less allowances
    618       52,303       540             53,461  
Intercompany receivables
          149,888             (149,888 )      
Inventories
          7,009       534             7,543  
Current deferred income taxes
    (378 )     14,048       31             13,701  
Prepaid expenses
    (2,457 )     13,706       (112 )           11,137  
 
                             
Total current assets
    107,114       235,733       5,299       (149,888 )     198,258  
 
                             
Investments of deferred compensation plans held in trust
                24,158             24,158  
Properties and equipment, at cost, less accumulated depreciation
    10,309       62,912       2,137             75,358  
Identifiable intangible assets less accumulated amortization
          57,920                   57,920  
Goodwill
          445,662       4,380             450,042  
Other assets
    11,190       2,232       312             13,734  
Investments in subsidiaries
    643,572       15,523             (659,095 )      
 
                             
Total assets
  $ 772,185     $ 819,982     $ 36,286     $ (808,983 )   $ 819,470  
 
                             
LIABILITIES AND STOCKHOLDERS’ EQUITY
                                       
Accounts payable
  $ (2,411 )   $ 54,084     $ 398     $     $ 52,071  
Intercompany payables
    147,744             2,144       (149,888 )      
Income taxes
    (2,145 )     2,159       49             63  
Accrued insurance
    1,231       33,930                   35,161  
Accrued compensation
    4,235       30,020       407             34,662  
Other current liabilities
    1,643       11,367       1,117             14,127  
 
                             
Total current liabilities
    150,297       131,560       4,115       (149,888 )     136,084  
 
                             
Deferred income taxes
    (10,549 )     43,183       (6,710 )           25,924  
Long-term debt
    152,127                         152,127  
Deferred compensation liabilities
                23,637             23,637  
Other liabilities
    3,148       1,388                   4,536  
Stockholders’ equity
    477,162       643,851       15,244       (659,095 )     477,162  
 
                             
Total liabilities and stockholders’ equity
  $ 772,185     $ 819,982     $ 36,286     $ (808,983 )   $ 819,470  
 
                             
                                         
            Guarantor     Non-Guarantor     Consolidating        
December 31, 2008   Parent     Subsidiaries     Subsidiaries     Adjustments     Consolidated  
ASSETS
                                       
Cash and cash equivalents
  $ 65     $ 202     $ 3,361     $     $ 3,628  
Accounts receivable, less allowances
    1,261       96,112       703             98,076  
Intercompany receivables
          37,105             (37,105 )      
Inventories
          7,021       548             7,569  
Current deferred income taxes
    (229 )     15,511       110             15,392  
Prepaid expenses
    2,296       7,982       990             11,268  
 
                             
Total current assets
    3,393       163,933       5,712       (37,105 )     135,933  
 
                             
Investments of deferred compensation plans held in trust
                22,628             22,628  
Properties and equipment, at cost, less accumulated depreciation
    11,665       63,179       2,118             76,962  
Identifiable intangible assets less accumulated amortization
          61,303                   61,303  
Goodwill
          444,433       4,288             448,721  
Other assets
    11,312       2,455       308             14,075  
Investments in subsidiaries
    568,038       11,196             (579,234 )      
 
                             
Total assets
  $ 594,408     $ 746,499     $ 35,054     $ (616,339 )   $ 759,622  
 
                             
LIABILITIES AND STOCKHOLDERS’ EQUITY
                                       
Accounts payable
  $ (1,688 )   $ 54,175     $ 323     $     $ 52,810  
Intercompany payables
    29,513             7,592       (37,105 )      
Current portion of long-term debt
    10,000       169                   10,169  
Income taxes
    (1,940 )     3,909       212             2,181  
Accrued insurance
    1,425       34,569                   35,994  
Accrued compensation
    3,817       36,523       401             40,741  
Other current liabilities
    2,022       8,979       1,179             12,180  
 
                             
Total current liabilities
    43,149       138,324       9,707       (37,105 )     154,075  
 
                             
Deferred income taxes
    (7,801 )     38,310       (8,032 )           22,477  
Long-term debt
    158,210                         158,210  
Deferred compensation liabilities
                22,417             22,417  
Other liabilities
    4,019       1,593                   5,612  
Stockholders’ equity
    396,831       568,272       10,962       (579,234 )     396,831  
 
                             
Total liabilities and stockholders’ equity
  $ 594,408     $ 746,499     $ 35,054     $ (616,339 )   $ 759,622  
 
                             

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            Guarantor     Non-Guarantor     Consolidating        
For the year ended December 31, 2009   Parent     Subsidiaries     Subsidiaries     Adjustments     Consolidated  
Continuing Operations
                                       
Net sales and service revenues
  $     $ 1,166,972     $ 23,264     $     $ 1,190,236  
 
                             
Cost of services provided and goods sold
          822,788       11,786             834,574  
Selling, general and administrative expenses
    23,199       163,600       10,627             197,426  
Depreciation
    602       20,221       712             21,535  
Amortization
    2,294       4,073                   6,367  
Other operating expenses
    3,989                         3,989  
 
                             
Total costs and expenses
    30,084       1,010,682       23,125             1,063,891  
 
                             
Income/ (loss) from operations
    (30,084 )     156,290       139             126,345  
Interest expense
    (11,040 )     (565 )     6             (11,599 )
Other (expense)/income — net
    5,428       (5,422 )     5,868             5,874  
 
                             
Income/ (loss) before income taxes
    (35,696 )     150,303       6,013             120,620  
Income tax (provision)/ benefit
    12,463       (56,948 )     (2,098 )           (46,583 )
Equity in net income of subsidiaries
    97,270       4,043             (101,313 )      
 
                             
Income from continuing operations
    74,037       97,398       3,915       (101,313 )     74,037  
Discontinued Operations
    (253 )                       (253 )
 
                             
Net income
  $ 73,784     $ 97,398     $ 3,915     $ (101,313 )   $ 73,784  
 
                             
                                         
            Guarantor     Non-Guarantor     Consolidating        
For the year ended December 31, 2008   Parent     Subsidiaries     Subsidiaries     Adjustments     Consolidated  
Continuing Operations
                                       
Net sales and service revenues
  $     $ 1,124,063     $ 24,878     $     $ 1,148,941  
 
                             
Cost of services provided and goods sold
          798,173       12,374             810,547  
Selling, general and administrative expenses
    19,644       158,214       (2,525 )           175,333  
Depreciation
    504       20,382       695             21,581  
Amortization
    1,890       4,034                   5,924  
Other operating expenses
    2,699                         2,699  
 
                             
Total costs and expenses
    24,737       980,803       10,544             1,016,084  
 
                             
Income/ (loss) from operations
    (24,737 )     143,260       14,334             132,857  
Interest expense
    (11,722 )     (398 )     (3 )           (12,123 )
Gain on extinguishment of debt
    3,406                         3,406  
Other (expense)/income — net
    4,381       (4,070 )     (9,047 )           (8,736 )
 
                             
Income/ (loss) before income taxes
    (28,672 )     138,792       5,284             115,404  
Income tax (provision)/ benefit
    10,386       (52,199 )     (5,222 )           (47,035 )
Equity in net income of subsidiaries
    86,655       1,403             (88,058 )      
 
                             
Income from continuing operations
    68,369       87,996       62       (88,058 )     68,369  
Discontinued Operations
    (1,088 )                       (1,088 )
 
                             
Net income
  $ 67,281     $ 87,996     $ 62     $ (88,058 )   $ 67,281  
 
                             
                                         
            Guarantor     Non-Guarantor     Consolidating        
For the year ended December 31, 2007   Parent     Subsidiaries     Subsidiaries     Adjustments     Consolidated  
Continuing Operations
                                       
Net sales and service revenues
  $     $ 1,075,042     $ 25,016     $     $ 1,100,058  
 
                             
Cost of services provided and goods sold
          754,739       12,327             767,066  
Selling, general and administrative expenses
    18,846       159,074       6,140             184,060  
Depreciation
    488       19,003       627             20,118  
Amortization
    1,232       4,036       2             5,270  
Other operating expenses/(income)
    (1,138 )     1,927                   789  
 
                             
Total costs and expenses
    19,428       938,779       19,096             977,303  
 
                             
Income/ (loss) from operations
    (19,428 )     136,263       5,920             122,755  
Interest expense
    (14,287 )     (445 )     (189 )           (14,921 )
Loss on extinguishment of debt
    (13,798 )                       (13,798 )
Other (expense)/income — net
    15,030       (10,809 )     (96 )           4,125  
 
                             
Income/ (loss) before income taxes
    (32,483 )     125,009       5,635             98,161  
Income tax (provision)/ benefit
    11,428       (46,782 )     (2,367 )           (37,721 )
Equity in net income of subsidiaries
    82,696       3,453             (86,149 )      
 
                             
Income from continuing operations
    61,641       81,680       3,268       (86,149 )     60,440  
Discontinued Operations
          1,201                   1,201  
 
                             
Net income
  $ 61,641     $ 82,881     $ 3,268     $ (86,149 )   $ 61,641  
 
                             

30


 

Chemed Corporation and Subsidiary Companies
                                 
            Guarantor     Non-Guarantor        
For the year ended December 31, 2009   Parent     Subsidiaries     Subsidiaries     Consolidated  
Cash Flow from Operating Activities:
                               
Net cash provided by operating activities
  $ 950     $ 153,387     $ 6,495     $ 160,832  
 
                       
Cash Flow from Investing Activities:
                               
Capital expenditures
    (448 )     (20,394 )     (654 )     (21,496 )
Business combinations, net of cash acquired
          (1,919 )           (1,919 )
Net payments from sale of discontinued operations
    (328 )     (302 )           (630 )
Proceeds from sale of property and equipment
    1,285       292             1,577  
Other sources/(uses) — net
    (255 )     (302 )     183       (374 )
 
                       
 
Net cash provided/(used) by investing activities
    254       (22,625 )     (471 )     (22,842 )
 
                       
 
Cash Flow from Financing Activities:
                               
Change in cash overdrafts payable
    19       2,872             2,891  
Change in intercompany accounts
    140,674       (135,226 )     (5,448 )      
Dividends paid to shareholders
    (8,157 )                 (8,157 )
Purchases of treasury stock
    (4,225 )                 (4,225 )
Proceeds from exercise of stock options
    545                   545  
Realized excess tax benefit on share based compensation
    1,955                   1,955  
Net decrease in revolving line of credit
    (8,200 )                 (8,200 )
Repayment of long-term debt
    (14,500 )     (169 )           (14,669 )
Other sources/(uses) — net
    (49 )     338       369       658  
 
                       
 
Net cash provided/ (used) by financing activities
    108,062       (132,185 )     (5,079 )     (29,202 )
 
                       
 
Net increase/(decrease) in cash and cash equivalents
    109,266       (1,423 )     945       108,788  
Cash and cash equivalents at beginning of year
    65       202       3,361       3,628  
 
                       
Cash and cash equivalents at end of period
  $ 109,331     $ (1,221 )   $ 4,306     $ 112,416  
 
                       
                                 
            Guarantor     Non-Guarantor        
For the year ended December 31, 2008   Parent     Subsidiaries     Subsidiaries     Consolidated  
Cash Flow from Operating Activities:
                               
Net cash provided/(used) by operating activities
  $ (8,912 )   $ 118,904     $ 2,091     $ 112,083  
 
                       
Cash Flow from Investing Activities:
                               
Capital expenditures
    (9,492 )     (15,576 )     (1,026 )     (26,094 )
Business combinations, net of cash acquired
          (11,200 )           (11,200 )
Net proceeds from sale of discontinued operations
    8,824                   8,824  
Proceeds from sale of property and equipment
    10       342       35       387  
Other sources/(uses) — net
    (660 )     123       (7 )     (544 )
 
                       
 
Net cash used by investing activities
    (1,318 )     (26,311 )     (998 )     (28,627 )
 
                       
 
Cash Flow from Financing Activities:
                               
Change in cash overdrafts payable
    (1,106 )     250             (856 )
Change in intercompany accounts
    90,906       (91,249 )     343        
Dividends paid to shareholders
    (5,543 )                 (5,543 )
Purchases of treasury stock
    (69,788 )                 (69,788 )
Proceeds from exercise of stock options
    291                   291  
Realized excess tax benefit on share based compensation
    2,422                   2,422  
Net increase in revolving line of credit
    8,200                   8,200  
Repayment of long-term debt
    (18,551 )     (162 )           (18,713 )
Other sources/(uses) — net
    (413 )     354       (770 )     (829 )
 
                       
 
Net cash provided/ (used) by financing activities
    6,418       (90,807 )     (427 )     (84,816 )
 
                       
 
Net increase/(decrease) in cash and cash equivalents
    (3,812 )     1,786       666       (1,360 )
Cash and cash equivalents at beginning of year
    3,877       (1,584 )     2,695       4,988  
 
                       
Cash and cash equivalents at end of period
  $ 65     $ 202     $ 3,361     $ 3,628  
 
                       
                                 
            Guarantor     Non-Guarantor        
For the year ended December 31, 2007   Parent     Subsidiaries     Subsidiaries     Consolidated  
Cash Flow from Operating Activities:
                               
Net cash provided by operating activities
  $ 93     $ 97,008     $ 2,483     $ 99,584  
 
                       
Cash Flow from Investing Activities:
                               
Capital expenditures
    (193 )     (25,674 )     (773 )     (26,640 )
Business combinations, net of cash acquired
          (1,079 )           (1,079 )
Net proceeds/(payments) from sale of discontinued operations
    2,502       (7,904 )           (5,402 )
Proceeds from sale of property and equipment
    2,963       116       25       3,104  
Other uses — net
    (919 )     (751 )     (31 )     (1,701 )
 
                       
 
Net cash provided/(used) by investing activities
    4,353       (35,292 )     (779 )     (31,718 )
 
                       
 
Cash Flow from Financing Activities:
                               
Change in cash overdrafts payable
    7       (926 )           (919 )
Change in intercompany accounts
    66,095       (62,296 )     (3,799 )      
Dividends (paid)/received to/from shareholders
    (5,888 )     1,446       (1,446 )     (5,888 )
Purchases of treasury stock
    (131,704 )                 (131,704 )
Proceeds from exercise of stock options
    2,467                   2,467  
Realized excess tax benefit on share based compensation
    3,091                   3,091  
Purchase note hedges
    (55,100 )                 (55,100 )
Proceeds from issuance of warrants
    27,614                   27,614  
Proceeds from issuance of long-term debt
    245,106                   245,106  
Proceeds from conversion feature of debt, net of costs
    53,206                   53,206  
Debt issuance costs
    (5,261 )                 (5,261 )
Repayment of long-term debt
    (225,500 )     (209 )           (225,709 )
Other sources/(uses) — net
    40       (1 )     906       945  
 
                       
 
Net cash used by financing activities
    (25,827 )     (61,986 )     (4,339 )     (92,152 )
 
                       
 
Net decrease in cash and cash equivalents
    (21,381 )     (270 )     (2,635 )     (24,286 )
Cash and cash equivalents at beginning of year
    25,258       (1,314 )     5,330       29,274  
 
                       
Cash and cash equivalents at end of period
  $ 3,877     $ (1,584 )   $ 2,695     $ 4,988  
 
                       

31


 

Chemed Corporation and Subsidiary Companies
UNAUDITED SUMMARY OF QUARTERLY RESULTS
Chemed Corporation and Subsidiary Companies
(in thousands, except per share and footnote data)
                                         
    First     Second     Third     Fourth     Total  
For the Year Ended December 31, 2009   Quarter     Quarter     Quarter     Quarter     Year  
Continuing Operations
                                       
Total service revenues and sales
  $ 294,938     $ 295,255     $ 296,794     $ 303,249     $ 1,190,236  
 
                             
Gross profit
  $ 87,925     $ 87,918     $ 87,906     $ 91,913     $ 355,662  
 
                             
Income from operations
  $ 34,726     $ 27,938     $ 32,786     $ 30,895     $ 126,345  
Interest expense
    (2,844 )     (3,142 )     (2,853 )     (2,760 )     (11,599 )
Other income/(expense)—net
    (276 )     3,358       1,733       1,059       5,874  
 
                             
Income before income taxes
    31,606       28,154       31,666       29,194       120,620  
Income taxes
    (12,267 )     (10,904 )     (12,456 )     (10,956 )     (46,583 )
 
                             
Income from continuing operations (a)
    19,339       17,250       19,210       18,238       74,037  
Discontinued Operations
                      (253 )     (253 )
 
                             
Net Income (a)
  $ 19,339     $ 17,250     $ 19,210     $ 17,985     $ 73,784  
 
                             
 
                                       
Earnings Per Share (a)
                                       
Income from continuing operations
  $ 0.86     $ 0.77     $ 0.86     $ 0.81     $ 3.30  
 
                             
Net income
  $ 0.86     $ 0.77     $ 0.86     $ 0.80     $ 3.29  
 
                             
 
                                       
Diluted Earnings Per Share (a)
                                       
Income from continuing operations
  $ 0.85     $ 0.76     $ 0.84     $ 0.80     $ 3.26  
 
                             
Net income
  $ 0.85     $ 0.76     $ 0.84     $ 0.78     $ 3.24  
 
                             
 
                                       
Average number of shares outstanding
                                       
Earnings per share
    22,394       22,417       22,461       22,551       22,451  
 
                             
Diluted earnings per share
    22,647       22,672       22,744       22,937       22,742  
 
                             
 
(a)   The following amounts are included in income from continuing operations during the respective quarter (in thousands):
                                         
    First     Second     Third     Fourth     Total  
    Quarter     Quarter     Quarter     Quarter     Year  
Pretax (cost)/benefit:
                                       
Stock option expense
  $ (2,042 )   $ (2,443 )   $ (2,214 )   $ (1,940 )   $ (8,639 )
Noncash impact of change in accounting for convertible debt
    (1,530 )     (1,561 )     (1,591 )     (1,623 )     (6,305 )
Non-taxable income from certain investments held in deferred compensation trusts
    1,211                         1,211  
Expenses associated with contested proxy solicitiation
    (545 )     (3,444 )                 (3,989 )
Expenses incurred in connection with the Office of Inspector General investigation
    (13 )     (86 )     (343 )     (144 )     (586 )
Long-term incentive compensation
                      (5,007 )     (5,007 )
Costs related to litigation settlements
                      (882 )     (882 )
 
                             
Total
  $ (2,919 )   $ (7,534 )   $ (4,148 )   $ (9,596 )   $ (24,197 )
 
                             
Aftertax (cost)/benefit:
                                       
Stock option expense
  $ (1,292 )   $ (1,544 )   $ (1,401 )   $ (1,227 )   $ (5,464 )
Noncash impact of change in accounting for convertible debt
    (968 )     (987 )     (1,006 )     (1,027 )     (3,988 )
Non-taxable income from certain investments held in deferred compensation trusts
    1,211                         1,211  
Income tax impact of nondeductible losses on investments held in deferred compensation trusts
    (475 )     20                   (455 )
Expenses associated with contested proxy solicitiation
    (345 )     (2,180 )                 (2,525 )
Expenses incurred in connection with the Office of Inspector General investigation
    (8 )     (53 )     (213 )     (89 )     (363 )
Long-term incentive compensation
                      (3,134 )     (3,134 )
Costs related to litigation settlements
                      (534 )     (534 )
 
                             
Total
  $ (1,877 )   $ (4,744 )   $ (2,620 )   $ (6,011 )   $ (15,252 )
 
                             

32


 

Chemed Corporation and Subsidiary Companies
UNAUDITED SUMMARY OF QUARTERLY RESULTS
Chemed Corporation and Subsidiary Companies
(in thousands, except per share and footnote data)
                                         
    First     Second     Third     Fourth     Total  
For the Year Ended December 31, 2008   Quarter     Quarter     Quarter     Quarter     Year  
Continuing Operations
                                       
Total service revenues and sales
  $ 285,268     $ 283,156     $ 288,312     $ 292,205     $ 1,148,941  
 
                             
Gross profit
  $ 79,456     $ 82,017     $ 85,866     $ 91,055     $ 338,394  
 
                             
Income from operations
  $ 29,841     $ 28,837     $ 34,909     $ 39,270     $ 132,857  
Interest expense
    (3,109 )     (2,964 )     (3,140 )     (2,910 )     (12,123 )
Gain on extinguishment of debt
                      3,406       3,406  
Other income/(expense)—net
    (1,189 )     886       (1,908 )     (6,525 )     (8,736 )
 
                             
Income before income taxes
    25,543       26,759       29,861       33,241       115,404  
Income taxes
    (9,683 )     (10,488 )     (12,910 )     (13,954 )     (47,035 )
 
                             
Income from continuing operations (a)
    15,860       16,271       16,951       19,287       68,369  
Discontinued Operations
                      (1,088 )     (1,088 )
 
                             
Net Income (a)
  $ 15,860     $ 16,271     $ 16,951     $ 18,199     $ 67,281  
 
                             
 
                                       
Earnings Per Share (a)
                                       
Income from continuing operations
  $ 0.66     $ 0.69     $ 0.75     $ 0.86     $ 2.97  
 
                             
Net income
  $ 0.66     $ 0.69     $ 0.75     $ 0.81     $ 2.92  
 
                             
 
                                       
Diluted Earnings Per Share (a)
                                       
Income from continuing operations
  $ 0.65     $ 0.68     $ 0.74     $ 0.85     $ 2.93  
 
                             
Net income
  $ 0.65     $ 0.68     $ 0.74     $ 0.80     $ 2.88  
 
                             
 
                                       
Average number of shares outstanding
                                       
Earnings per share
    23,873       23,486       22,503       22,382       23,058  
 
                             
Diluted earnings per share
    24,285       23,759       22,818       22,644       23,374  
 
                             
 
(a)   The following amounts are included in income from continuing operations during the respective quarter (in thousands):
                                         
    First     Second     Third     Fourth     Total  
    Quarter     Quarter     Quarter     Quarter     Year  
Pretax (cost)/benefit:
                                       
Stock option expense
  $ (1,391 )   $ (1,591 )   $ (2,102 )   $ (2,219 )   $ (7,303 )
Noncash impact of change in accounting for convertible debt
    (1,512 )     (1,542 )     (1,570 )     (1,515 )     (6,139 )
Unreserved prior year’s insurance claim
    (597 )                       (597 )
Expenses incurred in connection with the Office of Inspector General investigation
    15       (57 )     (2 )     (2 )     (46 )
Gain on extinguishment of debt
                      3,406       3,406  
Impairment loss on transportation equipment
                      (2,699 )     (2,699 )
 
                             
Total
  $ (3,485 )   $ (3,190 )   $ (3,674 )   $ (3,029 )   $ (13,378 )
 
                             
Aftertax (cost)/benefit:
                                       
Stock option expense
  $ (884 )   $ (1,010 )   $ (1,334 )   $ (1,391 )   $ (4,619 )
Noncash impact of change in accounting for convertible debt
    (960 )     (979 )     (997 )     (1,070 )     (4,006 )
Unreserved prior year’s insurance claim
    (358 )                       (358 )
Expenses incurred in connection with the Office of Inspector General investigation
    9       (35 )     (1 )     (1 )     (28 )
Income tax credit related to prior years
    322                         322  
Income tax impact of nondeductible losses on investments held in deferred compensation trusts
                (1,237 )     (1,825 )     (3,062 )
Gain on extinguishment of debt
                      2,934       2,934  
Impairment loss on transportation equipment
                      (1,714 )     (1,714 )
 
                             
Total
  $ (1,871 )   $ (2,024 )   $ (3,569 )   $ (3,067 )   $ (10,531 )
 
                             

33


 

Chemed Corporation and Subsidiary Companies
SELECTED FINANCIAL DATA
Chemed Corporation and Subsidiary Companies
(in thousands, except per share and footnote data, ratios, percentages and personnel)
                                         
    2009   2008   2007   2006   2005
Summary of Operations
                                       
Continuing operations (a)
                                       
Service revenues and sales
  $ 1,190,236     $ 1,148,941     $ 1,100,058     $ 1,018,587     $ 915,970  
Gross profit (excluding depreciation)
    355,662       338,394       332,992       288,464       271,494  
Depreciation
    21,535       21,581       20,118       16,775       16,150  
Amortization
    6,367       5,924       5,270       5,255       4,922  
Income from operations
    126,345       132,857       122,755       104,979       76,769  
Income from continuing operations (b)
    74,037       68,369       60,440       57,722       36,228  
Net income (b)
    73,784       67,281       61,641       50,651       35,817  
Earnings per share
                                       
Income from continuing operations
  $ 3.30     $ 2.97     $ 2.46     $ 2.21     $ 1.42  
Net income
    3.29       2.92       2.51       1.94       1.40  
Average number of shares outstanding
    22,451       23,058       24,520       26,118       25,552  
Diluted earnings per share
                                       
Income from continuing operations
  $ 3.26     $ 2.93     $ 2.41     $ 2.16     $ 1.38  
Net income
    3.24       2.88       2.46       1.90       1.36  
Average number of shares outstanding
    22,742       23,374       25,077       26,669       26,299  
Cash dividends per share
  $ 0.36     $ 0.24     $ 0.24     $ 0.24     $ 0.24  
Financial Position—Year-End
                                       
Cash and cash equivalents
  $ 112,416     $ 3,628     $ 4,988     $ 29,274     $ 57,133  
Working capital/(deficit)
    62,174       (18,142 )     (13,427 )     (3,951 )     35,355  
Current ratio
    1.46       0.88       0.91       0.98       1.21  
Properties and equipment, at cost less accumulated depreciation
  $ 75,358     $ 76,962     $ 74,513     $ 70,140     $ 65,155  
Total assets
    819,470       759,622       768,945       791,461       837,343  
Long-term debt
    152,127       158,210       163,715       150,331       234,058  
Stockholders’ equity
    477,162       396,831       395,800       421,361       384,175  
Other Statistics—Continuing Operations
                                       
Capital expenditures
  $ 21,496     $ 26,094     $ 26,640     $ 21,987     $ 25,734  
Number of employees
    12,308       11,884       11,783       11,621       10,881  
 
(a)   Continuing operations exclude VITAS of Arizona, discontinued in 2006, Service America, discontinued in 2004 and Patient Care discontinued in 2002
 
(b)   The following amounts are included in income from continuing operations during the respective year (in thousands):
                                         
    2009     2008     2007     2006     2005  
After-tax benefit/(cost):
                                       
Stock option expense
  $ (5,464 )   $ (4,619 )   $ (2,962 )   $ (769 )   $ (137 )
Noncash impact of change in accounting for convertible debt
    (3,988 )     (4,006 )     (2,335 )                
Long-term incentive compensation
    (3,134 )           (4,427 )           (3,434 )
Expenses associated with contested proxy solicitation
    (2,525 )                        
Non-taxable income on certain investments held in deferred compensation trusts
    1,211                          
Costs related to litigation settlements
    (534 )           (1,168 )     (169 )     (10,757 )
Income tax impact of nondeductible losses on investments held in deferred compensation trusts
    (455 )     (3,062 )     (46 )            
Expenses incurred in connection with the Office of Inspector General investigation
    (363 )     (28 )     (141 )     (662 )     (397 )
Gain/(loss) on extinguishment of debt
          2,934       (8,778 )     (273 )     (2,523 )
Loss on impairment of transportation equipment
          (1,714 )                  
Unreserved prior-year’s insurance claim
          (358 )                  
Income tax credits or adjustments related to prior years
          322             2,115       1,961  
Gain on sale of property
                724              
Loss on impairment of investment
                      (918 )      
Adjustment to casualty insurance related to prior periods experience
                            1,014  
Adjustment of transaction-related expenses of the VITAS acquisition
                            959  
Other
                296       296        
 
                             
Total
  $ (15,252 )   $ (10,531 )   $ (18,837 )   $ (380 )   $ (13,314 )
 
                             

34


 

Chemed Corporation and Subsidiary Companies
CHEMED CORPORATION AND SUBSIDIARY COMPANIES
CONSOLIDATING STATEMENT OF INCOME
FOR THE YEAR ENDED DECEMBER 31, 2009

(in thousands)(unaudited)
                                 
                            Chemed  
    VITAS     Roto-Rooter     Corporate     Consolidated  
2009
                               
Service revenues and sales
  $ 854,343     $ 335,893     $     $ 1,190,236  
 
                       
Cost of services provided and goods sold
    653,212       181,362             834,574  
Selling, general and administrative expenses
    71,643       95,073       30,710       197,426  
Depreciation
    13,269       8,068       198       21,535  
Amortization
    3,959       114       2,294       6,367  
Other operating expenses
                3,989       3,989  
 
                       
Total costs and expenses
    742,083       284,617       37,191       1,063,891  
 
                       
Income/(loss) from operations
    112,260       51,276       (37,191 )     126,345  
Interest expense
    (374 )     (186 )     (11,039 )     (11,599 )
Intercompany interest income/(expense)
    4,314       2,514       (6,828 )      
Other income/(expense)—net
    (122 )     135       5,861       5,874  
 
                       
Income/(loss) before income taxes
    116,078       53,739       (49,197 )     120,620  
Income taxes
    (43,921 )     (20,493 )     17,831       (46,583 )
 
                       
Income/(loss) from continuing operations
    72,157       33,246       (31,366 )     74,037  
Discontinued operations
                (253 )     (253 )
 
                       
Net income/(loss)
  $ 72,157     $ 33,246     $ (31,619 )   $ 73,784  
 
                       
 
(a)   The following amounts are included in income from continuing operations (in thousands):
                                 
                            Chemed  
    VITAS     Roto-Rooter     Corporate     Consolidated  
Pretax benefit/(cost):
                               
Stock option expense
  $     $     $ (8,639 )   $ (8,639 )
Noncash impact of change in accounting for convertible debt
                (6,305 )     (6,305 )
Long-term incentive compensation
                (5,007 )     (5,007 )
Expenses associated with contested proxy solicitation
                (3,989 )     (3,989 )
Non-taxable income on certain investments held in deferred compensation trusts
                1,211       1,211  
Costs related to litigation settlements
          (882 )           (882 )
Expenses incurred in connection with the Office of Inspector General investigation
    (586 )                 (586 )
Gain/(loss) on extinguishment of debt
                       
 
                       
Total
  $ (586 )   $ (882 )   $ (22,729 )   $ (24,197 )
 
                       
                                 
    VITAS     Roto-Rooter     Corporate     Consolidated  
After-tax benefit/(cost):
                               
Stock option expense
  $     $     $ (5,464 )   $ (5,464 )
Noncash impact of change in accounting for convertible debt
                (3,988 )     (3,988 )
Long-term incentive compensation
                (3,134 )     (3,134 )
Expenses associated with contested proxy solicitation
                (2,525 )     (2,525 )
Non-taxable income on certain investments held in deferred compensation trusts
                1,211       1,211  
Income tax impact of nondeductible losses on investments held in deferred compensation trusts
                (455 )     (455 )
Costs related to litigation settlements
          (534 )           (534 )
Expenses incurred in connection with the Office of Inspector General investigation
    (363 )                 (363 )
Gain/(loss) on extinguishment of debt
                       
 
                       
Total
  $ (363 )   $ (534 )   $ (14,355 )   $ (15,252 )
 
                       

35


 

Chemed Corporation and Subsidiary Companies
CHEMED CORPORATION AND SUBSIDIARY COMPANIES
CONSOLIDATING STATEMENT OF INCOME
FOR THE YEAR ENDED DECEMBER 31, 2008

(in thousands)(unaudited)
                                 
                            Chemed  
    VITAS     Roto-Rooter     Corporate     Consolidated  
2008
                               
Service revenues and sales
  $ 808,445     $ 340,496     $     $ 1,148,941  
 
                       
Cost of services provided and goods sold
    625,177       185,370             810,547  
Selling, general and administrative expenses
    67,750       95,971       11,612       175,333  
Depreciation
    13,000       8,294       287       21,581  
Amortization
    3,984       50       1,890       5,924  
Other operating expenses
                2,699       2,699  
 
                       
Total costs and expenses
    709,911       289,685       16,488       1,016,084  
 
                       
Income/(loss) from operations
    98,534       50,811       (16,488 )     132,857  
Interest expense
    (155 )     (246 )     (11,722 )     (12,123 )
Intercompany interest income/(expense)
    5,199       3,708       (8,907 )      
Gain on extinguishment of debt
                3,406       3,406  
Other income/(expense)—net
    (149 )     61       (8,648 )     (8,736 )
 
                       
Income/(loss) before income taxes
    103,429       54,334       (42,359 )     115,404  
Income taxes
    (38,710 )     (20,742 )     12,417       (47,035 )
 
                       
Income/(loss) from continuing operations
    64,719       33,592       (29,942 )     68,369  
Discontinued operations
                (1,088 )     (1,088 )
 
                       
Net income/(loss)
  $ 64,719     $ 33,592     $ (31,030 )   $ 67,281  
 
                       
 
(a)   The following amounts are included in income from continuing operations (in thousands):
                                 
                            Chemed  
    VITAS     Roto-Rooter     Corporate     Consolidated  
Pretax benefit/(cost):
                               
Stock option expense
  $     $     $ (7,303 )   $ (7,303 )
Noncash impact of change in accounting for convertible debt
                (6,139 )     (6,139 )
Impairment loss on transportation equipment
                (2,699 )     (2,699 )
Gain on extinguishment of debt
                3,406       3,406  
Unreserved prior-year’s insurance claim
          (597 )           (597 )
Expenses incurred in connection with the Office of Inspector General investigation
    (46 )                 (46 )
 
                       
Total
  $ (46 )   $ (597 )   $ (12,735 )   $ (13,378 )
 
                       
                                 
    VITAS     Roto-Rooter     Corporate     Consolidated  
After-tax benefit/(cost):
                               
Stock option expense
  $     $     $ (4,619 )   $ (4,619 )
Noncash impact of change in accounting for convertible debt
                (4,006 )     (4,006 )
Impairment loss on transportation equipment
                (1,714 )     (1,714 )
Gain on extinguishment of debt
                2,934       2,934  
Income tax impact of non-deductible net market losses on investments held in deferred compensation trusts
                (3,062 )     (3,062 )
Unreserved prior-year’s insurance claim
          (358 )           (358 )
Expenses incurred in connection with the Office of Inspector General investigation
    (28 )                 (28 )
Income tax credit related to prior years
    322                   322  
 
                       
Total
  $ 294     $ (358 )   $ (10,467 )   $ (10,531 )
 
                       

36


 

Chemed Corporation and Subsidiary Companies
CHEMED CORPORATION AND SUBSIDIARY COMPANIES
CONSOLIDATING STATEMENT OF INCOME
FOR THE YEAR ENDED DECEMBER 31, 2007

(in thousands)(unaudited)
                                 
                            Chemed  
    VITAS     Roto-Rooter     Corporate     Consolidated  
2007
                               
Service revenues and sales
  $ 755,426     $ 344,632     $     $ 1,100,058  
 
                       
Cost of services provided and goods sold
    586,435       180,631             767,066  
Selling, general and administrative expenses
    65,103       95,424       23,533       184,060  
Depreciation
    11,446       8,365       307       20,118  
Amortization
    3,984       54       1,232       5,270  
Other operating expenses
          1,927       (1,138 )     789  
 
                       
Total costs and expenses
    666,968       286,401       23,934       977,303  
 
                       
Income/(loss) from operations
    88,458       58,231       (23,934 )     122,755  
Interest expense
    (146 )     (495 )     (14,280 )     (14,921 )
Intercompany interest income/(expense)
    7,254       4,993       (12,247 )      
Loss on extinguishment of debt
                (13,798 )     (13,798 )
Other income/(expense)—net
    (11 )     387       3,749       4,125  
 
                       
Income/(loss) before income taxes
    95,555       63,116       (60,510 )     98,161  
Income taxes
    (35,722 )     (24,145 )     22,146       (37,721 )
 
                       
Income/(loss) from continuing operations
    59,833       38,971       (38,364 )     60,440  
Discontinued operations
    1,201                   1,201  
 
                       
Net income/(loss)
  $ 61,034     $ 38,971     $ (38,364 )   $ 61,641  
 
                       
 
(a)   The following amounts are included in income from continuing operations (in thousands):
                                 
                            Chemed  
    VITAS     Roto-Rooter     Corporate     Consolidated  
Pretax benefit/(cost):
                               
Stock option expense
  $     $     $ (4,665 )   $ (4,665 )
Long-term incentive compensation
                (7,067 )     (7,067 )
Noncash impact of change in accounting for convertible debt
                (3,677 )     (3,677 )
Gain on sale of property
                1,138       1,138  
Loss on extinguishment of debt
                (13,798 )     (13,798 )
Unreserved prior-year’s insurance claim
          (1,927 )           (1,927 )
Expenses incurred in connection with the Office of Inspector General investigation
    (227 )                 (227 )
Other
                467       467  
 
                       
Total
  $ (227 )   $ (1,927 )   $ (27,602 )   $ (29,756 )
 
                       
 
                               
After-tax benefit/(cost):
                               
Stock option expense
  $     $     $ (2,962 )   $ (2,962 )
Long-term incentive compensation
                (4,427 )     (4,427 )
Noncash impact of change in accounting for convertible debt
                (2,335 )     (2,335 )
Gain on sale of property
                724       724  
Loss on extinguishment of debt
                (8,778 )     (8,778 )
Income tax impact of non-deductible net market losses on investments held in deferred compensation trusts
                (46 )     (46 )
Unreserved prior-year’s insurance claim
          (1,168 )           (1,168 )
Expenses incurred in connection with the Office of Inspector General investigation
    (141 )                 (141 )
Other
                296       296  
 
                       
Total
  $ (141 )   $ (1,168 )   $ (17,528 )   $ (18,837 )
 
                       

37


 

Chemed Corporation and Subsidiary Companies
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
EXECUTIVE SUMMARY
     We operate through our two wholly owned subsidiaries: VITAS Healthcare Corporation (“VITAS”) and Roto-Rooter Group, Inc. (“Roto-Rooter”). VITAS focuses on hospice care that helps make terminally ill patients’ final days as comfortable as possible. Through its team of doctors, nurses, home health aides, social workers, clergy and volunteers, VITAS provides direct medical services to patients, as well as spiritual and emotional counseling to both patients and their families. Roto-Rooter is focused on providing plumbing and drain cleaning services to both residential and commercial customers. Through its network of company-owned branches, independent contractors and franchisees, Roto-Rooter offers plumbing and drain cleaning service to over 90% of the U.S. population.
     The following is a summary of the key operating results for the years ended December 31, 2009, 2008 and 2007 (in thousands except percentages and per share amounts):
                         
    2009   2008   2007
Consolidated service revenues and sales
  $ 1,190,236     $ 1,148,941     $ 1,100,058  
Consolidated income from continuing operations
  $ 74,037     $ 68,369     $ 60,440  
Diluted EPS from continuing operations
  $ 3.26     $ 2.93     $ 2.41  
Adjusted EBITDA*
  $ 177,050     $ 161,754     $ 161,846  
Adjusted EBITDA as a percent of revenue
    14.9 %     14.1 %     14.7 %
 
*   See page 50 for reconciliation to GAAP measures
2009 versus 2008
     The increase in consolidated service revenues and sales from 2008 to 2009 was driven by a 5.7% increase at VITAS offset by an approximate 1.4% decrease at Roto-Rooter. The increase at VITAS was the result of an increase in average daily census (“ADC”) of 1%, Medicare price increases and an increase due to changes in the mix of care. The decrease at Roto-Rooter was driven by a 7% decrease in the job count offset by an approximate 6% price and mix shift increase. Consolidated income from continuing operations and diluted EPS from continuing operations increased as a result of higher service revenues and sales, which allowed us to further leverage our current cost structure. Adjusted EBITDA increased 9.5% from 2008 to 2009 and Adjusted EBITDA as a percent of revenue increased from 14.1% to 14.9%.
2008 versus 2007
     The increase in consolidated service revenues and sales from 2007 to 2008 was driven by a 7% increase at VITAS offset by a 1% decrease at Roto-Rooter. The increase at VITAS was the result of an increase in average daily census (“ADC”) of 3%, the annual Medicare price increase and an increase due to changes in the mix of care. The decrease at Roto-Rooter was driven by a 10% decrease in the job count offset by a 9% increase due to price increases and job mix changes. Consolidated income from continuing operations and diluted EPS from continuing operations increased as a result of higher service revenues and sales, which allowed us to further leverage our current cost structure. 2008 diluted EPS from continuing operations also benefited from share repurchases during the year of $69.8 million. The 2007 results were negatively impacted by pretax losses of $13.8 million ($8.8 million aftertax) related to our refinancing transactions. Adjusted EBITDA was essentially flat in 2008 when compared to 2007. Adjusted EBITDA as a percent of revenue decreased from 14.7% in 2007 to 14.1% in 2008.
     EBITDA and Adjusted EBITDA are not measures derived in accordance with GAAP and exclude components that are important to understanding our financial performance. We use Adjusted EBITDA as a measure of earnings for our LTIP awards. We provide EBITDA and Adjusted EBITDA to help readers evaluate our operating results, compare our operating performance with that of similar companies that have different capital structures and help evaluate our ability to meet future debt service, capital expenditure and working capital requirements. Our EBITDA and Adjusted EBITDA should not be considered in isolation or as a substitute for comparable measures presented in accordance with GAAP. A reconciliation of our net income to our Adjusted EBITDA is presented in tables following the Recent Accounting Statements section.
Impact of Current Market Conditions
     Due mainly to the condition of the U.S. economy, Roto-Rooter customer call volume in 2009 was down approximately 12.3% from the prior year. This led to a lower job count and lower total revenue at Roto-Rooter, as discussed above. For full-year 2010, we expect Roto-Rooter to achieve revenue growth of 1.0% to 3.0%. This is a result of increased pricing of 3.0%, a favorable mix shift to higher revenue jobs, offset by job count decline of 2.0% to 4.0%.

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     We expect VITAS to achieve full-year revenue growth, prior to Medicare cap, of 5.0% to 6.0%. Admissions are estimated to increase 2.0% to 4.0%. This revenue estimate includes the October 1, 2009, 1.3% increase in average hospice reimbursement rates. We also expect VITAS to have estimated Medicare contractual billing limitations of $5.0 million.
LIQUIDITY AND CAPITAL RESOURCES
     Significant factors affecting our cash flows during 2009 and financial position at December 31, 2009, include the following:
    Our continuing operations generated cash of $160.8 million;
 
    On a net basis, we repaid approximately $22.9 million of long-term debt;
 
    We repurchased our stock using cash of $4.2 million;
 
    We spent $21.5 million on capital expenditures.
     The ratio of total debt to total capital was 24.2% at December 31, 2009, compared with 29.8% at December 31, 2008. Our current ratio was 1.46 and 0.88 at December 31, 2009 and 2008, respectively.
     Collectively, the 2007 Facility and the Notes require us to meet certain restrictive financial covenants, in addition to non-financial covenants, including maximum leverage ratios, minimum fixed charge coverage and consolidated net worth ratios, limits on operating leases and minimum asset value limits. We are in compliance with all financial and non-financial debt covenants as of December 31, 2009 and we forecast to be in compliance through fiscal 2010. We have issued $28.8 million in standby letters of credit as of December 31, 2009, mainly for insurance purposes. Issued letters of credit reduce our available credit under the revolving credit agreement. As of December 31, 2009, we have approximately $146.2 million of unused lines of credit available and eligible to be drawn down under our revolving credit facility, excluding the expansion feature. We believe our cash flow from operating activities and our unused eligible lines of credit are sufficient to fund our obligations and operate our business in the near term. We continually evaluate cash utilization alternatives, including share repurchase, debt repurchase, acquisitions, and increased dividends to determine the most beneficial use of available capital resources.
CASH FLOW
     Our cash flows for 2009, 2008 and 2007 are summarized as follows (in millions):
                         
    For the Years Ended December 31,  
    2009     2008     2007  
Net cash provided by operating activities
  $ 160.8     $ 112.1     $ 99.6  
Capital expenditures
    (21.5 )     (26.1 )     (26.6 )
 
                 
Operating cash excess after capital expenditures
    139.3       86.0       73.0  
Purchase of treasury stock
    (4.2 )     (69.8 )     (131.7 )
Repayment of long-term debt
    (22.9 )     (18.7 )     (225.7 )
Business combinations
    (1.9 )     (11.2 )     (1.1 )
Net proceeds/(uses) from sale of discontinued operations
    (0.6 )     8.8       (5.4 )
Proceeds from issuance of long-term debt, net of costs
          8.2       245.1  
Proceeds from conversion feature of debt, net of costs
                53.2  
Dividends paid
    (8.2 )     (5.5 )     (5.9 )
Proceeds from exercise of stock options
    0.5       0.3       2.5  
Purchase of note hedge
                (55.1 )
Proceeds from issuance of warrants
                27.6  
Other—net
    6.8       0.5       (0.8 )
 
                 
(Decrease)/increase in cash and cash equivalents
  $ 108.8     $ (1.4 )   $ (24.3 )
 
                 
COMMITMENTS AND CONTINGENCIES
     In connection with the sale of DuBois Chemicals, Inc. (“DuBois”) in 1991, we provided allowances and accruals relating to several long-term costs, including income tax matters, lease commitments and environmental costs. Also, in conjunction with the sales of The Omnia Group (“Omnia”) and National Sanitary Supply Company in 1997 and the sale of Service America Network Inc. (“Service America”) in 2005, we provided long-term allowances and accruals relating to costs of severance arrangements, lease commitments and income tax matters. Additionally, we retain liability for casualty insurance claims for Service America and Patient Care that were incurred prior to the disposal date. In connection with the sale of VITAS’ Phoenix operation in November 2006, we have accrued an estimate of our total exposure for the Medicare Cap through the date of sale. In the aggregate, we believe these allowances and accruals are adequate as of December 31, 2009. Based on reviews of our environmental-related liabilities under the DuBois sale agreement, we have estimated our

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remaining liability to be $1.7 million. As of December 31, 2009, we are contingently liable for additional cleanup and related costs up to a maximum of $14.9 million, for which we believe it is not probable that we will have to make any payment towards. Thus, no provision has been recorded in accordance with the applicable accounting guidance.
     VITAS is party to a class action lawsuit filed in the Superior Court of California, Los Angeles County, in September 2006 by Bernadette Santos, Keith Knoche and Joyce White (“Santos”). This case alleges failure to pay overtime and failure to provide meal and rest periods to a purported class of California admissions nurses, chaplains and sales representatives. The case seeks payment of penalties, interest and Plaintiffs’ attorney fees. VITAS contests these allegations. In December 2009, the trial court denied Plantiffs’ motion for class certification. The lawsuit is in its early stages and we are unable to estimate our potential liability, if any, with respect to these allegations.
     In April 2005, the Office of Inspector General (“OIG”) for the Department of Health and Human Services served VITAS with civil subpoenas relating to VITAS’ alleged failure to appropriately bill Medicare and Medicaid for hospice services. As part of this investigation, the OIG selected medical records for 320 past and current patients from VITAS’ three largest programs for review. It also sought policies and procedures dating back to 1998 covering admissions, certifications, recertifications and discharges. During the third quarter of 2005 and again in May 2006, the OIG requested additional information from us. The Court dismissed a related qui tam complaint filed in U.S. District Court for the Southern District of Florida with prejudice in July 2007. The plaintiffs appealed this dismissal, which the Court of Appeals affirmed. The government continues to investigate the complaint’s allegations. In March 2009, we received a letter from the government reiterating the basis of their investigation.
     In May 2009, VITAS received an administrative subpoena from the U.S. Department of Justice requesting VITAS deliver to the OIG documents, patient records, and policy and procedure manuals for headquarters and its Texas programs concerning hospice services provided for the period January 1, 2003 to the date of the letter. In August 2009, the OIG selected medical records for 59 past and current patients from a Texas program for review. In February 2010, VITAS received a companion civil investigative demand from the state of Texas Attorney General’s office, seeking related documents. Based on the early stage of the investigation and the limited information we have at this time, we cannot predict the outcome of this investigation. We believe that we are in material compliance with Medicare and Medicaid rules and regulations applicable to hospice providers.
     We are unable to predict the outcome of these matters or the impact, if any, that the investigation may have on our business, results of operations, liquidity or capital resources. Regardless of outcome, responding to the subpoenas can adversely affect us through defense costs, diversion of our time and related publicity.
CONTRACTUAL OBLIGATIONS
     The table below summarizes our debt and contractual obligations as of December 31, 2009 (in thousands):
                                         
            Less than                     After  
    Total     1 year     1-3 Years     4 -5 Years     5 Years  
Long-term debt obligations
  $ 152,127     $     $     $ 152,127     $  
Interest obligation on long-term debt (a)
    15,335       3,505       7,011       4,819        
Operating lease obligations
    53,393       16,579       21,947       11,198       3,669  
Liabilities related to uncertain tax positions
    1,010       373       363       244       30  
Obligations of discontinued operations
    2,175       1,043       450       300       382  
Purchase obligations (b)
    52,071       52,071                    
Other current obligations (c )
    34,662       34,662                    
Other long-term obligations (d)
    26,403             1,383       1,383       23,637  
 
                             
Total contractual cash obligations
  $ 337,176     $ 108,233     $ 31,154     $ 170,071     $ 27,718  
 
                             
 
(a)   Our interest obligation on our long-term debt includes only interest on fixed rate debt.
 
(b)   Purchase obligations primarily consist of accounts payable at December 31, 2009.
 
(c)   Other current obligations consist of accrued salaries and wages at December 31, 2009.
 
(d)   Other long-term obligations comprise largely pension and excess benefit obligations.

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RESULTS OF OPERATIONS
2009 Versus 2008 — Consolidated Results
     Set forth below are the year-to-year changes in the components of the statement of operations relating to continuing operations for 2009 versus 2008 (in thousands, except percentages):
                 
    Favorable/(Unfavorable)  
    Amount     Percent  
Service revenues and sales
               
VITAS
  $ 45,898       6  
Roto-Rooter
    (4,603 )     (2 )
 
             
Total
    41,295       4  
Cost of services provided and goods sold
    (24,027 )     (3 )
Selling, general and administrative expenses
    (22,093 )     (13 )
Depreciation
    46        
Amortization
    (443 )     (7 )
Other expenses
    (1,290 )     (48 )
 
             
Income from operations
    (6,512 )     (5 )
Interest expense
    524       4  
Gain on extinguishment of debt
    (3,406 )     (100 )
Other income —net
    14,610       167  
 
             
Income before income taxes
    5,216       5  
Income taxes
    452       1  
 
             
Income from continuing operations
  $ 5,668       8  
 
             
     Our service revenues and sales for the year ended December 31, 2009 increased $41.3 million or 3.6% over the comparable prior year. The VITAS segment accounted for $45.9 million of the increase offset by a $4.6 million revenue decrease for the Roto-Rooter segment.
     The VITAS segment revenue increase is the result of the following (dollars in thousands):
                 
    Amount     Percent  
Routine homecare
  $ 29,517       5  
Continuous care
    16,378       13  
General inpatient
    (539 )     (1 )
Estimated BNAF
    1,950        
Medicare cap allowance
    (1,408 )     599  
 
             
Total revenues
  $ 45,898       6  
 
             
     The revenue increase for VITAS includes increases in the Medicare reimbursement rate of approximately 3.5% as well as a $1.95 million increase for the BNAF, recorded in the first quarter of 2009 but related to hospice care provided in the fourth quarter of 2008. In addition, the ADC for routine homecare and continuous care increased 0.9% and 7.4%, respectively, from 2008. ADC for general inpatient decreased 2.6% from 2008 to 2009. ADC is a key measure we use to monitor volume growth in our hospice programs. Changes in total program admissions, discharges and average length of stay for our patients are the main drivers of changes in ADC. The Medicare cap amount recorded in 2009 relates predominantly to one program’s liability through year end for the 2010 measurement period. We are currently pursuing corrective actions to attempt to mitigate the liability before the end of the measurement period. The 2008 revenue reduction for Medicare cap relates to one program’s liability through year end for the 2009 measurement period. This amount was subsequently reversed during the 2009 fiscal year due to improved admission trends.
     The Roto-Rooter segment revenue decrease is the result of the following (dollars in thousands):
                 
    Amount     Percent  
Plumbing
  $ 5,241       4  
Sewer and drain cleaning
    (9,647 )     (7 )
Other
    (197 )      
 
             
Total revenues
  $ (4,603 )     (1 )
 
             

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     Plumbing revenues for 2009 increased from 2008 due to a 13% increase in the average price per job offset by an 8% decrease in the number of jobs performed. The increase in the plumbing price per job was driven mainly by job mix. Our excavation job count increased by 13% compared to 2008. The average revenue per excavation job is approximately 5 times greater than other average plumbing jobs. Sewer and drain cleaning revenues for 2009 decreased from 2008 due to a 7% decrease in jobs performed partially offset by a 1% increase in the average price per job. Other revenue types are essentially flat when compared with 2008.
     The consolidated gross margin was 29.9% in 2009 versus 29.5% in 2008. On a segment basis, VITAS’ gross margin was 23.5% in 2009 and 22.7% in 2008. Roto-Rooter’s gross margin was 46.0% in 2009 and 45.6% in 2008. The increase in VITAS’ gross margin is a result of the $1.95 million BNAF adjustment related to the fourth quarter of 2008 and refinements to scheduled field labor, offset by an increase to Medicare cap liability of $1.4 million. Roto-Rooter’s gross margin increased primarily as a result of favorable technician turnover rates and lower health insurance expense.
     Selling, general and administrative expenses (“SG&A”) for 2009 increased $22.1 million (13%). Included in SG&A is a $13.1 million increase related to the increase in our deferred compensation liability due to improved stock market performance. The offset to the increased liability is recorded in other (non-operating) income and expense. Also included in the SG&A increase is a 2009 LTIP award of $5.0 million, an increase of $1.3 million in stock option expense, an increase in OIG expense of $540,000 and $882,000 related to litigation settlements. The remaining change in SG&A is the result of typical cost of living increases for salaries and benefits plus increases in certain selling expenses which vary based on changes in revenue.
     Other operating expenses for 2009 of $4.0 million are related to the expenses of a contested proxy solicitation. The $2.7 million of operating expense for 2008 relates to an impairment charge on an eight passenger Hawker jet built in 1979. In December 2008, the Executive Committee of the Board of Directors authorized us to place the 29 year-old Hawker for sale. We determined that this asset met the definition of held for sale under FASB’s guidance. As a result, we discontinued depreciation on the jet and wrote-down the asset to its fair value less selling costs resulting in a pre-tax charge to other operating expenses — net of approximately $2.7 million. In March 2009, we sold the jet and recognized an $112,000 gain on disposal.
     Interest expense decreased $524,000 (4%) from 2008 to 2009 mainly due to repayment in 2008 of $13.0 million face value of our Convertible Notes due May 2014 and repayment of remaining term loan in 2009.
     Other income/ (expense) — net was $5.9 million income in 2009 compared to an $8.7 million expense in 2008. The change is primarily the result of a $14.9 million gain from investments held in deferred compensation plans due to market conditions.
     Our effective tax rate was 38.6% in 2009 compared to 40.8% in 2008. The decrease in the effective income tax rate is due primarily due to the impact of non-taxable gains and non-deductible losses on investments in our deferred compensation benefit trusts.
     In December 2009, we recorded a $400,000 pre-tax charge for retrospective casualty insurance claims related to our discontinued operations. In 2008, the amount recorded for retrospective casualty insurance claims related to discontinued operations was a $1.7 million pre-tax charge.

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     Income from continuing operations for both periods include the following aftertax adjustments that increased/ (reduced) aftertax earnings (in thousands):
                 
    2009     2008  
VITAS
               
Costs associated with the OIG investigation
  $ (363 )   $ (28 )
Tax adjustments required upon expiration of statutes
          322  
Roto-Rooter
               
Costs related to litigation settlements
    (534 )      
Unreserved prior year’s insurance claims
          (358 )
Corporate
               
Stock option expense
    (5,464 )     (4,619 )
Noncash impact of change in accounting of convertible debt
    (3,988 )     (4,006 )
Long-term incentive compensation
    (3,134 )      
Expenses associated with contested proxy solicitation
    (2,525 )      
Impact of non-deductible losses and non-taxable gains on investments held in deferred compensation trusts
    756       (3,062 )
Gain on extinguishment of debt
          2,934  
Impairment of transportation equipment
          (1,714 )
 
           
 
               
Total
  $ (15,252 )   $ (10,531 )
 
           
2009 Versus 2008 — Segment Results
     The change in net income for 2009 versus 2008 is due to (in thousands, except percentages):
                 
    Increase/(Decrease)  
    Amount     Percent  
VITAS
  $ 7,438       11  
Roto-Rooter
    (346 )     (1 )
Corporate
    (1,424 )     (5 )
Discontinued operations
    835       77  
 
             
 
               
Total
  $ 6,503       10  
 
           
2008 Versus 2007 — Consolidated Results
     Set forth below are the year-to-year changes in the components of the statement of operations relating to continuing operations for 2008 versus 2007 (in thousands, except percentages):
                 
    Favorable/(Unfavorable)  
    Amount     Percent  
Service revenues and sales
               
VITAS
  $ 53,019       7  
Roto-Rooter
    (4,136 )     (1 )
 
             
Total
    48,883       4  
Cost of services provided and goods sold
    (43,481 )     (6 )
Selling, general and administrative expenses
    8,727       5  
Depreciation
    (1,463 )     (7 )
Amortization
    (654 )     (12 )
Other expenses
    (1,910 )     (242 )
 
             
Income from operations
    10,102       8  
Interest expense
    2,798       19  
Loss on extinguishment of debt
    17,204       125  
Other income —net
    (12,861 )     (312 )
 
             
Income before income taxes
    17,243       18  
Income taxes
    (9,314 )     (25 )
 
             
Income from continuing operations
  $ 7,929       13  
 
             

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     Our service revenues and sales for the year ended December 31, 2008 increased $48.9 million or 4.4% over the comparable prior year. The VITAS segment accounted for $53.0 million of the increase offset by a $4.1 million revenue decrease for the Roto-Rooter segment.
     The VITAS segment revenue increase is the result of the following (dollars in thousands):
                 
    Amount     Percent  
Routine homecare
  $ 39,019       7  
Continuous care
    9,093       8  
General inpatient
    4,900       5  
Medicare cap
    7       (3 )
 
             
Total revenues
  $ 53,019       7  
 
             
     The revenue increase for VITAS includes the annual increase in the Medicare reimbursement rate of approximately 3% to 4% in fiscal 2007 and 2% to 3% in fiscal 2008. In addition, the ADC for routine homecare and continuous care increased 3.4% and 2.1%, respectively, from 2007. ADC for general inpatient was flat between years. ADC is a key measure we use to monitor volume growth in our hospice programs. Changes in total program admissions and average length of stay for our patients are the main drivers of changes in ADC. The Medicare cap amount recorded in 2008 relates to one program’s projected liability through year end for the 2009 measurement period. We are currently pursuing corrective actions to attempt to mitigate the liability before the end of the measurement period. The 2007 revenue reduction for Medicare cap is related to retroactive billings from prior periods for patients who transferred between hospice providers.
     The Roto-Rooter segment revenue decrease is the result of the following (dollars in thousands):
                 
    Amount     Percent  
Plumbing
  $ 2,810       2  
Sewer and drain cleaning
    (4,961 )     (3 )
Other
    (1,985 )     (4 )
 
             
Total revenues
  $ (4,136 )     (1 )
 
             
     Plumbing revenues for 2008 increased from 2007 due to an 11% increase in the average price per job offset by a 9% decrease in the number of jobs performed. The increase in the plumbing price per job was driven mainly by job mix. Our excavation job count increased by 22% compared to 2007. The average revenue per excavation job is approximately 4.5 times greater than other average plumbing jobs. Sewer and drain cleaning revenues for 2008 decreased from 2007 due to an 11% decrease in jobs performed partially offset by an 8% increase in the average price per job. The decrease in other revenues is attributable primarily to decreased franchise fees and sales of drain cleaning products and equipment.
     The consolidated gross margin was 29.4% in 2008 versus 30.3% in 2007. On a segment basis, VITAS’ gross margin was 22.7% in 2008 and 22.4% in 2007. Roto-Rooter’s gross margin was 45.6% in 2008 and 47.6% in 2007. The decrease in Roto-Rooter’s gross margin in 2008 is primarily attributable to an increase in large medical claims affecting our health insurance costs.
     Selling, general and administrative expenses (“SG&A”) for 2008 decreased $8.7 million (5%). The decrease is mainly attributable to a 2007 LTIP award of $7.1 million. No LTIP awards were made in 2008. Additionally, our liability related to the deferred compensation plans decreased by approximately $8.4 million due to market performance. The offset to the decreased liability is recorded in other (non-operating) income and expense. The remaining change in SG&A is the result of typical cost of living increases for salaries and benefits plus increases in certain selling expenses which vary based on changes in revenue.
     The increase in other operating expenses relates to an impairment charge on a 29 year-old, eight passenger Hawker jet. In December 2008, the Executive Committee of the Board of Directors authorized us to place the 1979 Hawker for sale. We determined that this asset met the definition of held for sale per FASB’s authoritative guidance. As a result, we discontinued depreciation on the jet and wrote-down the asset to its fair value less selling costs resulting in a pre-tax charge to other operating expenses — net of approximately $2.7 million.
     Interest expense decreased $2.8 million (19%) from 2007 to 2008 mainly due to the refinancing in May 2007 and the subsequent repayment of long-term debt. In the fourth quarter of 2008, we purchased approximately $13.0 million face value of our Convertible Notes due 2014 for approximately $8.5 million. This resulted in a pre-tax net gain of $3.4 million

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comprised of $3.7 million related to the purchase of the Convertible Notes partially offset by $300,000 in the write-off of unamortized debt issuance costs. The net gain was recorded as a gain on extinguishment of debt in the accompanying statement of income in 2008. In conjunction with our May 2007 refinancing transactions, we recorded a loss on extinguishment of debt of $13.8 million.
     Other income/ (expense) — net was an $8.7 million expense in 2008 compared to $4.1 million in income in 2007. The change is the result of a $9.1 million loss from investments held in deferred compensation plans due to market conditions, as well as a decrease of approximately $2.6 million in interest income due to lower cash balances and reduced market interest rates.
     Our effective tax rate was 40.8% in 2008 compared to 38.4% in 2007. The increase in the effective income tax rate is due primarily to the impact of non-deductible market losses on investments in our deferred compensation benefit trusts.
     In December 2008, we recorded a $1.7 million pre-tax charge for retrospective casualty insurance claims related to our discontinued operations. We have recorded the reversal of a $1.9 million over accrual and its related tax effects in discontinued operations during the year ended December 31, 2007 related to Medicare cap at our discontinued Phoenix program.
     Income from continuing operations for both periods include the following aftertax adjustments that increased/ (reduced) aftertax earnings (in thousands):
                 
    2008     2007  
VITAS
               
Costs associated with the OIG investigation
  $ (28 )   $ (141 )
Tax adjustments required upon expiration of statutes
    322        
Roto-Rooter
               
Costs related to litigation settlements
          (1,168 )
Unreserved prior year’s insurance claims
    (358 )      
Corporate
               
Stock option expense
    (4,619 )     (2,962 )
Noncash impact of change in accounting of convertible debt
    (4,006 )     (2,335 )
Impact of non-deductible losses and non-taxable gains on investments held in deferred compensation trusts
    (3,062 )     (46 )
Gain on extinguishment of debt
    2,934       (8,778 )
Impairment of transportation equipment
    (1,714 )      
Long-term incentive compensation
          (4,427 )
Gain on sale of property
          724  
Other
          296  
 
           
Total
  $ (10,531 )   $ (18,837 )
 
           
2008 Versus 2007 — Segment Results
     The change in net income for 2008 versus 2007 is due to (in thousands, except percentages):
                 
    Increase/(Decrease)  
    Amount     Percent  
VITAS
  $ 4,886       8  
Roto-Rooter
    (5,379 )     (14 )
Corporate
    8,422       (22 )
Discontinued operations
    (2,289 )     (191 )
 
             
Total
  $ 5,640       9  
 
           

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CRITICAL ACCOUNTING POLICIES
Revenue Recognition
     For both the Roto-Rooter and VITAS segments, service revenues and sales are recognized when the earnings process has been completed. Generally, this occurs when services are provided or products are delivered. Sales of Roto-Rooter products, including drain cleaning machines and drain cleaning solution, comprise less than 3% of our total service revenues and sales for each of the three years in the period ended December 31, 2009.
     VITAS recognizes revenue at the estimated net realizable amount due from third-party payers, which are primarily Medicare and Medicaid. Payers may deny payment for services in whole or in part on the basis that such services are not eligible for coverage and do not qualify for reimbursement. We estimate denials each period and make adequate provision in the financial statements. The estimate of denials is based on historical trends and known circumstances and generally does not vary materially from period to period on an aggregate basis. Medicare billings are subject to certain limitations, as described below.
     VITAS is subject to certain limitations on Medicare payments for services. Specifically, if the number of inpatient care days any hospice program provides to Medicare beneficiaries exceeds 20% of the total days of Medicare hospice care such program provides to all patients for an annual period beginning September 28, the days in excess of the 20% figure may be reimbursed only at the routine homecare rate. We have never had a program reach the inpatient cap. None of our hospice programs are expected to be within 30% of the inpatient cap for the 2009 measurement period while the majority of our programs have expected cushion in excess of 75% of the inpatient cap. Due to the significant cushion at each program, we do not anticipate it to be reasonably likely that any program will be subject to the inpatient cap in the foreseeable future.
     VITAS is also subject to a Medicare annual per-beneficiary cap. Compliance with the Medicare cap is measured by comparing the total Medicare payments received under a Medicare provider number with respect to services provided to all Medicare hospice care beneficiaries in the program or programs covered by that Medicare provider number between November 1 of each year and October 31 of the following year with the product of the per-beneficiary cap amount and the number of Medicare beneficiaries electing hospice care for the first time from that hospice program or programs during the relevant period.
     We actively monitor each of our hospice programs, by provider number, as to their specific admissions, discharge rate and median length of stay data in an attempt to determine whether they are likely to exceed the Medicare cap. Should we determine that a provider number is likely to exceed the Medicare cap based on projected trends, we attempt to institute corrective action to influence the patient mix or to increase patient admissions. However, should we project our corrective action will not prevent that program from exceeding its Medicare cap, we estimate the amount of revenue recognized during the period that will require repayment to the Federal government under the Medicare cap and record that amount as a reduction in service revenue.
     Our estimate of the Medicare cap liability is particularly sensitive to allocations made by our fiscal intermediary relative to patient transfers between hospices. We are allocated a percentage of the Medicare cap based on the total days a patient spent in hospice care. The allocation for patient transfers cannot be determined until a patient dies. As the number of days a patient spends in hospice is based on a future event, this allocation process may take several years. Therefore, we use only first time Medicare admissions in our estimate of the Medicare cap billing limitation. This method assumes that credit received for patients who transfer into our program will be offset by credit lost from patients who transfer out of our program. If the actual relationship of transfers in and transfers out for a given measurement period proves to be different for any program at or near a billing limitation, our estimate of the liability would increase or decrease on a dollar-for-dollar basis. While our method has historically been materially accurate, each program can vary during a given measurement period.
     During the years ended December 31, 2009, 2008 and 2007, we recorded pretax charges in continuing operations of $1.6 million, $235,000 and $242,000, respectively, for the estimated Medicare cap liability. The amount recorded in 2009 relates to two program’s liability through year end for the 2010 measurement period. We are currently pursuing the corrective actions mentioned above to attempt to mitigate the liability before the end of the measurement period. The amount recorded in 2008 relates to one program’s projected liability through year end for the 2009 measurement period. This amount was subsequently reversed during the 2009 fiscal year due to improved admission trends. The amount recorded in 2007 relates primarily to retroactive billings for prior-measurement periods due to patients who transferred between multiple hospice providers.

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     The components of the pretax charge in 2009 are as follows (in thousands):
         
2010 Measurement period
  $ 1,783  
2009 Measurement period
    (235 )
2008 Measurement period
     
Retroactive billings
    95  
 
     
Total
  $ 1,643  
 
     
     The U.S. government revises hospice reimbursement rates on an annual basis using the Hospice Wage Index (HWI) and Consumer Price Index (CPI) plus a phase out of the Budget Neutrality Adjustment Factor (BNAF). The HWI is geographically adjusted to reflect local differences in wages. The BNAF is a portion of inflation calculated in prior years that is being eliminated or phased out over a seven year period. In August 2008, the U.S. government announced a 25% reduction in the BNAF for its fiscal 2009 (October 2008 through September 2009) pursuant to a three year phase-out of the BNAF. The February 2009 American Recovery and Reinvestment Act mandated a one year delay in the BNAF phase-out. In August 2009, the Centers for Medicare and Medicaid Services (CMS) revised the phase-out schedule of the BNAF. CMS reduced the increase in hospice reimbursement by 10% of the BNAF effective October 1, 2009. The remaining 90% of the BNAF will be phased out over the next six years by revising the October 1 reimbursement adjustment by 15% of the original BNAF inflation factor. Based upon this revised schedule, 100% of the BNAF will be eliminated on October 1, 2015. As a result, included in the twelve months ended December 31, 2009 results, is $1.95 million of revenue for the retroactive price increase related to services provided by VITAS in the fourth quarter of 2008.
Insurance Accruals
     For the Roto-Rooter segment and Chemed’s Corporate Office, we self-insure for all casualty insurance claims (workers’ compensation, auto liability and general liability). As a result, we closely monitor and frequently evaluate our historical claims experience to estimate the appropriate level of accrual for self-insured claims. Our third-party administrator (“TPA”) processes and reviews claims on a monthly basis. Currently, our exposure on any single claim is capped at $500,000. In developing our estimates, we accumulate historical claims data for the previous 10 years to calculate loss development factors (“LDF”) by insurance coverage type. LDFs are applied to known claims to estimate the ultimate potential liability for known and unknown claims for each open policy year. LDFs are updated annually. Because this methodology relies heavily on historical claims data, the key risk is whether the historical claims are an accurate predictor of future claims exposure. The risk also exists that certain claims have been incurred and not reported on a timely basis. To mitigate these risks, in conjunction with our TPA, we closely monitor claims to ensure timely accumulation of data and compare claims trends with the industry experience of our TPA.
     For the VITAS segment, we self-insure for workers’ compensation claims. Currently, VITAS’ exposure on any single claim is capped at $750,000. For VITAS’ self-insurance accruals for workers’ compensation, the valuation methods used are similar to those used internally for our other business units.
     Our casualty insurance liabilities are recorded gross before any estimated recovery for amounts exceeding our stop loss limits. Estimated recoveries from insurance carriers are recorded as accounts receivable. Claims experience adjustments to our casualty and workers’ compensation accrual for the years ended December 31, 2009, 2008 and 2007 were net, pretax debits/(credits) of $1.9 million, $52,000 and ($2.9 million), respectively.
     As an indication of the sensitivity of the accrued liability to reported claims, our analysis indicates that a 1% across-the-board increase or decrease in the amount of projected losses for all of our continuing operations would increase or decrease the accrued insurance liability at December 31, 2009, by $1.7 million or 5.0%. While the amount recorded represents our best estimate of the casualty and workers’ compensation insurance liability, we have calculated, based on historical claims experience, the actual loss could reasonably be expected to increase or decrease by approximately $2.6 million as of December 31, 2009.
Income Taxes
     Deferred taxes are provided on an asset and liability method whereby deferred tax assets are recognized for deductible temporary differences and operating loss carry-forwards and deferred tax liabilities are recognized for taxable temporary differences. Temporary differences are the differences between the reported amount of assets and liabilities and their tax basis. Deferred tax assets are reduced by a valuation allowance when, in our opinion, it is more likely than not that

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some portion or all of the deferred tax assets will not be realized. Deferred tax assets and liabilities are adjusted for the effects of changes in laws and rates on the date of enactment.
     We are subject to income taxes in the Federal and most state jurisdictions. We are periodically audited by various taxing authorities. Significant judgment is required to determine our provision for income taxes. On January 1, 2007, we adopted FASB’s authoritative guidance on accounting for uncertainty in income taxes, which prescribes a comprehensive model for how to recognize, measure, present and disclose in financial statements uncertain tax positions taken or expected to be taken on a tax return. Upon adoption of this guidance, the financial statements reflect expected future tax consequences of such uncertain positions assuming the taxing authorities’ full knowledge of the position and all relevant facts.
Goodwill and Intangible Assets
     Identifiable, definite-lived intangible assets arise from purchase business combinations and are amortized using either an accelerated method or the straight-line method over the estimated useful lives of the assets. The selection of an amortization method is based on which method best reflects the economic pattern of usage of the asset. The VITAS trade name is considered to have an indefinite life. Goodwill and the VITAS trade name are tested at least annually for impairment. The valuation of goodwill and the VITAS trade name is dependent upon many factors, some of which are market-driven and beyond our control. The valuation of goodwill and the VITAS trade name indicate no impairment. We have significant excess of estimated market value over our asset base for each reporting unit tested at October 1, 2009 and do not expect that an impairment charge is likely in the foreseeable future. However, we are unable to predict all factors that may impact future impairment analysis.
Stock-based Compensation Plans
     Stock-based compensation cost is measured at the grant date, based on the fair value of the award and recognized as expense over the employee’s requisite service period on a straight-line basis. We estimate the fair value of stock options using the Black-Scholes valuation model, consistent with the guidance provided by the FASB and the SEC. We determine expected term, volatility, dividend yield and forfeiture rate based on our historical experience. We believe that historical experience is the best indicator of these factors.
RECENT ACCOUNTING STATEMENTS
     In June 2009, the FASB issued additional guidance related to the consolidation of variable interest entities, which makes significant changes to the model for determining who should consolidate an entity and also addresses how often this assessment should be performed. The determination of who should consolidate a variable interest entity will be based on both quantitative and qualitative factors relating to control, as well as risks and benefits of ownership. This guidance is effective in 2010 for calendar-year companies and is to be adopted through a cumulative-effect adjustment. Based on our analysis, we believe that neither Roto-Rooter’s independent contractors nor franchisees qualify as VIEs under the new guidance.

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Consolidating Summary of Adjusted EBITDA
Chemed Corporation and Subsidiary Companies
(in thousands)
                                 
                            Chemed  
2009   VITAS     Roto-Rooter     Corporate     Consolidated  
 
Net income/(loss)
  $ 72,157     $ 33,246     $ (31,619 )   $ 73,784  
Add/(deduct):
                               
Discontinued operations
                253       253  
Interest expense
    374       186       11,039       11,599  
Income taxes
    43,921       20,493       (17,831 )     46,583  
Depreciation
    13,269       8,068       198       21,535  
Amortization
    3,959       114       2,294       6,367  
 
                       
EBITDA
    133,680       62,107       (35,666 )     160,121  
Add/(deduct):
                               
Long-term incentive compensation
                5,007       5,007  
Non-taxable income from certain investments held in deferred compensation trusts
                (1,211 )     (1,211 )
Litigation Settlement costs
          882             882  
Expenses associated with contested proxy solicitation
                3,989       3,989  
Legal expenses of OIG investigation
    586                   586  
Stock option expense
                8,639       8,639  
Advertising cost adjustment
          (540 )           (540 )
Interest income
    (267 )     (73 )     (83 )     (423 )
Intercompany interest/(expense)
    (4,314 )     (2,514 )     6,828        
 
                       
Adjusted EBITDA
  $ 129,685     $ 59,862     $ (12,497 )   $ 177,050  
 
                       
                                 
                            Chemed  
2008   VITAS     Roto-Rooter     Corporate     Consolidated  
 
Net income/(loss)
  $ 64,719     $ 33,592     $ (31,030 )   $ 67,281  
Add/(deduct):
                               
Discontinued operations
                1,088       1,088  
Interest expense
    155       246       11,722       12,123  
Income taxes
    38,710       20,742       (12,417 )     47,035  
Depreciation
    13,000       8,294       287       21,581  
Amortization
    3,984       50       1,890       5,924  
 
                       
EBITDA
    120,568       62,924       (28,460 )     155,032  
Add/(deduct):
                               
Unreserved insurance claim
          597             597  
Impairment loss on transportation equipment
                2,699       2,699  
Legal expenses of OIG investigation
    46                   46  
Stock option expense
                7,303       7,303  
Gain on extinguishment of debt
                (3,406 )     (3,406 )
Advertising cost adjustment
          225             225  
Interest income
    (137 )     (116 )     (489 )     (742 )
Intercompany interest/(expense)
    (5,199 )     (3,708 )     8,907        
 
                       
Adjusted EBITDA
  $ 115,278     $ 59,922     $ (13,446 )   $ 161,754  
 
                       
                                 
                            Chemed  
2007   VITAS     Roto-Rooter     Corporate     Consolidated  
 
Net income/(loss)
  $ 61,034     $ 38,971     $ (38,364 )   $ 61,641  
Add/(deduct):
                               
Discontinued operations
    (1,201 )                 (1,201 )
Interest expense
    146       495       14,280       14,921  
Income taxes
    35,722       24,145       (22,146 )     37,721  
Depreciation
    11,446       8,365       307       20,118  
Amortization
    3,984       54       1,232       5,270  
 
                       
EBITDA
    111,131       72,030       (44,691 )     138,470  
Add/(deduct):
                               
Long-term incentive compensation
                7,067       7,067  
Litigation settlement costs
          1,927             1,927  
Gain on sale of property
                (1,138 )     (1,138 )
Legal expenses of OIG investigation
    227                   227  
Stock option expense
                4,665       4,665  
Loss on extinguishment of debt
                13,798       13,798  
Advertising cost adjustment
          601             601  
Interest income
    (151 )     (377 )     (2,776 )     (3,304 )
Intercompany interest/(expense)
    (7,254 )     (4,993 )     12,247        
Other
                (467 )     (467 )
 
                       
Adjusted EBITDA
  $ 103,953     $ 69,188     $ (11,295 )   $ 161,846  
 
                       

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Chemed Corporation and Subsidiary Companies
RECONCILIATION OF NET INCOME TO ADJUSTED EBITDA
Chemed Corporation and Subsidiary Companies
(in thousands)
                         
For the Years Ended December 31,   2009     2008     2007  
 
Net income/(loss)
  $ 73,784     $ 67,281     $ 61,641  
Add/(deduct):
                       
Discontinued operations
    253       1,088       (1,201 )
Interest expense
    11,599       12,123       14,921  
Income taxes
    46,583       47,035       37,721  
Depreciation
    21,535       21,581       20,118  
Amortization
    6,367       5,924       5,270  
 
                 
EBITDA
    160,121       155,032       138,470  
Add/(deduct):
                       
Long-term incentive compensation
    5,007             7,067  
Non-taxable income from certain investments held in deferred compensation trusts
    (1,211 )            
Litigation Settlement costs
    882             1,927  
Expenses associated with contested proxy solicitation
    3,989              
Legal expenses of OIG investigation
    586       46       227  
Stock option expense
    8,639       7,303       4,665  
Advertising cost adjustment
    (540 )     225       601  
Interest income
    (423 )     (742 )     (3,304 )
(Gain)/loss on extinguishment of debt
          (3,406 )     13,798  
Gain on sale of property
                (1,138 )
Unreserved insurance claim
          597        
Impairment loss on transportation equipment
          2,699        
Other
                (467 )
 
                 
Adjusted EBITDA
  $ 177,050     $ 161,754     $ 161,846  
 
                 

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CHEMED CORPORATION AND SUBSIDIARY COMPANIES
OPERATING STATISTICS FOR VITAS SEGMENT

(unaudited)
                                 
    Three Months Ended December 31,     Year Ended December 31,  
OPERATING STATISTICS   2009     2008     2009     2008  
Net revenue ($000)
                               
Homecare
  $ 159,248     $ 149,816     $ 615,408     $ 585,891  
Inpatient
    24,550       23,398       97,356       97,895  
Continuous care
    35,593       32,877       141,272       124,894  
 
                       
Total before Medicare cap allowance and 2008 BNAF
  $ 219,391     $ 206,091     $ 854,036     $ 808,680  
Estimated BNAF
                1,950        
Medicare cap allowance
    (1,835 )     (235 )     (1,643 )     (235 )
 
                       
Total
  $ 217,556     $ 205,856     $ 854,343     $ 808,445  
 
                       
Net revenue as a percent of total before Medicare cap allowance
                               
Homecare
    72.6 %     72.6 %     72.1 %     72.5 %
Inpatient
    11.2       11.4       11.4       12.1  
Continuous care
    16.2       16.0       16.5       15.4  
 
                       
Total before Medicare cap allowance and 2008 BNAF
    100.0       100.0       100.0       100.0  
Estimated BNAF
                0.2        
Medicare cap allowance
    (0.8 )     (0.1 )     (0.2 )      
 
                       
Total
    99.2 %     99.9 %     100.0 %     100.0 %
 
                       
Average daily census (days)
                               
Homecare
    7,933       7,458       7,730       7,374  
Nursing home
    3,253       3,452       3,281       3,535  
 
                       
Routine homecare
    11,186       10,910       11,011       10,909  
Inpatient
    407       386       406       417  
Continuous care
    556       533       563       524  
 
                       
Total
    12,149       11,829       11,980       11,850  
 
                       
 
                               
Total Admissions
    13,677       13,314       55,420       55,799  
Total Discharges
    13,667       13,693       54,814       55,691  
Average length of stay (days)
    76.4       83.1       76.0       75.4  
Median length of stay (days)
    14.0       14.0       14.0       14.0  
ADC by major diagnosis
                               
Neurological
    33.0 %     33.1 %     33.0 %     32.7 %
Cancer
    18.8       19.3       19.1       19.8  
Cardio
    11.9       12.5       12.1       12.8  
Respiratory
    6.3       6.5       6.4       6.6  
Other
    30.0       28.6       29.4       28.1  
 
                       
Total
    100.0 %     100.0 %     100.0 %     100.0 %
 
                       
Admissions by major diagnosis
                               
Neurological
    18.8 %     18.6 %     18.1 %     18.4 %
Cancer
    35.8       35.9       35.7       35.7  
Cardio
    10.4       11.1       11.5       11.6  
Respiratory
    7.5       7.6       7.5       7.8  
Other
    27.5       26.8       27.2       26.5  
 
                       
Total
    100.0 %     100.0 %     100.0 %     100.0 %
 
                       
Direct patient care margins
                               
Routine homecare
    52.5 %     53.3 %     52.0 %     51.2 %
Inpatient
    11.6       14.9       14.6       17.2  
Continuous care
    20.1       20.1       20.2       18.1  
Homecare margin drivers (dollars per patient day)
                               
Labor costs
  $ 51.89     $ 48.99     $ 52.27     $ 49.87  
Drug costs
    7.58       7.87       7.63       7.74  
Home medical equipment
    6.91       6.32       6.86       6.24  
Medical supplies
    2.55       2.22       2.42       2.32  
Inpatient margin drivers (dollars per patient day)
                               
Labor costs
  $ 300.26     $ 266.86     $ 287.16     $ 264.45  
Continuous care margin drivers (dollars per patient day)
                               
Labor costs
  $ 534.60     $ 514.93     $ 527.27     $ 512.61  
Bad debt expense as a percent of revenues
    1.1 %     1.1 %     1.1 %     1.0 %
Accounts receivable —
                               
Days of revenue outstanding- excluding unapplied Medicare payments
    48.3       49.1       N.A.       N.A.  
Days of revenue outstanding- including unapplied Medicare payments
    18.0       34.7       N.A.       N.A.  

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SAFE HARBOR STATEMENT UNDER THE PRIVATE SECURITIES LITIGATION REFORM ACT OF 1995 REGARDING FORWARD-LOOKING INFORMATION
     In addition to historical information, this report contains forward-looking statements and performance trends that are based upon assumptions subject to certain known and unknown risks, uncertainties, contingencies and other factors. Such forward-looking statements and trends include, but are not limited to, the impact of laws and regulations on our operations, our estimate of future effective income tax rates and the recoverability of deferred tax assets. Variances in any or all of the risks, uncertainties, contingencies, and other factors from our assumptions could cause actual results to differ materially from these forward-looking statements and trends. Our ability to deal with the unknown outcomes of these events, many of which are beyond our control, may affect the reliability of our projections and other financial matters.

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