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EX-24 - EXHIBIT 24 - CHEMED CORPa51512436ex24.htm
EX-23 - EXHIBIT 23 - CHEMED CORPa51512436ex23.htm
EX-21 - EXHIBIT 21 - CHEMED CORPa51512436ex21.htm
EX-12 - EXHIBIT 12 - CHEMED CORPa51512436ex12.htm

EXHIBIT 13

Financial Review

Contents
   
Report of Independent Registered Public Accounting Firm
43
Consolidated Statement of Income
44
Consolidated Balance Sheet
45
Consolidated Statement of Cash Flows
46
Consolidated Statement of Changes in Stockholders’ Equity
47
Notes to Consolidated Financial Statements
48
Unaudited Summary of Quarterly Results
71
Selected Financial Data
73
Unaudited Consolidating Statements of Income
74
Management’s Discussion and Analysis of Financial Conditions and Results of Operations
77


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, 2016, based on the framework established in Internal Control—Integrated Framework (2013) 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, 2016, 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, 2016, as stated in their report which appears on page 43.
 
42

 
Report of Independent Registered Public Accounting Firm

To the Board of Directors and Stockholders of Chemed Corporation:

In our opinion, the accompanying consolidated balance sheets and the related consolidated statements of income, changes in stockholders' equity and cash flows present fairly, in all material respects, the financial position of Chemed Corporation and its subsidiaries at December 31, 2016 and 2015, and the results of their operations and their cash flows for each of the three years in the period ended December 31, 2016 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, 2016, based on criteria established in Internal Control - Integrated Framework (2013) 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.

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, OH
February 27, 2017


43


CONSOLIDATED STATEMENT OF INCOME
                   
Chemed Corporation and Subsidiary Companies
                 
(in thousands, except per share data)
                 
For the Years Ended December 31,
 
2016
   
2015
   
2014
 
                   
Service revenues and sales
 
$
1,576,881
   
$
1,543,388
   
$
1,456,282
 
Cost of services provided and goods sold (excluding depreciation)
   
1,115,431
     
1,087,610
     
1,034,673
 
Selling, general and administrative expenses
   
243,572
     
237,821
     
222,589
 
Depreciation
   
34,279
     
32,369
     
29,881
 
Amortization
   
359
     
1,130
     
720
 
Other operating expenses (Note 21)
   
4,491
     
-
     
-
 
Total costs and expenses
   
1,398,132
     
1,358,930
     
1,287,863
 
Income from operations
   
178,749
     
184,458
     
168,419
 
Interest expense
   
(3,715
)
   
(3,645
)
   
(8,186
)
Other income/(expenses)--net (Note 10)
   
2,020
     
(687
)
   
2,521
 
Income before income taxes
   
177,054
     
180,126
     
162,754
 
Income taxes (Note 11)
   
(68,311
)
   
(69,852
)
   
(63,437
)
Net Income
 
$
108,743
   
$
110,274
   
$
99,317
 
                         
Earnings Per Share (Note 15)
                       
Net Income
 
$
6.64
   
$
6.54
   
$
5.79
 
Average number of shares outstanding
   
16,383
     
16,870
     
17,165
 
Diluted Earnings Per Share (Note 15)
                       
Net Income
 
$
6.48
   
$
6.33
   
$
5.57
 
Average number of shares outstanding
   
16,789
     
17,422
     
17,840
 
                         
The Notes to Consolidated Financial Statements are integral parts of this statement.
                 
 
44

 
CONSOLIDATED BALANCE SHEET
       
Chemed Corporation and Subsidiary Companies
           
(in thousands, except shares and per share data)
           
December 31,
 
2016
   
2015
 
Assets
           
Current assets
           
Cash and cash equivalents (Note 9)
 
$
15,310
   
$
14,727
 
Accounts receivable less allowances of $14,236 (2015 - $13,244)
   
132,021
     
106,262
 
Inventories
   
5,755
     
6,314
 
Prepaid income taxes
   
3,709
     
10,653
 
Prepaid expenses
   
13,105
     
12,852
 
Total current assets
   
169,900
     
150,808
 
Investments of deferred compensation plans held in trust (Notes 14 and 16)
   
54,389
     
49,481
 
Properties and equipment, at cost, less accumulated depreciation (Note 12)
   
121,302
     
117,370
 
Identifiable intangible assets less accumulated amortization of $33,225 (2015 - $32,866) (Note 6)
   
55,065
     
55,111
 
Goodwill
   
472,366
     
472,322
 
Other assets
   
7,037
     
7,233
 
Total Assets
 
$
880,059
   
$
852,325
 
                 
Liabilities
               
Current liabilities
               
Accounts payable
 
$
39,586
   
$
43,695
 
Current portion of long-term debt (Note 3)
   
8,750
     
7,500
 
Accrued insurance
   
47,960
     
43,972
 
Accrued compensation
   
53,979
     
52,817
 
Accrued legal
   
1,805
     
1,233
 
Other current liabilities
   
19,752
     
22,119
 
Total current liabilities
   
171,832
     
171,336
 
Deferred income taxes (Note 11)
   
14,291
     
21,041
 
Long-term debt (Note 3)
   
100,000
     
83,750
 
Deferred compensation liabilities (Note 14)
   
54,288
     
49,467
 
Other liabilities
   
15,549
     
13,478
 
Total Liabilities
   
355,960
     
339,072
 
Commitments and contingencies (Notes 13 and 18)
               
Stockholders' Equity
               
Capital stock - authorized 80,000,000 shares $1 par; issued 34,270,104 shares
               
(2015 - 33,985,316 shares)
   
34,270
     
33,985
 
Paid-in capital
   
639,703
     
603,006
 
Retained earnings
   
958,149
     
865,845
 
Treasury stock - 18,083,527 shares (2015 - 17,187,540 shares), at cost
   
(1,110,536
)
   
(991,978
)
Deferred compensation payable in Company stock (Note 14)
   
2,513
     
2,395
 
Total Stockholders' Equity
   
524,099
     
513,253
 
Total Liabilities and Stockholders' Equity
 
$
880,059
   
$
852,325
 
                 
The Notes to Consolidated Financial Statements are integral parts of this statement.
               
 
45

 
CONSOLIDATED STATEMENT OF CASH FLOWS
                   
Chemed Corporation and Subsidiary Companies
                 
(in thousands)
                 
For the Years Ended December 31,
 
2016
   
2015
   
2014
 
Cash Flows from Operating Activities
                 
Net income
 
$
108,743
   
$
110,274
   
$
99,317
 
Adjustments to reconcile net income to net cash provided by operations:
                       
Depreciation and amortization
   
34,638
     
33,499
     
30,601
 
Provision for uncollectible accounts receivable
   
16,319
     
14,247
     
13,173
 
Stock option expense
   
8,330
     
5,445
     
4,802
 
Provision/(benefit) for deferred income taxes (Note 11)
   
(6,707
)
   
6,325
     
6,978
 
Amortization of restricted stock awards
   
1,855
     
2,107
     
2,471
 
Noncash early retirement expense
   
1,747
     
-
     
-
 
Noncash portion of long-term incentive compensation
   
1,301
     
6,644
     
2,569
 
Noncash directors' compensation
   
541
     
540
     
480
 
Amortization of debt issuance costs
   
519
     
523
     
826
 
Amortization of discount on convertible notes
   
-
     
-
     
3,392
 
Changes in operating assets and liabilities, excluding amounts acquired in business combinations:
                       
Decrease/(increase) in accounts receivable
   
(42,142
)
   
4,132
     
(45,785
)
Decrease/(increase) in inventories
   
559
     
(142
)
   
535
 
Decrease/(increase) in prepaid expenses
   
(253
)
   
(1,290
)
   
6,362
 
Increase/(decrease) in accounts payable and other current liabilities
   
891
     
476
     
(26,304
)
Increase in income taxes
   
13,886
     
344
     
11,279
 
Increase in other assets
   
(5,224
)
   
(47
)
   
(4,769
)
Increase in other liabilities
   
7,105
     
1,320
     
8,484
 
Excess tax benefit on stock-based compensation
   
(7,195
)
   
(14,042
)
   
(5,172
)
Other sources
   
480
     
1,145
     
1,040
 
Net cash provided by operating activities
   
135,393
     
171,500
     
110,279
 
Cash Flows from Investing Activities
                       
Capital expenditures
   
(39,772
)
   
(44,135
)
   
(43,571
)
Business combinations, net of cash acquired (Note 7)
   
-
     
(6,614
)
   
(250
)
Other sources/(uses)
   
(90
)
   
432
     
294
 
Net cash used by investing activities
   
(39,862
)
   
(50,317
)
   
(43,527
)
Cash Flows from Financing Activities
                       
Proceeds from revolving line of credit
   
184,550
     
103,200
     
386,350
 
Payments on revolving line of credit
   
(159,550
)
   
(153,200
)
   
(336,350
)
Purchases of treasury stock
   
(102,313
)
   
(59,323
)
   
(110,019
)
Dividends paid
   
(16,439
)
   
(15,605
)
   
(14,255
)
Capital stock surrendered to pay taxes on stock-based compensation
   
(8,772
)
   
(15,734
)
   
(7,524
)
Proceeds from exercise of stock options (Note 4)
   
8,421
     
15,424
     
23,910
 
Payments on other long-term debt
   
(7,500
)
   
(6,250
)
   
(189,456
)
Excess tax benefit on stock-based compensation
   
7,195
     
14,042
     
5,172
 
Increase/(decrease) in cash overdraft payable
   
(736
)
   
(1,177
)
   
9,714
 
Proceeds from other long-term debt
   
-
     
-
     
100,000
 
Retirement of warrants
   
-
     
-
     
(2,648
)
Debt issuance costs
   
-
     
-
     
(914
)
Other (uses)/sources
   
196
     
(1,965
)
   
(1,018
)
Net cash used by financing activities
   
(94,948
)
   
(120,588
)
   
(137,038
)
Increase/(decrease) in cash and cash equivalents
   
583
     
595
     
(70,286
)
Cash and cash equivalents at beginning of year
   
14,727
     
14,132
     
84,418
 
Cash and cash equivalents at end of year
 
$
15,310
   
$
14,727
   
$
14,132
 
                         
The Notes to Consolidated Financial Statements are integral parts of this statement.
                       


46

 
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, 2013
 
$
32,245
   
$
481,011
   
$
686,114
   
$
(752,634
)
 
$
2,154
   
$
448,890
 
Net income
   
-
     
-
     
99,317
     
-
     
-
     
99,317
 
Dividends paid ($.84 per share)
   
-
     
-
     
(14,255
)
   
-
     
-
     
(14,255
)
Stock awards and exercise of stock options (Note 4)
   
809
     
61,469
     
-
     
(31,237
)
   
-
     
31,041
 
Purchases of treasury stock (Note 20)
   
-
     
-
     
-
     
(110,019
)
   
-
     
(110,019
)
Retirement of warrants
   
-
     
(2,645
)
   
-
     
-
     
-
     
(2,645
)
Other
   
283
     
(990
)
   
-
     
(395
)
   
129
     
(973
)
Balance at December 31, 2014
   
33,337
     
538,845
     
771,176
     
(894,285
)
   
2,283
     
451,356
 
Net income
   
-
     
-
     
110,274
     
-
     
-
     
110,274
 
Dividends paid ($.92 per share)
   
-
     
-
     
(15,605
)
   
-
     
-
     
(15,605
)
Stock awards and exercise of stock options (Note 4)
   
648
     
66,077
     
-
     
(38,257
)
   
-
     
28,468
 
Purchases of treasury stock (Note 20)
   
-
     
-
     
-
     
(59,323
)
   
-
     
(59,323
)
Other
   
-
     
(1,916
)
   
-
     
(113
)
   
112
     
(1,917
)
Balance at December 31, 2015
   
33,985
     
603,006
     
865,845
     
(991,978
)
   
2,395
     
513,253
 
Net income
   
-
     
-
     
108,743
     
-
     
-
     
108,743
 
Dividends paid ($1.00 per share)
   
-
     
-
     
(16,439
)
   
-
     
-
     
(16,439
)
Stock awards and exercise of stock options (Note 4)
   
285
     
36,453
     
-
     
(16,127
)
   
-
     
20,611
 
Purchases of treasury stock (Note 20)
   
-
     
-
     
-
     
(102,313
)
   
-
     
(102,313
)
Other
   
-
     
244
     
-
     
(118
)
   
118
     
244
 
Balance at December 31, 2016
 
$
34,270
   
$
639,703
   
$
958,149
   
$
(1,110,536
)
 
$
2,513
   
$
524,099
 
                                                 
                                                 
The Notes to Consolidated Financial Statements are integral parts of this statement.
 


47

 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS


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 provides plumbing, drain cleaning and water restoration services to both residential and commercial customers. Through its network of company-owned branches, independent contractors and franchisees, Roto-Rooter offers plumbing, drain cleaning service and water restoration to approximately 90% of the U.S. population.

PRINCIPLES OF ACCOUNTING
The consolidated financial statements have been prepared on a going-concern basis. Management has adopted the evaluation requirements of Accounting Stanadards Update “ASU No. 2014-15 – Presentation of Financial Statements – Going Concern”.

The consolidated financial statements include the accounts of Chemed Corporation and its wholly owned subsidiaries. All 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 neither the independent contractors nor the franchisees are 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
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.

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.

CONCENTRATION OF RISK
As of December 31, 2016 and 2015, approximately 59% and 49%, respectively, of VITAS’ total accounts receivable balance were due from Medicare and 31% and 41%, respectively, of VITAS’ total accounts receivable balance were due from various state Medicaid programs. Combined accounts receivable from Medicare and Medicaid represent approximately 62% of the consolidated net accounts receivable in the accompanying consolidated balance sheet as of December 31, 2016.

As further described in Note 19, we had agreements with two vendors to provide specified pharmacy services for VITAS and its hospice patients. In 2016 and 2015, respectively, purchases made from these vendors represent in excess of 90% of all pharmacy services used by VITAS.
 
48

 
INVENTORIES
Substantially all of the inventories are either general merchandise or finished goods. Inventories are stated at the lower of cost or net realizable value. For determining the value of inventories, cost methods that reasonably approximate the first-in, first-out (“FIFO”) method are used.

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 other income, net.

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, 2016, were:
 
Buildings and building improvements
12.3
 
yrs.
Transportation equipment
10.3
   
Machinery and equipment
5.3
   
Computer software
4.6
   
Furniture and fixtures
4.8
   

GOODWILL AND INTANGIBLE ASSETS

The table below shows a rollforward of Goodwill (in thousands):
 
         
Roto-
       
   
Vitas
   
Rooter
   
Total
 
Balance at December 31, 2014
 
$
328,301
   
$
138,421
   
$
466,722
 
Business combinations
   
-
     
5,944
     
5,944
 
Foreign currency adjustments
   
-
     
(344
)
   
(344
)
Balance at December 31, 2015
 
$
328,301
   
$
144,021
   
$
472,322
 
Foreign currency adjustments
   
-
     
44
     
44
 
Balance at December 31, 2016
 
$
328,301
   
$
144,065
   
$
472,366
 

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 weighted average lives of our identifiable, definite-lived intangible assets at December 31, 2016, were:
 
Covenants not to compete
6.5
 
yrs.
Reacquired franchise rights
6.1
   
Referral networks
10.0
   
Customer lists
13.3
   

The date of our annual goodwill and indefinite-lived intangible asset impairment analysis is October 1. The VITAS trade name is considered to have an indefinite life. We also capitalize the direct costs of obtaining licenses to operate either hospice programs or plumbing operations subject to a minimum capitalization threshold. These costs are amortized over the life of the license using the straight line method. Certificates of Need (“CON”), which are required in certain states for hospice operations, are generally granted without expiration and thus, we believe them to be indefinite-lived assets subject to impairment testing.
 
49

 
We consider that Roto-Rooter Corp. (“RRC”), Roto-Rooter Services Co. (“RRSC”) and VITAS are appropriate reporting units for testing goodwill impairment. We consider RRC and RRSC 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 completed our qualitative analysis for impairment of goodwill and our indefinite-lived intangible assets as of October 1, 2016. Based on our assessment, we do not believe that it is more likely than not that our reporting units or indefinite-lived assets fair values are less than their carrying values.

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, the VITAS trade name and capitalized CON costs) based on key financial indicators. If the projected undiscounted cash flows of a major business unit indicate that properties 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. Issuance costs related to revolving credit agreements are amortized using the straight line method, over the life of the agreement. All other issuance costs are amortized using the effective interest method over the life of the debt. There are no amounts included in other assets that individually exceed 5% of total assets.

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. See Footnote 2 for a more detailed description of revenue related to our VITAS segment. Sales of Roto-Rooter products, including drain cleaning machines and drain cleaning solution, comprise less than 2% of our total service revenues and sales for each of the three years in the period ended December 31, 2016. The VITAS segment does not have product sales.

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.

The cost of providing charity care during the years ended December 31, 2016, 2015 and 2014, was $7.0 million, $7.6 million and $7.3 million, respectively and is included in cost of services provided and goods sold. The cost of charity care is calculated by taking the ratio of charity care days to total days of care and multiplying by total cost of care.

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. At December 31, 2016 and 2015, our accrual for service guarantees and warranty claims was $405,000 and $340,000 respectively.

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-based compensation 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).

50

 
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. We pay for and expense the cost of internet advertising and placement on a “per click” basis. Advertising expense for the year ended December 31, 2016, was $37.2 million (2015 – $ 36.4 million; 2014 - $32.8 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. Outstanding performance stock units (“PSUs”) that are vested or projected to vest are included in the computation of diluted earnings per share.

OTHER CURRENT LIABILITIES
There are no amounts included in other current liabilities that individually exceed 5% of total current liabilities.

OTHER LIABILITIES (NON-CURRENT)
There are no amounts included in other liabilities that individually exceed 5% of total liabilities.

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.
 
INSURANCE ACCRUALS
For our Roto-Rooter segment and Corporate Office, we initially 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 by stop-loss coverage at $750,000. In developing our estimates, we accumulate historical claims data for the previous 10 years to calculate loss development factors (“LDF”) by insurance coverage type. LDFs are applied to known claims to estimate the ultimate potential liability for known and unknown claims for each open policy year. LDFs are updated annually. Because this methodology relies heavily on historical claims data, the key risk is whether the historical claims are an accurate predictor of future claims exposure. The risk also exists that certain claims have been incurred and not reported on a timely basis. To mitigate these risks, in conjunction with our TPA, we closely monitor claims to ensure timely accumulation of data and compare claims trends with the industry experience of our TPA.

For the VITAS segment, we initially self-insure for workers’ compensation claims. Currently, VITAS’ exposure on any single claim is capped by stop-loss coverage at $1,000,000. For VITAS’ self-insurance accruals for workers’ compensation, the valuation methods used are similar to those used internally for our other business units. We are also insured for other risks with respect to professional liability with a deductible of $750,000.

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 due to insufficient taxable income within the carryback or carryforward period available under the tax laws. Deferred tax assets and liabilities are adjusted for the effects of changes in laws and rates on the date of enactment.
 
51

 
In November 2015, the FASB issued ASU No. 2015-17 which simplifies the balance sheet classification required for deferred tax balances. It allows for a company’s deferred tax assets and liabilities to be netted into a noncurrent account, either asset or liability, by jurisdiction. The ASU is required to be adopted for annual periods beginning after December 15, 2016, and the interim periods within that annual period. Early adoption is permitted. Companies have the choice to adopt prospectively or retrospectively. In order to simplify our balance sheet classification required for deferred tax balances, we adopted the ASU for our annual balance sheet as of December 31, 2015, on a prospective basis.

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.

CONTINGENCIES
As discussed in Note 18, we are subject to various lawsuits and claims in the normal course of our business. In addition, we periodically receive communications from governmental and regulatory agencies concerning compliance with Medicare and Medicaid billing requirements at our VITAS subsidiary. We establish reserves for specific, uninsured liabilities in connection with regulatory and legal action that we deem to be probable and reasonably estimable. We record legal fees associated with legal and regulatory actions as the costs are incurred. We disclose material loss contingencies that are probable but not reasonably estimable and those that are at least reasonably possible.

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 after-tax expenses and adjustments are based on estimates of the effective income tax rates for the applicable segments.

CLASSIFICATION ADJUSTMENT
In 2016 and 2015, we classified $1.9 million and $2.1 million, respectively, of non-cash restricted stock award amortization in selling, general and administrative expenses. We also recorded a classification adjustment of $2.5 million to decrease amortization and increase selling, general and administrative expenses in our Consolidated Statement of Income for 2014 related to non-cash restricted stock award amortization. This classification adjustment does not impact income from operations, income before income taxes, net income, earnings per share, net cash provided by operating activities or our Consolidated Balance Sheet. We believe the impact of the classification adjustment is immaterial to our consolidated financial statements for the current and prior periods.

2.
Hospice Revenue Recognition
Approximately 97% of our revenue in 2016 was from Medicare and Medicaid. The remaining revenue was from commercial insurance carriers and individual self-payers.

MEDICARE AND MEDICAID REVENUE
Gross revenue is recorded on an accrual basis based on the date of service at amounts equal to the established payment rates. Medicare establishes the payment rates yearly which are consistent among all providers in the hospice industry. The payment rates are daily or hourly rates for each of the four levels of care we provide. The four levels of care are routine home care, general inpatient care, continuous home care and respite care. Routine home care accounts for 78.9%, 77.6% and 76.0% of our total net revenue for the years ending December 31, 2016, 2015 and 2014.

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 2016, 2015 or 2014.

VITAS is also subject to a Medicare annual per-beneficiary cap (“Medicare cap”). Compliance with the Medicare cap is measured in one of two ways based on a provider election. The “streamlined” method compares 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.
 
52

 
The “proportional” method compares the total Medicare payments received under a Medicare provider number with respect to services provided to all Medicare hospice care beneficiaries in the program or programs covered by the Medicare provider number between September 28 and September 27 of the following year with the product of the per beneficiary cap amount and a pro-rated number of Medicare beneficiaries receiving hospice services from that program during the same period. The pro-rated number of Medicare beneficiaries is calculated based on the ratio of days the beneficiary received hospice services during the measurement period to the total number of days the beneficiary received hospice services.

We actively monitor each of our hospice programs, by provider number, as to their specific 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.

In 2013, the U.S. government implemented automatic budget reductions of 2.0% for all government payees, including hospice benefits paid under the Medicare program. In 2015, CMS determined that the Medicare cap should be calculated “as if” sequestration did not occur. As a result of this decision, VITAS has received notification from our third party intermediary that an additional $2.1 million is owed for Medicare cap in three programs arising during the 2013, 2014 and 2015 measurement periods. The amounts are automatically deducted from our semi-monthly PIP payments. We do not believe that CMS is authorized under the sequestration authority or the statutory methodology for establishing the Medicare cap to the amounts they have withheld and intend to withhold under their current “as if” methodology. We have appealed CMS’s methodology change with the appropriate regulatory appeal board.

During the year ended December 31, 2016, we recorded $228,000 in Medicare cap revenue reduction related to one program’s projected 2015 measurement period liability. This revenue reduction was related to the CMS’s methodology change described above. During the year ended December 31, 2015 we recorded a $165,000 Medicare cap reversal of amounts recorded in the fourth quarter of 2014 for one program’s projected 2015 measurement period liability. During the year ended December 31, 2014, we recorded a net Medicare cap liability of $1.3 million for two programs’ projected 2014 and 2015 measurement period liability offset by the reversal of one program’s 2011 measurement period projected Medicare cap liability. The net pretax expense/(income) was $228,000, ($165,000), and $1.3 million for fiscal years 2016, 2015 and 2014, respectively

Shown below is the Medicare cap liability activity for the years ended December 31, 2016 and 2015, (in thousands):
 
   
2016
   
2015
 
Beginning Balance January 1,
 
$
1,165
   
$
6,112
 
2015 measurement period
   
228
     
(165
)
Payments
   
(1,158
)
   
(4,782
)
Ending Balance December 31,
 
$
235
   
$
1,165
 
 
REVENUE FROM OTHER PAYERS
Gross revenue is recorded on an accrual basis based on the date of service at amounts equal to our established rates with the applicable payer.

ALLOWANCE FOR DOUBTFUL ACCOUNTS
Payers may deny payment for services or require repayment of amounts that we previously received 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. Accounts are written-off when we believe all reasonable collection efforts have been exhausted.
 
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The allowance for doubtful accounts for VITAS comprises the following (in thousands):
 
   
Medicare
   
Medicaid
   
Commercial
   
Other
   
Total
 
Beginning Balance January 1, 2014
 
$
4,814
   
$
5,899
   
$
2,037
   
$
300
   
$
13,050
 
Bad debt provision
   
286
     
8,096
     
2,969
     
2
     
11,353
 
Write-offs
   
(1,863
)
   
(8,089
)
   
(2,819
)
   
(642
)
   
(13,413
)
Other/Contractual adjustments
   
562
     
93
     
687
     
(174
)
   
1,168
 
Ending Balance December 31, 2015
   
3,799
     
5,999
     
2,874
     
(514
)
   
12,158
 
Bad debt provision
   
1,793
     
7,209
     
3,938
     
664
     
13,604
 
Write-offs
   
(3,382
)
   
(6,595
)
   
(4,331
)
   
(209
)
   
(14,517
)
Other/Contractual adjustments
   
752
     
65
     
791
     
(113
)
   
1,495
 
Ending Balance December 31, 2016
 
$
2,962
   
$
6,678
   
$
3,272
   
$
(172
)
 
$
12,740
 


3.
Long-Term Debt and Lines of Credit
On May 15, 2014, we retired our Senior Convertible Notes (the “Notes”) outstanding. We paid the $187.0 million of principal outstanding using a combination of cash on hand and our existing revolving credit facility. In addition, we issued 249,000 Chemed shares in conjunction with the conversion feature of the Notes. At the time we issued the Notes, we had entered into a purchased call transaction to offset any potential economic dilution resulting from the conversion feature in the Notes. As a result, we received 266,000 Chemed shares from the exercise of the purchased call transaction. The issuance of shares under the conversion feature of the Notes, as well as the receipt of shares from the purchased call transaction were recorded as adjustments to paid-in capital during 2014.

At the time we issued the Notes we also sold warrants for the right to purchase approximately 2,477,000 Chemed shares in the future. During 2014, we settled these warrants with one counterparty representing half of the total warrants issued for $2.6 million in cash. The amount paid was recorded as an adjustment to paid-in capital. During 2014, Chemed’s stock price exceeded the exercise price of the remaining outstanding sold warrants resulting in the Company, on December 8, 2014, issuing 35,166 of common shares to the other counterparty in full settlement of the warrants. Pursuant to authoritative guidance, the settlement of the sold warrants was accounted for as an equity transaction.

On June 30, 2014, we replaced our existing credit agreement with the Third Amended and Restated Credit Agreement (“2014 Credit Agreement”). Terms of the 2014 Credit Agreement consist of a five-year, $350 million revolving credit facility and a $100 million term loan. The 2014 Credit Agreement has a floating interest rate that is generally LIBOR plus a tiered additional rate which varies based on our current leverage ratio. The interest rate is LIBOR plus113 basis points as of December 31, 2016.

The debt outstanding at December 31, 2016 and 2015 consists of the following (in thousands):
 
   
December 31,
 
   
2016
   
2015
 
Revolver
 
$
25,000
   
$
-
 
Term loan
   
83,750
     
91,250
 
Total
   
108,750
     
91,250
 
Current portion of term loan
   
(8,750
)
   
(7,500
)
Long-term debt
 
$
100,000
   
$
83,750
 

Scheduled principal payments of the term loan are as follows:

2017
 
$
8,750
 
2018
   
10,000
 
2019
   
65,000
 
   
$
83,750
 
 
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Capitalized interest was not material for any of the periods shown. Summarized below are the total amounts of interest paid during the years ended December 31 (in thousands):
 
2016
   
$
3,047
2015
     
2,988
2014
     
4,322

Debt issuance costs associated with the existing credit agreement were not written off as the lenders and their relative percentage participation in the facility did not change. With respect to the 2014 Credit Agreement, deferred financing costs were $0.9 million. The 2014 Credit Agreement contains the following quarterly financial covenants:
 
Description
 
Requirement
 
Chemed
         
         
Leverage Ratio (Consolidated Indebtedness/Consolidated Adj. EBITDA)
 
< 3.50 to 1.00
 
0.63 to 1.00
         
Fixed Charge Coverage Ratio (Consolidated Free Cash Flow/Consolidated
Fixed Charges)
 
> 1.50 to 1.00
 
2.18 to 1.00
         
Annual Operating Lease Commitment
 
< $50.0 million
 
$21.1 million
 
We are in compliance with all debt covenants as of December 31, 2016. We have issued $38.7 million in standby letters of credit as of December 31, 2016 for insurance purposes. Issued letters of credit reduce our available credit under the 2014 Credit Agreement. As of December 31, 2016, we have approximately $286.6 million of unused lines of credit available and eligible to be drawn down under our revolving credit facility.

4.
Stock-Based Compensation Plans
We have two stock incentive plans under which 3.8 million shares can be issued to key employees and directors through a grant of stock options, stock awards and/or performance stock units (“PSUs”). The Compensation/Incentive Committee (“CIC”) of the Board of Directors administers these plans.

We grant stock options, stock awards and PSUs to our officers, other key employees and directors to better align their long-term interests with those of our shareholders. We grant stock options at an exercise price equal to the market price of our stock on the date of grant. Options vest evenly annually over a three-year period. Those granted in 2016 and 2015 have a contractual life of 5 years; those granted prior to 2015 have a contractual life of 10 years. Restricted stock awards granted in 2015 vest ratably annually over a three year period; previous restricted stock awards generally cliff vest over a three- or four-year period. Unrestricted stock awards generally are granted to our non-employee directors annually at the time of our annual meeting. PSUs are contingent upon achievement of multi-year earnings targets or market targets. Upon achievement of targets, PSUs are converted to unrestricted shares of Capital stock.

We recognize the cost of stock options, stock awards and PSUs on a straight-line basis over the service life of the award, generally the vesting period. We include the cost of all stock-based compensation in selling, general and administrative expense.

In May 2016, the CIC granted 4,275 unrestricted shares of Capital Stock to the Company’s outside directors.

PERFORMANCE AWARDS

In February 2014, 2015 and 2016, the CIC granted PSUs contingent upon the achievement of certain total stockholder return (“TSR”) targets as compared to the TSR of a group of peer companies for the three-year measurement period, at which date the awards may vest. We utilize a Monte Carlo simulation approach in a risk-neutral framework with inputs including historical volatility and the risk-free rate of interest to value these TSR awards. We amortize the total estimated cost over the service period of the award.
 
55

 
In February 2014, 2015 and 2016, the CIC granted PSUs contingent on the achievement of certain earnings per share (“EPS”) targets over the three-year measurement period. At the end of each reporting period, we estimate the number of shares we believe will ultimately vest and record that expense over the service period of the award.

Comparative data for the PSUs include:
 
   
2016 Awards
   
2015 Awards
   
2014 Awards
 
TSR Awards
                 
Shares granted
   
9,541
     
10,761
     
10,340
 
Per-share fair value
 
$
150.74
   
$
142.55
   
$
112.60
 
Volatility
   
26.7
%
   
25.2
%
   
30.8
%
Risk-free interest rate
   
0.89
%
   
0.93
%
   
0.33
%
                         
EPS Awards
                       
Shares granted
   
9,541
     
10,761
     
14,061
 
Per-share fair value
 
$
126.37
   
$
113.14
   
$
82.80
 
                         
Common Assumptions
                       
Service period (years)
   
2.9
     
2.9
     
2.9
 
Three-year measurement period ends December 31,
   
2018
     
2017
     
2016
 
 
The following table summarizes total stock option, stock award and PSU activity during 2016:

   
Stock Options
   
Stock Awards
   
Performance Units (PSUs)
 
         
Weighted Average
   
Aggregate
         
Weighted
           
Weighted
 
               
Remaining
   
Intrinsic
         
Average
   
Number of
     
Average
 
   
Number of
   
Exercise
   
Contractual
   
Value
   
Number of
   
Grant-Date
   
Target
     
Grant-Date
 
   
Options
   
Price
   
Life (Years)
   
(thousands)
   
Awards
   
Price
   
Units
     
Price
 
Outstanding at January 1, 2016
   
1,563,875
   
$
100.09
                 
96,732
   
$
87.75
     
76,376
 
 
 
$
94.45
 
Granted
   
505,775
     
135.85
                 
4,275
     
126.53
     
34,008
       
109.24
 
Exercised/Vested
   
(233,903
)
   
67.45
                 
(55,740
)
   
81.72
     
(46,610
)
     
71.72
 
Canceled/ Forfeited
   
(7,769
)
   
117.34
                 
-
     
-
     
-
       
-
 
Outstanding at December 31, 2016
   
1,827,978
     
114.09
     
5.3
   
$
82,972
     
45,267
     
98.82
     
63,774
       
118.95
 
                                                                   
Vested and expected to vest
                                                                 
at December 31, 2016
   
1,827,978
     
114.09
     
5.3
     
82,972
     
45,267
     
98.82
     
75,436
 
*
   
116.68
 
Exercisable at December 31, 2016
   
909,787
     
89.83
     
5.6
     
63,370
   
n.a.
   
n.a.
   
n.a.
     
n.a.
 
* Amount includes 36,812 share units which vested and were converted to Capital Stock and distributed in the first quarter of 2017. The shares that vested in 2017 had a weighted average grant-date fair value of $99.50 per share and an estimated fair value of $167 per share.
 

We estimate the fair value of stock options using the Black-Scholes valuation model. We determine expected term, volatility, and dividend yield and forfeiture rate based on our historical experience. We believe that historical experience is the best indicator of these factors.
 
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Comparative data for stock options, stock awards and PSUs include (in thousands, except per-share amounts):

   
Years Ended December 31,
 
   
2016
   
2015
   
2014
 
Total compensation cost of stock-based compensation
                 
   plans charged against income
 
$
13,773
   
$
14,737
   
$
10,323
 
Total income tax benefit recognized in income for stock
                       
   based compensation plans
   
5,062
     
5,416
     
3,794
 
Total intrinsic value of stock options exercised
   
17,635
     
45,600
     
26,344
 
Total intrinsic value of stock awards vested during the period
   
7,429
     
12,065
     
4,564
 
Per-share weighted averaged grant-date fair value of
                       
stock awards granted
   
126.53
     
121.75
     
88.48
 

The assumptions we used to value stock option grants are as follows:

   
2016
   
2015
   
2014
 
                   
Stock price on date of issuance
 
$
135.85
   
$
157.36
   
$
106.59
 
Grant date fair value per share
 
$
22.74
   
$
29.46
   
$
21.58
 
Number of options granted
   
505,775
     
422,750
     
410,800
 
Expected term (years)
   
4.0
     
4.0
     
4.8
 
Risk free rate of return
   
1.09
%
   
1.57
%
   
1.59
%
Volatility
   
21.10
%
   
22.20
%
   
22.60
%
Dividend yield
   
0.8
%
   
0.6
%
   
0.8
%
Forfeiture rate
   
-
     
-
     
-
 


Other data for stock options, stock awards and PSUs for 2016 include (dollar amounts in thousands):

   
Stock
   
Stock
       
   
Options
   
Awards
   
PSUs
 
Total unrecognized compensation related to nonvested options, stock awards
                 
and PSUs at the end of year
 
$
20,039
   
$
1,805
   
$
2,085
 
Weighted average period over which unrecognized compensation cost of
                       
nonvested options, stock awards and PSUs to be recognized (years)
   
2.3
     
1.3
     
1.4
 
Actual income tax benefit realized from options exercised or stock awards
                       
and PSUs vested
 
$
6,491
   
$
2,735
   
$
2,191
 
Aggregate intrinsic value of stock options, stock awards and PSUs vested
                       
and expected to vest
 
$
82,972
   
$
7,219
   
$
12,030
 

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.

57


5.
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 71% and 29%, respectively, in 2016 and 72% and 28%, respectively, in 2015. 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 RRSC and RRC 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 terminal 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 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 95% 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, drain cleaning and water restoration. 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.
 
58

 
Segment data are set forth below (in thousands):
   
For the Years Ended December 31,
 
   
2016
   
2015
   
2014
 
Revenues by Type of Service
                 
VITAS
                 
Routine homecare
 
$
887,940
   
$
865,145
   
$
810,413
 
Continuous care
   
138,025
     
150,802
     
152,206
 
General inpatient
   
97,580
     
99,439
     
102,876
 
Medicare cap
   
(228
)
   
165
     
(1,290
)
Total segment
   
1,123,317
     
1,115,551
     
1,064,205
 
Roto-Rooter
                       
Sewer and drain cleaning
   
145,699
     
142,562
     
141,078
 
Plumbing repair and maintenance
   
197,280
     
188,065
     
174,993
 
Independent contractors
   
40,097
     
37,966
     
36,496
 
Water restoration
   
50,229
     
38,163
     
18,480
 
Other products and services
   
20,259
     
21,081
     
21,030
 
Total segment
   
453,564
     
427,837
     
392,077
 
Total service revenues and sales
 
$
1,576,881
   
$
1,543,388
   
$
1,456,282
 
Aftertax Segment Earnings/(Loss)
                       
VITAS
 
$
84,961
   
$
93,346
   
$
86,185
 
Roto-Rooter
   
52,893
     
48,573
     
42,075
 
Total
   
137,854
     
141,919
     
128,260
 
Corporate
   
(29,111
)
   
(31,645
)
   
(28,943
)
Net income
 
$
108,743
   
$
110,274
   
$
99,317
 
Interest Income
                       
VITAS
 
$
8,294
   
$
7,740
   
$
6,111
 
Roto-Rooter
   
3,653
     
3,425
     
2,931
 
Total
   
11,947
     
11,165
     
9,042
 
Corporate
   
-
     
-
     
10
 
Intercompany eliminations
   
(11,564
)
   
(10,884
)
   
(9,081
)
Total interest income
 
$
383
   
$
281
   
$
(29
)
Interest Expense
                       
VITAS
 
$
211
   
$
200
   
$
207
 
Roto-Rooter
   
332
     
348
     
363
 
Total
   
543
     
548
     
570
 
Corporate
   
3,172
     
3,097
     
7,616
 
Total interest expense
 
$
3,715
   
$
3,645
   
$
8,186
 
Income Tax Provision
                       
VITAS
 
$
51,910
   
$
56,675
   
$
53,278
 
Roto-Rooter
   
32,719
     
29,630
     
25,808
 
Total
   
84,629
     
86,305
     
79,086
 
Corporate
   
(16,318
)
   
(16,453
)
   
(15,649
)
Total income tax provision
 
$
68,311
   
$
69,852
   
$
63,437
 
Identifiable Assets
                       
VITAS
 
$
542,142
   
$
523,717
   
$
546,031
 
Roto-Rooter
   
261,641
     
255,192
     
251,407
 
Total
   
803,783
     
778,909
     
797,438
 
Corporate
   
76,276
     
73,416
     
62,494
 
Total identifiable assets
 
$
880,059
   
$
852,325
   
$
859,932
 
 
59

 
   
For the Years Ended December 31,
 
   
2016
   
2015
   
2014
 
Additions to Long-Lived Assets
                 
VITAS
 
$
22,000
   
$
23,278
   
$
21,880
 
Roto-Rooter
   
17,709
     
26,476
     
21,595
 
Total
   
39,709
     
49,754
     
43,475
 
Corporate
   
63
     
995
     
346
 
Total additions to long-lived assets
 
$
39,772
   
$
50,749
   
$
43,821
 
Depreciation and Amortization
                       
VITAS
 
$
19,090
   
$
19,547
   
$
19,048
 
Roto-Rooter
   
15,002
     
13,360
     
10,975
 
Total
   
34,092
     
32,907
     
30,023
 
Corporate
   
546
     
592
     
578
 
Total depreciation and amortization
 
$
34,638
   
$
33,499
   
$
30,601
 
 
6.
Intangible Assets
Amortization of definite-lived intangible assets for the years ended December 31, 2016, 2015, 2014, was $359,000, $1.1 million and $720,000 respectively. The following is a schedule by year of projected amortization expense for definite-lived intangible assets (in thousands):
 
2017
 
$
162
 
2018
   
128
 
2019
   
96
 
2020
   
66
 
2021
   
26
 
Thereafter
   
35
 

The balance in identifiable intangible assets comprises the following (in thousands):
 
   
Gross
   
Accumulated
   
Net Book
 
   
Asset
   
Amortization
   
Value
 
December 31, 2016
                 
Referral networks
 
$
21,729
   
$
(21,528
)
 
$
201
 
Covenants not to compete
   
9,533
     
(9,295
)
   
238
 
Customer lists
   
1,215
     
(1,215
)
   
-
 
Reacquired franchise rights
   
1,261
     
(1,187
)
   
74
 
Subtotal - definite-lived intangibles
   
33,738
     
(33,225
)
   
513
 
VITAS trade name
   
51,300
     
-
     
51,300
 
Rapid Rooter trade name
   
150
     
-
     
150
 
Operating licenses
   
3,102
     
-
     
3,102
 
Total
 
$
88,290
   
$
(33,225
)
 
$
55,065
 
                         
December 31, 2015
                       
Referral networks
 
$
21,729
   
$
(21,473
)
 
$
256
 
Covenants not to compete
   
9,533
     
(9,220
)
   
313
 
Customer lists
   
1,215
     
(1,215
)
   
-
 
Reacquired franchise rights
   
1,260
     
(958
)
   
302
 
Subtotal - definite-lived intangibles
   
33,737
     
(32,866
)
   
871
 
VITAS trade name
   
51,300
     
-
     
51,300
 
Rapid Rooter trade name
   
150
     
-
     
150
 
Operating licenses
   
2,790
     
-
     
2,790
 
Total
 
$
87,977
   
$
(32,866
)
 
$
55,111
 
 
60

 
7.
Business Combinations
We did not complete any business combinations during 2016.

During 2015, we completed two business combinations of former franchisees within the Roto-Rooter segment for $6.6 million in cash to increase our market penetration in Pennsylvania and Nebraska. The purchase price of these acquisitions was allocated as follows (in thousands):
 
Identifiable intangible assets
 
$
213
 
Goodwill
   
5,944
 
Other assets and liabilities - net
   
457
 
   
$
6,614
 

During 2014, we completed one business combination of a former franchisee within the Roto-Rooter segment for $250,000 in cash to increase our market penetration in Idaho. The purchase price of this acquisition was allocated as follows (in thousands):
 
Identifiable intangible assets
 
$
47
 
Goodwill
   
198
 
Other assets and liabilities - net
   
5
 
   
$
250
 
 
The unaudited pro forma results of operations, assuming purchase business combinations completed in 2015 and 2014 were completed on January 1, 2014, 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.
 
8.
Discontinued Operations
At December 31, 2016 and 2015, the accrual for our estimated liability for potential environmental cleanup and related costs arising from the 1991 sale of DuBois amounted to $1.7 million. Of the 2016 balance, $826,000 is included in other current liabilities and $901,000 is included in other liabilities (long-term). The estimated amounts and timing of payments of these liabilities follows (in thousands):
 
2017
 
$
826
 
2018
   
300
 
Thereafter
   
601
 
   
$
1,727
 

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.
 
9.
Cash Overdrafts and Cash Equivalents
Included in accounts payable are cash overdrafts of $8.6 million and $9.3 million as of December 31, 2016 and 2015, respectively.

From time to time throughout the year, we invest excess cash in money market funds directly with major commercial banks. We closely monitor the creditworthiness of the institutions with which we invest our overnight funds. We had $72,000 in cash equivalents as of December 31, 2016. These cash equivalents were invested in noninterest bearing accounts. There was $76,000 in cash equivalents as of December 31, 2015. The weighted average rate of return for these cash equivalents was 0.20%.

61


10.
Other Income/(expense)—Net
Other income/(expense)—net from continuing operations comprises the following (in thousands):

   
For the Years Ended December 31,
 
   
2016
   
2015
   
2014
 
Market value gains related to deferred
                 
compensation trusts
 
$
2,061
   
$
148
   
$
3,118
 
Loss on disposal of property and equipment
   
(424
)
   
(698
)
   
(640
)
Interest income/ (expense)
   
383
     
281
     
(29
)
Other--net
   
-
     
(418
)
   
72
 
Total other income/(expense)
 
$
2,020
   
$
(687
)
 
$
2,521
 

The market value gain relates to gains on the assets in the deferred compensation trust. There is an offsetting expense in selling, general and administrative expense to reflect the corresponding increase in the liability.

11.
Income Taxes
The provision for income taxes comprises the following (in thousands):

   
For the Years Ended December 31,
 
   
2016
   
2015
   
2014
 
Current
                 
U.S. federal
 
$
64,698
   
$
55,026
   
$
48,577
 
U.S. state and local
   
9,927
     
8,104
     
7,285
 
Foreign
   
393
     
397
     
597
 
Deferred
                       
U.S. federal, state and local
   
(6,712
)
   
6,323
     
6,970
 
Foreign
   
5
     
2
     
8
 
Total
 
$
68,311
   
$
69,852
   
$
63,437
 

A summary of the temporary differences that give rise to deferred tax assets/ (liabilities) follows (in thousands):
 
   
December 31,
 
   
2016
   
2015
 
Accrued liabilities
 
$
43,575
   
$
39,529
 
Stock compensation expense
   
9,309
     
8,555
 
Allowance for uncollectible accounts receivable
   
1,952
     
1,729
 
State net operating loss carryforwards
   
1,811
     
1,701
 
Other
   
776
     
896
 
Deferred income tax assets
   
57,423
     
52,410
 
Amortization of intangible assets
   
(52,133
)
   
(50,136
)
Accelerated tax depreciation
   
(14,975
)
   
(18,030
)
Currents assets
   
(1,825
)
   
(1,576
)
Market valuation of investments
   
(1,341
)
   
(1,375
)
State income taxes
   
(793
)
   
(1,465
)
Other
   
(639
)
   
(857
)
Deferred income tax liabilities
   
(71,706
)
   
(73,439
)
Net deferred income tax liabilities
 
$
(14,283
)
 
$
(21,029
)

At December 31, 2016 and 2015, state net operating loss carryforwards were $36.0 million and $34.0 million, respectively. These net operating losses will expire, in varying amounts, between 2024 and 2036. 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.

62

 
A reconciliation of the beginning and ending of year amount of our unrecognized tax benefit is as follows (in thousands):

   
2016
   
2015
   
2014
 
Balance at January 1,
 
$
1,052
   
$
980
   
$
892
 
Unrecognized tax benefits due to positions taken in current year
   
218
     
260
     
247
 
Decrease due to expiration of statute of limitations
   
(201
)
   
(188
)
   
(159
)
Balance at December 31,
 
$
1,069
   
$
1,052
   
$
980
 

We file tax returns in the U.S. federal jurisdiction and various states. The years ended December 31, 2013 and forward remain open for review for federal income tax purposes. The earliest open year relating to any of our major state jurisdictions is the fiscal year ended December 31, 2011. During the next twelve months, we do not anticipate a material net change in unrecognized tax benefits.

We classify interest related to our accrual for uncertain tax positions in separate interest accounts. As of December 31, 2016 and 2015, we have approximately $130,000 and $125,000, respectively, accrued in interest payable related to uncertain tax positions. These accruals are included in other current liabilities in the accompanying consolidated balance sheet. Net interest expense related to uncertain tax positions included in interest expense in the accompanying consolidated statement of income is not material.

The difference between the actual income tax provision for continuing operations and the income tax provision calculated at the statutory U.S. federal tax rate is explained as follows (in thousands):
 
   
For the Years Ended December 31,
 
   
2016
   
2015
   
2014
 
                   
Income tax provision calculated using the statutory rate of 35%
 
$
61,969
   
$
63,044
   
$
56,964
 
State and local income taxes, less federal income tax effect
   
6,044
     
5,787
     
5,536
 
Nondeductible expenses
   
881
     
1,438
     
1,290
 
Other--net
   
(583
)
   
(417
)
   
(353
)
Income tax provision
 
$
68,311
   
$
69,852
   
$
63,437
 
Effective tax rate
   
38.6
%
   
38.8
%
   
39.0
%

Summarized below are the total amounts of income taxes paid during the years ended December 31 (in thousands):
 
2016
   
$
60,905
2015
     
62,928
2014
     
44,921

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.
 
63


12.
Properties and Equipment
A summary of properties and equipment follows (in thousands):
 
   
December 31,
 
   
2016
   
2015
 
Land
 
$
7,098
   
$
5,365
 
Buildings and building improvements
   
79,814
     
64,440
 
Transportation equipment
   
33,895
     
31,077
 
Machinery and equipment
   
89,346
     
83,293
 
Computer software
   
45,079
     
45,414
 
Furniture and fixtures
   
71,781
     
71,894
 
Projects under development
   
5,579
     
16,981
 
Total properties and equipment
   
332,592
     
318,464
 
Less accumulated depreciation
   
(211,290
)
   
(201,094
)
Net properties and equipment
 
$
121,302
   
$
117,370
 

The net book value of computer software at December 31, 2016 and 2015, was $7.9 million and $8.3 million, respectively. Depreciation expense for computer software was $4.0 million, $3.9 million and $4.4 million for the years ended December 31, 2016, 2015 and 2014, 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 monthly to eleven 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, 2016 or 2015.

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, 2016 (in thousands):
 
2017
 
$
21,091
 
2018
   
17,884
 
2019
   
14,423
 
2020
   
11,943
 
2021
   
7,810
 
Thereafter
   
15,891
 
Total minimum rental payments
 
$
89,042
 

Total rental expense incurred under operating leases for continuing operations follows (in thousands):
 
   
For the Years Ended December 31,
 
   
2016
   
2015
   
2014
 
                   
Total rental expense
 
$
40,034
   
$
40,021
   
$
39,606
 

14.
Retirement Plans
Retirement obligations under various plans cover substantially all full-time employees who meet age and/or service eligibility requirements. All plans providing retirement benefits to our employees are defined contribution plans. Expenses for our retirement and profit-sharing plans, excess benefit plans and other similar plans are as follows (in thousands):

  For the Years Ended December 31,  
  2016    
2015
   
2014
 
                  
$
14,467
   
$
11,970
   
$
13,838
 

These expenses include the impact of market gains and losses on assets held in deferred compensation plans.
 
64

 
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 capital 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, 2016, these trusts held 99,315 shares at historical average cost or $2.5 million of our stock (2015 – 99,309 shares or $2.4 million).

15.
Earnings Per Share
The computation of earnings per share follows (in thousands, except per share data):
 
   
Net Income
 
For the Years Ended December 31,
 
Net Income
   
Shares
   
Earnings per
Share
 
2016
                 
Earnings
 
$
108,743
     
16,383
   
$
6.64
 
Dilutive stock options
   
-
     
296
         
Nonvested stock awards
   
-
     
110
         
Diluted earnings
 
$
108,743
     
16,789
   
$
6.48
 
                         
2015
                       
Earnings
 
$
110,274
     
16,870
   
$
6.54
 
Dilutive stock options
   
-
     
394
         
Nonvested stock awards
   
-
     
158
         
Diluted earnings
 
$
110,274
     
17,422
   
$
6.33
 
                         
2014
                       
Earnings
 
$
99,317
     
17,165
   
$
5.79
 
Dilutive stock options
   
-
     
412
         
Nonvested stock awards
   
-
     
149
         
Conversion of Notes and impact of warrants outstanding
   
-
     
114
         
Diluted earnings
 
$
99,317
     
17,840
   
$
5.57
 

During 2016, 923,000 stock options were excluded from the computation of diluted earnings per share as their exercise prices were greater than the average market price during most of the year. During 2015, 422,000 stock options were also excluded. During 2014, 411,000 stock options were also excluded.

In 2014, diluted earnings per share was impacted by the issuance of 249,000 shares of capital stock under the conversion feature of our 1.875% Senior Convertible Notes (the “Notes”) on May 15, 2014. The dilutive impact of this conversion feature for 2014 was 102,000 shares.

At the time we issued the Notes, as discussed in Note 3, we also sold warrants for the right to purchase approximately 2,477,000 Chemed shares in the future. During the quarter ended June 30, 2014, we settled these warrants with one counterparty representing half of the total warrants issued for $2.6 million. The amount paid was recorded as an adjustment to paid-in capital. During the third quarter of 2014, Chemed’s stock price exceeded the exercise price of the remaining outstanding sold warrants resulting in the Company, on December 8, 2014, issuing 35,166 of Capital shares to the other counterparty in full settlement of the warrants. Pursuant to authoritative guidance, the settlement of the sold warrants were accounted for as an equity transaction. The dilutive impact of the warrants was 12,000 shares for the year ended December 31, 2014.

16.
Financial Instruments
FASB’s authoritative guidance on fair value measurements defines a hierarchy which prioritizes the inputs in fair value measurements. Level 1 measurements are measurements using quoted prices in active markets for identical assets or liabilities. Level 2 measurements use significant other observable inputs. Level 3 measurements are measurements using significant unobservable inputs which require a company to develop its own assumptions. In recording the fair value of assets and liabilities, companies must use the most reliable measurement available.

65


The following shows the carrying value, fair value and the hierarchy for our financial instruments as of December 31, 2016 (in thousands):
 
         
Fair Value Measure
 
   
Carrying Value
   
Quoted Prices in Active Markets for Identical Assets (Level 1)
   
Significant
Other Observable Inputs (Level 2)
   
Significant Unobservable Inputs (Level 3)
 
                         
Investments of deferred compensation plans held in trust
 
$
54,389
   
$
54,389
   
$
-
   
$
-
 
Long-term debt and current portion of long-term debt
   
108,750
     
-
     
108,750
     
-
 

The following shows the carrying value, fair value and the hierarchy for our financial instruments as of December 31, 2015 (in thousands):

         
Fair Value Measure
 
   
Carrying Value
   
Quoted Prices in Active Markets for Identical Assets (Level 1)
   
Significant
Other Observable Inputs (Level 2)
   
Significant Unobservable Inputs (Level 3)
 
                         
Investments of deferred compensation plans held in trust
 
$
49,481
   
$
49,481
   
$
-
   
$
-
 
Long-term debt
   
91,250
     
-
     
91,250
     
-
 

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. As further described in Footnote 3, our outstanding long-term debt and current portion of long-term debt have floating interest rates that are reset at short-term intervals, generally 30 or 60 days. The interest rate we pay also includes an additional amount based on our current leverage ratio. As such, we believe our borrowings reflect significant nonperformance risks, mainly credit risk. Based on these factors, we believe the fair value of our long-term debt and current portion of long-term debt approximate the carrying value.
 
17.
Loans Receivable from Independent Contractors
At December 31, 2016, we had contractual arrangements with 69 independent contractors to provide plumbing repair, drain cleaning and water restoration 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, drain cleaning and water restoration business using the Roto-Rooter name in a specified territory in exchange for a royalty based on a percentage of labor sales, depending upon type of service this percentage ranges between 27%–32%. We also pay for certain telephone directory advertising and internet marketing in these areas, lease certain capital equipment and provide operating manuals to serve as resources for operating a plumbing, drain cleaning and water restoration 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, 2016, is approximately $1.7 million (2015 - $1.8 million). The exposure to loss is mainly the result of loans provided to the independent contractors. In most cases, these loans are partially secured by receivables and equipment owned by the independent contractor. The interest rates on the loans range from zero to 7% per annum, and the remaining terms of the loans range from 2.5 months to 5.4 years at December 31, 2016. We recorded the following from our independent contractors (in thousands):

   
For the Years Ended December 31,
 
   
2016
   
2015
   
2014
 
                   
Revenues
 
$
40,097
   
$
37,966
   
$
36,496
 
Pretax profits
   
24,477
     
22,176
     
21,238
 
 
66


18.
Legal and Regulatory Matters
The VITAS segment of the Company’s business operates in a heavily-regulated industry. As a result, the Company is subjected to inquiries and investigations by various government agencies, as well as to lawsuits, including qui tam actions. The following sections describe the various ongoing material lawsuits and investigations of which the Company is currently aware. It is not possible at this time for us to estimate either the timing or outcome of any of those matters, or whether any potential loss, or range of potential losses, is probable or reasonably estimable.

Regulatory Matters and Litigation

On May 2, 2013, the government filed a False Claims Act complaint against the Company and certain of its hospice-related subsidiaries in the U.S. District Court for the Western District of Missouri, United States v. VITAS Hospice Services, LLC, et al., No. 4:13-cv-00449-BCW (the “2013 Action”). Prior to that date, the Company received various qui tam lawsuits and subpoenas from the U.S. Department of Justice and OIG that have been previously disclosed. The 2013 Action alleges that, since at least 2002, VITAS, and since 2004, the Company, submitted or caused the submission of false claims to the Medicare program by (a) billing Medicare for continuous home care services when the patients were not eligible, the services were not provided, or the medical care was inappropriate, and (b) billing Medicare for patients who were not eligible for the Medicare hospice benefit because they did not have a life expectancy of six months or less if their illnesses ran their normal course. This complaint seeks treble damages, statutory penalties, and the costs of the action, plus interest. The defendants filed a motion to dismiss on September 24, 2013. On September 30, 2014, the Court denied the motion, except to the extent that claims were filed before July 24, 2002. On November 13, 2014, the government filed a Second Amended Complaint. The Second Amended Complaint changed and supplemented some of the allegations, but did not otherwise expand the causes of action or the nature of the relief sought against VITAS. VITAS filed its Answer to the Second Amended Complaint on August 11, 2015. This case is in the discovery phase. The Company is not able to reasonably estimate the probability of loss or range of loss at this time.

For additional procedural history of this litigation, please refer to our prior quarterly and annual filings. The net costs incurred related to U.S. v. Vitas and related regulatory matters were $5.3 million, $5.0 million and $2.1 million for 2016, 2015 and 2014 respectively

In November 2013, two shareholder derivative lawsuits were filed against the Company’s current and former directors, as well as certain of its officers, both of which are covered by the Company’s commercial insurance. On November 6, 2013, KBC Asset Management NV filed suit in the United States District Court for the District of Delaware, KBC Asset Management NV, derivatively on behalf of Chemed Corp. v. McNamara, et al., No. 13 Civ. 1854 (LPS) (D. Del.). On November 14, 2013, Mildred A. North filed suit in the United States District Court for the Southern District of Ohio, North, derivatively on behalf of Chemed Corp. v. Kevin McNamara, et al., No. 13 Civ. 833 (MRB) (S.D. Ohio). Those proceedings were subsequently consolidated in the District of Delaware under the caption In re Chemed Corp. Shareholder and Derivative Litigation, No. 13 Civ. 1854 (LPS) (CJB) (D. Del.), by Order of the United States District Court for the District of Delaware dated February 2, 2015. Also on February 2, 2015, the Court appointed Plaintiff KBC the sole lead plaintiff and its counsel, the sole lead and liaison counsel.

On March 3, 2015, Lead Plaintiff KBC designated its Complaint as the operative complaint in the consolidated proceedings. The consolidated Complaint named Kevin McNamara, Joel Gemunder, Patrick Grace, Thomas Hutton, Walter Krebs, Andrea Lindell, Thomas Rice, Donald Saunders, Arthur Tucker, Jr., George Walsh III, Frank Wood, Timothy O’Toole, David Williams and Ernest Mrozek as individual defendants, together with the Company as nominal defendant. The Complaint alleges a claim for breach of fiduciary duty against the individual defendants, and seeks (a) a declaration that the individual defendants breached their fiduciary duties to the Company; (b) an order requiring those defendants to pay compensatory damages, restitution and exemplary damages, in unspecified amounts, to the Company; (c) an order directing the Company to implement new policies and procedures; and (d) costs and disbursements incurred in bringing the action, including attorneys’ fees. Also on March 3, 2015, defendants renewed their previously-filed motion to dismiss those claims and allegations, which motion the court referred to Magistrate Judge Burke.

On December 23, 2015, Magistrate Judge Burke issued a Report and Recommendation recommending that (1) defendants’ motion to dismiss be granted; (2) plaintiff be given 14 days from the date of affirmance by the district court to file an amended complaint addressing deficiencies with regard to their duty of loyalty claim; and (3) failure to do so should give rise to dismissal with prejudice. On January 11, 2016, Lead Plaintiff KBC filed Objections to the Report and Recommendation. Defendants’ responses to those Objections were filed on January 28, 2016. On May 12, 2016, the court issued a Memorandum Order (1) overruling Lead Plaintiff KBC’s Objections to the Report and Recommendation; (2) adopting the Report and Recommendation; (3) granting Chemed’s motion to dismiss; and (4) dismissing Lead Plaintiff KBC’s Complaint, without prejudice to KBC’s opportunity to file within 30 days of the date of the court’s Order an amended Complaint addressing the deficiencies in its duty of loyalty claim. Lead Plaintiff KBC did not file an amended Complaint within the time specified by the court—i.e., on or before June 13, 2016.
 
67

 
However, on that date (June 13, 2016), counsel for Chemed shareholder Michael Kvint filed a letter with the court requesting a two-week extension (1) to file a motion to substitute Mr. Kvint as Lead Plaintiff, in place of Lead Plaintiff KBC; and (2) in that capacity, to file an amended Complaint. Alternatively, counsel for Mr. Kvint requested that any dismissal of the action be with prejudice to KBC only. On June 14, 2016, Chemed filed a reply letter with the court, reserving its rights to oppose any motion filed by Mr. Kvint and, if warranted, to oppose any other actions taken by Mr. Kvint to proceed with the action (including by filing an untimely amended Complaint). On June 21, 2016, the court entered an Oral Order providing Mr. Kvint until June 30, 2016 to file a Motion to Substitute and Motion for Leave to File an Amended Complaint. On that date, Mr. Kvint filed, under seal, a Motion to Substitute Plaintiff and File Amended Complaint, and attached a Proposed Amended Complaint. Chemed filed an Answering Brief in Opposition to Mr. Kvint’ motion on July 18, 2016. Mr. Kvint filed a Reply Brief in Support of his motion on July 27, 2016. The Court requested further briefing.

Jordan Seper, (“Seper”) a Registered Nurse at VITAS' Inland Empire program from May 12, 2014 to March 21, 2015, filed a lawsuit in San Francisco Superior Court on September 26, 2016. She alleged VITAS Healthcare Corp of CA (“VITAS CA”) (1) failed to provide minimum wage for all hours worked; (2) failed to provide overtime for all hours worked; (3) failed to provide a second meal period; (4) failed to provide rest breaks; (5) failed to indemnify for necessary expenditures; (6) failed to timely pay wages due at time of separation; and (7) engaged in unfair business practices. Seper seeks a state-wide class action of current and former non-exempt employees employed with VITAS in California within the four years preceding the filing of the lawsuit. She seeks court determination that this action may be maintained as a class action for the entire California class and subclasses, designation as class representative, declaratory relief, injunctive relief, damages (including wages for regular or overtime hours allegedly worked but not paid, premium payments for missed meal or rest periods, and unreimbursed expenses), all applicable penalties associated with each claim, pre and post-judgment interest, and attorneys' fees and costs. Seper served VITAS CA with the lawsuit, Jordan A. Seper on behalf of herself and others similarly situated v. VITAS Healthcare Corporation of California, a Delaware corporation; VITAS Healthcare Corp of CA, a business entity unknown; and DOES 1 to 100, inclusive; Los Angeles Superior Court Case Number BC 642857 on October 13, 2016.

On November 14, 2016, the Parties filed a Stipulation to transfer the venue of the lawsuit from San Francisco to Los Angeles. The Los Angeles Superior Court accepted transfer of the case on December 6, 2016. On December 16, 2016, VITAS CA filed its Answer and served written discovery on Seper.

Jiwan Chhina ("Chhina"), hired by VITAS as a Home Health Aide on February 5, 2002, is currently a Licensed Vocational Nurse for VITAS' San Diego program. On September 27, 2016, Chhina filed a lawsuit in San Diego Superior Court, alleging (1) failure to pay minimum wage for all hours worked; (2) failure to provide overtime for all hours worked; (3) failure to pay wages for all hours at the regular rate; (4) failure to provide meal periods; (5) failure to provide rest breaks; (6) failure to provide complete and accurate wage statements; (7) failure to pay for all reimbursement expenses; (8) unfair business practices; and (9) violation of the California Private Attorneys General Act. Chhina seeks to pursue these claims in the form of a state-wide class action of current and former non-exempt employees employed with VITAS in California within the four years preceding the filing of the lawsuit. He seeks court determination that this action may be maintained as a class action for the entire California class and subclasses, designation as class representative, declaratory relief, injunctive relief, damages (including wages for regular or overtime hours allegedly worked but not paid, premium payments for missed meal or rest periods, and unreimbursed expenses), all applicable penalties associated with each claim, pre-judgment interest, and attorneys' fees and costs. Chhina served VITAS CA with the lawsuit, Jiwann Chhina v. VITAS Health Services of California, Inc., a California corporation; VITAS Healthcare Corporation of California, a Delaware corporation; VITAS Healthcare Corporation of California, a Delaware corporation dba VITAS Healthcare, Inc.; and DOES 1 to 100, inclusive; San Diego Superior Court Case Number 37-2015-00033978-CU-OE-CTL on November 3, 2016. On December 1, 2016, VITAS filed its Answer and served written discovery on Plaintiff.

The Company is not able to reasonably estimate the probability of loss or range of loss for either of these lawsuits at this time.

The Company intends to defend vigorously against the allegations in each of the above lawsuits. Regardless of the outcome of any of the preceding matters, responding to the subpoenas and dealing with the various regulatory agencies and opposing parties can adversely affect us through defense costs, potential payments, diversion of management time, and related publicity. Although the Company intends to defend them vigorously, there can be no assurance that those suits will not have a material adverse effect on the Company.
 
68

 
19.
Concentration of Risk
During the year VITAS had pharmacy services agreements (“Agreements”) with two service providers to provide specified pharmacy services for VITAS and its hospice patients. VITAS made purchases from these two providers of $35.2 million, $37.7 million and $35.6 million for the years ended December 31, 2016, 2015 and 2014, respectively. For the years ended December 31, 2016, 2015 and 2014, respectively, purchases from these vendors represent approximately 90% of all pharmacy services used by VITAS. VITAS’ accounts payable for pharmacy services was $ 2.5 million at December 31, 2016. At December 31, 2015, VITAS’ accounts payable for pharmacy services was $3.0 million.
 
20.
Capital Stock Transactions
In March 2016, our Board of Directors authorized an additional $100 million for stock repurchase under the February 2011 repurchase program. We repurchased the following capital stock:
 
   
For the Years Ended December 31,
 
   
2016
   
2015
   
2014
 
Total cost of repurchased shares (in thousands):
 
$
102,313
   
$
59,323
   
$
110,019
 
Shares repurchased
   
780,134
     
460,765
     
1,182,934
 
Weighted average price per share
 
$
131.15
   
$
128.75
   
$
93.01
 
 
21.
Other Operating Expenses
During 2016, the Company recorded early retirement related costs and accelerated stock-based compensation expense of approximately of $4.5 million pretax and $2.8 million after-tax related to the early retirement of VITAS’ former Chief Executive Officer. The costs were calculated in accordance with the terms of his employment agreement.
 
22.
Recent Accounting Statements
In May 2014, the FASB issued Accounting Standards Update “ASU No. 2014-09 – Revenue from Contracts with Customers” which provides additional guidance to clarify the principles for recognizing revenue. The standard is intended to develop a common revenue standard for removing inconsistencies and weaknesses, improve comparability, provide more useful information to users through improved disclosure requirements, and simplify the preparation of financial statements. This guidance and subsequent amendments are effective for fiscal years beginning after December 15, 2017. We are in the process of analyzing various contractual arrangements with customers at each subsidiary. We believe that it is likely, as a result of adopting the ASU that certain expenses currently included in bad debt expense will be shown as contractual allowances (i.e. net revenue). We currently do not have an estimate of the magnitude of this potential impact. We anticipate a modified retrospective adoption of the ASU.

In February 2016, the FASB issued Accounting Standards Update “ASU No. 2016-02 – Leases” which introduces a lessee model that brings most leases on to the balance sheets and updates lessor accounting to align with changes in the lessee model and the revenue recognition standard. The guidance is effective for fiscal years beginning after December 15, 2018. We are currently evaluating the impact of this ASU on our financial statements, existing lease recognition policies and disclosures.

In March 2016, the FASB issued Accounting Standards Update “ASU No. 2016-09 - Compensation – Stock Compensation” which is part of the FASB’s Simplification Initiative. The object of this initiative is to identify, evaluate, and improve areas of GAAP. The areas of simplification in this initiative involve several aspects of the accounting for share-based payment transactions, including the income tax consequences, classification of awards as either equity or liabilities, and classification on the statement of cash flows. The guidance is effective for fiscal years beginning after December 15, 2016. The impact of this ASU on our financial statements in 2017 and later years could be material, dependent upon the volatility of our stock price. This price volatility could materially increase or decrease the amount of the income tax benefit related to stock compensation recognized in the income statement and the classification of such benefit in the statement of cash flows. Adoption of this statement will not materially impact our statement of financial position.

In August 2016, the FASB issued Accounting Standards Update “ASU No. 2016-15 – Cash Flow Classification” which amends guidance on the classification of certain cash receipts and payments in the statement of cash flows. The primary purpose of ASU 2016-15 is to reduce diversity in practice related to eight specific cash flow issues. The guidance in this ASU is effective for fiscal years beginning after December 15, 2017. We have analyzed the impact of ASU 2016-15 on our statement of cash flows and do not expect it to have a material effect.
 
69

 
In January 2017, the FASB issued Accounting Standards Update “ASU No. 2017-4 – Intangibles – Goodwill and Other”. To simplify the subsequent measurement of goodwill, the FASB eliminated Step 2 from the goodwill impairment test. The guidance in the ASU is effective for the Company in fiscal years beginning after December 15, 2019. Early adoption is permitted. We anticipate adoption of this standard will have no impact on our consolidated financial statements.
 
 
70


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, 2016
 
Quarter
 
 
Quarter
 
 
Quarter
 
 
Quarter
 
 
Year
 
Total service revenues and sales
 
$
390,389
   
$
390,409
   
$
392,607
   
$
403,476
   
$
1,576,881
 
Gross profit (excluding depreciation)
 
$
111,954
   
$
114,154
   
$
110,949
   
$
124,393
   
$
461,450
 
Income from operations
 
$
44,393
   
$
38,363
   
$
42,871
   
$
53,122
   
$
178,749
 
Interest expense
   
(842
)
   
(971
)
   
(1,018
)
   
(884
)
   
(3,715
)
Other income/(expense)--net
   
(2,924
)
   
3,217
     
1,640
     
87
     
2,020
 
Income before income taxes
   
40,627
     
40,609
     
43,493
     
52,325
     
177,054
 
Income taxes
   
(15,787
)
   
(15,724
)
   
(16,664
)
   
(20,136
)
   
(68,311
)
Net income (a)
 
$
24,840
   
$
24,885
   
$
26,829
   
$
32,189
   
$
108,743
 
                                         
Earnings Per Share (a)
                                       
Net income
 
$
1.49
   
$
1.51
   
$
1.66
   
$
1.99
   
$
6.64
 
Average number of shares outstanding
   
16,720
     
16,443
     
16,166
     
16,206
     
16,383
 
                                         
Diluted Earnings Per Share (a)
                                       
Net income
 
$
1.45
   
$
1.48
   
$
1.62
   
$
1.94
   
$
6.48
 
Average number of shares outstanding
   
17,170
     
16,831
     
16,559
     
16,598
     
16,789
 
                                         
(a) The following amounts are included in income during the respective quarter (in thousands):
 
                                         
 
 
First  
 
Second  
 
Third  
 
Fourth  
 
Total  
 
 
Quarter  
 
Quarter
 
 
Quarter
 
 
Quarter
 
 
Year
 
Pretax (cost)/benefit:
                                       
Stock option expense
 
$
(2,563
)
 
$
(2,277
)
 
$
(1,419
)
 
$
(2,071
)
 
$
(8,330
)
Long-term incentive compensation
   
241
     
(499
)
   
(643
)
   
(1,029
)
   
(1,930
)
Early retirement expenses
   
-
     
(4,491
)
   
-
     
-
     
(4,491
)
Expenses related to litigation settlements
   
-
     
(44
)
   
-
     
(1
)
   
(45
)
Expenses related to securities litigation
   
(3
)
   
3
     
-
     
-
     
-
 
Medicare cap sequestration adjustment
   
-
     
-
     
(228
)
   
-
     
(228
)
Expenses related to the Office
                                       
of Inspector General investigation
   
(2,336
)
   
(1,170
)
   
(599
)
   
(1,155
)
   
(5,260
)
Total
 
$
(4,661
)
 
$
(8,478
)
 
$
(2,889
)
 
$
(4,256
)
 
$
(20,284
)
After-tax (cost)/benefit:
                                       
Stock option expense
 
$
(1,621
)
 
$
(1,440
)
 
$
(897
)
 
$
(1,308
)
 
$
(5,266
)
Long-term incentive compensation
   
152
     
(316
)
   
(406
)
   
(651
)
   
(1,221
)
Early retirement expenses
   
-
     
(2,840
)
   
-
     
-
     
(2,840
)
Expenses related to litigation settlements
   
-
     
(27
)
   
-
     
(1
)
   
(28
)
Expenses related to securities litigation
   
(2
)
   
2
     
-
     
-
     
-
 
Medicare cap sequestration adjustment
   
-
     
-
     
(141
)
   
-
     
(141
)
Expenses related to the Office
                                       
of Inspector General investigation
   
(1,443
)
   
(722
)
   
(370
)
   
(713
)
   
(3,248
)
Total
 
$
(2,914
)
 
$
(5,343
)
 
$
(1,814
)
 
$
(2,673
)
 
$
(12,744
)
 
71

 
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, 2015
 
Quarter
 
 
Quarter
 
 
Quarter
 
 
Quarter
 
 
Year
 
Total service revenues and sales
 
$
376,652
   
$
381,921
   
$
386,226
   
$
398,589
   
$
1,543,388
 
Gross profit (excluding depreciation)
 
$
107,767
   
$
111,258
   
$
114,137
   
$
122,616
   
$
455,778
 
Income from operations
 
$
40,571
   
$
44,600
   
$
50,128
   
$
49,159
   
$
184,458
 
Interest expense
   
(969
)
   
(969
)
   
(908
)
   
(799
)
   
(3,645
)
Other income/(expense)--net
   
563
     
536
     
(2,355
)
   
569
     
(687
)
Income before income taxes
   
40,165
     
44,167
     
46,865
     
48,929
     
180,126
 
Income taxes
   
(15,628
)
   
(17,192
)
   
(18,032
)
   
(19,000
)
   
(69,852
)
Net income (a)
 
$
24,537
   
$
26,975
   
$
28,833
   
$
29,929
   
$
110,274
 
                                         
Earnings Per Share (a)
                                       
Net income
 
$
1.45
   
$
1.60
   
$
1.71
   
$
1.78
   
$
6.54
 
Average number of shares outstanding
   
16,914
     
16,880
     
16,865
     
16,819
     
16,870
 
                                         
Diluted Earnings Per Share (a)
                                       
Net income
 
$
1.40
   
$
1.55
   
$
1.65
   
$
1.72
   
$
6.33
 
Average number of shares outstanding
   
17,466
     
17,419
     
17,422
     
17,365
     
17,422
 
                                         
(a) The following amounts are included in income during the respective quarter (in thousands):
 
                                         
 
 
First  
 
Second  
 
Third  
 
Fourth  
 
Total  
 
 
Quarter
 
 
Quarter
 
 
Quarter
 
 
Quarter
 
 
Year  
Pretax (cost)/benefit:
                                       
Stock option expense
 
$
(1,444
)
 
$
(1,343
)
 
$
(813
)
 
$
(1,845
)
 
$
(5,445
)
Long-term incentive compensation
   
(934
)
   
(1,457
)
   
(1,364
)
   
(3,764
)
   
(7,519
)
Acquisition expenses
   
-
     
(131
)
   
(30
)
   
(11
)
   
(172
)
Expenses related to litigation settlements
   
(5
)
   
-
     
-
     
-
     
(5
)
Expenses related to securities litigation
   
-
     
(37
)
   
-
     
-
     
(37
)
Expenses incurred in connection with the Office
                                       
of Inspector General investigation
   
(1,274
)
   
(1,412
)
   
(1,151
)
   
(1,137
)
   
(4,974
)
Total
 
$
(3,657
)
 
$
(4,380
)
 
$
(3,358
)
 
$
(6,757
)
 
$
(18,152
)
After-tax (cost)/benefit:
                                       
Stock option expense
 
$
(910
)
 
$
(849
)
 
$
(509
)
 
$
(1,171
)
 
$
(3,439
)
Long-term incentive compensation
   
(591
)
   
(921
)
   
(863
)
   
(2,377
)
   
(4,752
)
Acquisition expenses
   
-
     
(80
)
   
(18
)
   
(6
)
   
(104
)
Expenses related to litigation settlements
   
(3
)
   
-
     
-
     
-
     
(3
)
Expenses related to securities litigation
   
-
     
(23
)
   
-
     
-
     
(23
)
Expenses incurred in connection with the Office
                                       
of Inspector General investigation
   
(790
)
   
(868
)
   
(711
)
   
(703
)
   
(3,072
)
Total
 
$
(2,294
)
 
$
(2,741
)
 
$
(2,101
)
 
$
(4,257
)
 
$
(11,393
)
 
72


SELECTED FINANCIAL DATA
                               
Chemed Corporation and Subsidiary Companies
                             
(in thousands, except per share and footnote data, ratios, percentages and personnel)
 
   
2016
   
2015
   
2014
   
2013
   
2012
 
Summary of Operations
                             
Continuing operations (a)
                             
Service revenues and sales
 
$
1,576,881
   
$
1,543,388
   
$
1,456,282
   
$
1,413,329
   
$
1,430,043
 
Gross profit (excluding depreciation)
   
461,450
     
455,778
     
421,609
     
404,521
     
396,722
 
Depreciation
   
34,279
     
32,369
     
29,881
     
27,698
     
26,009
 
Amortization
   
359
     
1,130
     
720
     
1,644
     
1,508
 
Income from operations
   
178,749
     
184,458
     
168,419
     
133,394
     
156,419
 
Net income (b)
   
108,743
     
110,274
     
99,317
     
77,227
     
89,304
 
Earnings per share
                                       
Net income
 
$
6.64
   
$
6.54
   
$
5.79
   
$
4.24
   
$
4.72
 
Average number of shares outstanding
   
16,383
     
16,870
     
17,165
     
18,199
     
18,924
 
Diluted earnings per share
                                       
Net income
 
$
6.48
   
$
6.33
   
$
5.57
   
$
4.16
   
$
4.62
 
Average number of shares outstanding
   
16,789
     
17,422
     
17,840
     
18,585
     
19,339
 
Cash dividends per share
 
$
1.00
   
$
0.92
   
$
0.84
   
$
0.76
   
$
0.68
 
Financial Position--Year-End
                                       
Cash and cash equivalents
 
$
15,310
   
$
14,727
   
$
14,132
   
$
84,418
   
$
69,531
 
Working capital/(deficit)
   
(1,932
)
   
(20,528
)
   
(990
)
   
(139,330
)
   
40,849
 
Current ratio
   
0.99
     
0.88
     
0.99
     
0.62
     
1.26
 
Properties and equipment, at cost less
                                       
accumulated depreciation
 
$
121,302
   
$
117,370
   
$
105,336
   
$
92,955
   
$
91,934
 
Total assets
   
880,059
     
852,325
     
859,932
     
893,701
     
859,626
 
Long-term debt
   
100,000
     
83,750
     
141,250
     
-
     
174,890
 
Stockholders' equity
   
524,099
     
513,253
     
451,356
     
448,890
     
453,291
 
Other Statistics
                                       
Capital expenditures
 
$
39,772
   
$
44,135
   
$
43,571
   
$
29,324
   
$
35,252
 
Number of employees
   
14,613
     
14,406
     
14,190
     
13,952
     
14,096
 
                                         
(a) The following amounts are included in income from continuing operations during the respective year (in thousands):
 
                                         
     
2016
     
2015
     
2014
     
2013
     
2012
 
After-tax benefit/(cost):
                                       
Stock option expense
 
$
(5,266
)
 
$
(3,439
)
 
$
(3,022
)
 
$
(3,813
)
 
$
(5,143
)
Early retirement expenses
   
(2,840
)
   
-
     
-
     
-
     
-
 
Medicare cap sequestration adjustment
   
(141
)
   
-
     
-
     
-
     
-
 
Noncash impact of change in accounting for convertible debt
   
-
     
-
     
(2,143
)
   
(5,448
)
   
(5,041
)
Long-term incentive compensation
   
(1,221
)
   
(4,752
)
   
(1,625
)
   
(822
)
   
(228
)
Litigation settlements
   
(28
)
   
(3
)
   
(74
)
   
(16,061
)
   
-
 
Expenses related to litigation settlements
   
-
     
-
     
-
     
(865
)
   
(617
)
Expenses incurred in connection with the Office of Inspector
                                       
General investigation
   
(3,248
)
   
(3,072
)
   
(1,328
)
   
(1,333
)
   
(752
)
Acquisition expense
   
-
     
(104
)
   
(15
)
   
(38
)
   
(114
)
Cost to shut down HVAC operations
   
-
     
-
     
-
     
-
     
(649
)
Expenses of securities litigation
   
-
     
(23
)
   
(207
)
   
(69
)
   
(469
)
Loss on extinguishment of debt
   
-
     
-
     
-
     
(294
)
   
-
 
Severance arrangements
   
-
     
-
     
-
     
(184
)
   
-
 
Uncertain tax position adjustments
   
-
     
-
     
-
     
1,782
     
-
 
Total
 
$
(12,744
)
 
$
(11,393
)
 
$
(8,414
)
 
$
(27,145
)
 
$
(13,013
)
 
73

 
CHEMED CORPORATION AND SUBSIDIARY COMPANIES
 
UNAUDITED CONSOLIDATING STATEMENT OF INCOME
 
FOR THE YEAR ENDED DECEMBER 31, 2016
 
(in thousands)(unaudited)
 
                   
         
 
Roto-
          
 
Chemed
 
   
VITAS
 
 
Rooter
 
 
Corporate
 
 
Consolidated
 
2016
                       
Service revenues and sales
 
$
1,123,317
   
$
453,564
   
$
-
   
$
1,576,881
 
Cost of services provided and goods sold
   
878,092
     
237,339
     
-
     
1,115,431
 
Selling, general and administrative expenses
   
92,550
     
118,812
     
32,210
     
243,572
 
Depreciation
   
19,035
     
14,698
     
546
     
34,279
 
Amortization
   
55
     
304
     
-
     
359
 
Other operating expenses
   
4,491
     
-
     
-
     
4,491
 
Total costs and expenses
   
994,223
     
371,153
     
32,756
     
1,398,132
 
Income/(loss) from operations
   
129,094
     
82,411
     
(32,756
)
   
178,749
 
Interest expense
   
(211
)
   
(332
)
   
(3,172
)
   
(3,715
)
Intercompany interest income/(expense)
   
7,969
     
3,595
     
(11,564
)
   
-
 
Other income/(expense)—net
   
19
     
(62
)
   
2,063
     
2,020
 
Income/(loss) before income taxes
   
136,871
     
85,612
     
(45,429
)
   
177,054
 
Income taxes
   
(51,910
)
   
(32,719
)
   
16,318
     
(68,311
)
Net income/(loss)
 
$
84,961
   
$
52,893
   
$
(29,111
)
 
$
108,743
 
                                 
(a) The following amounts are included in income from continuing operations (in thousands):
 
                         
         
 
Roto-
         
 
Chemed
 
   
VITAS
 
 
Rooter
 
 
Corporate
 
 
Consolidated
 
Pretax benefit/(cost):
                               
Stock option expense
 
$
-
   
$
-
   
$
(8,330
)
 
$
(8,330
)
Long-term incentive compensation
   
-
     
-
     
(1,930
)
   
(1,930
)
Early retirement expenses
   
(4,491
)
   
-
     
-
     
(4,491
)
Medicare cap sequestration adjustment
   
(228
)
   
-
     
-
     
(228
)
Expenses related to litigation settlements
   
-
     
(45
)
   
-
     
(45
)
Expenses incurred in connection with the Office of Inspector
                               
General investigation
   
(5,260
)
   
-
     
-
     
(5,260
)
Total
 
$
(9,979
)
 
$
(45
)
 
$
(10,260
)
 
$
(20,284
)
                                 
         
 
Roto-
         
 
Chemed
 
   
VITAS
 
 
Rooter
 
 
Corporate
 
 
Consolidated
 
After-tax benefit/(cost):
                               
Stock option expense
 
$
-
   
$
-
   
$
(5,266
)
 
$
(5,266
)
Long-term incentive compensation
   
-
     
-
     
(1,221
)
   
(1,221
)
Early retirement expenses
   
(2,840
)
   
-
     
-
     
(2,840
)
Medicare cap sequestration adjustment
   
(141
)
   
-
     
-
     
(141
)
Expenses related to litigation settlements
   
-
     
(28
)
   
-
     
(28
)
Expenses incurred in connection with the Office of Inspector
                               
General investigation
   
(3,248
)
   
-
     
-
     
(3,248
)
Total
 
$
(6,229
)
 
$
(28
)
 
$
(6,487
)
 
$
(12,744
)
 
74


CHEMED CORPORATION AND SUBSIDIARY COMPANIES
 
UNAUDITED CONSOLIDATING STATEMENT OF INCOME
 
FOR THE YEAR ENDED DECEMBER 31, 2015
 
(in thousands)(unaudited)
 
                   
       
 
Roto-
     
 
Chemed
 
   
VITAS
 
 
Rooter
 
 
Corporate
 
 
Consolidated
 
2015
                       
Service revenues and sales
 
$
1,115,551
   
$
427,837
   
$
-
   
$
1,543,388
 
Cost of services provided and goods sold
   
862,587
     
225,023
     
-
     
1,087,610
 
Selling, general and administrative expenses
   
89,879
     
114,269
     
33,673
     
237,821
 
Depreciation
   
18,789
     
12,988
     
592
     
32,369
 
Amortization
   
758
     
372
     
-
     
1,130
 
Total costs and expenses
   
972,013
     
352,652
     
34,265
     
1,358,930
 
Income/(loss) from operations
   
143,538
     
75,185
     
(34,265
)
   
184,458
 
Interest expense
   
(200
)
   
(348
)
   
(3,097
)
   
(3,645
)
Intercompany interest income/(expense)
   
7,499
     
3,385
     
(10,884
)
   
-
 
Other income/(expense)—net
   
(816
)
   
(19
)
   
148
     
(687
)
Income/(loss) before income taxes
   
150,021
     
78,203
     
(48,098
)
   
180,126
 
Income taxes
   
(56,675
)
   
(29,630
)
   
16,453
     
(69,852
)
Net income/(loss)
 
$
93,346
   
$
48,573
   
$
(31,645
)
 
$
110,274
 
                                 
(a) The following amounts are included in income from continuing operations (in thousands):
 
                         
         
 
Roto-
         
 
Chemed
 
   
VITAS
 
 
Rooter
 
 
Corporate
 
 
Consolidated
 
Pretax benefit/(cost):
                               
Stock option expense
 
$
-
   
$
-
   
$
(5,445
)
 
$
(5,445
)
Long-term incentive compensation
   
-
     
-
     
(7,519
)
   
(7,519
)
Securities litigation
   
-
     
-
     
(37
)
   
(37
)
Expenses related to litigation settlements
   
-
     
(5
)
   
-
     
(5
)
Acquisition expense
   
-
     
(172
)
   
-
     
(172
)
Expenses incurred in connection with the Office of Inspector
                               
General investigation
   
(4,974
)
   
-
     
-
     
(4,974
)
Total
 
$
(4,974
)
 
$
(177
)
 
$
(13,001
)
 
$
(18,152
)
                                 
         
 
Roto-
         
 
Chemed
 
   
VITAS
 
 
Rooter
 
 
Corporate
 
 
Consolidated
 
After-tax benefit/(cost):
                               
Stock option expense
 
$
-
   
$
-
   
$
(3,439
)
 
$
(3,439
)
Long-term incentive compensation
   
-
     
-
     
(4,752
)
   
(4,752
)
Securities litigation
   
-
     
-
     
(23
)
   
(23
)
Expenses related to litigation settlements
   
-
     
(3
)
   
-
     
(3
)
Acquisition expense
   
-
     
(104
)
   
-
     
(104
)
Expenses incurred in connection with the Office of Inspector
                               
General investigation
   
(3,072
)
   
-
     
-
     
(3,072
)
Total
 
$
(3,072
)
 
$
(107
)
 
$
(8,214
)
 
$
(11,393
)
 
75

 
CHEMED CORPORATION AND SUBSIDIARY COMPANIES
 
UNAUDITED CONSOLIDATING STATEMENT OF INCOME
 
FOR THE YEAR ENDED DECEMBER 31, 2014
 
(in thousands)(unaudited)
 
                     
       
 
Roto-
     
 
Chemed
 
   
VITAS
 
 
Rooter
 
 
Corporate
 
 
Consolidated
 
2014
                       
Service revenues and sales
 
$
1,064,205
   
$
392,077
   
$
-
   
$
1,456,282
 
Cost of services provided and goods sold
   
825,739
     
208,934
     
-
     
1,034,673
 
Selling, general and administrative expenses
   
85,184
     
106,960
     
30,445
     
222,589
 
Depreciation
   
18,601
     
10,702
     
578
     
29,881
 
Amortization
   
447
     
273
     
-
     
720
 
Total costs and expenses
   
929,971
     
326,869
     
31,023
     
1,287,863
 
Income/(loss) from operations
   
134,234
     
65,208
     
(31,023
)
   
168,419
 
Interest expense
   
(207
)
   
(363
)
   
(7,616
)
   
(8,186
)
Intercompany interest income/(expense)
   
6,189
     
2,892
     
(9,081
)
   
-
 
Other income/(expense)—net
   
(753
)
   
146
     
3,128
     
2,521
 
Income/(loss) before income taxes
   
139,463
     
67,883
     
(44,592
)
   
162,754
 
Income taxes
   
(53,278
)
   
(25,808
)
   
15,649
     
(63,437
)
Net income/(loss)
 
$
86,185
   
$
42,075
   
$
(28,943
)
 
$
99,317
 
                                 
(a) The following amounts are included in income from continuing operations (in thousands):
 
                         
         
 
Roto-
         
 
Chemed
 
   
VITAS
 
 
Rooter
 
 
Corporate
 
 
Consolidated
 
Pretax benefit/(cost):
                               
Stock option expense
 
$
-
   
$
-
   
$
(4,802
)
 
$
(4,802
)
Noncash impact of change in accounting for convertible debt
   
-
     
-
     
(3,389
)
   
(3,389
)
Long-term incentive compensation
   
-
     
-
     
(2,569
)
   
(2,569
)
Securities litigation
   
-
     
-
     
(327
)
   
(327
)
Expenses related to litigation settlements
   
(113
)
   
(7
)
   
-
     
(120
)
Acquisition expense
   
(1
)
   
(23
)
   
-
     
(24
)
Expenses incurred in connection with the Office of Inspector
                               
General investigation
   
(2,141
)
   
-
     
-
     
(2,141
)
Total
 
$
(2,255
)
 
$
(30
)
 
$
(11,087
)
 
$
(13,372
)
                                 
         
 
Roto-
         
 
Chemed
 
   
VITAS
 
 
Rooter
 
 
Corporate
 
 
Consolidated
 
After-tax benefit/(cost):
                               
Stock option expense
 
$
-
   
$
-
   
$
(3,022
)
 
$
(3,022
)
Noncash impact of change in accounting for convertible debt
   
-
     
-
     
(2,143
)
   
(2,143
)
Long-term incentive compensation
   
-
     
-
     
(1,625
)
   
(1,625
)
Securities litigation
   
-
     
-
     
(207
)
   
(207
)
Expenses related to litigation settlements
   
(70
)
   
(4
)
   
-
     
(74
)
Acquisition expense
   
(1
)
   
(14
)
   
-
     
(15
)
Expenses incurred in connection with the Office of Inspector
                               
General investigation
   
(1,328
)
   
-
     
-
     
(1,328
)
Total
 
$
(1,399
)
 
$
(18
)
 
$
(6,997
)
 
$
(8,414
)
76

 
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, drain cleaning, water restoration and other related 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 approximately 90% of the U.S. population.

 The following is a summary of the key operating results for the years ended December 31, 2016, 2015 and 2014 (in thousands except percentages and per share amounts):
 
   
2016
   
2015
   
2014
 
Consolidated service revenues and sales
 
$
1,576,881
   
$
1,543,388
   
$
1,456,282
 
Consolidated net income
 
$
108,743
   
$
110,274
   
$
99,317
 
Diluted EPS
 
$
6.48
   
$
6.33
   
$
5.57
 
Adjusted net income
 
$
121,487
   
$
121,667
   
$
107,731
 
Adjusted diluted EPS
 
$
7.24
   
$
6.98
   
$
6.07
 
Adjusted EBITDA
 
$
236,979
   
$
235,931
   
$
212,562
 
Adjusted EBITDA as a % of revenue
   
15.0
%
   
15.3
%
   
14.6
%

Adjusted net income, adjusted diluted EPS, earnings before interest, taxes and depreciation and amortization (“EBITDA”) and Adjusted EBITDA are not measures derived in accordance with GAAP.  We use Adjusted EPS as a measure of earnings for certain long-term incentive awards.  We use adjusted EBITDA to determine compliance with certain debt covenants.  We provide non-GAAP measures to help readers evaluate our operating results, compare our operating performance with that of similar companies that have different capital structures.  Our non-GAAP measures should not be considered in isolation or as a substitute for comparable measures presented in accordance with GAAP.  Reconciliations of our non-GAAP measures are presented in tables following the Critical Accounting Policies section.

2016 versus 2015
The increase in consolidated service revenues and sales from 2016 to 2015 was a result of a 6.0% increase at Roto-Rooter and a 0.7% increase at VITAS.  The increase at Roto-Rooter was driven by an increase in all major service lines.  The increase in service revenues at VITAS was a result of Medicare reimbursement rates increasing approximately 0.6%, a 4.2% increase in days of care offset by acuity mix shift and changes in Medicare hospice reimbursement which negatively impacted revenue. Consolidated net income decreased 1.4% over the prior year mainly due to the change in the Medicare hospice reimbursement as well as other operating expenses related to the early retirement of VITAS’ Chief Executive Officer.  Diluted EPS increased mainly as a result of the decrease in the number of shares outstanding.  Adjusted EBITDA decreased as a percent of revenue by 0.3%.

2015 versus 2014
The increase in consolidated service revenues and sales from 2014 to 2015 was a result of a 9.1% increase at Roto-Rooter and a 4.8% increase at VITAS.    The increase at Roto-Rooter was driven by increased market penetration of water restoration services.  Roto-Rooter revenue increased 5.0% as a result of this market penetration.  The remaining increase was mainly a result of revenue increases in our plumbing line of business.  The increase in service revenues at VITAS was a result of Medicare reimbursement rates increasing approximately 1.4%, a 5.5% increase in days of care offset by level of care and geographical mix shift. Consolidated net income increased 11.0% over prior year mainly as a result of increased revenue at VITAS and Roto-Rooter combined with leveraging our current infrastructure resulting in operating costs growing at a slower rate than revenue.  Diluted EPS increased mainly as a result of the increase in earnings and by a decrease in the number of shares outstanding.  Adjusted EBITDA increased as a percent of revenue by 0.7%.

Roto-Rooter utilizes a universal calendar of four 13 week quarters equating to a 52 week full year reporting period and then accrues for an additional one or two days of operating results in the fourth quarter to equate to a full 365 or 366 day year.  In the fourth quarter of 2014, Roto-Rooter had 14 weeks of operating activity during the quarter.  This additional week of operating activity, net of the accrued operating results from earlier years, resulted in Roto-Rooter recognizing an incremental $2.8 million of revenue, $0.9 million of Adjusted EBITDA and $0.5 million of net income in the fourth quarter of 2014 when compared to the fourth quarter of 2013.
 
77

 
Impact of Current Market Conditions
On January 1, 2016, CMS implemented a refinement to the Medicare hospice reimbursement per diem.  This refinement eliminated the single-tier per diem for routine home care (RHC) and replaced it with a two-tiered rate, with a higher rate for the first 60 days of a hospice patient’s care, and a lower rate for days 61 and after. In addition, CMS provided for a Service Intensity Add-on (SIA) payment which provides for reimbursement of care provided by a registered nurse or social worker for RHC patients within seven days prior to death. The reimbursement for continuous care, inpatient care and respite care are not impacted by this rebasing.

The current two-tiered national per diem rate for RHC is $190.41 for the first 60 days and $149.68 for RHC provided to patients in hospice beyond 60 days.  An individual hospice’s actual per diem rate is adjusted for differences in geographic cost of living.  Rebasing in 2016 would have been revenue neutral to a hospice if it has 37.6% of total RHC days-of-care being provided to patients in their first 60 days of admission and 62.4% of total RHC days-of-care provided to patients after the 60 days. (Days-of-Care ratio).

For the year ended December 31, 2016, VITAS had a 25/75 RHC Days-of-Care ratio and generated approximately $4.5 million in SIA payments. This resulted in approximately $23.8 million less revenue than under the previous Medicare reimbursement methodology.

Full-year 2017 revenue growth for VITAS, prior to Medicare Cap, is estimated to be in the range of 4.0% to 5.0%. Average Daily Census in 2017 is estimated to increase approximately 3.0% to 4.0% and full-year Adjusted EBITDA margin, prior to Medicare Cap, is estimated to be 14.5% to 15.0%.  This guidance includes $5.0 million for Medicare Cap billing limitations.

Roto-Rooter is forecasted to achieve full-year 2017 revenue growth of 3.0% to 4.0%.  This revenue estimate is based upon increased job pricing of approximately 2.0% and continued growth in water restoration services.  Adjusted EBITDA margin for 2017 is estimated in the range of 21.5% to 22.0%.

Based upon the above, full-year 2017 adjusted earnings per diluted share, excluding non-cash expense for stock options, costs related to litigation, and other discrete items, is estimated to be in the range of $7.80 to $8.00.  This compares to Chemed’s 2016 reported adjusted earnings per diluted share of $7.24.

 
78

 
LIQUIDITY AND CAPITAL RESOURCES

Significant factors affecting our cash flows during 2016 and financial position at December 31, 2016, include the following:

·
Our operations generated cash of $135.4 million.
·
We repurchased $102.3 million of our stock in the open market using cash on hand.
·
We spent $39.8 million on capital expenditures.
·
A $46.3 million decrease in cash as a result of an increase in accounts receivable due to the timing of payments.
·
A $13.0 million decrease in cash as a result of changes in our deferred income taxes.
·
 We borrowed a net of $17.5 million on our revolving line of credit mainly to partially fund treasury stock purchases mentioned above.

The ratio of total debt to total capital was 17.2% at December 31, 2016, compared with 15.1% at December 31, 2015. Our current ratio was 0.99 and 0.88 at December 31, 2016 and 2015, respectively. The increase in the current ratio is primarily a result of the increase in accounts receivable.

The 2014 Credit Agreement requires us to meet certain restrictive non-financial and financial covenants.  We are in compliance with all non-financial debt covenants as of December 31, 2016.  The restrictive financial covenants are defined in the 2014 Credit Agreement and include maximum leverage ratios, minimum fixed charge coverage and consolidated net worth ratios, limits on operating leases and minimum asset value limits.  We are in compliance with all financial debt covenants as of December 31, 2016, as follows:
 
Description
 
Requirement
 
Chemed
           
           
Leverage Ratio (Consolidated Indebtedness/Consolidated  Adj. EBITDA)
 
< 3.50 to 1.00
 
0.63 to 1.00
           
Fixed Charge Coverage Ratio (Consolidated Free Cash Flow/Consolidated
Fixed Charges
 
> 1.50 to 1.00
 
2.18 to 1.00
           
Annual Operating Lease Commitment
 
< $50.0 million
 
$21.1 million

We forecast to be in compliance with all debt covenants through fiscal 2017.

We have issued $38.7 million in standby letters of credit as of December 31, 2016, mainly for insurance purposes.  Issued letters of credit reduce our available credit under the revolving credit agreement.  As of December 31, 2016, we have approximately $286.6 million of unused lines of credit available and eligible to be drawn down under our revolving credit facility.  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 and long term.  We continually evaluate cash utilization alternatives, including share repurchase, debt repurchase, acquisitions, and increased dividends to determine the most beneficial use of available capital resources.
 
79

 
CASH FLOW
Our cash flows for 2016, 2015 and 2014 are summarized as follows (in millions):
 
   
For the Years Ended December 31,
 
   
2016
   
2015
   
2014
 
Net cash provided by operating activities
 
$
135.4
   
$
171.5
   
$
110.3
 
Capital expenditures
   
(39.8
)
   
(44.1
)
   
(43.6
)
Operating cash after capital expenditures
   
95.6
     
127.4
     
66.7
 
Purchase of treasury stock in the open market
   
(102.3
)
   
(59.3
)
   
(110.0
)
Net increase/(decrease) in long-term debt
   
17.5
     
(56.3
)
   
(39.5
)
Business combinations
   
-
     
(6.6
)
   
(0.3
)
Dividends paid
   
(16.4
)
   
(15.6
)
   
(14.3
)
Proceeds from exercise of stock options
   
8.4
     
15.4
     
23.9
 
Increase/(decrease) in cash overdraft payable
   
(0.7
)
   
(1.2
)
   
9.7
 
Other--net
   
(1.5
)
   
(3.2
)
   
(6.5
)
Increase/(decrease) in cash and cash equivalents
 
$
0.6
   
$
0.6
   
$
(70.3
)

2016 versus 2015

The change in net cash provided by operating activities is mainly the result of a $46.3 million decrease in cash flows related to accounts receivable offset by a $6.8 million increase in cash flows related to excess tax benefit on stock-based compensation. Significant changes in our accounts receivable balances are driven mainly by the timing of payments received from the Federal government at our VITAS subsidiary.  We typically receive a payment in excess of $35.0 million from the Federal government from hospice services every other Friday.  The timing of year end will have a significant impact on the accounts receivable at VITAS.  These changes generally normalize over a two year period, as cash flow variations in one year are offset in the following year.

In 2016, we repurchased 780,134 shares of Chemed capital stock at a weighted average price of $131.15 per share.  In 2015, we repurchased approximately 460,765 shares of Chemed stock at a weighted average price of $128.75 per share.  We financed a portion of these repurchases through a net borrowing on our line of credit of $25 million.  Based on our current operations and our current sources of capital, we believe we have the ability to continue our current share repurchase program into the foreseeable future.

The change in net cash provided by operating activities is mainly the result of a $46.3 million decrease in cash flows related to accounts receivable offset by a $6.8 million increase in cash flows related to excess tax benefit on stock-based compensation.

The change in overdrafts payable is also a function of the timing of cash payments made and cash receipts near year end.

2015 versus 2014

The net increase in cash flows generated between 2015 and 2014 of $70.9 million is mainly the result of a decrease in the purchase of treasury stock of $50.7 million (resulting in an increase in cash flow), an increase in cash provided by operating activities of $60.7 million offset by a change in the net payment of $16.8 million of long-term debt, a $10.9 million decrease in cash overdrafts payable and an $8.5 million decrease in proceeds from the exercise of stock options.

In 2015, we repurchased approximately 460,765 shares of Chemed capital stock at a weighted average price of $128.75 per share.  In 2014, we repurchased approximately 1.2 million shares of Chemed stock at a weighted average price of $93.01 per share.  Based on our current operations and our current sources of capital, we believe we have the ability to continue our current share repurchase program into the foreseeable future.

The change in net cash provided by operating activities is mainly the result of a $49.9 million increase in cash flows related to accounts receivable and a $26.8 million increase in cash flow related to accounts payable and other current liabilities offset by a $8.9 million decrease in cash flows related to excess tax benefit on stock-based compensation.

The increase in accounts payable and other current liabilities is mainly the result of the normal timing of payments with respect to accounts payable and accrued compensation.
 
80

 
Significant changes in our accounts receivable balances are driven mainly by the timing of payments received from the Federal government at our VITAS subsidiary.  We typically receive a payment in excess of $35.0 million from the Federal government from hospice services every other Friday.  The timing of year end will have a significant impact on the accounts receivable at VITAS.  These changes generally normalize over a two year period, as cash flow variations in one year are offset in the following year.

The change in overdrafts payable is also a function of the timing of cash payments made and cash receipts near year end.

COMMITMENTS AND CONTINGENCIES
We are subject to various lawsuits and claims in the normal course of our business.  In addition, we periodically receive communications from governmental and regulatory agencies concerning compliance with Medicare and Medicaid billing requirements at our VITAS subsidiary.  We establish reserves for specific, uninsured liabilities in connection with regulatory and legal action that we deem to be probable and estimable.  We disclose the existence of regulatory and legal actions when we believe it is reasonably possible that a loss could occur in connection with the specific action.  In most instances, we are unable to make a reasonable estimate of any reasonably possible liability due to the uncertainty of the outcome and stage of litigation.  We record legal fees associated with legal and regulatory actions as the costs are incurred.

In connection with the sale of DuBois Chemicals, Inc. ("DuBois") in 1991, we provided allowances and accruals relating to several long-term costs, including income tax matters, lease commitments and environmental costs.  Additionally, we retained liability for casualty insurance claims for Service America and Patient Care that were incurred prior to the respective disposal dates, 2005 and 2002.  In the aggregate, we believe these allowances and accruals are adequate as of December 31, 2016.  Based on reviews of our environmental-related liabilities under the DuBois sale agreement, we have estimated our remaining liability to be $1.7 million. As of December 31, 2016, we are contingently liable for additional cleanup and related costs up to a maximum of $14.9 million.  We do not believe it is probable that we will be required to make any payment towards this contingent liability. Thus, no provision has been recorded in accordance with the applicable accounting guidance.

The VITAS segment of the Company’s business operates in a heavily-regulated industry.  As a result, the Company is subjected to inquiries and investigations by various government agencies, as well as to lawsuits, including qui tam actions.  The following sections describe the various ongoing material lawsuits and investigations of which the Company is currently aware.  It is not possible at this time for us to estimate either the timing or outcome of any of those matters, or whether any potential loss, or range of potential losses, is probable or estimable.

On May 2, 2013, the government filed a False Claims Act complaint against the Company and certain of its hospice-related subsidiaries in the U.S. District Court for the Western District of Missouri, United States v. VITAS Hospice Services, LLC, et al., No. 4:13-cv-00449-BCW (the “2013 Action”).  Prior to that date, the Company received various qui tam lawsuits and subpoenas from the U.S. Department of Justice and OIG that have been previously disclosed.  The 2013 Action alleges that, since at least 2002, VITAS, and since 2004, the Company, submitted or caused the submission of false claims to the Medicare program by (a) billing Medicare for continuous home care services when the patients were not eligible, the services were not provided, or the medical care was inappropriate, and (b) billing Medicare for patients who were not eligible for the Medicare hospice benefit because they did not have a life expectancy of six months or less if their illnesses ran their normal course.  This complaint seeks treble damages, statutory penalties, and the costs of the action, plus interest.  The defendants filed a motion to dismiss on September 24, 2013.  On September 30, 2014, the Court denied the motion, except to the extent that claims were filed before July 24, 2002. On November 13, 2014, the government filed a Second Amended Complaint.  The Second Amended Complaint changed and supplemented some of the allegations, but did not otherwise expand the causes of action or the nature of the relief sought against VITAS.  VITAS filed its Answer to the Second Amended Complaint on August 11, 2015.  The case is in the discovery phase. The Company is not able to reasonably estimate the probability of loss or range of loss at this time.

For additional procedural history of this litigation, please refer to our prior quarterly and annual filings. The net costs incurred related to U.S. v. Vitas and related regulatory matters were $5.3 million, $5.0 million and $2.1 million for 2016, 2015 and 2014 respectively

In November 2013, two shareholder derivative lawsuits were filed against the Company’s current and former directors, as well as certain of its officers, both of which are covered by the Company’s commercial insurance.  On November 6, 2013, KBC Asset Management NV filed suit in the United States District Court for the District of Delaware, KBC Asset Management NV, derivatively on behalf of Chemed Corp. v. McNamara, et al., No. 13 Civ. 1854 (LPS) (D. Del.).  On November 14, 2013, Mildred A. North filed suit in the United States District Court for the Southern District of Ohio, North, derivatively on behalf of Chemed Corp. v. Kevin McNamara, et al., No. 13 Civ. 833 (MRB) (S.D. Ohio).  Those proceedings were subsequently consolidated in the District of Delaware under the caption In re Chemed Corp. Shareholder and Derivative Litigation, No. 13 Civ. 1854 (LPS) (CJB) (D. Del.), by Order of the United States District Court for the District of Delaware dated February 2, 2015.  Also on February 2, 2015, the Court appointed Plaintiff KBC the sole lead plaintiff and its counsel, the sole lead and liaison counsel. 
 
81

 
On March 3, 2015, Lead Plaintiff KBC designated its Complaint as the operative complaint in the consolidated proceedings.  The consolidated Complaint named Kevin McNamara, Joel Gemunder, Patrick Grace, Thomas Hutton, Walter Krebs, Andrea Lindell, Thomas Rice, Donald Saunders, Arthur Tucker, Jr., George Walsh III, Frank Wood, Timothy O’Toole, David Williams and Ernest Mrozek as individual defendants, together with the Company as nominal defendant.  The Complaint alleges a claim for breach of fiduciary duty against the individual defendants, and seeks (a) a declaration that the individual defendants breached their fiduciary duties to the Company; (b) an order requiring those defendants to pay compensatory damages, restitution and exemplary damages, in unspecified amounts, to the Company; (c) an order directing the Company to implement new policies and procedures; and (d) costs and disbursements incurred in bringing the action, including attorneys’ fees.  Also on March 3, 2015, defendants renewed their previously-filed motion to dismiss those claims and allegations, which motion the court referred to Magistrate Judge Burke.

On December 23, 2015, Magistrate Judge Burke issued a Report and Recommendation recommending that (1) defendants’ motion to dismiss be granted; (2) plaintiff be given 14 days from the date of affirmance by the district court to file an amended complaint addressing deficiencies with regard to their duty of loyalty claim; and (3) failure to do so should give rise to dismissal with prejudice.  On January 11, 2016, Lead Plaintiff KBC filed Objections to the Report and Recommendation.  Defendants’ responses to those Objections were filed on January 28, 2016. On May 12, 2016, the court issued a Memorandum Order (1) overruling Lead Plaintiff KBC’s Objections to the Report and Recommendation; (2) adopting the Report and Recommendation; (3) granting Chemed’s motion to dismiss; and (4) dismissing Lead Plaintiff KBC’s Complaint, without prejudice to KBC’s opportunity to file within 30 days of the date of the court’s Order an amended Complaint addressing the deficiencies in its duty of loyalty claim.  Lead Plaintiff KBC did not file an amended Complaint within the time specified by the court—i.e., on or before June 13, 2016.

However, on that date (June 13, 2016), counsel for Chemed shareholder Michael Kvint filed a letter with the court requesting a two-week extension (1) to file a motion to substitute Mr. Kvint as Lead Plaintiff, in place of Lead Plaintiff KBC; and (2) in that capacity, to file an amended Complaint.  Alternatively, counsel for Mr. Kvint requested that any dismissal of the action be with prejudice to KBC only.  On June 14, 2016, Chemed filed a reply letter with the court, reserving its rights to oppose any motion filed by Mr. Kvint and, if warranted, to oppose any other actions taken by Mr. Kvint to proceed with the action (including by filing an untimely amended Complaint).  On June 21, 2016, the court entered an Oral Order providing Mr. Kvint until June 30, 2016 to file a Motion to Substitute and Motion for Leave to File an Amended Complaint.  On that date, Mr. Kvint filed, under seal, a Motion to Substitute Plaintiff and File Amended Complaint, and attached a Proposed Amended Complaint.  Chemed filed an Answering Brief in Opposition to Mr. Kvint’s motion on July 18, 2016. Mr. Kvint filed a Reply Brief in Support of his motion on July 27, 2016.  The Court requested further briefing.

Jordan Seper, (“Seper”) a Registered Nurse at VITAS' Inland Empire program from May 12, 2014 to March 21, 2015, filed a lawsuit in San Francisco Superior Court on September 26, 2016.  She alleged VITAS Healthcare Corp of CA (“VITAS CA”) (1) failed to provide minimum wage for all hours worked; (2) failed to provide overtime for all hours worked; (3) failed to provide a second meal period; (4) failed to provide rest breaks; (5) failed to indemnify for necessary expenditures; (6) failed to timely pay wages due at time of separation; and (7) engaged in unfair business practices.  Seper seeks a state-wide class action of current and former non-exempt employees employed with VITAS in California within the four years preceding the filing of the lawsuit.  She seeks court determination that this action may be maintained as a class action for the entire California class and subclasses, designation as class representative, declaratory relief, injunctive relief, damages (including wages for regular or overtime hours allegedly worked but not paid, premium payments for missed meal or rest periods, and unreimbursed expenses), all applicable penalties associated with each claim, pre and post-judgment interest, and attorneys' fees and costs.  Seper served VITAS CA with the lawsuit,  Jordan A. Seper on behalf of herself and others similarly situated v. VITAS Healthcare Corporation of California, a Delaware corporation; VITAS Healthcare Corp of CA, a business entity unknown; and DOES 1 to 100, inclusive; Los Angeles Superior Court Case Number BC 642857 on October 13, 2016.

On November 14, 2016, the Parties filed a Stipulation to transfer the venue of the lawsuit from San Francisco to Los Angeles.  The Los Angeles Superior Court accepted transfer of the case on December 6, 2016.  On December 16, 2016, VITAS CA filed its Answer and served written discovery on Seper.
 
82

 
Jiwan Chhina ("Chhina"), hired by VITAS as a Home Health Aide on February 5, 2002, is currently a Licensed Vocational Nurse for VITAS' San Diego program.  On September 27, 2016, Chhina filed a lawsuit in San Diego Superior Court, alleging (1) failure to pay minimum wage for all hours worked; (2) failure to provide overtime for all hours worked; (3) failure to pay wages for all hours at the regular rate; (4) failure to provide meal periods; (5) failure to provide rest breaks; (6) failure to provide complete and accurate wage statements; (7) failure to pay for all reimbursement expenses; (8) unfair business practices; and (9) violation of the California Private Attorneys General Act.  Chhina seeks to pursue these claims in the form of a state-wide class action of current and former non-exempt employees employed with VITAS in California within the four years preceding the filing of the lawsuit.  He seeks court determination that this action may be maintained as a class action for the entire California class and subclasses, designation as class representative, declaratory relief, injunctive relief, damages (including wages for regular or overtime hours allegedly worked but not paid, premium payments for missed meal or rest periods, and unreimbursed expenses), all applicable penalties associated with each claim, pre-judgment interest, and attorneys' fees and costs.  Chhina served VITAS CA with the lawsuit, Jiwann Chhina v. VITAS Health Services of California, Inc., a California corporation; VITAS Healthcare Corporation of California, a Delaware corporation; VITAS Healthcare Corporation of California, a Delaware corporation dba VITAS Healthcare, Inc.; and DOES 1 to 100, inclusive; San Diego Superior Court Case Number 37-2015-00033978-CU-OE-CTL on November 3, 2016.  On December 1, 2016, VITAS filed its Answer and served written discovery on Plaintiff.

The Company is not able to reasonably estimate the probability of loss or range of loss for either of these lawsuits at this time.

The Company intends to defend vigorously against the allegations in each of the above lawsuits.  Regardless of the outcome of any of the preceding matters, responding to the subpoenas and dealing with the various regulatory agencies and opposing parties can adversely affect us through defense costs, potential payments, diversion of management time, and related publicity.  Although the Company intends to defend them vigorously, there can be no assurance that those suits will not have a material adverse effect on the Company.

CONTRACTUAL OBLIGATIONS
The table below summarizes our debt and contractual obligations as of December 31, 2016 (in thousands):

         
Less than
               
After
 
   
Total
   
1 year
   
1-3 Years
   
4 -5 Years
   
5 Years
 
Long-term debt obligations (a)
 
$
108,750
   
$
8,750
   
$
100,000
   
$
-
   
$
-
 
Interest on long-term debt
   
2,369
     
1,034
     
1,335
     
-
     
-
 
Operating lease obligations
   
89,041
     
21,091
     
32,307
     
19,753
     
15,890
 
Purchase obligations (b)
   
39,586
     
39,586
     
-
     
-
     
-
 
Other long-term obligations (c)
   
66,491
     
3,051
     
6,102
     
3,050
     
54,288
 
Total contractual cash obligations
 
$
306,237
   
$
73,512
   
$
139,744
   
$
22,803
   
$
70,178
 
                                         
(a) Represents the face value of the obligation.
 
(b) Purchase obligations primarily consist of accounts payable at December 31, 2016.
 
(c) Other long-term obligations comprise largely excess benefit obligations.
 
 
83

 
RESULTS OF OPERATIONS
2016 Versus 2015 – Consolidated Results
Set forth below are the year-to-year changes in the components of the statement of operations relating to income for 2016 versus 2015 (in thousands, except percentages):
 
   
Favorable/(Unfavorable)
 
   
Amount
   
Percent
 
Service revenues and sales
           
VITAS
 
$
7,766
     
1
 
Roto-Rooter
   
25,727
     
6
 
    Total
   
33,493
     
2
 
Cost of services provided and goods sold
   
(27,821
)
   
(3
)
Selling, general and administrative expenses
   
(5,751
)
   
(2
)
Depreciation
   
(1,910
)
   
(6
)
Amortization
   
771
     
68
 
Other operating expenses
   
(4,491
)
   
-
 
Income from operations
   
(5,709
)
   
(3
)
Interest expense
   
(70
)
   
(2
)
Other income - net
   
2,707
     
394
 
Income before income taxes
   
(3,072
)
   
(2
)
Income taxes
   
1,541
     
2
 
Net income
 
$
(1,531
)
   
(1
)

The VITAS segment revenue increase is the result of the following (dollars in thousands):
 
   
Amount
   
Percent
 
Routine homecare
 
$
22,795
     
3
 
Continuous care
   
(12,777
)
   
(8
)
General inpatient
   
(1,859
)
   
(2
)
Medicare cap
   
(393
)
   
(238
)
   
$
7,766
     
1
 

The increase in VITAS’ revenue from 2015 to 2016 was a combination of Medicare reimbursement rates increasing approximately 0.6%, an increase in days of care of 4.2% offset by acuity mix shift which negatively impacted revenue and changes in Medicare hospice reimbursement rates which negatively impacted revenue by approximately $23.8 million. For 2016, VITAS recorded a Medicare Cap revenue reduction of $228,000.

Days of care increased as the result of the following:

   
Days of Care
   
Increase/(Decrease)
 
   
2016
   
2015
   
Percent
 
                   
Routine homecare
   
5,518,002
     
5,258,660
     
5
 
Continuous Care
   
188,657
     
206,405
     
(9
)
General inpatient
   
146,516
     
150,424
     
(3
)
Total days of care
   
5,853,175
     
5,615,489
     
4
 
 
84

 
The Roto-Rooter segment revenue increase is the result of the following (dollars in thousands):
 
   
Amount
   
Percent
 
Plumbing
 
$
9,215
     
5
 
Sewer and drain cleaning
   
3,138
     
2
 
Contractor operations
   
2,131
     
6
 
Water restoration
   
12,066
     
32
 
Other
   
(823
)
   
(4
)
   
$
25,727
     
6
 

Plumbing revenues for 2016 increased 4.9% when compared to 2015 due to a 0.4% increase in the number of jobs performed and a 4.5% increase in price and service mix.   Sewer and drain cleaning revenues increased 2.2% when compared to 2015 due to a 2.8% increase in price and service mix shift offset by a 0.6% decrease in the number of jobs performed.   Water restoration increased 31.6% as a result of continued expansion of this service offering.  There was an increase in water restoration jobs of 29.9% between years. Water restoration is the remediation or removal of water and humidity after a flood.

The consolidated gross margin excluding depreciation was 29.3% in 2016 versus 29.5% in 2015.  On a segment basis, VITAS’ gross margin excluding depreciation was 21.8% in 2016 and 22.7% in 2015.  The decline in VITAS’ gross margin is mainly attributable to the impact of the 2016 rebasing to the Medicare hospice reimbursement per diem. Roto-Rooter’s gross margin excluding depreciation was 47.7% in 2016 and 47.4% in 2015.

Selling, general and administrative expenses (“SG&A”) for 2016 comprise (in thousands):

   
2016
   
2015
 
SG&A expenses before long-term incentive
           
    compensation, OIG expenses and the impact
           
    of market gains of deferred compensation plans
 
$
234,321
   
$
225,180
 
Long-term incentive compensation
   
1,930
     
7,519
 
Expenses related to OIG investigation
   
5,260
     
4,974
 
Impact of market value gains on liabilities
               
    held in deferred compensation trusts
   
2,061
     
148
 
     Total SG&A expenses
 
$
243,572
   
$
237,821
 

SG&A expenses before long-term incentive compensation, OIG expenses and the impact of market gains of deferred compensation plans increased $9.1 million (4.1%) from 2015 to 2016.  This increase was mainly a result of the increase in variable expenses caused by increased revenue, increased bad debt expense as well as normal salary increases in 2016.

Depreciation expense increased $1.9 million (5.9%) in 2016 mainly due to an increase in capital expenditures in the prior year.

Other operating expense increased $4.5 million as a result of payment of early retirement expenses during 2016.

 Other income/(expense)-net for 2016 and 2015 comprise (in thousands):
 
   
2016
   
2015
 
Market value gains on assets held in deferred
           
   compensation trusts
 
$
2,061
   
$
148
 
Loss on disposal of property and equipment
   
(424
)
   
(698
)
Interest income
   
383
     
281
 
Other
   
-
     
(418
)
     Total other income/(expense)
 
$
2,020
   
$
(687
)

Our effective tax rate was 38.6% in 2016 compared to 38.8% for 2015.
 
85

 
Net income for both periods include the following aftertax adjustments that increased/ (reduced) aftertax earnings (in thousands):

   
2016
   
2015
 
VITAS
           
Costs associated with the OIG investigation
 
$
(3,248
)
 
$
(3,072
)
Early retirement expenses
   
(2,840
)
   
-
 
Medicare cap sequestration adjustment
   
(141
)
   
-
 
Roto-Rooter
               
Expenses related to litigation settlements
   
(28
)
   
(3
)
Acquisition expense
   
-
     
(104
)
Corporate
               
Long-term incentive compensation
   
(1,221
)
   
(4,752
)
Costs related to securities litigation
   
-
     
(23
)
Stock option expense
   
(5,266
)
   
(3,439
)
Total
 
$
(12,744
)
 
$
(11,393
)

2016 Versus 2015 – Segment Results
The change in net income for 2016 versus 2015 is due to (in thousands, except percentages):
 
   
Increase/(Decrease)
 
   
Amount
   
Percent
 
VITAS
 
$
(8,385
)
   
(9
)
Roto-Rooter
   
4,320
     
9
 
Corporate
   
2,534
     
8
 
   
$
(1,531
)
   
(1
)

VITAS’ after-tax earnings were negatively impacted in 2016 compared to 2015 by a $2.8 million increase other operating expense related to the early retirement of the Chief Executive Officer of Vitas.  Gross margin decreased mainly as a result of the impact of the 2016 rebasing to the Medicare hospice reimbursement per diem.   After-tax earnings as a percent of revenue in 2016 were 7.6% as compared to 8.4% in 2015.

Roto-Rooter’s after-tax earnings were positively impacted in 2016 compared to 2015 by a $12.1 million revenue increase in Roto-Rooter’s water restoration line of business and a $9.2 million revenue increase in Roto-Rooter’s plumbing line of business.  After-tax earnings as a percent of revenue at Roto-Rooter in 2016 were 11.7% as compared to 11.4% in 2015.

After-tax Corporate expenses for 2016 decreased 8.0% when compared to 2015 mainly due to decreased long term incentive compensation expense and cash bonus expense in 2016.

86

 
RESULTS OF OPERATIONS
2015 Versus 2014 – Consolidated Results
Set forth below are the year-to-year changes in the components of the statement of operations relating to income for 2015 versus 2014 (in thousands, except percentages):
 
   
Favorable/(Unfavorable)
 
   
Amount
   
Percent
 
Service revenues and sales
           
VITAS
 
$
51,346
     
5
 
Roto-Rooter
   
35,760
     
9
 
    Total
   
87,106
     
6
 
Cost of services provided and goods sold
   
(52,937
)
   
(5
)
Selling, general and administrative expenses
   
(15,232
)
   
(7
)
Depreciation
   
(2,488
)
   
(8
)
Amortization
   
(410
)
   
(57
)
Income from operations
   
16,039
     
10
 
Interest expense
   
4,541
     
55
 
Other income - net
   
(3,208
)
   
127
 
Income before income taxes
   
17,372
     
11
 
Income taxes
   
(6,415
)
   
(10
)
Net income
 
$
10,957
     
11
 

The VITAS segment revenue increase is the result of the following (dollars in thousands):
 
   
Amount
   
Percent
 
Routine homecare
 
$
54,732
     
7
 
Continuous care
   
(1,404
)
   
(1
)
General inpatient
   
(3,437
)
   
(3
)
Medicare cap
   
1,455
     
113
 
   
$
51,346
     
5
 

The increase in VITAS’ revenue from 2014 to 2015 was a combination of Medicare reimbursement rates increasing approximately 1.4%, an increase in days of care of 5.5% driven by an increase in admissions of 2.8% and geographical and level of care mix shift.  For 2015, VITAS recorded a Medicare Cap reversal of $165,000 related to eliminating the Medicare Cap billing limitation recorded in the fourth quarter of 2014.

Days of care increased as the result of the following:
 
   
Days of Care
   
Increase/(Decrease)
 
   
2015
   
2014
   
Percent
 
                   
Routine homecare
   
5,258,660
     
4,959,658
     
6
 
Continuous Care
   
206,405
     
207,207
     
-
 
General inpatient
   
150,424
     
156,421
     
(4
)
Total days of care
   
5,615,489
     
5,323,286
     
6
 

 The Roto-Rooter segment revenue increase is the result of the following (dollars in thousands):
 
   
Amount
   
Percent
 
Plumbing
 
$
13,072
     
8
 
Sewer and drain cleaning
   
1,484
     
1
 
Contractor operations
   
1,470
     
4
 
Water Restoration
   
19,683
     
107
 
Other
   
51
     
-
 
   
$
35,760
     
9
 
 
87

 
Plumbing revenues for 2015 increased 7.5% when compared to 2014 due to a 0.4% increase in the number of jobs performed and a 7.1% increase in price and service mix.   Sewer and drain cleaning revenues increased 1.1% when compared to 2014 due to a 4.2% decrease in the number of jobs performed offset by a 5.3% increase in price and service mix shift.   Water restoration increased 106.5% as a result of continued expansion of this service offering into other Roto-Rooter locations.  Water restoration is the remediation or removal of water and humidity after a flood.  Contractor operations revenue increased 4.0% and Other Roto-Rooter revenue was essentially flat.

The consolidated gross margin excluding depreciation was 29.5% in 2015 versus 29.0% in 2014.  On a segment basis, VITAS’ gross margin excluding depreciation was 22.7% in 2015 and 22.4% in 2014.  Roto-Rooter’s gross margin excluding depreciation was 47.4% in 2015 and 46.7% in 2014.

Selling, general and administrative expenses (“SG&A”) for 2015 comprise (in thousands):
 
   
2015
   
2014
 
SG&A expenses before long-term incentive
           
    compensation, OIG expenses and the impact
           
    of market gains of deferred compensation plans
 
$
225,180
   
$
214,761
 
Long-term incentive compensation
   
7,519
     
2,569
 
Expenses related to OIG investigation
   
4,974
     
2,141
 
Impact of market value gains on liabilities
               
    held in deferred compensation trusts
   
148
     
3,118
 
     Total SG&A expenses
 
$
237,821
   
$
222,589
 

SG&A expenses before long-term incentive compensation, OIG expenses and the impact of market gains of deferred compensation plans increased $10.4 million (4.9%) from 2014 to 2015.  This increase was mainly a result of the increase in variable expenses caused by increased revenue, increased cash incentive compensation expense due to better operating performance as well as normal salary increases in 2015.

Depreciation expense increased $2.5 million (8.3%) in 2015 mainly due to an increase in capital expenditures in the current and prior year.

 Interest expense decreased $4.5 million (55.5%) from 2014 to 2015 primarily as a result of the retirement of our Convertible Notes in 2014.

Other income/(expense)-net for 2015 and 2014 comprise (in thousands):
   
2015
   
2014
 
Market value gains on assets held in deferred
           
   compensation trusts
 
$
148
   
$
3,118
 
Loss on disposal of property and equipment
   
(698
)
   
(640
)
Interest income
   
281
     
(29
)
Other
   
(418
)
   
72
 
     Total other income
 
$
(687
)
 
$
2,521
 

Our effective tax rate was 38.8% in 2015 compared to 39.0% for 2014.

88

 
Net income for both periods include the following aftertax adjustments that increased/ (reduced) aftertax earnings (in thousands):
 
   
2015
   
2014
 
VITAS
           
Costs associated with the OIG investigation
 
$
(3,072
)
 
$
(1,328
)
Litigation settlement costs
   
-
     
(70
)
Acquisition expense
   
-
     
(1
)
Roto-Rooter
               
Expenses related to litigation settlements
   
(3
)
   
(4
)
Acquisition expense
   
(104
)
   
(14
)
Corporate
               
Long-term incentive compensation
   
(4,752
)
   
(1,625
)
Noncash impact of change in accounting of convertible debt
   
-
     
(2,143
)
Costs related to securities litigation
   
(23
)
   
(207
)
Stock option expense
   
(3,439
)
   
(3,022
)
Total
 
$
(11,393
)
 
$
(8,414
)

2015 Versus 2014 – Segment Results
The change in net income for 2015 versus 2014 is due to (in thousands, except percentages):
 
   
Increase/(Decrease)
 
   
Amount
   
Percent
 
VITAS
 
$
7,160
     
8
 
Roto-Rooter
   
6,498
     
15
 
Corporate
   
(2,701
)
   
(9
)
   
$
10,957
     
11
 

VITAS’ after-tax earnings were positively impacted in 2015 compared to 2014 by a $51.3 million increase in revenue.  This revenue increase is a result of an increase of 5.5% in days of care, driven by a 2.8% increase in admissions and a $1.5 million revenue increase due to the Medicare cap when compared to 2014.  After-tax earnings as a percent of revenue in 2015 were 8.4% as compared to 8.1% in 2014.

Roto-Rooter’s after-tax earnings were positively impacted in 2015 compared to 2014 by a $19.7 million revenue increase in Roto-Rooter’s water restoration line of business and a $13.1 million revenue increase in Roto-Rooter’s plumbing line of business.  After-tax earnings as a percent of revenue at Roto-Rooter in 2015 were 11.4% as compared to 10.7% in 2014.

After-tax Corporate expenses for 2015 increased 9.3% when compared to 2014 mainly due to increased LTIP and bonus expense in 2015.

CRITICAL ACCOUNTING POLICIES
Revenue Recognition
Roto-Rooter
For the Roto-Rooter segment, 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 2% of our total service revenues and sales for each of the three years in the period ended December 31, 2016.

VITAS
MEDICARE AND MEDICAID REVENUE
Approximately 95% of VITAS’ revenue in 2016 was from Medicare and Medicaid.  The remaining revenue was from commercial insurance carriers and individual self-payers.  Gross revenue is recorded on an accrual basis based on the date of service at amounts equal to the established payment rates.  Medicare establishes the payment rates yearly which are consistent among all providers in the hospice industry.  The payment rates are daily or hourly rates for each of the four levels of care we provide.  The four levels of care are routine home care, general inpatient care, continuous home care and respite care.  Routine home care accounts for 78.9%, 77.6% and 76.0% of our total net revenue for the years ending December 31, 2016, 2015 and 2014.
 
89

 
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 2016, 2015 or 2014.

VITAS is also subject to a Medicare annual per-beneficiary cap (“Medicare cap”).  Compliance with the Medicare cap is measured in one of two ways based on a provider election.  The “streamlined” method compares 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.

The “proportional” method compares the total Medicare payments received under a Medicare provider number with respect to services provided to all Medicare hospice care beneficiaries in the program or programs covered by the Medicare provider number between September 28 and September 27 of the following year with the product of the per beneficiary cap amount and a pro-rated number of Medicare beneficiaries receiving hospice services from that program during the same period.  The pro-rated number of Medicare beneficiaries is calculated based on the ratio of days the beneficiary received hospice services during the measurement period to the total number of days the beneficiary received hospice services.

We actively monitor each of our hospice programs, by provider number, as to their specific 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 Medicare Administrative Contractors relative to patient transfers between hospices.  We are allocated a percentage of the Medicare cap based on the total days a patient spent in hospice care.  The allocation for patient transfers cannot be determined until a patient dies.  As the number of days a patient spends in hospice is based on a future event, this allocation process may take several years.  If the actual relationship of transfers in and transfers out for a given measurement period proves to be different for any program at or near a billing limitation, our estimate of the liability would increase or decrease on a dollar-for-dollar basis.  While our method has historically been materially accurate, each program can vary during a given measurement period.

During the year ended December 31, 2016, we recorded a $228,000 Medicare cap revenue reduction as a result of the sequestration issue discussed below.  During the year ended December 31, 2015, we recorded a $165,000 Medicare cap reversal of amounts recorded in the fourth quarter of 2014 for one program’s projected 2015 measurement period liability.  During the year ended December 31, 2014, we recorded a net  Medicare cap liability of $1.3 million for two programs’ projected 2014 and 2015 measurement period liability offset by the reversal of one program’s 2011 measurement period projected Medicare cap liability.  During the year ended December 31, 2013, we reversed the Medicare cap liability for amounts recorded in the fourth quarter of 2012 for three programs’ projected 2013 measurement period liability.  During 2013 this reversal was offset by the Medicare cap liability for two programs’ projected 2014 measurement period liability. The net pretax expense/(income) was $228,000, ($165,000), and $1.3 million for fiscal years 2016, 2015 and 2014, respectively.

In 2013, the U.S. government implemented automatic budget reductions of 2.0% for all government payees, including hospice benefits paid under the Medicare program.  In 2015, CMS determined that the Medicare cap should be calculated “as if” sequestration did not occur.  As a result of this decision, VITAS has received notification from our third party intermediary that an additional $2.1 million is owed for Medicare cap in three programs arising during the 2013, 2014 and 2015 measurement periods.  The amounts were automatically deducted from our semi-monthly PIP payments.  We do not believe that CMS is authorized under the sequestration authority or the statutory methodology for establishing the Medicare cap to the amounts they have withheld and intend to withhold under their current “as if” methodology.  We have appealed CMS’s methodology change with the appropriate regulatory appeal board.

90

 
Shown below is the Medicare cap liability activity for the years ended December 31, 2016 and 2015, (in thousands):
 
   
2016
   
2015
 
Beginning Balance January 1,
 
$
1,165
   
$
6,112
 
2015 measurement period
   
228
     
(165
)
Payments
   
(1,158
)
   
(4,782
)
Ending Balance December 31,
 
$
235
   
$
1,165
 
 
REVENUE FROM OTHER PAYERS
Gross revenue is recorded on an accrual basis based on the date of service at amounts equal to our established rates with the applicable payer.

Insurance Accruals
For the Roto-Rooter segment and Chemed’s Corporate Office, we initially self-insure for all casualty insurance claims (workers’ compensation, auto liability and general liability).  As a result, we closely monitor and frequently evaluate our historical claims experience to estimate the appropriate level of accrual for self-insured claims.  Our third-party administrator (“TPA”) processes and reviews claims on a monthly basis.  Currently, our exposure on any single claim is capped at $750,000.  In developing our estimates, we accumulate historical claims data for the previous 10 years to calculate loss development factors (“LDF”) by insurance coverage type.  LDFs are applied to known claims to estimate the ultimate potential liability for known and unknown claims for each open policy year.  LDFs are updated annually.  Because this methodology relies heavily on historical claims data, the key risk is whether the historical claims are an accurate predictor of future claims exposure.  The risk also exists that certain claims have been incurred and not reported on a timely basis.  To mitigate these risks, in conjunction with our TPA, we closely monitor claims to ensure timely accumulation of data and compare claims trends with the industry experience of our TPA.

For the VITAS segment, we initially self-insure for workers’ compensation claims.  Currently, VITAS’ exposure on any single claim is capped at $1,000,000.  For VITAS’ self-insurance accruals for workers’ compensation, the valuation methods used are similar to those used internally for our other business units. We are also insured for other risks with respect to professional liability with a deductible of $750.000.

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, 2016, 2015 and 2015, were net pretax debits/(credits) of ($3,148,000), ($1,891,000),  and $542,000 respectively.
 
As an indication of the sensitivity of the accrued liability to reported claims, our analysis indicates that a 1% across-the-board increase or decrease in the amount of projected losses would increase or decrease the accrued insurance liability at December 31, 2016 by $3.1 million or 6.4%.  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 $2.8 million as of December 31, 2016.

Income Taxes
Deferred taxes are provided on an asset and liability method whereby deferred tax assets are recognized for deductible temporary differences and operating loss carry-forwards and deferred tax liabilities are recognized for taxable temporary differences.  Temporary differences are the differences between the reported amount of assets and liabilities and their tax basis.  Deferred tax assets are reduced by a valuation allowance when, in our opinion, it is more likely than not that some portion or all of the deferred tax assets will not be realized due to insufficient taxable income within the carryback or carryforward period available under the tax laws. Deferred tax assets and liabilities are adjusted for the effects of changes in laws and rates on the date of enactment.

In November 2015, the FASB issued ASU No. 2015-17 which simplifies the balance sheet classification required for deferred tax balances.  It allows for a company’s deferred tax assets and liabilities to be netted into a noncurrent account, either asset or liability, by jurisdiction.  The ASU is required to be adopted for annual periods beginning after December 15, 2016 and the interim periods within that annual period.  Early adoption is permitted.  Companies have the choice to adopt prospectively or retrospectively.  In order to simplify our balance sheet classification required for deferred tax balances, we adopted the ASU for our annual balance sheet as of December 31, 2015 on a prospective basis.
 
91

 
We are subject to income taxes in the federal and most state jurisdictions.  We are periodically audited by various taxing authorities.  Significant judgment is required to determine our provision for income taxes.  We adopted FASB’s authoritative guidance on accounting for uncertainty in income taxes, which prescribes a comprehensive model for how to recognize, measure, present and disclose in financial statements uncertain tax positions taken or expected to be taken on a tax return.  Upon adoption of this guidance, the financial statements reflect expected future tax consequences of such uncertain positions assuming the taxing authorities’ full knowledge of the position and all relevant facts.

Goodwill and Intangible Assets
Identifiable, definite-lived intangible assets arise from purchase business combinations and are amortized using either an accelerated method or the straight-line method over the estimated useful lives of the assets.  The selection of an amortization method is based on which method best reflects the economic pattern of usage of the asset.
 
The date of our annual goodwill and indefinite-lived intangible asset impairment analysis is October 1.  The VITAS trade name is considered to have an indefinite life.  We also capitalize the direct costs of obtaining licenses to operate either hospice programs or plumbing operations subject to a minimum capitalization threshold.  These costs are amortized over the life of the license using the straight line method.  Certificates of Need (CON), which are required in certain states for hospice operations, are generally granted without expiration and thus, we believe them to be indefinite-lived assets subject to impairment testing.
 
We consider that RRC, RRSC and VITAS are appropriate reporting units for testing goodwill impairment.  We consider RRC and RRSC as separate reporting units but one operating segment.  This is appropriate as they each have their own set of general ledger accounts that can be analyzed at “one level below an operating segment” per the definition of a reporting unit in FASB guidance.
 
We completed our qualitative analysis for impairment of goodwill and our indefinite-lived intangible assets as of October 1, 2016.  We assessed such qualitative factors as macroeconomic conditions, industry and market conditions, cost factors, financial performance and the legislative and regulatory environment.  Based on our assessment, we do not believe that it is more likely than not that our reporting units’ or indefinite-lived assets fair values are less than their carrying values.

In January 2017, the FASB issued Accounting Standards Update “ASU No. 2017-4 – Intangibles – Goodwill and Other”.  To simplify the subsequent measurement of goodwill, the FASB eliminated Step 2 from the goodwill impairment test.  The guidance in the ASU is effective for the Company in fiscal years beginning after December 15, 2019.  Early adoption is permitted.  We anticipate adoption of this standard will have no impact on our consolidated financial statements.

Stock-based Compensation Plans
Stock-based compensation cost is measured at the grant date, based on the fair value of the award and recognized as expense over the employee’s requisite service period on a straight-line basis. We estimate the fair value of stock options using the Black-Scholes valuation model.  We estimate the fair value and derived service periods of market based awards using a Monte Carlo simulation approach in a risk neutral framework.  We determine expected term, volatility, dividend yield and forfeiture rate based on our historical experience.  We believe that historical experience is the best indicator of these factors.

Contingencies
We are subject to various lawsuits and claims in the normal course of our business.  In addition, we periodically receive communications from governmental and regulatory agencies concerning compliance with Medicare and Medicaid billing requirements at our VITAS subsidiary.  We establish reserves for specific, uninsured liabilities in connection with regulatory and legal action that we deem to be probable and estimable.  We record legal fees associated with legal and regulatory actions as the costs are incurred.  We disclose material loss contingencies that probable but not reasonably estimable and those that are at least reasonably possible.
 
92


Unaudited Consolidating Summary and Reconciliation of Adjusted EBITDA
 
Chemed Corporation and Subsidiary Companies
 
(in thousands)
                   
Chemed
 
2016 
 
VITAS
 
 
Roto-Rooter
 
 
Corporate
 
 
Consolidated
 
                         
Net income/(loss)
 
$
84,961
   
$
52,893
   
$
(29,111
)
 
$
108,743
 
Add/(deduct):
                               
Interest expense
   
211
     
332
     
3,172
     
3,715
 
Income taxes
   
51,910
     
32,719
     
(16,318
)
   
68,311
 
Depreciation
   
19,035
     
14,698
     
546
     
34,279
 
Amortization
   
55
     
304
     
-
     
359
 
EBITDA
   
156,172
     
100,946
     
(41,711
)
   
215,407
 
Add/(deduct):
                               
Intercompany interest/(expense)
   
(7,969
)
   
(3,595
)
   
11,564
     
-
 
Interest income
   
(325
)
   
(58
)
   
-
     
(383
)
Expenses related to OIG investigation
   
5,260
     
-
     
-
     
5,260
 
Retirement expenses
   
4,491
     
-
     
-
     
4,491
 
Medicare cap sequestration adjustment
   
228
     
-
     
-
     
228
 
Expenses related to litigation settlements
   
1,149
     
45
     
-
     
1,194
 
Advertising cost adjustment
   
-
     
(1,333
)
   
-
     
(1,333
)
Stock option expense
   
-
     
-
     
8,330
     
8,330
 
Stock award expense
   
387
     
307
     
1,161
     
1,855
 
Long-term incentive compensation
   
-
     
-
     
1,930
     
1,930
 
Expenses related to securities litigation
   
-
     
-
     
-
     
-
 
Adjusted EBITDA
 
$
159,393
   
$
96,312
   
$
(18,726
)
 
$
236,979
 
                           
Chemed
 
2015 
 
VITAS
 
 
Roto-Rooter
 
 
Corporate
 
 
Consolidated
 
                                 
Net income/(loss)
 
$
93,346
   
$
48,573
   
$
(31,645
)
 
$
110,274
 
Add/(deduct):
                               
Interest expense
   
200
     
348
     
3,097
     
3,645
 
Income taxes
   
56,675
     
29,630
     
(16,453
)
   
69,852
 
Depreciation
   
18,789
     
12,988
     
592
     
32,369
 
Amortization
   
758
     
372
     
-
     
1,130
 
EBITDA
   
169,768
     
91,911
     
(44,409
)
   
217,270
 
Add/(deduct):
                               
Intercompany interest/(expense)
   
(7,499
)
   
(3,385
)
   
10,884
     
-
 
Interest income
   
(241
)
   
(40
)
   
-
     
(281
)
Expenses related to OIG investigation
   
4,974
     
-
     
-
     
4,974
 
Acquisition expenses
   
-
     
172
     
-
     
172
 
Expenses related to litigation settlements
   
-
     
5
     
-
     
5
 
Advertising cost adjustment
   
-
     
(1,317
)
   
-
     
(1,317
)
Stock option expense
   
-
     
-
     
5,445
     
5,445
 
Stock award expense
   
496
     
268
     
1,343
     
2,107
 
Long-term incentive compensation
   
-
     
-
     
7,519
     
7,519
 
Expenses related to securities litigation
   
-
     
-
     
37
     
37
 
Adjusted EBITDA
 
$
167,498
   
$
87,614
   
$
(19,181
)
 
$
235,931
 
                           
Chemed
 
2014 
 
VITAS
 
 
Roto-Rooter
 
 
Corporate
 
 
Consolidated
 
                                 
Net income/(loss)
 
$
86,186
   
$
42,075
   
$
(28,944
)
 
$
99,317
 
Add/(deduct):
                               
Interest expense
   
207
     
363
     
7,616
     
8,186
 
Income taxes
   
53,278
     
25,808
     
(15,649
)
   
63,437
 
Depreciation
   
18,601
     
10,702
     
578
     
29,881
 
Amortization
   
447
     
273
     
-
     
720
 
EBITDA
   
158,719
     
79,221
     
(36,399
)
   
201,541
 
Add/(deduct):
                               
Intercompany interest/(expense)
   
(6,189
)
   
(2,892
)
   
9,081
     
-
 
Interest income
   
78
     
(39
)
   
(10
)
   
29
 
Expenses related to OIG investigation
   
2,141
     
-
     
-
     
2,141
 
Acquisition expenses
   
1
     
23
     
-
     
24
 
Expenses related to litigation settlements
   
113
     
7
     
-
     
120
 
Advertising cost adjustment
   
-
     
(1,462
)
   
-
     
(1,462
)
Stock option expense
   
-
     
-
     
4,802
     
4,802
 
Stock award expense
   
586
     
252
     
1,633
     
2,471
 
Long-term incentive compensation
   
-
     
-
     
2,569
     
2,569
 
Expenses related to securities litigation
   
-
     
-
     
327
     
327
 
Adjusted EBITDA
 
$
155,449
   
$
75,110
   
$
(17,997
)
 
$
212,562
 
 
93

 
CHEMED CORPORATION AND SUBSIDIARY COMPANIES
 
RECONCILIATION OF ADJUSTED NET INCOME
 
(in thousands, except per share data)(unaudited)
 
                   
   
For the Years Ended December 31,
 
   
2016
   
2015
   
2014
 
Net income as reported
 
$
108,743
   
$
110,274
   
$
99,317
 
                         
Add/(deduct) after-tax cost of:
                       
Non-cash expense of change in accounting for convertible
   
-
     
-
     
2,143
 
Stock option expense
   
5,266
     
3,439
     
3,022
 
Expenses related to OIG investigation
   
3,248
     
3,072
     
1,328
 
Early retirement expenses
   
2,840
     
-
     
-
 
Net expenses related to litigation settlements
   
28
     
3
     
74
 
Long-term incentive compensation
   
1,221
     
4,752
     
1,625
 
Medicare cap sequestration adjustment
   
141
     
-
     
-
 
Expenses related to securities litigation
   
-
     
23
     
207
 
Acquisition expenses
   
-
     
104
     
15
 
Adjusted net income
 
$
121,487
   
$
121,667
   
$
107,731
 
                         
Diluted Earnings Per Share As Reported
                       
Net income
 
$
6.48
   
$
6.33
   
$
5.57
 
Average number of shares outstanding
   
16,789
     
17,422
     
17,840
 
                         
Adjusted Diluted Earnings Per Share
                       
Net income
 
$
7.24
   
$
6.98
   
$
6.07
 
Average number of shares outstanding
   
16,789
     
17,422
     
17,738
*
                         
*For the purpose of computing adjusted diluted earnings per share for 2014, the estimated dilutive impact of the convertible notes prior to the conversion of these notes on May 15, 2014 (impact of 102,000) has been excluded from the computation of diluted average shares outstanding as this impact was entirely offset by the exercise of the note hedges on May 15, 2014.
 
   
The "Footnotes to Financial Statements" are integral parts of this financial information.
 
 
94

 
                         
CHEMED CORPORATION AND SUBSIDIARY COMPANIES
 
OPERATING STATISTICS FOR VITAS SEGMENT
 
(unaudited)
 
                         
   
Three Months Ended December 31,
   
Year Ended December 31,
 
OPERATING STATISTICS
 
2016
   
2015
   
2016
   
2015
 
Net revenue ($000)
                       
Homecare
 
$
228,463
   
$
224,278
   
$
887,940
   
$
865,145
 
Inpatient
   
23,724
     
22,954
     
97,580
     
99,439
 
Continuous care
   
31,999
     
37,238
     
138,025
     
150,802
 
Total before Medicare cap allowance
 
$
284,186
   
$
284,470
   
$
1,123,545
   
$
1,115,386
 
Medicare cap allowance
   
-
     
-
     
(228
)
   
165
 
Total
 
$
284,186
   
$
284,470
   
$
1,123,317
   
$
1,115,551
 
Net revenue as a percent of total before Medicare cap allowance
                               
Homecare
   
80.4
%
   
78.8
%
   
78.9
%
   
77.6
%
Inpatient
   
8.3
     
8.1
     
8.7
     
8.9
 
Continuous care
   
11.3
     
13.1
     
12.4
     
13.5
 
Total before Medicare cap allowance
   
100.0
     
100.0
     
100.0
     
100.0
 
Medicare cap allowance
   
-
     
-
     
-
     
-
 
Total
   
100.0
%
   
100.0
%
   
100.0
%
   
100.0
%
Average daily census (days)
                               
Homecare
   
12,241
     
11,707
     
12,040
     
11,372
 
Nursing home
   
3,065
     
3,062
     
3,037
     
3,035
 
Routine homecare
   
15,306
     
14,769
     
15,077
     
14,407
 
Inpatient
   
383
     
377
     
400
     
412
 
Continuous care
   
471
     
551
     
515
     
566
 
Total
   
16,160
     
15,697
     
15,992
     
15,385
 
Total Admissions
   
15,889
     
15,790
     
65,094
     
65,872
 
Total Discharges
   
16,282
     
15,915
     
64,689
     
64,900
 
Average length of stay (days)
   
91.4
     
89.8
     
86.7
     
81.6
 
Median length of stay (days)
   
16.0
     
17.0
     
16.0
     
15.0
 
ADC by major diagnosis
                               
Neurological
   
20.3
%
   
22.8
%
   
21.1
%
   
23.2
%
Cancer
   
15.4
     
15.6
     
15.3
     
16.4
 
Cardio
   
16.9
     
17.4
     
17.1
     
17.4
 
Cerebro
   
33.4
     
29.9
     
32.7
     
29.1
 
Respiratory
   
7.8
     
7.7
     
7.8
     
7.8
 
Other
   
6.2
     
6.6
     
6.0
     
6.1
 
Total
   
100.0
%
   
100.0
%
   
100.0
%
   
100.0
%
Admissions by major diagnosis
                               
Neurological
   
11.3
%
   
12.1
%
   
11.0
%
   
12.3
%
Cancer
   
32.2
     
31.5
     
31.8
     
32.0
 
Cardio
   
16.0
     
15.2
     
15.4
     
15.3
 
Cerebro
   
21.6
     
19.7
     
21.0
     
19.0
 
Respiratory
   
10.8
     
9.5
     
10.2
     
9.9
 
Other
   
8.1
     
12.0
     
10.6
     
11.5
 
Total
   
100.0
%
   
100.0
%
   
100.0
%
   
100.0
%
Direct patient care margins
                               
Routine homecare
   
53.1
%
   
54.7
%
   
52.1
%
   
53.4
%
Inpatient
   
1.2
     
1.3
     
2.3
     
5.0
 
Continuous care
   
15.8
     
16.1
     
14.2
     
16.1
 
Homecare margin drivers (dollars per patient day)
                               
Labor costs
 
$
56.11
   
$
53.96
   
$
56.41
   
$
55.58
 
Combined drug, home medical equipment and
                               
medical supplies cost
   
14.99
     
16.08
     
15.66
     
16.15
 
Inpatient margin drivers (dollars per patient day)
                               
Labor costs
 
$
363.06
   
$
358.52
   
$
350.56
   
$
350.06
 
Continuous care margin drivers (dollars per patient day)
                               
Labor costs
 
$
602.30
   
$
596.21
   
$
607.52
   
$
592.48
 
Bad debt expense as a percent of revenues
   
1.2
%
   
1.0
%
   
1.2
%
   
1.0
%
Accounts receivable --
                               
Days of revenue outstanding- excluding unapplied Medicare payments
   
36.5
     
37.5
   
N.A.
   
N.A.
 
Days of revenue outstanding- including unapplied Medicare payments
   
32.6
     
26.7
   
N.A.
   
N.A.
 
 
95

 
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.
 
 
96