VITAS Admissions Growth
VITAS admissions totaled 17,419 in Q4 FY2025, a 6% increase year-over-year, with hospital-directed admissions and other channels contributing to improved intake.
Improved Florida Medicare Cap Position
Management reported a substantial improvement in the Florida Medicare Cap position (management referenced roughly a $25 million year-over-year improvement and later noted ~ $28 million+ improvement), with no Florida Medicare Cap billing limitation recorded at the end of January 2026 and a Q4 accrual of only $2.4 million for overall Medicare Cap billing limitations.
VITAS Revenue and Margins (Q4)
VITAS net revenue in Q4 was $418.8 million, up 1.9% year-over-year, driven by a 1.3% increase in days of care and an approximate 2.2% geographically weighted average Medicare reimbursement increase; average revenue per patient day was $208.01 (up 86 bps). Adjusted EBITDA (excluding Medicare Cap) was $91.6 million (down 1.7%) with an adjusted margin of 21.7% (down 79 bps).
2026 Guidance and Upside
Management provided full-year 2026 guidance showing anticipated improvement: VITAS revenue (pre-Cap) +5.5% to +6.5%, average daily census +3.5% to +4%, EBITDA margin (pre-Cap) 17.5%–18%, and consolidated adjusted EPS (ex certain items) of $23.25–$24.25 versus adjusted EPS of $21.55 in 2025. Medicare Cap billing limitations are forecast to fall to ~$9.5 million in calendar 2026 (vs $27.2 million in 2025).
New Florida Market Opportunity (Manatee County)
Chemed received a certificate of need to operate in Manatee County, Florida (December 2025). Management noted Manatee had ~3,000 Medicare hospice patients in government FY2024 and cited prior CON wins (Pinellas, Marion, Pasco) that have met or exceeded expectations as evidence of growth potential.
Roto-Rooter Commercial Progress & Paid-Lead Growth
Branch commercial revenue rose 1.6% in Q4, and branches with newly added commercial business managers have delivered approximately 10% higher revenue than branches without them. Paid lead generation increased ~9.4% in Q4 and ~10% in each of the last three quarters, demonstrating traction on paid acquisition initiatives.
Balance Sheet / Capital Return
The company repurchased 400,000 shares in the quarter at an average price of $436.39; since the buyback program began Chemed has returned over $2.9 billion to shareholders at an average cost of ~$167 per share.
Operational Remediations Announced
Management has initiated targeted actions: refocusing VITAS admission mix away from short-stay hospital admissions to improve long-term revenue/EBITDA, centralizing Roto-Rooter water restoration billing and collections, and engaging a new SEO provider to improve natural search visibility.