Christian Malachy Porter's questions to Chemed Corp (CHE) leadership • Q4 2024
Question
Christian Porter from Bank of America asked about the reasons for the projected decline in VITAS's 2025 EBITDA margin despite strong revenue growth, whether the Medicare Cap would be a persistent headwind, and the basis for confidence in Roto-Rooter's 2025 revenue guidance and seasonality.
Answer
VITAS CEO Nicholas Westfall explained the margin moderation is a deliberate strategy to manage Medicare Cap exposure by focusing on shorter-stay hospital admissions, which ensures long-term sustainability. He and CEO Kevin McNamara clarified that managing the cap is a normal course of business, not a new headwind. For Roto-Rooter, Kevin McNamara cited strong performance in late Q4 and early Q1 2025 as the basis for confidence, noting that 2025 will benefit from easier year-over-year comparisons after a weak 2024.