FRISCO, Texas, May 05, 2025--(BUSINESS WIRE)--Addus HomeCare Corporation (NASDAQ: ADUS), a provider of home care services, today announced its financial results for the first quarter ended March 31, 2025.

First Quarter 2025 Highlights:

Net Service Revenues Grow 20.3% to $337.7 Million Net Income of $21.2 Million, or $1.16 per Diluted Share Adjusted Net Income per Diluted Share Increases 17.4% year-over-year to $1.42 Adjusted EBITDA Increases 25.1% year-over-year to $40.6 Million Cash Flow from Operations of $18.9 Million

Overview

Net service revenues were $337.7 million for the first quarter of 2025, a 20.3% increase compared with $280.7 million for the first quarter of 2024. Net income was $21.2 million for the first quarter of 2025 compared with $15.8 million for the first quarter of 2024, while net income per diluted share was $1.16 compared with $0.97 for the same period a year ago. Adjusted EBITDA increased 25.1% to $40.6 million for the first quarter of 2025 from $32.4 million for the first quarter of 2024. Adjusted net income was $26.0 million for the first quarter of 2025 compared with $19.8 million for the prior-year period, while adjusted net income per diluted share was $1.42 compared with $1.21 for the first quarter of 2024. Adjusted net income per diluted share for the first quarter of 2025 excludes acquisition expenses of $0.13 and stock-based compensation expense of $0.13 (See the end of press release for a reconciliation of all non-GAAP and GAAP financial measures.)

Commenting on the results, Dirk Allison, Chairman and Chief Executive Officer, said, "Addus had a strong start to 2025, delivering a solid financial and operating performance as we continue to see solid demand for our home-based care services across the continuum. Revenue for the first quarter of 2025 was up 20.3% and adjusted EBITDA increased 25.1% over the same period last year. These results reflect solid organic growth and include the first full quarter of the personal care operations of Gentiva, which we acquired on December 2, 2024.

"Our personal care segment, which accounted for 76.5% of our business, was the key driver of our growth with a 7.4% organic revenue increase over the first quarter last year. We benefited from higher volumes as well as additional rate support, including a 5.5% increase effective January 1, 2025, for Illinois, our largest personal care market. The addition of the Gentiva personal care operations, our largest acquisition to date, gave us two new states and added coverage in five states where we already had operations. Our team has worked hard to implement a smooth integration, and we are excited about the additional opportunities to expand our personal care presence.

Story Continues

"We were pleased to see continued steady improvement in our hospice care segment, which accounted for 18.2% of our business, with solid organic revenue growth of 9.9% over the first quarter last year. Our average daily census, patient days and revenue per patient day were all higher compared with the same period last year. With the recent changes in our operations and sales leadership, we are confident we have a capable team in place to drive further improvement in our hospice business. Our home health services accounted for 5.3% of total revenue for the first quarter. While this is our smallest business segment, we continue to see home health as providing important complementary capabilities to our personal care and hospice care segments, allowing us to provide patients with the full care continuum.

Cash and Liquidity

As of March 31, 2025, the Company had cash of $97.0 million and bank debt of $203.0 million, with capacity and availability under its revolving credit facility of $632.9 million and $421.9 million, respectively. Net cash provided by operating activities was $18.9 million for the first quarter of 2025, inclusive of a net $2.5 million in ARPA funds utilization.

Allison continued, "For the first quarter of 2025, we continued to generate consistent cash flow from operations and maintain a strong balance sheet. Our conservative leverage position allows us the flexibility to continue to invest in our business and to evaluate and pursue additional acquisition opportunities. We remain focused on finding strategic markets that meet our objective to leverage our existing personal care presence and add clinical care services, so we can provide all three levels of care. We see important synergies in offering the full care continuum as we build scale and expand our market coverage, and we are optimistic that we will see additional acquisition opportunities in 2025.

"We believe the favorable trends in our business will continue to enhance our ability to achieve solid organic growth and provide quality services from our recently acquired operations. As we extend our reach to more patients and families across our markets, we are mindful of our important role as a leading provider of quality care in the preferred home setting. We recognize the hard work and dedication of the caregivers who are the face of Addus, and we are grateful for the outstanding care and support they provide every day across our markets. Working together, we look forward to the opportunities ahead for Addus in 2025, as we deliver value to the clients we serve and our shareholders," said Allison.

Non-GAAP Financial Measures

The information provided in this release includes adjusted net income, adjusted EBITDA, adjusted net income per diluted share and adjusted net service revenue, which are non-GAAP financial measures. The Company defines adjusted net income as net income before acquisition expense, stock-based compensation expense, and the gain or loss on the sale of assets. The Company defines adjusted EBITDA as earnings before net interest expense, taxes, depreciation, amortization, acquisition expense, stock-based compensation expense, and the gain or loss on the sale of assets. The Company defines adjusted net income per diluted share as net income per share, adjusted for acquisition expense, stock-based compensation expense, restructure and other non-recurring costs, gain or loss on the sale of assets, impairment of operating lease assets, retroactive rate increases from New York and the retroactive impact from collective bargaining negotiations. The Company defines adjusted net service revenues as revenue adjusted for the closure of certain sites. The Company has provided, in the financial statement tables included in this press release, a reconciliation of adjusted net income to net income, a reconciliation of adjusted EBITDA to net income, a reconciliation of adjusted diluted net income per share to net income per share, and a reconciliation of adjusted net service revenues to net service revenues, in each case, the most directly comparable GAAP measure. Management believes that adjusted net income, adjusted EBITDA, adjusted diluted net income per share, and adjusted net service revenues are useful to investors, management and others in evaluating the Company’s operating performance, to provide investors with insight and consistency in the Company’s financial reporting and to present a basis for comparison of the Company’s business operations among periods, and to facilitate comparison with the results of the Company’s peers.

Conference Call

Addus will host a conference call on Tuesday, May 6, 2025, at 9:00 a.m. Eastern time. To access the live call, dial (833) 629-0620 (international dial-in number is (412) 317-1805) and ask to join the Addus HomeCare earnings call. A telephonic replay of the conference call will be available through midnight on May 13, 2025, by dialing (877) 344-7529 (international dial-in number is (412) 317-0088) and entering pass code 3473942.

A live broadcast of Addus HomeCare’s conference call will be available under the Investor Relations section of the Company’s website: www.addus.com. An online replay will also be available on the Company’s website for one month, beginning approximately two hours following the conclusion of the live broadcast.

Forward-Looking Statements

Certain matters discussed in this press release constitute forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Such forward-looking statements may be identified by words such as "preliminary," "continue," "expect," and similar expressions. These forward-looking statements are based on our current expectations and beliefs concerning future developments and their potential effect on us. Forward-looking statements involve a number of risks and uncertainties that may cause actual results to differ materially from those expressed or implied by such forward-looking statements, including discretionary determinations by government officials, the consummation and integration of acquisitions, transition to managed care providers, our ability to successfully execute our growth strategy, unexpected increases in SG&A and other expenses, expected benefits and unexpected costs of acquisitions and dispositions, management plans related to dispositions, the possibility that expected benefits may not materialize as expected, the failure of the business to perform as expected, changes in reimbursement, changes in government regulations, changes in Addus HomeCare’s relationships with referral sources, increased competition for Addus HomeCare’s services, changes in the interpretation of government regulations, the uncertainty regarding the outcome of discussions with managed care organizations, changes in tax rates, the impact of adverse weather, higher than anticipated costs, lower than anticipated cost savings, estimation inaccuracies in future revenues, margins, earnings and growth, whether any anticipated receipt of payments will materialize, any security breaches, cyber-attacks, loss of data or cybersecurity threats or incidents, and other risks set forth in the Risk Factors section in Addus HomeCare’s Annual Report on Form 10-K filed with the Securities and Exchange Commission on February 25, 2025, which is available at www.sec.gov. The financial information described herein and the periods to which they relate are preliminary estimates that are subject to change and finalization. There is no assurance that the final amounts and adjustments will not differ materially from the amounts described above, or that additional adjustments will not be identified, the impact of which may be material. Addus HomeCare undertakes no obligation to update or revise any forward-looking statements, whether as a result of new information, future events or otherwise. In addition, these forward-looking statements necessarily depend upon assumptions, estimates and dates that may be incorrect or imprecise and involve known and unknown risks, uncertainties, and other factors. Accordingly, any forward-looking statements included in this press release do not purport to be predictions of future events or circumstances and may not be realized. (Unaudited tables and notes follow).

About Addus HomeCare

Addus HomeCare is a provider of home care services that primarily include personal care services that assist with activities of daily living, as well as hospice and home health services. Addus HomeCare’s consumers are primarily persons who, without these services, are at risk of hospitalization or institutionalization, such as the elderly, chronically ill and disabled. Addus HomeCare’s payor clients include federal, state, and local governmental agencies, managed care organizations, commercial insurers, and private individuals. Addus HomeCare currently provides home care services to approximately 62,000 consumers through 260 locations across 23 states. For more information, please visit www.addus.com.

ADDUS HOMECARE CORPORATION AND SUBSIDIARIES Condensed Consolidated Statements of Income (amounts and shares in thousands, except per share data) (Unaudited)  Income Statement Information: For the Three Months Ended March 31, 2025    2024   Net service revenues $ 337,708   $ 280,746  Cost of service revenues  230,031    192,569   Gross profit  107,677    88,177  31.9 %   31.4 % General and administrative expenses  73,220    61,063  Depreciation and amortization  3,943    3,469  Total operating expenses  77,163    64,532   Operating income from continuing operations  30,514    23,645   Total interest expense, net  3,516    2,335   Income before income taxes  26,998    21,310  Income tax expense  5,770    5,480   Net income $ 21,228   $ 15,830   Net income per diluted share: $ 1.16   $ 0.97    Weighted average number of common shares outstanding:  Diluted  18,311    16,373      Cash Flow Information: For the Three Months Ended March 31, 2025    2024   Net cash provided by operating activities $ 18,949   $ 38,678  Net cash used in investing activities  (1,378 )   (1,750 ) Net cash used in financing activities  (19,528 )   (25,000 )  Net change in cash  (1,957 )   11,928  Cash at the beginning of the period  98,911    64,791  Cash at the end of the period $ 96,954   $ 76,719

ADDUS HOMECARE CORPORATION AND SUBSIDIARIES Condensed Consolidated Balance Sheets (Amounts in thousands) (Unaudited)  March 31, 2025  2024  Assets   Current assets  Cash $ 96,954  $ 76,719 Accounts receivable, net  134,607   103,438 Prepaid expenses and other current assets  26,267   11,690 Total current assets  257,828   191,847  Property and equipment, net  24,701   23,872  Other assets  Goodwill  972,347   663,391 Intangible assets, net  107,644   90,191 Operating lease assets  45,064   44,699 Total other assets  1,125,055   798,281  Total assets $ 1,407,584  $ 1,014,000  Liabilities and stockholders' equity   Current liabilities  Accounts payable $ 27,969  $ 22,022 Accrued payroll  54,858   44,022 Accrued expenses  29,748   38,772 Operating lease liabilities, current portion  12,649   11,307 Government stimulus advance  8,702   13,548 Accrued workers compensation  14,010   11,920 Total current liabilities  147,936   141,591  Long-term debt, less current portion, net of debt issuance costs  198,740   99,347 Long-term operating lease liabilities, less current portion  39,414   39,044 Deferred tax liabilities, net  25,986   8,660 Other long-term liabilities  125   215 Total long-term liabilities  264,265   147,266  Total liabilities  412,201   288,857  Total stockholders' equity  995,383   725,143  Total liabilities and stockholders' equity $ 1,407,584  $ 1,014,000

ADDUS HOMECARE CORPORATION AND SUBSIDIARIES Net Service Revenue by Segment (Amounts in thousands) (Unaudited)  For the Three Months Ended March 31, 2025  2024 Net Service Revenues by Segment   Personal Care $ 258,286  $ 208,003 Hospice  61,437   55,863 Home Health  17,985   16,880 Total Revenue $ 337,708  $ 280,746

ADDUS HOMECARE CORPORATION AND SUBSIDIARIES Key Statistical and Financial Data (Unaudited)  For the Three Months Ended March 31,  2025    2024  Personal Care   States served at period end  23    21  Locations served at period end  199    153  Average billable census - same store  35,948    37,715  Average billable census - acquisitions (1)  14,530    -  Average billable census total  50,478    37,715  Billable hours (in thousands)  10,201    7,590  Average billable hours per census per month  67.4    67.0  Billable hours per business day  159,395    116,769  Revenues per billable hour $ 25.32   $ 27.35  Organic growth  - Revenue  7.4  %  9.3  %  Hospice   Locations served at period end  38    38  Admissions  3,474    3,472  Average daily census  3,515    3,359  Average discharge length of stay  97.4    89.6  Patient days  316,319    305,630  Revenue per patient day $ 194.23   $ 182.78  Organic growth  - Revenue  9.9  %  5.8  % - Average daily census  4.6  %  (1.1 ) %  Home Health   Locations served at period end  23    23  New Admissions  4,708    4,887  Recertifications  2,982    3,168  Total Volume  7,690    8,055  Visits  94,593    106,931  Organic growth  - Revenue  1.3  %  (15.1 ) % - New Admissions  (3.7 ) %  (4.0 ) % - Volume  (4.6 ) %  (3.1 ) %  Percentage of Revenues by Payor:   Personal Care   State, local and other governmental programs  51.5  %  51.8  % Managed care organizations  45.3    45.3  Private duty  2.7    1.9  Commercial  0.4    0.7  Other  0.1  %  0.3  %  Hospice   Medicare  92.4  %  90.7  % Commercial  3.9    5.6  Managed care organizations  3.3    3.3  Other  0.4  %  0.4  %  Home Health   Medicare  69.9  %  69.1  % Managed care organizations  21.2    26.1  State, local and other governmental programs  6.0    0.1  Commercial  2.5    4.1  Other  0.4  %  0.6  %  (1) The average billable census and average billable hours per census per month for the three months ended March 31, 2025 were prorated for the date of the acquisition.

ADDUS HOMECARE CORPORATION AND SUBSIDIARIES Reconciliation of Non-GAAP Financial Measures (Amounts in thousands, except per share data) (Unaudited) (1) For the Three Months Ended March 31,  2025    2024  Reconciliation of Adjusted EBITDA to Net Income: (1)   Net income $ 21,228   $ 15,830   Interest expense, net  3,516    2,335  Gain on the sale of assets  (7 )   -  Income tax expense  5,770    5,480  Depreciation and amortization  3,943    3,469  Acquisition expenses  2,952    2,711  Stock-based compensation expense  3,170    2,618   Adjusted EBITDA $ 40,572   $ 32,443    Reconciliation of Adjusted Net Income to Net Income: (2)   Net income $ 21,228   $ 15,830   Gain on the sale of assets  (7 )   -  Acquisition expenses  2,952    2,711  Stock-based compensation expense  3,170    2,618  Tax effect  (1,306 )   (1,370 )   Adjusted Net Income  26,037    19,789    Reconciliation of Diluted Earnings per Share to Adjusted Diluted Earnings per Share: (3)   Diluted earnings per share $ 1.16   $ 0.97   Acquisition expenses, per diluted share  0.13    0.12  Stock-based compensation expense per diluted share  0.13    0.12   Adjusted net income per diluted share $ 1.42   $ 1.21   Reconciliation of Net Service Revenues to Adjusted Net Service Revenues: (4)   Net service revenues $ 337,708   $ 280,746   Revenue associated with the closure of certain sites  (13 )   (95 )   Adjusted net service revenues $ 337,695   $ 280,651

Footnotes: (1) We define Adjusted EBITDA as earnings before net interest expense, other non-operating income, taxes, depreciation, amortization, acquisition expense, stock-based compensation expense and gain or loss on the sale of assets. Adjusted EBITDA is a performance measure used by management that is not calculated in accordance with generally accepted accounting principles in the United States (GAAP). It should not be considered in isolation or as a substitute for net income, operating income or any other measure of financial performance calculated in accordance with GAAP. Additionally, our calculation of Adjusted EBITDA may not be comparable to similarly titled measures reported by other companies. We believe that Adjusted EBITDA is useful to investors, management and others in evaluating the Company's operating performance, to provide investors with insight and consistency in the Company's financial reporting and to present a basis for comparison of the Company's business among periods, and to facilitate comparison with results of the Company's peers. Additionally, we believe that Adjusted EBITDA is a measure widely used by securities analysts, investors and others to evaluate the financial performance of other public companies. The financial results presented in accordance with U.S. GAAP and a reconciliation of this non-GAAP measure included within our Annual Report on Form 10-K should be carefully evaluated. (2) We define Adjusted Net Income as net income before acquisition expenses, stock-based compensation expense, and gain on the sale of assets. Adjusted Net Income is a performance measure used by management that is not calculated in accordance with generally accepted accounting principles in the United States (GAAP). It should not be considered in isolation or as a substitute for net income, operating income or any other measure of financial performance calculated in accordance with GAAP. (3) We define Adjusted diluted earnings per share as earnings per share, adjusted for acquisition expenses, stock-based compensation expense and gain or loss on the sale of assets. Adjusted diluted earnings per share is a performance measure used by management that is not calculated in accordance with generally accepted accounting principles in the United States (GAAP). It should not be considered in isolation or as a substitute for net income, operating income or any other measure of financial performance calculated in accordance with GAAP. (4) We define Adjusted net service revenues as revenue adjusted for the closure of certain sites. Adjusted net service revenues is a performance measure used by management that is not calculated in accordance with generally accepted accounting principles in the United States (GAAP). It should not be considered in isolation or as a substitute for net income, operating income or any other measure of financial performance calculated in accordance with GAAP.

View source version on businesswire.com: https://www.businesswire.com/news/home/20250505707546/en/

Contacts

Brian W. Poff
Executive Vice President, Chief Financial Officer
Addus HomeCare Corporation
(469) 535-8200
[email protected] 

Dru Anderson
FINN Partners
(615) 324-7346
[email protected]

View Comments