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Addus HomeCare Announces First Quarter 2025 Financial Results

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FRISCO, Texas--(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.

“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: . 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 . 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 .

ADDUS HOMECARE CORPORATION AND SUBSIDIARIES
Condensed Consolidated Statements of Income
(amounts and shares in thousands, except per share data)
(Unaudited)
Ìý
Income Statement Information: For the Three Months Ended March 31,

Ìý

2025

Ìý

Ìý

2024

Ìý

Ìý
Net service revenues

$

337,708

Ìý

$

280,746

Ìý

Cost of service revenues

Ìý

230,031

Ìý

Ìý

192,569

Ìý

Ìý
Gross profit

Ìý

107,677

Ìý

Ìý

88,177

Ìý

Ìý

31.9

%

Ìý

31.4

%

General and administrative expenses

Ìý

73,220

Ìý

Ìý

61,063

Ìý

Depreciation and amortization

Ìý

3,943

Ìý

Ìý

3,469

Ìý

Total operating expenses

Ìý

77,163

Ìý

Ìý

64,532

Ìý

Ìý
Operating income from continuing operations

Ìý

30,514

Ìý

Ìý

23,645

Ìý

Ìý
Total interest expense, net

Ìý

3,516

Ìý

Ìý

2,335

Ìý

Ìý
Income before income taxes

Ìý

26,998

Ìý

Ìý

21,310

Ìý

Income tax expense

Ìý

5,770

Ìý

Ìý

5,480

Ìý

Ìý
Net income

$

21,228

Ìý

$

15,830

Ìý

Ìý
Net income per diluted share:

$

1.16

Ìý

$

0.97

Ìý

Ìý
Ìý
Weighted average number of common shares outstanding:
Diluted

Ìý

18,311

Ìý

Ìý

16,373

Ìý

Ìý
Ìý
Ìý
Ìý
Cash Flow Information: For the Three Months Ended March 31,

Ìý

2025

Ìý

Ìý

2024

Ìý

Ìý
Net cash provided by operating activities

$

18,949

Ìý

$

38,678

Ìý

Net cash used in investing activities

Ìý

(1,378

)

Ìý

(1,750

)

Net cash used in financing activities

Ìý

(19,528

)

Ìý

(25,000

)

Ìý
Net change in cash

Ìý

(1,957

)

Ìý

11,928

Ìý

Cash at the beginning of the period

Ìý

98,911

Ìý

Ìý

64,791

Ìý

Cash at the end of the period

$

96,954

Ìý

$

76,719

Ìý

ADDUS HOMECARE CORPORATION AND SUBSIDIARIES
Condensed Consolidated Balance Sheets
(Amounts in thousands)
(Unaudited)
Ìý
March 31,

2025

2024

Ìý
Assets
Ìý
Current assets
Cash

$

96,954

$

76,719

Accounts receivable, net

Ìý

134,607

Ìý

103,438

Prepaid expenses and other current assets

Ìý

26,267

Ìý

11,690

Total current assets

Ìý

257,828

Ìý

191,847

Ìý
Property and equipment, net

Ìý

24,701

Ìý

23,872

Ìý
Other assets
Goodwill

Ìý

972,347

Ìý

663,391

Intangible assets, net

Ìý

107,644

Ìý

90,191

Operating lease assets

Ìý

45,064

Ìý

44,699

Total other assets

Ìý

1,125,055

Ìý

798,281

Ìý
Total assets

$

1,407,584

$

1,014,000

Ìý
Liabilities and stockholders' equity
Ìý
Current liabilities
Accounts payable

$

27,969

$

22,022

Accrued payroll

Ìý

54,858

Ìý

44,022

Accrued expenses

Ìý

29,748

Ìý

38,772

Operating lease liabilities, current portion

Ìý

12,649

Ìý

11,307

Government stimulus advance

Ìý

8,702

Ìý

13,548

Accrued workers compensation

Ìý

14,010

Ìý

11,920

Total current liabilities

Ìý

147,936

Ìý

141,591

Ìý
Long-term debt, less current portion, net of debt issuance costs

Ìý

198,740

Ìý

99,347

Long-term operating lease liabilities, less current portion

Ìý

39,414

Ìý

39,044

Deferred tax liabilities, net

Ìý

25,986

Ìý

8,660

Other long-term liabilities

Ìý

125

Ìý

215

Total long-term liabilities

Ìý

264,265

Ìý

147,266

Ìý
Total liabilities

Ìý

412,201

Ìý

288,857

Ìý
Total stockholders' equity

Ìý

995,383

Ìý

725,143

Ìý
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)
Ìý
For the Three Months Ended March 31,

2025

2024

Net Service Revenues by Segment
Ìý
Personal Care

$

258,286

$

208,003

Hospice

Ìý

61,437

Ìý

55,863

Home Health

Ìý

17,985

Ìý

16,880

Total Revenue

$

337,708

$

280,746

ADDUS HOMECARE CORPORATION AND SUBSIDIARIES
Key Statistical and Financial Data (Unaudited)
Ìý
For the Three Months Ended March 31,

Ìý

2025

Ìý

Ìý

2024

Ìý

Personal Care
Ìý
States served at period end

Ìý

23

Ìý

Ìý

21

Ìý

Locations served at period end

Ìý

199

Ìý

Ìý

153

Ìý

Average billable census - same store

Ìý

35,948

Ìý

Ìý

37,715

Ìý

Average billable census - acquisitions (1)

Ìý

14,530

Ìý

Ìý

-

Ìý

Average billable census total

Ìý

50,478

Ìý

Ìý

37,715

Ìý

Billable hours (in thousands)

Ìý

10,201

Ìý

Ìý

7,590

Ìý

Average billable hours per census per month

Ìý

67.4

Ìý

Ìý

67.0

Ìý

Billable hours per business day

Ìý

159,395

Ìý

Ìý

116,769

Ìý

Revenues per billable hour

$

25.32

Ìý

$

27.35

Ìý

Organic growth
- Revenue

Ìý

7.4

Ìý

%

Ìý

9.3

Ìý

%

Ìý
Hospice
Ìý
Locations served at period end

Ìý

38

Ìý

Ìý

38

Ìý

Admissions

Ìý

3,474

Ìý

Ìý

3,472

Ìý

Average daily census

Ìý

3,515

Ìý

Ìý

3,359

Ìý

Average discharge length of stay

Ìý

97.4

Ìý

Ìý

89.6

Ìý

Patient days

Ìý

316,319

Ìý

Ìý

305,630

Ìý

Revenue per patient day

$

194.23

Ìý

$

182.78

Ìý

Organic growth
- Revenue

Ìý

9.9

Ìý

%

Ìý

5.8

Ìý

%

- Average daily census

Ìý

4.6

Ìý

%

Ìý

(1.1

)

%

Ìý
Home Health
Ìý
Locations served at period end

Ìý

23

Ìý

Ìý

23

Ìý

New Admissions

Ìý

4,708

Ìý

Ìý

4,887

Ìý

Recertifications

Ìý

2,982

Ìý

Ìý

3,168

Ìý

Total Volume

Ìý

7,690

Ìý

Ìý

8,055

Ìý

Visits

Ìý

94,593

Ìý

Ìý

106,931

Ìý

Organic growth
- Revenue

Ìý

1.3

Ìý

%

Ìý

(15.1

)

%

- New Admissions

Ìý

(3.7

)

%

Ìý

(4.0

)

%

- Volume

Ìý

(4.6

)

%

Ìý

(3.1

)

%

Ìý
Percentage of Revenues by Payor:
Ìý
Personal Care
Ìý
State, local and other governmental programs

Ìý

51.5

Ìý

%

Ìý

51.8

Ìý

%

Managed care organizations

Ìý

45.3

Ìý

Ìý

45.3

Ìý

Private duty

Ìý

2.7

Ìý

Ìý

1.9

Ìý

Commercial

Ìý

0.4

Ìý

Ìý

0.7

Ìý

Other

Ìý

0.1

Ìý

%

Ìý

0.3

Ìý

%

Ìý
Hospice
Ìý
Medicare

Ìý

92.4

Ìý

%

Ìý

90.7

Ìý

%

Commercial

Ìý

3.9

Ìý

Ìý

5.6

Ìý

Managed care organizations

Ìý

3.3

Ìý

Ìý

3.3

Ìý

Other

Ìý

0.4

Ìý

%

Ìý

0.4

Ìý

%

Ìý
Home Health
Ìý
Medicare

Ìý

69.9

Ìý

%

Ìý

69.1

Ìý

%

Managed care organizations

Ìý

21.2

Ìý

Ìý

26.1

Ìý

State, local and other governmental programs

Ìý

6.0

Ìý

Ìý

0.1

Ìý

Commercial

Ìý

2.5

Ìý

Ìý

4.1

Ìý

Other

Ìý

0.4

Ìý

%

Ìý

0.6

Ìý

%

Ìý
(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,

Ìý

2025

Ìý

Ìý

2024

Ìý

Reconciliation of Adjusted EBITDA to Net Income: (1)
Ìý
Net income

$

21,228

Ìý

$

15,830

Ìý

Ìý
Interest expense, net

Ìý

3,516

Ìý

Ìý

2,335

Ìý

Gain on the sale of assets

Ìý

(7

)

Ìý

-

Ìý

Income tax expense

Ìý

5,770

Ìý

Ìý

5,480

Ìý

Depreciation and amortization

Ìý

3,943

Ìý

Ìý

3,469

Ìý

Acquisition expenses

Ìý

2,952

Ìý

Ìý

2,711

Ìý

Stock-based compensation expense

Ìý

3,170

Ìý

Ìý

2,618

Ìý

Ìý
Adjusted EBITDA

$

40,572

Ìý

$

32,443

Ìý

Ìý
Ìý
Reconciliation of Adjusted Net Income to Net Income: (2)
Ìý
Net income

$

21,228

Ìý

$

15,830

Ìý

Ìý
Gain on the sale of assets

Ìý

(7

)

Ìý

-

Ìý

Acquisition expenses

Ìý

2,952

Ìý

Ìý

2,711

Ìý

Stock-based compensation expense

Ìý

3,170

Ìý

Ìý

2,618

Ìý

Tax effect

Ìý

(1,306

)

Ìý

(1,370

)

Ìý
Adjusted Net Income

Ìý

26,037

Ìý

Ìý

19,789

Ìý

Ìý
Ìý
Reconciliation of Diluted Earnings per Share to Adjusted Diluted Earnings per Share: (3)
Ìý
Diluted earnings per share

$

1.16

Ìý

$

0.97

Ìý

Ìý
Acquisition expenses, per diluted share

Ìý

0.13

Ìý

Ìý

0.12

Ìý

Stock-based compensation expense per diluted share

Ìý

0.13

Ìý

Ìý

0.12

Ìý

Ìý
Adjusted net income per diluted share

$

1.42

Ìý

$

1.21

Ìý

Ìý
Reconciliation of Net Service Revenues to Adjusted Net Service Revenues: (4)
Ìý
Net service revenues

$

337,708

Ìý

$

280,746

Ìý

Ìý
Revenue associated with the closure of certain sites

Ìý

(13

)

Ìý

(95

)

Ìý
Adjusted net service revenues

$

337,695

Ìý

$

280,651

Ìý

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.

Ìý

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]

Source: Addus HomeCare Corporation

Addus Homecare Corp

NASDAQ:ADUS

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2.06B
17.93M
2.4%
103.51%
3.37%
Medical Care Facilities
Services-home Health Care Services
United States
FRISCO