Addus HomeCare Announces Third Quarter 2026 Financial Results
Third Quarter 2026 Highlights:
-
Net Service Revenues Increase 7.0% to
$387.7 Million -
Net Income of
$28.6 Million , or$1.54 per Diluted Share -
Adjusted Net Income per Diluted Share Increases 17.3% year-over-year to
$1.83 -
Adjusted EBITDA Increases 13.5% year-over-year to
$51.2 Million -
Cash Flow from Operations of
$40.9 Million -
Announced Definitive Agreement to
Acquire Personal Care Division of AccentCare
Overview
Net service revenues were
For the first nine months of 2026, net service revenues increased 7.6% to
Commenting on the results,
“Personal care services continued to drive our growth, accounting for 77.6% of our third quarter revenues and delivering a 6.9% organic revenue increase over the third quarter of last year. Growth was supported by organic volume expansion, the first full quarter of contribution from our HomeCourt Home Care acquisition, and ongoing benefits from historical favorable rate adjustments in core states like
“Our hospice segment contributed strong growth, representing 17.8% of third quarter revenue with a 4.3% organic increase in average daily census over the same period last year. Exclusive of the benefit we received from the implicit price concession in the third quarter last year, organic revenue in our hospice segment increased 8.8%. Meanwhile, home health accounted for 4.6% of revenue, showing encouraging admission and volume trends and a return to year over year organic revenue growth. Offering all three levels of care remains a major strategic advantage for Addus, allowing us to better serve our patients and clients while strengthening our ability to clinically collaborate with managed care plans and other value-based partners.”
Acquisitions Support Continued Growth
On
Cash and Liquidity
As of
Allison added, “Our business generated
Looking Ahead
“We are very pleased with our financial and strategic progress through the first nine months of 2026. Our scalable platform, strong cash flow generation, and expanding market reach position Addus exceptionally well for long-term value creation. As we work toward closing and integrating the
“Our performance is a direct reflection of our compassionate caregivers who provide exceptional care to the communities we serve every single day. Supported by a strong financial foundation, we are excited about the trajectory of our business as we finish out 2026 and look forward to continuing our profitable growth and enhancing shareholder value,” concluded 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, restructuring and other non-recurring costs, 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, restructuring and other non-recurring costs, 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, restructuring and other non-recurring costs, and gain or loss on the sale of assets. 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
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
About
| 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
|
|
For the Nine Months
|
||||||||||||
|
2026 |
|
2025 |
|
2026 |
|
2025 |
|||||||||
| Net service revenues |
$ |
387,733 |
|
$ |
362,301 |
|
$ |
1,128,761 |
|
$ |
1,049,452 |
|
|||
| Cost of service revenues |
|
263,335 |
|
|
245,586 |
|
|
766,930 |
|
|
711,183 |
|
|||
| Gross profit |
|
124,398 |
|
|
116,715 |
|
|
361,831 |
|
|
338,269 |
|
|||
|
|
32.1 |
% |
|
32.2 |
% |
|
32.1 |
% |
|
32.2 |
% |
||||
| General and administrative expenses |
|
80,442 |
|
|
79,370 |
|
|
236,706 |
|
|
229,667 |
|
|||
| Depreciation and amortization |
|
4,138 |
|
|
4,408 |
|
|
12,293 |
|
|
12,264 |
|
|||
| Total operating expenses |
|
84,580 |
|
|
83,778 |
|
|
248,999 |
|
|
241,931 |
|
|||
| Operating income |
|
39,818 |
|
|
32,937 |
|
|
112,832 |
|
|
96,338 |
|
|||
| Total interest expense, net |
|
678 |
|
|
2,583 |
|
|
3,477 |
|
|
9,041 |
|
|||
| Income before income taxes |
|
39,140 |
|
|
30,354 |
|
|
109,355 |
|
|
87,297 |
|
|||
| Income tax expense |
|
10,546 |
|
|
7,506 |
|
|
28,085 |
|
|
21,169 |
|
|||
| Net income |
$ |
28,594 |
|
$ |
22,848 |
|
$ |
81,270 |
|
$ |
66,128 |
|
|||
| Net income per diluted share: |
$ |
1.54 |
|
$ |
1.24 |
|
$ |
4.39 |
|
$ |
3.60 |
|
|||
| Weighted average number of common shares outstanding: | |||||||||||||||
| Diluted |
|
18,574 |
|
|
18,390 |
|
|
18,533 |
|
|
18,365 |
|
|||
| Cash Flow Information: | For the Three Months Ended |
For the Nine Months Ended |
|||||||||||||
|
2026 |
|
2025 |
|
2026 |
|
2025 |
|||||||||
| Net cash provided by operating activities |
$ |
40,914 |
|
$ |
51,266 |
|
$ |
133,290 |
|
$ |
92,744 |
|
|||
| Net cash (used in) provided by investing activities |
|
(1,995 |
) |
|
(22,761 |
) |
|
(17,192 |
) |
|
(22,444 |
) |
|||
| Net cash (used in) financing activities |
|
(40,005 |
) |
|
(17,763 |
) |
|
(99,235 |
) |
|
(67,293 |
) |
|||
| Net change in cash |
|
(1,086 |
) |
|
10,742 |
|
|
16,863 |
|
|
3,007 |
|
|||
| Cash at the beginning of the period |
|
99,566 |
|
|
91,176 |
|
|
81,617 |
|
|
98,911 |
|
|||
| Cash at the end of the period |
$ |
98,480 |
|
$ |
101,918 |
|
$ |
98,480 |
|
$ |
101,918 |
|
|||
| ADDUS HOMECARE CORPORATION AND SUBSIDIARIES | |||||
| Condensed Consolidated Balance Sheets | |||||
| (Amounts in thousands) | |||||
| (Unaudited) | |||||
|
|
|||||
|
2026 |
2025 |
||||
| Assets | |||||
| Current assets | |||||
| Cash |
$ |
98,480 |
$ |
101,918 |
|
| Accounts receivable, net |
|
160,866 |
|
134,050 |
|
| Prepaid expenses and other current assets |
|
21,880 |
|
24,693 |
|
| Total current assets |
|
281,226 |
|
260,661 |
|
| Property and equipment, net |
|
23,732 |
|
24,444 |
|
| Other assets | |||||
|
|
1,008,053 |
|
988,553 |
||
| Intangible assets, net |
|
97,466 |
|
104,401 |
|
| Operating lease assets |
|
39,704 |
|
44,879 |
|
| Total other assets |
|
1,145,223 |
|
1,137,833 |
|
| Total assets |
$ |
1,450,181 |
$ |
1,422,938 |
|
| Liabilities and stockholders' equity | |||||
| Current liabilities | |||||
| Accounts payable |
$ |
20,130 |
$ |
16,677 |
|
| Accrued payroll |
|
70,485 |
|
74,131 |
|
| Accrued expenses |
|
42,758 |
|
32,942 |
|
| Operating lease liabilities - current portion |
|
12,755 |
|
13,031 |
|
| Government stimulus advance |
|
11,607 |
|
5,784 |
|
| Accrued workers compensation |
|
13,708 |
|
14,233 |
|
| Total current liabilities |
|
171,443 |
|
156,798 |
|
| Long-term debt, less current portion, net of debt issuance costs |
|
21,921 |
|
150,640 |
|
| Long-term lease liability, less current portion |
|
32,649 |
|
38,814 |
|
| Deferred tax liabilities, net |
|
44,355 |
|
26,476 |
|
| Other long-term liabilities |
|
54 |
|
236 |
|
| Total long-term liabilities |
|
98,979 |
|
216,166 |
|
| Total liabilities |
|
270,422 |
|
372,964 |
|
| Total stockholders' equity |
|
1,179,759 |
|
1,049,974 |
|
| Total liabilities and stockholders' equity |
$ |
1,450,181 |
$ |
1,422,938 |
|
| ADDUS HOMECARE CORPORATION AND SUBSIDIARIES | |||||||||||
| Net Service Revenue by Segment | |||||||||||
| (Amounts in thousands) | |||||||||||
| (Unaudited) | |||||||||||
|
For the Three Months
|
|
For the Nine Months
|
|||||||||
|
2026 |
|
2025 |
|
2026 |
|
2025 |
|||||
| Net Service Revenues by Segment | |||||||||||
| Personal Care |
$ |
301,008 |
$ |
275,770 |
$ |
878,097 |
$ |
803,238 |
|||
| Hospice |
|
69,022 |
|
68,891 |
|
199,054 |
|
192,540 |
|||
|
|
17,703 |
|
17,640 |
|
51,610 |
|
53,674 |
||||
| Total Revenue |
$ |
387,733 |
$ |
362,301 |
$ |
1,128,761 |
$ |
1,049,452 |
|||
| ADDUS HOMECARE CORPORATION AND SUBSIDIARIES | ||||||||||||||||
| Key Statistical and Financial Data (Unaudited) | ||||||||||||||||
|
For the Three Months
|
|
For the Nine Months
|
||||||||||||||
|
2026 |
|
2025 |
|
2026 |
|
2025 |
||||||||||
| Personal Care | ||||||||||||||||
| States served at period end |
|
- |
|
- |
|
|
24 |
|
|
23 |
|
|||||
| Locations at period end |
|
- |
|
- |
|
|
201 |
|
|
202 |
|
|||||
| Average billable census - same store |
|
49,848 |
|
50,037 |
|
|
49,725 |
|
|
50,258 |
|
|||||
| Average billable census - acquisitions (1) |
|
1,100 |
|
397 |
|
|
1,139 |
|
|
397 |
|
|||||
| Average billable census - closed (2) |
|
- |
|
46 |
|
|
- |
|
|
53 |
|
|||||
| Average billable census total |
|
50,948 |
|
50,480 |
|
|
50,864 |
|
|
50,708 |
|
|||||
| Billable hours (in thousands) |
|
11,286 |
|
10,855 |
|
|
33,164 |
|
|
31,615 |
|
|||||
| Average billable hours per census per month |
|
73.8 |
|
72.0 |
|
|
72.7 |
|
|
70.2 |
|
|||||
| Billable hours per business day |
|
171,004 |
|
164,474 |
|
|
170,074 |
|
|
162,128 |
|
|||||
| Revenues per billable hour |
$ |
26.67 |
$ |
25.40 |
|
$ |
26.47 |
|
$ |
25.40 |
|
|||||
| Organic growth | ||||||||||||||||
| - Revenue (3) |
|
6.9 |
% |
|
6.6 |
|
% |
|
6.7 |
|
% |
|
7.1 |
|
% |
|
| Hospice | ||||||||||||||||
| Locations served at period end |
|
- |
|
- |
|
|
40 |
|
|
39 |
|
|||||
| Admissions |
|
3,344 |
|
3,326 |
|
|
10,008 |
|
|
10,060 |
|
|||||
| Average daily census (4) |
|
4,037 |
|
3,889 |
|
|
3,947 |
|
|
3,720 |
|
|||||
| Average discharge length of stay |
|
108.8 |
|
89.6 |
|
|
106.6 |
|
|
92.6 |
|
|||||
| Patient days |
|
371,399 |
|
357,221 |
|
|
1,074,450 |
|
|
1,012,045 |
|
|||||
| Revenue per patient day |
$ |
190.36 |
$ |
191.66 |
|
$ |
190.80 |
|
$ |
190.21 |
|
|||||
| Organic growth | ||||||||||||||||
| - Revenue (3) |
|
4.1 |
% |
|
19.0 |
|
% |
|
7.5 |
|
% |
|
13.0 |
|
% |
|
| - Average daily census |
|
4.3 |
% |
|
9.5 |
|
% |
|
6.5 |
|
% |
|
7.1 |
|
% |
|
| Locations served at period end |
|
- |
|
- |
|
|
22 |
|
|
24 |
|
|||||
| New Admissions |
|
5,043 |
|
4,577 |
|
|
14,753 |
|
|
13,853 |
|
|||||
| Recertifications |
|
2,784 |
|
2,627 |
|
|
8,092 |
|
|
8,442 |
|
|||||
| Total Volume |
|
7,827 |
|
7,204 |
|
|
22,845 |
|
|
22,295 |
|
|||||
| Visits |
|
90,240 |
|
90,639 |
|
|
259,648 |
|
|
279,924 |
|
|||||
| Organic growth | ||||||||||||||||
| - Revenue (3) |
|
2.5 |
% |
|
(2.8 |
) |
% |
|
(2.3 |
) |
% |
|
(2.3 |
) |
% |
|
| - New admissions |
|
13.8 |
% |
|
(0.1 |
) |
% |
|
7.6 |
|
% |
|
(3.9 |
) |
% |
|
| - Volume |
|
11.5 |
% |
|
(10.1 |
) |
% |
|
3.3 |
|
% |
|
(8.2 |
) |
% |
|
| Percentage of Revenues by Payor: | ||||||||||||||||
| Personal Care | ||||||||||||||||
| State, local and other governmental programs |
|
50.2 |
% |
|
50.5 |
|
% |
|
50.1 |
|
% |
|
51.1 |
|
% |
|
| Managed care organizations |
|
47.3 |
|
46.2 |
|
|
47.3 |
|
|
45.6 |
|
|||||
| Private duty |
|
2.1 |
|
2.5 |
|
|
2.2 |
|
|
2.7 |
|
|||||
| Commercial |
|
0.4 |
|
0.7 |
|
|
0.4 |
|
|
0.5 |
|
|||||
| Other |
|
- |
% |
|
0.1 |
|
% |
|
- |
|
% |
|
0.1 |
|
% |
|
| Hospice | ||||||||||||||||
| Medicare |
|
94.3 |
% |
|
93.1 |
|
% |
|
94.1 |
|
% |
|
92.9 |
|
% |
|
| Commercial |
|
2.5 |
|
3.1 |
|
|
2.7 |
|
|
3.4 |
|
|||||
| Managed care organizations |
|
2.7 |
|
3.2 |
|
|
2.6 |
|
|
3.2 |
|
|||||
| Other |
|
0.5 |
% |
|
0.6 |
|
% |
|
0.6 |
|
% |
|
0.5 |
|
% |
|
| Medicare |
|
63.3 |
% |
|
65.9 |
|
% |
|
62.7 |
|
% |
|
68.4 |
|
% |
|
| Managed care organizations |
|
25.0 |
|
25.5 |
|
|
24.8 |
|
|
23.4 |
|
|||||
| State, local and other governmental programs |
|
8.0 |
|
5.6 |
|
|
9.3 |
|
|
5.3 |
|
|||||
| Commercial |
|
3.2 |
|
2.7 |
|
|
2.8 |
|
|
2.5 |
|
|||||
| Other |
|
0.5 |
% |
|
0.3 |
|
% |
|
0.4 |
|
% |
|
0.4 |
|
% |
|
| Footnotes: | ||||||||||||||||
| (1) The average billable census in acquisitions of 14,024 and 14,292 for the three months and nine months ended |
||||||||||||||||
| (2) The average billable census for closed stores of 46 and 53 for the three months and nine months ended |
||||||||||||||||
| (3) Revenue organic growth reflects the change in year-over-year revenue for the same store base. We define the same store base to include those stores open for at least 52 full weeks. These measures highlight the performance of existing stores, while excluding the impact of one-time adjustments such as ARPA, Medicare cap or specific situational reserves as well as acquisitions, new store openings, and closures. | ||||||||||||||||
| (4) Exited sites would have reduced ADC for the three months ended |
||||||||||||||||
| ADDUS HOMECARE CORPORATION AND SUBSIDIARIES | |||||||||||||||
| Reconciliation of Non-GAAP Financial Measures | |||||||||||||||
| (Amounts in thousands, except per share data) | |||||||||||||||
| (Unaudited) (1) | |||||||||||||||
|
For the Three Months
|
|
For the Nine Months
|
|||||||||||||
|
2026 |
|
2025 |
|
2026 |
|
2025 |
|||||||||
| Reconciliation of Adjusted EBITDA to Net Income: (1) | |||||||||||||||
| Net income |
$ |
28,594 |
|
$ |
22,848 |
|
$ |
81,270 |
|
$ |
66,128 |
|
|||
| Interest expense, net |
|
678 |
|
|
2,583 |
|
|
3,477 |
|
|
9,041 |
|
|||
| (Gain) loss on sale of assets |
|
(33 |
) |
|
2 |
|
|
(46 |
) |
|
(6 |
) |
|||
| Income tax expense |
|
10,546 |
|
|
7,506 |
|
|
28,085 |
|
|
21,169 |
|
|||
| Depreciation and amortization |
|
4,138 |
|
|
4,408 |
|
|
12,293 |
|
|
12,264 |
|
|||
| Acquisition expenses |
|
3,948 |
|
|
2,012 |
|
|
6,738 |
|
|
7,672 |
|
|||
| Stock-based compensation expense |
|
3,008 |
|
|
4,286 |
|
|
12,398 |
|
|
11,877 |
|
|||
| Restructure and other non-recurring costs |
|
370 |
|
|
1,500 |
|
|
715 |
|
|
1,500 |
|
|||
| Adjusted EBITDA |
$ |
51,249 |
|
$ |
45,145 |
|
$ |
144,930 |
|
$ |
129,645 |
|
|||
| Reconciliation of Adjusted Net Income to Net Income: (2) | |||||||||||||||
| Net income |
$ |
28,594 |
|
$ |
22,848 |
|
$ |
81,270 |
|
$ |
66,128 |
|
|||
| (Gain) on sale of assets |
|
(33 |
) |
|
2 |
|
|
(46 |
) |
|
(6 |
) |
|||
| Acquisition expenses |
|
3,948 |
|
|
2,012 |
|
|
6,738 |
|
|
7,672 |
|
|||
| Stock-based compensation expense |
|
3,008 |
|
|
4,286 |
|
|
12,398 |
|
|
11,877 |
|
|||
| Restructure and other non-recurring costs |
|
370 |
|
|
1,500 |
|
|
715 |
|
|
1,500 |
|
|||
| Tax Effect |
|
(1,961 |
) |
|
(1,925 |
) |
|
(5,086 |
) |
|
(5,103 |
) |
|||
| Adjusted Net Income |
$ |
33,926 |
|
$ |
28,723 |
|
$ |
95,989 |
|
$ |
82,068 |
|
|||
| Reconciliation of Net Income per Diluted Share to Adjusted Net Income per Diluted Share: (3) | |||||||||||||||
| Net income per diluted share |
$ |
1.54 |
|
$ |
1.24 |
|
$ |
4.39 |
|
$ |
3.60 |
|
|||
| Acquisition expenses per diluted share |
|
0.16 |
|
|
0.08 |
|
|
0.27 |
|
|
0.32 |
|
|||
| Stock-based compensation expense per diluted share |
|
0.12 |
|
|
0.18 |
|
|
0.50 |
|
|
0.50 |
|
|||
| Restructure and other non-recurring costs per diluted share |
|
0.01 |
|
|
0.06 |
|
|
0.03 |
|
|
0.06 |
|
|||
| Adjusted net income per diluted share |
$ |
1.83 |
|
$ |
1.56 |
|
$ |
5.19 |
|
$ |
4.48 |
|
|||
| Reconciliation of Net Service Revenues to Adjusted Net Service Revenues: (4) | |||||||||||||||
| Net service revenues |
$ |
387,733 |
|
$ |
362,301 |
|
$ |
1,128,761 |
|
$ |
1,049,452 |
|
|||
| Revenues associated with the closure of certain sites |
|
3 |
|
|
(1,268 |
) |
|
(109 |
) |
|
(3,420 |
) |
|||
| Adjusted net service revenues |
$ |
387,736 |
|
$ |
361,033 |
|
$ |
1,128,652 |
|
$ |
1,046,032 |
|
|||
| Reconciliation of Adjusted Hospice Organic Revenue Growth: (5) | |||||||||||||||
| Hospice Revenue |
$ |
69,022 |
|
$ |
68,891 |
|
|||||||||
| Exclusions from organic revenue |
|
1,419 |
|
|
(1,241 |
) |
|||||||||
| As reported Hospice organic revenue growth |
$ |
70,441 |
|
$ |
67,650 |
|
|
4.1 |
% |
||||||
| Implicit price concessions |
|
1,519 |
|
|
(1,495 |
) |
|||||||||
|
$ |
71,960 |
|
$ |
66,155 |
|
|
8.8 |
% |
|||||||
| 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, restructure and other non-recurring costs 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 |
|||||||||||||||
| (2) We define Adjusted Net Income as net income before acquisition expenses, stock-based compensation expense, restructure and other non-recurring costs, 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 |
|||||||||||||||
| (3) We define Adjusted diluted earnings per share as earnings per share, adjusted for acquisition expenses, stock-based compensation expense and restructure and other non-recurring costs, and gain 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 |
|||||||||||||||
| (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 |
|||||||||||||||
| (5) We define |
|||||||||||||||
View source version on businesswire.com: https://www.businesswire.com/news/home/20261103610457/en/
Executive Vice President, Chief Financial Officer
(469) 535-8200
investorrelations@addus.com
(615) 324-7302
teresa.moore@finnpartners.com
Source: