Addus HomeCare Announces Second Quarter 2023 Financial Results
Second Quarter 2023 Highlights:
-
Net Service Revenues Grow 9.7% to
$260.0 Million -
Net Income of
$14.9 Million , or$0.91 per Diluted Share -
Adjusted Net Income per Diluted Share Increases 17.6% year-over-year to
$1.07 -
Adjusted EBITDA Increases year-over-year 12.7% to
$28.3 Million -
Cash Flow from Operations of
$41.6 Million -
Announced a definitive agreement to acquire the home health, hospice and private duty nursing operations of Tennessee Quality Care, which services patients in over 50 counties in
Tennessee .
Overview
Net service revenues were
For the first six months of 2023, net service revenues increased 10.4% to
Commenting on the results,
“For our personal care segment, we achieved an impressive 12.6% organic growth in revenue on a same-store basis over the second quarter of 2022. These results reflect both sequential and year- over-year improvement in volume trends, which have continued to gain momentum in 2023 from our ongoing efforts in caregiver hiring and retention strategies begun last year. We also benefitted from two statewide rate increases in our largest state market of
Cash and Liquidity
As of
Looking Ahead
Allison continued, “We have generated very strong cash flow from operations in 2023, which has allowed us to repay debt and strengthen our balance sheet. As such, we are well positioned to continue making strategic investments in our business that will expand our operations and enhance our services across the continuum of care. In addition to organic growth opportunities, we remain focused on pursuing acquisitions that meet our desired operational and geographic profile and are accretive to our business. At the end of the second quarter, we announced a definitive agreement to acquire the entities comprising Tennessee Quality Care, a provider of home health, hospice, and private duty nursing services. Tennessee Quality Care serves an average daily census of approximately 1,800 patients through 17 locations covering a service area of over 50 counties in
“We are very pleased with the trends in our business though the first half of the year and our ability to meet our key performance objectives. As always, we acknowledge the dedicated efforts of our caregivers who work hard every day to provide outstanding care for more patients and families. We are excited about the opportunities ahead for Addus in 2023, and we will continue to pursue a strategic direction that supports the patients in our care and delivers greater value to our shareholders,” added Allison.
Non-GAAP Financial Measures
The information provided in this release includes adjusted net income, adjusted EBITDA, and adjusted net income per diluted share, which are non-GAAP financial measures. The Company defines adjusted net income as net income before acquisition expenses, stock-based compensation expenses, and restructure and other non-recurring costs. The Company defines adjusted EBITDA as earnings before interest expense, other non-operating income, taxes, depreciation, amortization, acquisition expense, stock-based compensation expense, and restructure and other non-recurring costs. The Company defines adjusted net income per diluted share as net income per share, adjusted for acquisition expenses, stock-based compensation expense, and restructure and other non-recurring costs. 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
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
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 Six Months
|
||||||||||||
|
2023 |
|
|
|
2022 |
|
|
|
2023 |
|
|
|
2022 |
|
|
Net service revenues |
$ |
259,980 |
|
$ |
236,940 |
|
$ |
511,579 |
|
$ |
463,574 |
|
|||
Cost of service revenues |
|
177,662 |
|
|
161,342 |
|
|
350,846 |
|
|
317,790 |
|
|||
Gross profit |
|
82,318 |
|
|
75,598 |
|
|
160,733 |
|
|
145,784 |
|
|||
|
31.7 |
% |
|
31.9 |
% |
|
31.4 |
% |
|
31.4 |
% |
||||
General and administrative expenses |
|
57,397 |
|
|
55,095 |
|
|
113,757 |
|
|
108,247 |
|
|||
Depreciation and amortization |
|
3,382 |
|
|
3,609 |
|
|
6,829 |
|
|
7,130 |
|
|||
Total operating expenses |
|
60,779 |
|
|
58,704 |
|
|
120,586 |
|
|
115,377 |
|
|||
Operating income |
|
21,539 |
|
|
16,894 |
|
|
40,147 |
|
|
30,407 |
|
|||
Total interest expense, net |
|
2,040 |
|
|
1,878 |
|
|
4,395 |
|
|
3,640 |
|
|||
Income before income taxes |
|
19,499 |
|
|
15,016 |
|
|
35,752 |
|
|
26,767 |
|
|||
Income tax expense |
|
4,647 |
|
|
3,766 |
|
|
8,225 |
|
|
7,047 |
|
|||
Net income |
$ |
14,852 |
|
$ |
11,250 |
|
$ |
27,527 |
|
$ |
19,720 |
|
|||
Net income per diluted share: |
$ |
0.91 |
|
$ |
0.70 |
|
$ |
1.69 |
|
$ |
1.22 |
|
|||
Weighted average number of common shares outstanding: | |||||||||||||||
Diluted |
|
16,283 |
|
|
16,131 |
|
|
16,304 |
|
|
16,113 |
|
|||
Cash Flow Information: |
For the Three Months
|
|
For the Six Months
|
||||||||||||
|
2023 |
|
|
|
2022 |
|
|
|
2023 |
|
|
|
2022 |
|
|
Net cash provided by (used in) operating activities |
$ |
41,614 |
|
$ |
56,519 |
|
$ |
60,413 |
|
$ |
62,502 |
|
|||
Net cash (used in) investing activities |
|
(969 |
) |
|
(434 |
) |
|
(2,711 |
) |
|
(86,028 |
) |
|||
Net cash (used in) financing activities |
|
(30,000 |
) |
|
(59,931 |
) |
|
(53,475 |
) |
|
(24,452 |
) |
|||
Net change in cash |
|
10,645 |
|
|
(3,846 |
) |
|
4,227 |
|
|
(47,978 |
) |
|||
Cash at the beginning of the period |
|
73,543 |
|
|
124,763 |
|
|
79,961 |
|
|
168,895 |
|
|||
Cash at the end of the period |
$ |
84,188 |
|
$ |
120,917 |
|
$ |
84,188 |
|
$ |
120,917 |
|
|||
Condensed Consolidated Balance Sheets | |||||
(Amounts in thousands) | |||||
(Unaudited) | |||||
|
2023 |
|
2022 |
||
Assets | |||||
Current assets | |||||
Cash |
$ |
84,188 |
$ |
120,917 |
|
Accounts receivable, net |
|
104,252 |
|
124,554 |
|
Prepaid expenses and other current assets |
|
19,350 |
|
10,901 |
|
Total current assets |
|
207,790 |
|
256,372 |
|
Property and equipment, net |
|
19,607 |
|
17,733 |
|
Other assets | |||||
|
583,656 |
|
574,752 |
||
Intangible assets, net |
|
68,859 |
|
74,464 |
|
Operating lease assets |
|
48,472 |
|
41,207 |
|
Total other assets |
|
700,987 |
|
690,423 |
|
Total assets |
$ |
928,384 |
$ |
964,528 |
|
Liabilities and stockholders' equity | |||||
Current liabilities | |||||
Accounts payable |
$ |
20,699 |
$ |
21,346 |
|
Accrued payroll |
|
47,795 |
|
39,432 |
|
Accrued expenses |
|
31,966 |
|
27,352 |
|
Operating lease liabilities - current portion |
|
11,334 |
|
10,702 |
|
Government stimulus advance |
|
9,959 |
|
16,735 |
|
Accrued workers compensation |
|
12,149 |
|
12,437 |
|
Total current liabilities |
|
133,902 |
|
128,004 |
|
Long-term debt, less current portion, net of debt issuance costs |
|
78,702 |
|
196,342 |
|
Long-term lease liability, less current portion |
|
43,214 |
|
38,343 |
|
Other long-term liabilities |
|
6,215 |
|
2,062 |
|
Total long-term liabilities |
|
128,131 |
|
236,747 |
|
Total liabilities |
|
262,033 |
|
364,751 |
|
Total stockholders' equity |
|
666,351 |
|
599,777 |
|
Total liabilities and stockholders' equity |
$ |
928,384 |
$ |
964,528 |
ADDUS HOMECARE CORPORATION AND SUBSIDIARIES | |||||||||||
Net Service Revenue by Segment | |||||||||||
(Amounts in thousands) | |||||||||||
(Unaudited) | |||||||||||
For the Three Months
|
|
For the Six Months
|
|||||||||
|
2023 |
|
|
2022 |
|
|
2023 |
|
|
2022 |
|
Net Service Revenues by Segment | |||||||||||
Personal Care |
$ |
198,314 |
$ |
174,330 |
$ |
388,346 |
$ |
343,962 |
|||
Hospice |
|
50,210 |
|
52,074 |
|
99,292 |
|
99,801 |
|||
|
11,456 |
|
10,536 |
|
23,941 |
|
19,811 |
||||
Total Revenue |
$ |
259,980 |
$ |
236,940 |
$ |
511,579 |
$ |
463,574 |
|||
ADDUS HOMECARE CORPORATION AND SUBSIDIARIES | ||||||||||||||||
Key Statistical and Financial Data (Unaudited) | ||||||||||||||||
For the Three Months
|
|
For the Six Months
|
||||||||||||||
|
2023 |
|
|
|
2022 |
|
|
2023 |
|
|
|
2022 |
||||
Personal Care | ||||||||||||||||
States served at period end |
|
- |
|
|
- |
|
21 |
|
|
21 |
||||||
Locations at period end |
|
- |
|
|
- |
|
157 |
|
|
161 |
||||||
Average billable census - same store |
|
39,003 |
|
|
37,501 |
|
38,611 |
|
|
37,041 |
||||||
Average billable census - acquisitions |
|
96 |
|
|
- |
|
96 |
|
|
- |
||||||
Average billable census total |
|
39,099 |
|
|
37,501 |
|
38,707 |
|
|
37,041 |
||||||
Billable hours (in thousands) |
|
7,682 |
|
|
7,373 |
|
15,274 |
|
|
14,474 |
||||||
Average billable hours per census per month |
|
65.3 |
|
|
65.2 |
|
65.6 |
|
|
64.8 |
||||||
Billable hours per business day |
|
118,177 |
|
|
113,426 |
|
117,491 |
|
|
112,198 |
||||||
Revenues per billable hour |
$ |
25.57 |
|
$ |
23.58 |
$ |
25.27 |
|
$ |
23.61 |
||||||
Organic growth | ||||||||||||||||
- Revenue |
|
12.6 |
|
% |
|
2.5 |
% |
|
11.7 |
|
% |
|
1.7 |
% |
||
Hospice | ||||||||||||||||
Locations served at period end |
|
- |
|
|
- |
|
34 |
|
|
33 |
||||||
Admissions |
|
3,076 |
|
|
3,281 |
|
6,400 |
|
|
6,596 |
||||||
Average daily census |
|
3,225 |
|
|
3,333 |
|
3,210 |
|
|
3,323 |
||||||
Average discharge length of stay |
|
94.4 |
|
|
83.8 |
|
90.9 |
|
|
84.0 |
||||||
Patient days |
|
293,502 |
|
|
303,289 |
|
581,053 |
|
|
578,777 |
||||||
Revenue per patient day |
$ |
174.32 |
|
$ |
171.70 |
$ |
175.26 |
|
$ |
172.43 |
||||||
Organic growth | ||||||||||||||||
- Revenue |
|
(1.1 |
) |
% |
|
2.5 |
% |
|
0.5 |
|
% |
|
3.4 |
% |
||
- Average daily census |
|
(3.2 |
) |
% |
|
6.1 |
% |
|
1.4 |
|
% |
|
6.6 |
% |
||
Locations served at period end |
|
- |
|
|
- |
|
13 |
|
|
12 |
||||||
New Admissions |
|
3,439 |
|
|
3,351 |
|
7,332 |
|
|
6,687 |
||||||
Recertifications |
|
1,595 |
|
|
1,409 |
|
3,144 |
|
|
2,725 |
||||||
Total Volume |
|
5,034 |
|
|
4,760 |
|
10,476 |
|
|
9,412 |
||||||
Visits |
|
68,293 |
|
|
68,452 |
|
146,121 |
|
|
133,665 |
||||||
Organic growth | ||||||||||||||||
- Revenue |
|
(10.9 |
) |
% |
|
24.6 |
% |
|
0.7 |
|
% |
|
12.6 |
% |
||
- New admissions |
|
(17.5 |
) |
% |
|
25.2 |
% |
|
(10.5 |
) |
% |
|
13.9 |
% |
||
- Volume |
|
(11.8 |
) |
% |
|
20.6 |
% |
|
(10.9 |
) |
% |
|
16.5 |
% |
||
Percentage of Revenues by Payor: | ||||||||||||||||
Personal Care | ||||||||||||||||
State, local and other governmental programs |
|
50.6 |
|
% |
|
49.0 |
% |
|
50.4 |
|
% |
|
49.2 |
% |
||
Managed care organizations |
|
46.0 |
|
|
46.2 |
|
46.1 |
|
|
45.9 |
||||||
Private duty |
|
2.2 |
|
|
2.7 |
|
2.2 |
|
|
2.7 |
||||||
Commercial |
|
0.8 |
|
|
1.2 |
|
0.9 |
|
|
1.2 |
||||||
Other |
|
0.4 |
|
% |
|
0.9 |
% |
|
0.4 |
|
% |
|
1.0 |
% |
||
Hospice | ||||||||||||||||
Medicare |
|
90.7 |
|
% |
|
90.5 |
% |
|
90.8 |
|
% |
|
90.8 |
% |
||
Commercial |
|
5.4 |
|
|
5.2 |
|
5.3 |
|
|
5.0 |
||||||
Managed care organizations |
|
3.1 |
|
|
3.8 |
|
3.2 |
|
|
3.7 |
||||||
Other |
|
0.8 |
|
% |
|
0.5 |
% |
|
0.7 |
|
% |
|
0.5 |
% |
||
Medicare |
|
76.1 |
|
% |
|
72.1 |
% |
|
75.1 |
|
% |
|
72.7 |
% |
||
Managed care organizations |
|
19.6 |
|
|
21.5 |
|
20.0 |
|
|
21.0 |
||||||
Commercial |
|
3.8 |
|
|
6.2 |
|
4.5 |
|
|
6.1 |
||||||
Other |
|
0.5 |
|
% |
|
0.2 |
% |
|
0.4 |
|
% |
|
0.2 |
% |
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 Six Months
|
|||||||||||||
|
2023 |
|
|
|
2022 |
|
|
|
2023 |
|
|
|
2022 |
|
|
Reconciliation of Adjusted EBITDA to Net Income: (1) | |||||||||||||||
Net income |
$ |
14,852 |
|
$ |
11,250 |
|
$ |
27,527 |
|
$ |
19,720 |
|
|||
Interest expense, net |
|
2,040 |
|
|
1,878 |
|
|
4,395 |
|
|
3,640 |
|
|||
(Gain) Loss on sale of assets |
|
(3 |
) |
|
(2 |
) |
|
(3 |
) |
|
(2 |
) |
|||
Income tax expense |
|
4,647 |
|
|
3,766 |
|
|
8,225 |
|
|
7,047 |
|
|||
Depreciation and amortization |
|
3,382 |
|
|
3,609 |
|
|
6,829 |
|
|
7,130 |
|
|||
Impact of retroactive |
|
(1,090 |
) |
|
- |
|
|
(868 |
) |
|
- |
|
|||
Acquisition expenses |
|
1,782 |
|
|
1,831 |
|
|
3,029 |
|
|
4,624 |
|
|||
Stock-based compensation expense |
|
2,613 |
|
|
2,680 |
|
|
5,259 |
|
|
5,165 |
|
|||
Restructure and other non-recurring costs |
|
75 |
|
|
89 |
|
|
170 |
|
|
186 |
|
|||
Adjusted EBITDA |
$ |
28,298 |
|
$ |
25,101 |
|
$ |
54,563 |
|
$ |
47,510 |
|
|||
Reconciliation of Adjusted Net Income to Net Income: (2) | |||||||||||||||
Net income |
$ |
14,852 |
|
$ |
11,250 |
|
$ |
27,527 |
|
$ |
19,720 |
|
|||
(Gain) Loss on sale of assets, net of tax |
|
(2 |
) |
|
(1 |
) |
|
(2 |
) |
|
(1 |
) |
|||
Impact of retroactive |
|
(830 |
) |
|
- |
|
|
(668 |
) |
|
- |
|
|||
Acquisition expenses, net of tax |
|
1,357 |
|
|
1,394 |
|
|
2,332 |
|
|
3,407 |
|
|||
Stock-based compensation expense, net of tax |
|
1,976 |
|
|
2,013 |
|
|
4,048 |
|
|
3,804 |
|
|||
Restructure and other non-recurring costs, net of tax |
|
57 |
|
|
66 |
|
|
131 |
|
|
137 |
|
|||
Adjusted Net Income |
$ |
17,410 |
|
$ |
14,722 |
|
$ |
33,368 |
|
$ |
27,067 |
|
|||
Reconciliation of Net Income per Diluted Share to Adjusted Net Income per Diluted Share: (3) | |||||||||||||||
Net income per diluted share |
$ |
0.91 |
|
$ |
0.70 |
|
$ |
1.69 |
|
$ |
1.22 |
|
|||
Impact of retroactive |
|
(0.05 |
) |
|
- |
|
|
(0.04 |
) |
|
- |
|
|||
Acquisition expenses per diluted share |
|
0.08 |
|
|
0.08 |
|
|
0.14 |
|
|
0.21 |
|
|||
Restructure and other non-recurring costs per diluted share |
|
- |
|
|
- |
|
|
0.01 |
|
|
0.01 |
|
|||
Stock-based compensation expense per diluted share |
|
0.13 |
|
|
0.13 |
|
|
0.25 |
|
|
0.24 |
|
|||
Adjusted net income per diluted share |
$ |
1.07 |
|
$ |
0.91 |
|
$ |
2.05 |
|
$ |
1.68 |
|
|||
Reconciliation of Net Service Revenues to Adjusted Net Service Revenues: (4) | |||||||||||||||
Net service revenues |
$ |
259,980 |
|
$ |
236,940 |
|
$ |
511,579 |
|
$ |
463,574 |
|
|||
Revenues associated with the closure of certain sites |
|
- |
|
|
(390 |
) |
|
- |
|
|
(843 |
) |
|||
Adjusted net service revenues |
$ |
259,980 |
|
$ |
236,550 |
|
$ |
511,579 |
|
$ |
462,731 |
Footnotes: | |||||||
(1) We define Adjusted EBITDA as earnings before interest expense, other non-operating income, taxes, depreciation, amortization, acquisition and de novo expenses, stock-based compensation expense, restructure expenses and other non-recurring costs and loss on the sale of assets and retroactive rate increases from |
|||||||
(2) We define Adjusted Net Income as net income before acquisition and de novo expenses, stock-based compensation expense, restructure and other non-recurring costs and gain or loss on the sale of assets and retroactive rate increases from |
|||||||
(3) We define Adjusted diluted earnings per share as earnings per share, adjusted for acquisition and de novo expenses, stock-based compensation expense and restructure and other non-recurring costs and loss on the sale of asset and retroactive rate increases from |
|||||||
(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 |
View source version on businesswire.com: https://www.businesswire.com/news/home/20230731354877/en/
Executive Vice President, Chief Financial Officer
(469) 535-8200
investorrelations@addus.com
(615) 324-7346
dru.anderson@finnpartners.com
Source: