Addus HomeCare Announces Fourth Quarter and Year End 2023 Financial Results
Fourth Quarter 2023 Highlights:
-
Net Service Revenues Grow 11.9% to
$276.4 Million -
Net Income of
$19.6 Million , or$1.20 per Diluted Share -
Adjusted Net Income per Diluted Share Increases 18.9% year-over-year to
$1.32 -
Adjusted EBITDA Increases 21.3% year-over-year to
$34.3 Million -
Cash Flow from Operations of
$30.0 Million
Overview
Net service revenues were
For 2023, net service revenues increased 11.3% to
Commenting on the results,
“We continued to benefit from robust demand for home-based care, especially for our personal care services, which accounted for 74.0% of our revenues. We were pleased with our 11.2% organic revenue growth on a same store basis for the quarter, and our annual growth rate of 12.1% was a record for our personal care services. This impressive revenue growth reflects higher volumes, as well as continued rate support for our services.
“Our fourth quarter results included a full three months of operations from Tennessee Quality Care, a provider of home health, hospice, and private duty nursing services, which we acquired
“Hospice services accounted for 19.8% of revenue for the fourth quarter and included the benefit of a 3.1% rate increase that was effective on
Cash and Liquidity
As of
Allison added, “In 2023 we generated strong cash flow from operations, bolstered by higher revenues and consistent payments from our various payors. Combined with our disciplined balance sheet management, we were able to fully fund our acquisitions during 2023 and still lower our revolver balance by
“As we look to 2024, we will continue to build on our momentum and capitalize on the growing demand for our home-based care. Addus offers a strong value proposition with high-quality and cost-effective care for patients in the preferred home setting. We are fortunate to have a dedicated team of caregivers across our markets who advance our mission to provide outstanding care and support for increasing numbers of patients and families. We continue to look for ways to improve the way we deliver care with enhanced training and investments in applications that support our caregivers with more efficient scheduling and overall service. With this capable team representing Addus, we are confident in our ability to extend our market reach in 2024 and deliver greater value to our shareholders.”
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 expenses, stock-based compensation expenses, restructure and other non-recurring costs, gain or loss on the sale of assets, retroactive rate increases from
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 Twelve Months
|
||||||||||||
|
2023 |
|
|
|
2022 |
|
|
|
2023 |
|
|
|
2022 |
|
|
Net service revenues |
$ |
276,351 |
|
$ |
247,050 |
|
$ |
1,058,651 |
|
$ |
951,120 |
|
|||
Cost of service revenues |
|
183,938 |
|
|
168,281 |
|
|
718,775 |
|
|
651,381 |
|
|||
Gross profit |
|
92,413 |
|
|
78,769 |
|
|
339,876 |
|
|
299,739 |
|
|||
|
33.4 |
% |
|
31.9 |
% |
|
32.1 |
% |
|
31.5 |
% |
||||
General and administrative expenses |
|
60,766 |
|
|
54,466 |
|
|
234,794 |
|
|
216,942 |
|
|||
Depreciation and amortization |
|
3,677 |
|
|
3,489 |
|
|
14,126 |
|
|
14,060 |
|
|||
Total operating expenses |
|
64,443 |
|
|
57,955 |
|
|
248,920 |
|
|
231,002 |
|
|||
Operating income |
|
27,970 |
|
|
20,814 |
|
|
90,956 |
|
|
68,737 |
|
|||
Total interest expense, net |
|
2,616 |
|
|
2,537 |
|
|
9,630 |
|
|
8,566 |
|
|||
Income before income taxes |
|
25,354 |
|
|
18,277 |
|
|
81,326 |
|
|
60,171 |
|
|||
Income tax expense |
|
5,776 |
|
|
3,515 |
|
|
18,810 |
|
|
14,146 |
|
|||
Net income |
$ |
19,578 |
|
$ |
14,762 |
|
$ |
62,516 |
|
$ |
46,025 |
|
|||
Net income per diluted share: |
$ |
1.20 |
|
$ |
0.91 |
|
$ |
3.83 |
|
$ |
2.84 |
|
|||
Weighted average number of common shares outstanding: | |||||||||||||||
Diluted |
|
16,307 |
|
|
16,258 |
|
|
16,311 |
|
|
16,181 |
|
|||
Cash Flow Information: |
For the Three Months
|
|
For the Twelve Months
|
||||||||||||
|
2023 |
|
|
|
2022 |
|
|
|
2023 |
|
|
|
2022 |
|
|
Net cash provided by operating activities |
$ |
30,049 |
|
$ |
24,292 |
|
$ |
112,247 |
|
$ |
105,110 |
|
|||
Net cash (used in) investing activities |
|
(5,302 |
) |
|
(19,236 |
) |
|
(119,236 |
) |
|
(106,590 |
) |
|||
Net cash (used in) financing activities |
|
(39,706 |
) |
|
(30,739 |
) |
|
(8,181 |
) |
|
(87,454 |
) |
|||
Net change in cash |
|
(14,959 |
) |
|
(25,683 |
) |
|
(15,170 |
) |
|
(88,934 |
) |
|||
Cash at the beginning of the period |
|
79,750 |
|
|
105,644 |
|
|
79,961 |
|
|
168,895 |
|
|||
Cash at the end of the period |
$ |
64,791 |
|
$ |
79,961 |
|
$ |
64,791 |
|
$ |
79,961 |
|
ADDUS HOMECARE CORPORATION AND SUBSIDIARIES | ||||||
Condensed Consolidated Balance Sheets | ||||||
(Amounts in thousands) | ||||||
(Unaudited) | ||||||
|
||||||
|
2023 |
|
|
2022 |
||
Assets | ||||||
Current assets | ||||||
Cash |
$ |
64,791 |
$ |
79,961 |
||
Accounts receivable, net |
|
115,499 |
|
125,501 |
||
Prepaid expenses and other current assets |
|
19,714 |
|
17,345 |
||
Total current assets |
|
200,004 |
|
222,807 |
||
Property and equipment, net |
|
24,011 |
|
21,182 |
||
Other assets | ||||||
|
662,995 |
|
582,837 |
|||
Intangible assets, net |
|
91,983 |
|
72,188 |
||
Operating lease assets |
|
45,433 |
|
38,980 |
||
Total other assets |
|
800,411 |
|
694,005 |
||
Total assets |
$ |
1,024,426 |
$ |
937,994 |
||
Liabilities and stockholders' equity | ||||||
Current liabilities | ||||||
Accounts payable |
$ |
26,183 |
$ |
22,092 |
||
Accrued payroll |
|
56,551 |
|
44,937 |
||
Accrued expenses |
|
33,236 |
|
27,507 |
||
Operating lease liabilities - current portion |
|
11,339 |
|
10,801 |
||
Government stimulus advance |
|
5,765 |
|
12,912 |
||
Accrued workers compensation |
|
12,043 |
|
12,897 |
||
Total current liabilities |
|
145,117 |
|
131,146 |
||
Long-term debt, less current portion, net of debt issuance costs |
|
124,132 |
|
131,772 |
||
Long-term lease liability, less current portion |
|
39,711 |
|
35,479 |
||
Other long-term liabilities |
|
8,772 |
|
6,057 |
||
Total long-term liabilities |
|
172,615 |
|
173,308 |
||
Total liabilities |
|
317,732 |
|
304,454 |
||
Total stockholders' equity |
|
706,694 |
|
633,540 |
||
Total liabilities and stockholders' equity |
$ |
1,024,426 |
$ |
937,994 |
ADDUS HOMECARE CORPORATION AND SUBSIDIARIES | |||||||||||
Net Service Revenue by Segment | |||||||||||
(Amounts in thousands) | |||||||||||
(Unaudited) | |||||||||||
For the Three Months
|
|
For the Twelve Months
|
|||||||||
|
2023 |
|
|
2022 |
|
|
2023 |
|
|
2022 |
|
Net Service Revenues by Segment | |||||||||||
Personal Care |
$ |
204,491 |
$ |
183,365 |
$ |
794,718 |
$ |
706,507 |
|||
Hospice |
|
54,741 |
|
50,612 |
|
207,155 |
|
201,772 |
|||
|
17,119 |
|
13,073 |
|
56,778 |
|
42,841 |
||||
Total Revenue |
$ |
276,351 |
$ |
247,050 |
$ |
1,058,651 |
$ |
951,120 |
|||
ADDUS HOMECARE CORPORATION AND SUBSIDIARIES | |||||||||||||
Key Statistical and Financial Data (Unaudited) | |||||||||||||
For the Three Months
|
For the Twelve Months
|
||||||||||||
|
2023 |
|
|
2022 |
|
|
2023 |
|
|
2022 |
|||
Personal Care | |||||||||||||
States served at period end |
|
- |
|
|
- |
|
|
21 |
|
|
21 |
||
Locations at period end |
|
- |
|
|
- |
|
|
156 |
|
|
156 |
||
Average billable census - same store (1) |
|
37,993 |
|
|
38,169 |
|
|
38,430 |
|
|
37,482 |
||
Average billable census - acquisitions |
|
85 |
|
|
- |
|
|
91 |
|
|
- |
||
Average billable census total |
|
38,078 |
|
|
38,169 |
|
|
38,521 |
|
|
37,482 |
||
Billable hours (in thousands) |
|
7,694 |
|
|
7,465 |
|
|
30,658 |
|
|
29,412 |
||
Average billable hours per census per month |
|
67.2 |
|
|
65.0 |
|
|
66.2 |
|
|
65.1 |
||
Billable hours per business day |
|
118,366 |
|
|
114,849 |
|
|
117,915 |
|
|
113,122 |
||
Revenues per billable hour |
$ |
26.53 |
|
$ |
24.48 |
|
$ |
25.86 |
|
$ |
23.91 |
||
Organic growth | |||||||||||||
- Revenue |
|
11.2 |
% |
|
7.9 |
% |
|
12.1 |
% |
|
4.6 |
% |
|
Hospice | |||||||||||||
Locations served at period end |
|
- |
|
|
- |
|
|
39 |
|
|
33 |
||
Admissions |
|
3,326 |
|
|
3,393 |
|
|
12,902 |
|
|
13,171 |
||
Average daily census (2) |
|
3,381 |
|
|
3,213 |
|
|
3,415 |
|
|
3,279 |
||
Average discharge length of stay |
|
97.8 |
|
|
90.2 |
|
|
94.4 |
|
|
87.7 |
||
Patient days |
|
311,015 |
|
|
295,619 |
|
|
1,203,522 |
|
|
1,176,193 |
||
Revenue per patient day |
$ |
176.01 |
|
$ |
171.21 |
|
$ |
175.43 |
|
$ |
171.55 |
||
Organic growth | |||||||||||||
- Revenue |
|
3.5 |
% |
|
(4.9 |
)% |
|
2.0 |
% |
|
0.4 |
% |
|
- Average daily census |
|
(1.1 |
)% |
|
(0.9 |
)% |
|
0.3 |
% |
|
1.9 |
% |
|
Locations served at period end |
|
- |
|
|
- |
|
|
24 |
|
|
13 |
||
New Admissions |
|
4,654 |
|
|
4,081 |
|
|
16,251 |
|
|
14,452 |
||
Recertifications |
|
3,214 |
|
|
1,631 |
|
|
9,030 |
|
|
5,838 |
||
Total Volume |
|
7,868 |
|
|
5,712 |
|
|
25,281 |
|
|
20,290 |
||
Visits |
|
104,161 |
|
|
88,046 |
|
|
344,919 |
|
|
293,381 |
||
Organic growth | |||||||||||||
- Revenue |
|
(17.8 |
)% |
|
8.3 |
% |
|
(7.1 |
)% |
|
8.2 |
% |
|
- New admissions |
|
(10.3 |
)% |
|
(12.8 |
)% |
|
(9.8 |
)% |
|
16.4 |
% |
|
- Volume |
|
(9.2 |
)% |
|
(1.8 |
)% |
|
(7.2 |
)% |
|
18.7 |
% |
|
Percentage of Revenues by Payor: | |||||||||||||
Personal Care | |||||||||||||
State, local and other governmental programs |
|
50.5 |
% |
|
49.3 |
% |
|
50.4 |
% |
|
49.3 |
% |
|
Managed care organizations |
|
46.4 |
|
|
46.7 |
|
|
46.2 |
|
|
46.3 |
||
Private duty |
|
1.9 |
|
|
2.5 |
|
|
2.0 |
|
|
2.6 |
||
Commercial |
|
0.8 |
|
|
0.9 |
|
|
0.8 |
|
|
1.1 |
||
Other |
|
0.4 |
% |
|
0.6 |
% |
|
0.6 |
% |
|
0.7 |
% |
|
Hospice | |||||||||||||
Medicare |
|
89.3 |
% |
|
91.3 |
% |
|
89.9 |
% |
|
90.9 |
% |
|
Commercial |
|
6.3 |
|
|
4.5 |
|
|
6.0 |
|
|
5.0 |
||
Managed care organizations |
|
3.7 |
|
|
3.7 |
|
|
3.4 |
|
|
3.6 |
||
Other |
|
0.7 |
% |
|
0.5 |
% |
|
0.7 |
% |
|
0.5 |
% |
|
Medicare |
|
68.8 |
% |
|
74.9 |
% |
|
72.3 |
% |
|
73.5 |
% |
|
Managed care organizations |
|
25.5 |
|
|
18.9 |
|
|
22.2 |
|
|
20.3 |
||
Commercial |
|
4.4 |
|
|
6.0 |
|
|
4.4 |
|
|
6.0 |
||
Other |
|
1.3 |
% |
|
0.2 |
% |
|
1.1 |
% |
|
0.2 |
% |
|
(1) Exited sites would have reduced same store census for the three and twelve months ended |
|||||||||||||
(2) Exited sites would have reduced average daily census for the three and twelve 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 Twelve Months
|
|||||||||||||
|
2023 |
|
|
|
2022 |
|
|
|
2023 |
|
|
|
2022 |
|
|
Reconciliation of Adjusted EBITDA to Net Income: (1) | |||||||||||||||
Net income |
$ |
19,578 |
|
$ |
14,762 |
|
$ |
62,516 |
|
$ |
46,025 |
|
|||
Interest expense, net |
|
2,616 |
|
|
2,537 |
|
|
9,630 |
|
|
8,566 |
|
|||
(Gain) Loss on sale of assets |
|
3 |
|
|
(33 |
) |
|
(2 |
) |
|
(60 |
) |
|||
Income tax expense |
|
5,776 |
|
|
3,515 |
|
|
18,810 |
|
|
14,146 |
|
|||
Depreciation and amortization |
|
3,677 |
|
|
3,489 |
|
|
14,126 |
|
|
14,060 |
|
|||
Impact of retroactive |
|
- |
|
|
- |
|
|
(868 |
) |
|
- |
|
|||
Impact of retroactive collective bargaining negotiations |
|
(1,338 |
) |
|
- |
|
|
- |
|
|
- |
|
|||
Acquisition expenses |
|
1,428 |
|
|
1,155 |
|
|
6,220 |
|
|
7,657 |
|
|||
Stock-based compensation expense |
|
2,488 |
|
|
2,680 |
|
|
10,319 |
|
|
10,625 |
|
|||
Restructure and other non-recurring costs |
|
27 |
|
|
143 |
|
|
269 |
|
|
461 |
|
|||
Adjusted EBITDA |
$ |
34,255 |
|
$ |
28,248 |
|
$ |
121,020 |
|
$ |
101,480 |
|
|||
Reconciliation of Adjusted Net Income to Net Income: (2) | |||||||||||||||
Net income |
$ |
19,578 |
|
$ |
14,762 |
|
$ |
62,516 |
|
$ |
46,025 |
|
|||
(Gain) Loss on sale of assets |
|
3 |
|
|
(33 |
) |
|
(2 |
) |
|
(60 |
) |
|||
Impact of retroactive |
|
- |
|
|
- |
|
|
(868 |
) |
|
- |
|
|||
Impact of retroactive collective bargaining negotiations |
|
(1,338 |
) |
|
- |
|
|
- |
|
|
- |
|
|||
Acquisition expenses |
|
1,428 |
|
|
1,155 |
|
|
6,220 |
|
|
7,657 |
|
|||
Stock-based compensation expense |
|
2,488 |
|
|
2,680 |
|
|
10,319 |
|
|
10,625 |
|
|||
Restructure and other non-recurring costs |
|
27 |
|
|
143 |
|
|
269 |
|
|
461 |
|
|||
Tax effect |
|
(594 |
) |
|
(652 |
) |
|
(3,694 |
) |
|
(4,393 |
) |
|||
Adjusted Net Income |
$ |
21,592 |
|
$ |
18,055 |
|
$ |
74,760 |
|
$ |
60,315 |
|
|||
Reconciliation of Net Income per Diluted Share to Adjusted Net Income per Diluted Share: (3) | |||||||||||||||
Net income per diluted share |
$ |
1.20 |
|
$ |
0.91 |
|
$ |
3.83 |
|
$ |
2.84 |
|
|||
Impact of retroactive |
|
- |
|
|
- |
|
|
(0.04 |
) |
|
- |
|
|||
Impact of retroactive collective bargaining negotiations per diluted share |
|
(0.07 |
) |
|
- |
|
|
- |
|
|
- |
|
|||
Acquisition expenses per diluted share |
|
0.07 |
|
|
0.06 |
|
|
0.29 |
|
|
0.36 |
|
|||
Restructure and other non-recurring costs per diluted share |
|
- |
|
|
0.01 |
|
|
0.01 |
|
|
0.02 |
|
|||
Stock-based compensation expense per diluted share |
|
0.12 |
|
|
0.13 |
|
|
0.49 |
|
|
0.51 |
|
|||
Adjusted net income per diluted share |
$ |
1.32 |
|
$ |
1.11 |
|
$ |
4.58 |
|
$ |
3.73 |
|
|||
Reconciliation of Net Service Revenues to Adjusted Net Service Revenues: (4) | |||||||||||||||
Net service revenues |
$ |
276,351 |
|
$ |
247,050 |
|
$ |
1,058,651 |
|
$ |
951,120 |
|
|||
Revenues associated with the closure of certain sites |
|
(0 |
) |
|
(722 |
) |
|
(1,325 |
) |
|
(4,339 |
) |
|||
Adjusted net service revenues |
$ |
276,351 |
|
$ |
246,328 |
|
$ |
1,057,326 |
|
$ |
946,781 |
|
Footnotes: | |||||||
(1) We define Adjusted EBITDA as earnings before net interest expense, income tax expense, depreciation and amortization, acquisition expenses, stock-based compensation expense, restructure expenses and other non-recurring costs, gain or loss on the sale of assets, retroactive rate increases from |
|||||||
(2) We define Adjusted Net Income as net income before acquisition expenses, stock-based compensation expense, restructure and other non-recurring costs, gain or loss on the sale of assets, retroactive rate increases from |
|||||||
(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, gain or loss on the sale of asset, 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/20240226599321/en/
Executive Vice President, Chief Financial Officer
(469) 535-8200
investorrelations@addus.com
(615) 324-7346
dru.anderson@finnpartners.com
Source: