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home / news releases / ADUS - Addus HomeCare Announces Third Quarter 2023 Financial Results


ADUS - Addus HomeCare Announces Third Quarter 2023 Financial Results

Addus HomeCare Corporation (NASDAQ: ADUS), a provider of home care services, today announced its financial results for the third quarter and nine months ended September 30, 2023.

Third Quarter 2023 Highlights :

  • Net Service Revenues Grow 12.6% to $270.7 Million
  • Net Income of $15.4 Million, or $0.95 per Diluted Share
  • Adjusted Net Income per Diluted Share Increases 22.3% year-over-year to $1.15
  • Adjusted EBITDA Increases 20.0% year-over-year to $30.9 Million
  • Cash Flow from Operations of $21.8 Million

Overview

Net service revenues were $270.7 million for the third quarter of 2023, a 12.6% increase compared with $240.5 million for the third quarter of 2022. Net income was $15.4 million for the third quarter of 2023, compared with $11.5 million for the third quarter of 2022, while net income per diluted share was $0.95 compared with $0.71 for the same period a year ago. Adjusted EBITDA increased 20.0% to $30.9 million for the third quarter of 2023 from $25.7 million for the third quarter of 2022. Adjusted net income was $18.8 million for the third quarter of 2023 compared with $15.2 million for the prior-year period, while adjusted net income per diluted share was $1.15 compared with $0.94 for the third quarter of 2022. Adjusted net income per diluted share for the third quarter of 2023 excludes acquisition expenses of $0.08 and stock-based compensation expense of $0.12 (See the end of press release for a reconciliation of all non-GAAP and GAAP financial measures.)

For the first nine months of 2023, net service revenues increased 11.1% to $782.3 million from $704.1 million for the prior-year period. Net income was $42.9 million for the first nine months of 2023 compared with $31.3 million for the same period in 2022, and net income per diluted share was $2.63 compared with $1.94 per diluted share. Adjusted EBITDA increased 16.7% to $85.4 million for the first nine months of 2023 from $73.2 million for the first nine months of 2022. Adjusted net income was $52.1 million for the first nine months of 2023 compared with $42.3 million for the first nine months of 2022, while adjusted net income per diluted share was $3.20 compared with $2.63 for the prior-year period.

Commenting on the results, Dirk Allison, Chairman and Chief Executive Officer, said, “Our third quarter results reflect the continued strong momentum in our business, highlighted by revenue and adjusted EBITDA growth of 12.6% and 20.0%, respectively, when compared with the third quarter of 2022. In addition to revenues generated by our recent acquisitions, organic growth was driven by continued demand for home-based care, especially for our personal care services, which accounted for 74.6% of our revenues. We are also pleased that the overall labor environment has continued to improve, which has enhanced our ability to support our higher patient volume.

“Our personal care segment has been the key growth driver for Addus this year, as we delivered impressive 13.9% organic growth in revenue on a same-store basis over the third quarter of 2022, the highest quarterly growth rate this year. This growth has benefited from the increased demand we are seeing in our markets along with the two statewide rate increases in our largest personal care state of Illinois.

“Our third quarter results included two months of operations of Tennessee Quality Care, a provider of home health, hospice, and private duty nursing services, which we acquired August 1, 2023. We are pleased that the integration process is going well as we expand our coverage capabilities to all three levels of home-based care in Tennessee. We remain excited about the expansion opportunities in our home health operations as it complements our personal care services, especially where we participate in value-based contracting models. For our hospice business, which accounted for 19.6% of revenue for the third quarter, we were encouraged to see more positive trends return with revenues up 3.1% over the third quarter of 2022 on a same-store basis and modest improvement in average daily census and length of stay compared with the same period last year,” said Allison.

Cash and Liquidity

As of September 30, 2023, the Company had cash of $79.8 million and bank debt of $166.4 million, with capacity and availability under its revolving credit facility of $450.0 million and $275.6 million, respectively. Net cash provided by operating activities was $21.8 million for the third quarter of 2023, inclusive of a net $2.1 million in ARPA funds utilization.

Looking Ahead

Allison continued, “While we have continued to expand our business, we also have generated very strong cash flow from operations in 2023. Our leadership team has remained focused on paying down debt and strengthening our balance sheet to ensure we are well-capitalized to make strategic investments in our business. We will continue to pursue acquisitions similar to Tennessee Quality Care and other strategic acquisitions that are accretive to our business and meet our goal of adding valuable clinical assets to our non-clinical operations. Consistent with our historical approach to M&A, we are being selective in identifying and pursuing acquisition opportunities, allowing us to gain more clarity on pending regulatory changes and other market dynamics.

“We are proud of the work we are doing to meet the expanding need for home-based care, which is one of the safest and most cost-effective care delivery models. We recognize that both our past and future success are due to our caregivers who work hard every day to provide outstanding care and support to more patients and families. I am grateful for our dedicated team of caregivers who provide this safe, high-quality care in the preferred home setting,” 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 Tuesday, October 31, 2023, 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 November 7, 2023, by dialing (877) 344-7529 (international dial-in number is (412) 317-0088) and entering pass code 7533538.

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 28, 2023, 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 over 49,000 consumers through 220 locations across 22 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 September 30,

For the Nine Months
Ended September 30,

2023

2022

2023

2022

Net service revenues

$

270,721

$

240,495

$

782,300

$

704,070

Cost of service revenues

183,991

165,310

534,837

483,100

Gross profit

86,730

75,185

247,463

220,970

32.0

%

31.3

%

31.6

%

31.4

%

General and administrative expenses

60,271

54,228

174,028

162,476

Depreciation and amortization

3,620

3,441

10,449

10,571

Total operating expenses

63,891

57,669

184,477

173,047

Operating income

22,839

17,516

62,986

47,923

Total interest expense, net

2,619

2,389

7,014

6,029

Income before income taxes

20,220

15,127

55,972

41,894

Income tax expense

4,809

3,584

13,034

10,631

Net income

$

15,411

$

11,543

$

42,938

$

31,263

Net income per diluted share:

$

0.95

$

0.71

$

2.63

$

1.94

Weighted average number of common shares outstanding:
Diluted

16,283

16,184

16,304

16,146

Cash Flow Information:

For the Three Months
Ended September 30,

For the Nine Months
Ended September 30,

2023

2022

2023

2022

Net cash provided by operating activities

$

21,785

$

18,316

$

82,198

$

80,818

Net cash (used in) investing activities

(111,223

)

(1,326

)

(113,934

)

(87,354

)

Net cash provided by (used in) financing activities

85,000

(32,263

)

31,525

(56,715

)

Net change in cash

(4,438

)

(15,273

)

(211

)

(63,251

)

Cash at the beginning of the period

84,188

120,917

79,961

168,895

Cash at the end of the period

$

79,750

$

105,644

$

79,750

$

105,644

ADDUS HOMECARE CORPORATION AND SUBSIDIARIES

Condensed Consolidated Balance Sheets

(Amounts in thousands)

(Unaudited)

September 30,

2023

2022

Assets
Current assets
Cash

$

79,750

$

105,644

Accounts receivable, net

121,112

126,253

Prepaid expenses and other current assets

10,387

8,245

Total current assets

211,249

240,142

Property and equipment, net

20,516

17,428

Other assets
Goodwill

662,981

575,205

Intangible assets, net

93,799

72,655

Operating lease assets

47,183

40,503

Total other assets

803,963

688,363

Total assets

$

1,035,728

$

945,933

Liabilities and stockholders' equity
Current liabilities
Accounts payable

$

21,375

$

19,545

Accrued payroll

51,774

35,084

Accrued expenses

34,952

28,691

Operating lease liabilities - current portion

11,434

10,866

Government stimulus advance

7,836

21,158

Accrued workers compensation

12,268

12,844

Total current liabilities

139,639

128,188

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

163,917

163,557

Long-term lease liability, less current portion

41,632

37,168

Other long-term liabilities

6,206

2,183

Total long-term liabilities

211,755

202,908

Total liabilities

351,394

331,096

Total stockholders' equity

684,334

614,837

Total liabilities and stockholders' equity

$

1,035,728

$

945,933

ADDUS HOMECARE CORPORATION AND SUBSIDIARIES
Net Service Revenue by Segment
(Amounts in thousands)
(Unaudited)

For the Three Months
Ended September 30,

For the Nine Months
Ended September 30,

2023

2022

2023

2022

Net Service Revenues by Segment
Personal Care

$

201,882

$

179,180

$

590,227

$

523,142

Hospice

53,121

51,359

152,414

151,160

Home Health

15,718

9,956

39,659

29,768

Total Revenue

$

270,721

$

240,495

$

782,300

$

704,070

ADDUS HOMECARE CORPORATION AND SUBSIDIARIES
Key Statistical and Financial Data (Unaudited)

For the Three Months
Ended September 30,

For the Nine Months
Ended September 30,

2023

2022

2023

2022

Personal Care
States served at period end

-

-

21

21

Locations at period end

-

-

156

161

Average billable census - same store (1)

38,504

37,677

38,575

37,253

Average billable census - acquisitions

86

-

93

-

Average billable census total

38,590

37,677

38,668

37,253

Billable hours (in thousands)

7,690

7,473

22,964

21,947

Average billable hours per census per month

66.3

65.9

65.8

65.2

Billable hours per business day

118,314

113,229

117,765

112,547

Revenues per billable hour

$

26.18

$

23.92

$

25.58

$

23.71

Organic growth
- Revenue

13.9

%

7.0

%

12.5

%

3.5

%

Hospice
Locations served at period end

-

-

40

33

Admissions

3,176

3,182

9,576

9,778

Average daily census (2)

3,453

3,280

3,426

3,304

Average discharge length of stay

97.5

92.7

93.2

86.8

Patient days

311,454

301,797

892,507

880,574

Revenue per patient day

$

175.19

$

170.18

$

175.23

$

171.66

Organic growth
- Revenue

3.1

%

0.1

%

1.5

%

1.6

%

- Average daily census

(0.9

)%

2.2

%

0.8

%

5.0

%

Home Health
Locations served at period end

-

-

24

12

New Admissions

4,265

3,684

11,597

10,371

Recertifications

2,672

1,482

5,816

42,007

Total Volume

6,937

5,166

17,413

14,578

Visits

94,637

71,670

240,758

205,335

Organic growth
- Revenue

(8.8

)%

0.2

%

(2.5

)%

(1.2

)%

- New admissions

(18.9

)%

18.6

%

(13.5

)%

15.7

%

- Volume

(14.3

)%

15.1

%

(9.3

)%

16.0

%

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

50.4

%

49.4

%

50.4

%

49.4

%

Managed care organizations

46.4

46.4

46.2

46.1

Private duty

2.0

2.6

2.1

2.6

Commercial

0.8

1.0

0.8

1.1

Other

0.4

%

0.6

%

0.5

%

0.8

%

Hospice
Medicare

89.1

%

90.6

%

90.2

%

90.8

%

Commercial

6.8

5.4

5.8

5.1

Managed care organizations

3.4

3.5

3.3

3.6

Other

0.7

%

0.5

%

0.7

%

0.5

%

Home Health
Medicare

72.1

%

73.5

%

73.9

%

73.0

%

Managed care organizations

21.9

20.1

20.8

20.7

Commercial

4.2

6.2

4.3

6.1

Other

1.8

%

0.2

%

1.0

%

0.2

%

(1) Exited sites would have reduced same store census for the three and nine months ended September 30, 2022, by 40 and 43, respectively.
(2) Exited sites would have reduced average daily census for the three and nine months ended September 30, 2022, by 11 and 34, respectively.

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 September 30,

For the Nine Months
Ended September 30,

2023

2022

2023

2022

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

$

15,411

$

11,543

$

42,938

$

31,263

Interest expense, net

2,619

2,389

7,014

6,029

(Gain) Loss on sale of assets

(1

)

(25

)

(5

)

(27

)

Income tax expense

4,809

3,584

13,034

10,631

Depreciation and amortization

3,620

3,441

10,449

10,571

Impact of retroactive New York rate increase

-

-

(868

)

-

Acquisition expenses

1,763

1,878

4,792

6,502

Stock-based compensation expense

2,572

2,780

7,831

7,945

Restructure and other non-recurring costs

72

132

242

318

Adjusted EBITDA

$

30,865

$

25,722

$

85,427

$

73,232

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

$

15,411

$

11,543

$

42,938

$

31,263

(Gain) Loss on sale of assets, net of tax

(1

)

(18

)

(4

)

(20

)

Impact of retroactive New York rate increase, net of tax

-

-

(666

)

-

Acquisition expenses, net of tax

1,344

1,444

3,676

4,852

Stock-based compensation expense, net of tax

1,960

2,124

6,007

5,928

Restructure and other non-recurring costs, net of tax

55

101

186

237

Adjusted Net Income

$

18,769

$

15,194

$

52,137

$

42,260

Reconciliation of Net Income per Diluted Share to Adjusted Net Income per Diluted Share: (3)
Net income per diluted share

$

0.95

$

0.71

$

2.63

$

1.94

Impact of retroactive New York rate increase per diluted share

-

-

(0.04

)

-

Acquisition expenses per diluted share

0.08

0.08

0.23

0.30

Restructure and other non-recurring costs per diluted share

-

0.01

0.01

0.01

Stock-based compensation expense per diluted share

0.12

0.14

0.37

0.38

Adjusted net income per diluted share

$

1.15

$

0.94

$

3.20

$

2.63

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

$

270,721

$

240,495

$

782,300

$

704,070

Revenues associated with the closure of certain sites

(325

)

(666

)

(1,563

)

(3,134

)

Adjusted net service revenues

$

270,396

$

239,829

$

780,737

$

700,936

Footnotes:
(1) We define Adjusted EBITDA as earnings before interest expense, other non-operating income, taxes, depreciation, amortization, acquisition expenses, stock-based compensation expense, restructure expenses and other non-recurring costs and loss on the sale of assets and retroactive rate increases from Illinois. 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.
(2) We define Adjusted Net Income as net income before acquisition 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 New York. 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 restructure and other non-recurring costs and loss on the sale of asset and retroactive rate increases from New York. 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/20231030933199/en/

Brian W. Poff
Executive Vice President, Chief Financial Officer
Addus HomeCare Corporation
(469) 535-8200
investorrelations@addus.com

Dru Anderson
FINN Partners
(615) 324-7346
dru.anderson@finnpartners.com

Stock Information

Company Name: Addus HomeCare Corporation
Stock Symbol: ADUS
Market: NASDAQ
Website: addus.com

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