Addus HomeCare Announces Fourth-Quarter 2021 Financial Results

Rhea-AI Summary

Addus HomeCare Corporation (NASDAQ: ADUS) reported strong financial results for Q4 2021 and the full year. Revenues grew 14.6% year-over-year to $224.6 million, while net income rose 54.6% to $13.1 million, or $0.81 per diluted share. For the full year, revenues increased 13.0% to $864.5 million, with net income up 36.2% to $45.1 million. Adjusted EBITDA for Q4 reached $26.7 million, a 27.5% increase from the previous year. Addus remains optimistic about future growth and has successfully navigated ongoing challenges from the pandemic.

Positive

• Revenue increased 14.6% YoY to $224.6 million for Q4 2021.
• Net income rose 54.6% to $13.1 million for Q4 2021.
• Adjusted EBITDA increased 27.5% to $26.7 million for Q4 2021.
• Same-store personal care revenue grew 8.0%, exceeding growth targets.

Negative

• None.

Revenues Grow 14.6% to $224.6 Million

Net Income Increases 54.6% to $13.1 Million, or $0.81 per Diluted Share

Adjusted Earnings per Diluted Share Increases 18.3% to $0.97

Adjusted EBITDA Increases 27.5% to $26.7 Million

Personal Care Same Store Revenue Increases 8.0%

FRISCO, Texas--(BUSINESS WIRE)-- Addus HomeCare Corporation (NASDAQ: ADUS), a provider of home care services, today announced its financial results for the fourth quarter and year ended December 31, 2021.

Net service revenues increased 14.6% for the fourth quarter to $224.6 million from $196.0 million for the fourth quarter of 2020. Net income increased 54.6% to $13.1 million for the fourth quarter of 2021 from $8.4 million for the fourth quarter last year, while net income per diluted share was $0.81 compared with $0.53 for the same period a year ago. Adjusted EBITDA increased 27.5% to $26.7 million for the fourth quarter of 2021 from $20.9 million for the fourth quarter of 2020. Adjusted net income per diluted share was $0.97 for the fourth quarter of 2021 compared with $0.82 for the fourth quarter of 2020. (See the end of press release for a reconciliation of all non-GAAP and GAAP financial measures.)

Adjusted net income for the fourth quarter of 2021 excludes the favorable impact of the retroactive Illinois rate increase of $0.05, acquisition and de novo expenses of $0.09, restructure and other non-recurring costs of $0.01 and stock-based compensation expense of $0.11.

For 2021, net service revenues increased 13.0% to $864.5 million from $764.8 million for 2020. Net income increased 36.2% to $45.1 million for 2021 from $33.1 million for the prior year, while net income per diluted share increased to $2.81 from $2.08. Adjusted EBITDA was $97.7 million for 2021, an increase of 27.0% compared with $76.9 million for 2020. Adjusted net income per diluted share grew 17.9% to $3.63 for 2021 from $3.08 for 2020.

Adjusted net income for the full year 2021 excludes COVID-19 net expenses of $(0.03), acquisition and de novo expenses of $0.36, restructure and other non-recurring costs of $0.05 and stock-based compensation expense of $0.44.

Commenting on the results, Dirk Allison, Chairman and Chief Executive Officer, said, “Our fourth quarter financial and operating performance marked a strong finish to 2021 for Addus. We are very pleased with the positive trends across each of our operating segments, reflecting favorable demand for home-based care, despite ongoing COVID-19 and labor challenges. Over the past two years we have continued to show remarkable flexibility in adapting to the challenges of each new COVID-19 wave, including the recent rapid onset of the Omicron variant that we have seen at the end of 2021 and early 2022. While this latest wave has been the most significant to date, it appears to be subsiding, and we remain optimistic about our position going forward.”

Allison continued, “For the fourth quarter, revenues for our personal care service line, which accounted for 78.0% of total revenue, were up 8.0% on a same-store basis, significantly exceeding our target range of 3-5% organic revenue growth. This improvement primarily reflects scheduled rate increases in Illinois that were effective November 1, 2021. Our home health services same-store revenue increased 7.1% over the prior year, with solid growth in admissions that included the acquired operations of Armada Home Health and Summit Home Health. We also saw favorable growth trends in our hospice business, with revenues up 1.3% over the prior year, and continued sequential improvement in average daily census, median length of stay and patient days. These results reflect the strength of our operating model across the care continuum, supported by our team of dedicated caregivers who have continued to provide extraordinary care and support to our patients and their families, despite ongoing pressures related to the pandemic.”

As of December 31, 2021, the Company had cash of $168.9 million and bank debt of $224.9 million, with capacity and availability under its revolving credit facility of $376.6 million and $143.6 million, respectively. Net cash provided by operating activities was $25.2 million for the fourth quarter of 2021 and $39.5 million for the full year 2021, even after using $27.9 million of previously received government stimulus funds and repayment of deferred payroll taxes. Exclusive of these payments, net cash provided by operating activities for the full year 2021 would have been $67.4 million.

“We have continued to focus on pursuing acquisitions that enhance our organic growth opportunities,” added Allison. “Our objective is to expand our reach and create multiple markets where we provide all three levels of home care. In line with this strategy, we recently acquired the operations of JourneyCare, a leading provider of hospice services in the greater Chicago area. Together with the acquisition of Illinois-based Summit Home Health, completed in the fourth quarter of 2021, we have achieved our goal to operate all three levels of home care in Illinois, which is the largest personal care market for Addus. Looking ahead to 2022, we are well capitalized and expect to continue pursuing acquisition opportunities that meet our strategic criteria.”

Allison concluded, “We believe the pandemic has raised awareness about the value of safe, quality, home-based care, and we expect to see continued growth in demand for our services that allow individuals to remain in their preferred home setting. We look forward to the opportunities ahead for Addus in 2022, as we continue to extend our market reach and deliver greater value to our shareholders.”

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 and de novo expenses, stock-based compensation expense, restructure expenses and other costs, gain or loss on the sale of assets, and retroactive rate increases from Illinois. The Company defines adjusted EBITDA as earnings before interest expense, taxes, depreciation, amortization, acquisition and de novo expenses, stock-based compensation expense, restructure expenses and other costs, loss on the sale of assets, and retroactive rate increases from Illinois. The Company defines adjusted diluted earnings per share as earnings per share, adjusted for acquisition and de novo expenses, stock compensation expense, restructure expenses and other costs, gain or loss on the sale of assets, and retroactive rate increases from Illinois. The Company defined adjusted net income, adjusted EBITDA, adjusted diluted earnings per share to exclude net COVID expenses arising from the pandemic from the second quarter of 2020 to the first quarter of 2021. 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 earnings per share to earnings 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 earnings 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 Friday, February 25, 2022, at 9:00 a.m. Eastern time. The toll-free dial-in number is (877) 930-8289 (international dial-in number is (253) 336-8714), passcode 9948689. A telephonic replay of the conference call will be available through midnight on March 4, 2022, by dialing (855) 859‑2056 (international dial-in number is (404) 537‑3406) and entering pass code 9948689.

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, anticipated 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 future impact to our business operations, reimbursements and patient population due to the recent COVID-19 global pandemic, 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 March 1, 2021, 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 approximately 45,000 consumers through 211 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 December 31,								For the Twelve Months Ended December 31,
		2021				2020				2021				2020
Net service revenues		$	224,642			$	195,996			$	864,499			$	764,775
Cost of service revenues			151,847				136,892				594,651				538,538
Gross profit			72,795				59,104				269,848				226,237
			32.4	%			30.2	%			31.2	%			29.6	%
General and administrative expenses			49,537				44,209				189,418				169,679
Depreciation and amortization			3,900				3,179				14,494				12,051
Total operating expenses			53,437				47,388				203,912				181,730
Operating income			19,358				11,716				65,936				44,507
Total interest expense, net			1,536				832				5,538				2,565
Income before income taxes			17,822				10,884				60,398				41,942
Income tax expense			4,764				2,435				15,272				8,809
Net income		$	13,058			$	8,449			$	45,126			$	33,133
Net income per diluted share:		$	0.81			$	0.53			$	2.81			$	2.08
Weighted average number of common shares outstanding:
Diluted			16,059				16,013				16,064				15,956
Cash Flow Information:		For the Three Months Ended December 31,								For the Twelve Months Ended December 31,
		2021				2020				2021				2020
Net cash provided by operating activities		$	25,201			$	36,112			$	39,488			$	109,411
Net cash used in investing activities			(9,582	)			(196,729	)			(42,015	)			(214,236	)
Net cash provided by financing activities			897				135,364				26,344				138,189
Net change in cash			16,516				(25,253	)			23,817				33,364
Cash at the beginning of the period			152,379				170,331				145,078				111,714
Cash at the end of the period		$	168,895			$	145,078			$	168,895			$	145,078

ADDUS HOMECARE CORPORATION AND SUBSIDIARIES
Condensed Consolidated Balance Sheets
(Amounts in thousands)
(Unaudited)
		December 31,
		2021			2020
Assets
Current assets
Cash		$	168,895		$	145,078
Accounts receivable, net			136,955			132,650
Prepaid expenses and other current assets			18,491			9,969
Total current assets			324,341			287,697
Property and equipment, net			18,483			19,749
Other assets
Goodwill			504,392			469,072
Intangible assets, net			64,321			71,549
Deferred tax assets, net			-			6,524
Operating lease assets			36,048			37,991
Total other assets			604,761			585,136
Total assets		$	947,585		$	892,582
Liabilities and stockholders' equity
Current liabilities
Accounts payable		$	19,358		$	23,705
Accrued payroll			44,083			35,815
Accrued expenses			37,077			37,564
Government stimulus advance			4,173			32,087
Accrued workers compensation			12,998			13,759
Current portion of long-term debt, net of debt issuance costs			-			971
Total current liabilities			117,689			143,901
Long-term debt, less current portion, net of debt issuance costs			220,912			193,901
Long-term lease liability, less current portion			32,859			35,516
Other long-term liabilities			1,781			588
Total long-term liabilities			255,552			230,005
Total liabilities			373,241			373,906
Total stockholders' equity			574,344			518,676
Total liabilities and stockholders' equity		$	947,585		$	892,582

ADDUS HOMECARE CORPORATION AND SUBSIDIARIES
Net Service Revenue by Segment
(Amounts in Thousands)
(Unaudited)
		For the Three Months Ended December 31,						For the Twelve Months Ended December 31,
		2021			2020			2021			2020
Net Service Revenues by Segment
Personal Care		$	175,110		$	164,384		$	685,854		$	647,233
Hospice			40,155			27,574			152,253			101,297
Home Health			9,377			4,038			26,392			16,245
Total Revenue		$	224,642		$	195,996		$	864,499		$	764,775

ADDUS HOMECARE CORPORATION AND SUBSIDIARIES
Key Statistical and Financial Data (Unaudited)
		For the Three Months Ended December 31,								For the Twelve Months Ended December 31,
		2021				2020				2021				2020
General
Personal Care
States served at period end			-				-				22				22
Locations at period end			-				-				162				170
Average billable census - same store			36,717				38,435				37,330				38,432
Average billable census - acquisitions (1)			688				768				721				767
Average billable census total (2)			37,405				39,203				38,051				39,199
Billable hours (in thousands)			7,425				7,820				30,151				30,645
Average billable hours per census per month			65.8				66.0				65.7				64.7
Billable hours per business day			112,498				118,490				115,521				116,967
Revenues per billable hour		$	23.28			$	20.98			$	22.71			$	21.07
Organic growth
- Revenue (3)			8.0	%			2.6	%			7.3	%			5.9	%
Hospice
Locations served at period end			-				-				32				34
Admissions			2,381				1,983				9,592				6,376
Average daily census			2,635				2,492				2,561				2,619
Average discharge length of stay			99.3				108.3				96.5				104.9
Patient days			249,266				174,407				923,014				657,172
Revenue per patient day		$	165.64			$	158.10			$	164.95			$	154.14
Organic growth
- Revenue			1.3	%			(10.6	)%			(6.2	)%			(5.3	)%
- Average daily census			(1.4	)%			(13.5	)%			(11.2	)%			1.2	%
Home Health
Locations served at period end			-				-				12				10
New Admissions			3,819				1,088				8,781				4,122
Recertifications			1,071				572				3,547				2,578
Total Volume			4,890				1,660				12,328				6,700
Visits			68,741				26,890				183,951				118,470
Organic growth
- Revenue			7.1	%			(8.2	)%			11.3	%			(3.0	)%
- New Admissions			21.0	%			(4.1	)%			23.0	%			9.1	%
Percentage of Revenues by Payor:
Personal Care
State, local and other governmental programs			48.7	%			49.8	%			49.3	%			50.2	%
Managed care organizations			46.0				45.0				45.5				44.3
Private duty			2.9				3.0				2.9				3.2
Commercial			1.4				1.5				1.4				1.5
Other			1.0	%			0.7	%			0.9	%			0.8	%
Hospice
Medicare			93.1	%			93.2	%			93.3	%			92.9	%
Managed care organizations			3.2				4.4				3.7				4.9
Other			3.7	%			2.4	%			3.0	%			2.2	%
Home Health
Medicare			75.1	%			76.8	%			78.4	%			78.6	%
Managed care organizations			17.0				21.3				16.9				19.6
Other			7.9	%			1.9	%			4.7	%			1.8	%
(1) The average billable census in acquisitions of 770 and 791 for the three and twelve months ended December 31, 2020 was reclassified to average billable census - same stores for comparability purposes. The average billable census for the three and twelve months ended December 31, 2021 was prorated for the date of the acquisition.
(2) Exited sites would have reduced same store census for the three and twelve months ended December 31, 2020 by 293 and 648, respectively.
(3) Management has suspended materially all its new patient admissions under the New York consumer self-directed program based on program uncertainty and therefore excludes associated revenues from the calculation.

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 December 31,								For the Twelve Months Ended December 31,
		2021				2020				2021				2020
Reconciliation of Adjusted EBITDA to Net Income: (2)
Net income		$	13,058			$	8,449			$	45,126			$	33,133
Interest expense, net			1,536				832				5,538				2,565
Loss on sale of assets			9				13				25				294
Income tax expense			4,764				2,435				15,272				8,809
Depreciation and amortization			3,900				3,179				14,494				12,051
COVID-19 expense, net			-				252				(591	)			1,480
Illinois retro, net			(1,005	)			-				-				-
Acquisition and de novo expenses			1,923				3,074				7,306				6,956
Stock-based compensation expense			2,329				2,017				9,434				6,005
Restructure and other non-recurring costs			200				694				1,057				5,614
Adjusted EBITDA		$	26,714			$	20,945			$	97,661			$	76,907
Reconciliation of Adjusted Net Income to Net Income: (3)
Net income		$	13,058			$	8,449			$	45,126			$	33,133
Loss on sale of assets, net of tax			7				10				19				232
COVID-19 expense, net of tax			-				196				(445	)			1,169
Illinois retro, net of tax			(739	)			-				-				-
Acquisition and de novo expenses, net of tax			1,413				2,365				5,750				5,456
Stock-based compensation expense, net of tax			1,712				1,551				7,049				4,728
Restructure and other non-recurring costs, net of tax			147				540				790				4,421
Adjusted Net Income		$	15,598			$	13,111			$	58,289			$	49,139
Reconciliation of Net Income per Diluted Share to Adjusted Net Income per Diluted Share: (4)
Net income per diluted share		$	0.81			$	0.53			$	2.81			$	2.08
Loss on sale of assets per diluted share			-				-				-				0.01
COVID-19 expense per diluted share			-				0.01				(0.03	)			0.07
Illinois retro, net per diluted share			(0.05	)			-				-				-
Acquisition and de novo expenses per diluted share			0.09				0.15				0.36				0.34
Restructure and other non-recurring costs per diluted share			0.01				0.03				0.05				0.28
Stock-based compensation expense per diluted share			0.11				0.10				0.44				0.30
Adjusted net income per diluted share		$	0.97			$	0.82			$	3.63			$	3.08
Reconciliation of Net Service Revenues to Adjusted Net Service Revenues: (5)
Net service revenues		$	224,642			$	195,996			$	864,499			$	764,775
Revenues associated with the closure of certain sites			-				(579	)			2				(7,712	)
Adjusted net service revenues		$	224,642			$	195,417			$	864,501			$	757,063
(1) The Company defined adjusted net income, adjusted EBITDA, and adjusted diluted earnings per share to exclude net COVID expenses arising from the pandemic from the second quarter of 2020 to the first quarter of 2021.
(2) 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 costs, gain or 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.
(3) We define Adjusted Net Income as net income before acquisition and de novo expenses, stock-based compensation expense, restructure expenses and other costs, gain or loss on the sale of assets, and retroactive rate increases from Illinois. 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.
(4) We define Adjusted diluted earnings per share as earnings per share, adjusted for acquisition and de novo expenses, stock-based compensation expense, restructure expense and other costs, loss on the sale of assets, and retroactive rate increases from Illinois. 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.
(5) 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/20220224005966/en/

Brian W. Poff

Addus HomeCare Corporation

Executive Vice President, Chief Financial Officer

(469) 535-8200

investorrelations@addus.com

Dru Anderson

CCI FINN Partners

(615) 324-7346

dru.anderson@finnpartners.com

Source: Addus HomeCare Corporation

FAQ

What were Addus HomeCare's Q4 earnings results for ADUS?

Addus HomeCare reported Q4 2021 revenues of $224.6 million, net income of $13.1 million, and earnings per diluted share of $0.81.

How did Addus HomeCare perform in 2021 compared to 2020?

For 2021, Addus HomeCare's revenues increased by 13.0% to $864.5 million, and net income rose 36.2% to $45.1 million.

What is Addus HomeCare's adjusted EBITDA for Q4 2021?

Addus HomeCare's adjusted EBITDA for Q4 2021 was $26.7 million, a 27.5% increase from the previous year.

What significant growth metrics did Addus HomeCare achieve in personal care services?

The personal care service line saw an 8.0% increase in same-store revenue for Q4 2021, significantly exceeding the target growth range.