Addus HomeCare Announces Third-Quarter 2021 Financial Results

Rhea-AI Summary

Addus HomeCare Corporation (NASDAQ: ADUS) reported strong financial results for Q3 and the first nine months of 2021. Revenues grew by 11.7% to $216.7 million in Q3, with net income up 27.0% to $11.6 million, or $0.72 per diluted share. Adjusted earnings per diluted share increased 19.7% to $0.91. For the first nine months, revenues rose 12.5% to $639.9 million, and net income surged 29.9% to $32.1 million. The company also completed the acquisition of Summit Home Health, enhancing service offerings.

Positive

• Revenue growth of 11.7% in Q3 to $216.7 million.
• Net income increased by 27.0% in Q3 to $11.6 million.
• Adjusted EBITDA rose by 27.4% in Q3 to $24.9 million.
• Completion of the acquisition of Summit Home Health, adding $7 million in annualized revenues.

Negative

• Ongoing pressures due to the Delta variant of COVID-19 and a tightening labor market.

Revenues Grow 11.7% to $216.7 Million

Net Income Increases 27.0% to $11.6 Million, or $0.72 per Diluted Share

Adjusted Earnings per Diluted Share Increases 19.7% to $0.91

Adjusted EBITDA Increases 27.4% to $24.9 Million

FRISCO, Texas--(BUSINESS WIRE)-- 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, 2021.

Net service revenues increased 11.7% for the third quarter to $216.7 million from $194.0 million for the third quarter of 2020. Net income increased 27.0% to $11.6 million for the third quarter of 2021 from $9.1 million for the third quarter last year, while net income per diluted share was $0.72 compared with $0.57 for the same period a year ago. Adjusted net income per diluted share was $0.91 for the third quarter of 2021 compared with $0.76 for the third quarter of 2020.

Adjusted net income for the third quarter of 2021 excludes acquisition and de novo expenses of $0.08 and stock-based compensation expense of $0.11. Adjusted EBITDA increased 27.4% to $24.9 million for the third quarter of 2021 from $19.5 million for the third quarter of 2020. (See page 8 for a reconciliation of all non-GAAP and GAAP financial measures in this news release.)

For the first nine months of 2021, net service revenues increased 12.5% to $639.9 million from $568.8 million for the first nine months of 2020. Net income increased 29.9% to $32.1 million for the first nine months of 2021 from $24.7 million for the first nine months of last year, while net income per diluted share increased to $2.00 from $1.55. Adjusted net income per diluted share grew 15.9% to $2.62 for the first nine months of 2021 from $2.26 for the same period in 2020. Adjusted EBITDA increased 25.0% to $69.9 million for the first nine months of 2021 from $56.0 million for the first nine months of 2020.

Commenting on the results, Dirk Allison, Chairman and Chief Executive Officer, said, “We had record results in the third quarter with overall revenue growth of 11.7% over the prior-year period and improved profitability. Our personal care service line, which accounted for 78.3% of total revenue, was up 4.0% on a same store basis, which is within our target range of 3-5% organic revenue growth, and we anticipate potential improvement enhanced by upcoming scheduled rate increases. Home health had another strong quarter, up 24.8% over the third quarter last year, reflecting significantly higher volumes. As expected, we are seeing continued improvement in our hospice business with sequential growth in admissions, average daily census, and median length of stay. Overall operating trends were positive, despite pressures related to the surge in the Delta variant of COVID-19 as well as a tightening labor market, which had some effect on our growth in certain markets.”

As of September 30, 2021, the Company had cash of $152.4 million and bank debt of $224.9 million, with capacity and availability under its revolving credit facility of $367.0 million and $123.8 million, respectively. Net cash provided by operating activities was $17.6 million for the third quarter of 2021.

On October 1, 2021, the Company completed its acquisition of Summit Home Health, LLC, (“Summit”) based in the Chicago metro area, the Company’s largest market for personal care services. Allison noted, “This acquisition is based on our strategy to add clinical services in geographic markets where we have a strong personal care presence and opportunities in value-based care. With the addition of Summit’s $7.0 million in annualized revenues, we have added $30 million in annualized revenues through acquisitions to date in 2021. We remain focused on pursuing acquisitions that are accretive to our business and complement our organic growth opportunities. Our pipeline remains solid and we have the financial flexibility to pursue additional strategic acquisitions and further strengthen our competitive position.”

Allison continued, “We are pleased with our results to date in 2021 and continue to benefit from a favorable environment for home-based care with strong demand trends and increased government recognition and support through state and federal funding. The pandemic has demonstrated the critical need for safe, quality, patient-centered care in the home, and Addus is well positioned to meet this demand across our operating segments. We have a proven operating model and a dedicated team of frontline caregivers and support staff who share our mission to provide essential home care services to the patients who count on Addus for safe and cost-effective care.”

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. 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. 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. 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 Tuesday, November 2, 2021, 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 6998238. A telephonic replay of the conference call will be available through midnight on November 9, 2021, by dialing (855) 859‑2056 (international dial-in number is (404) 537‑3406) and entering pass code 6998238.

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 44,500 consumers through 207 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,
	2021				2020				2021				2020
Net service revenues	$	216,662			$	193,987			$	639,857			$	568,779
Cost of service revenues		149,616				137,686				442,804				401,646
Gross profit		67,046				56,301				197,053				167,133
		30.9	%			29.0	%			30.8	%			29.4	%
General and administrative expenses		46,280				40,806				139,865				125,189
(Gain) loss on sale of assets		-				(73	)			16				281
Depreciation and amortization		3,406				3,045				10,594				8,872
Total operating expenses		49,686				43,778				150,475				134,342
Operating income		17,360				12,523				46,578				32,791
Total interest expense, net		1,577				593				4,002				1,733
Income before income taxes		15,783				11,930				42,576				31,058
Income tax expense		4,206				2,811				10,508				6,374
Net income	$	11,577			$	9,119			$	32,068			$	24,684
Net income (loss) per diluted share	$	0.72			$	0.57			$	2.00			$	1.55
Weighted average number of common shares outstanding:
Diluted		16,030				15,957				16,060				15,934
Cash Flow Information:	For the Three Months Ended September 30,								For the Nine Months Ended September 30,
	2021				2020				2021				2020
Net cash provided by operating activities	$	17,608			$	22,412			$	14,287			$	73,299
Net cash (used in) investing activities		(30,505	)			(12,542	)			(32,433	)			(17,507	)
Net cash provided by financing activities		25,876				1,912				25,447				2,825
Net change in cash		12,979				11,782				7,301				58,617
Cash at the beginning of the period		139,400				158,549				145,078				111,714
Cash at the end of the period	$	152,379			$	170,331			$	152,379			$	170,331

ADDUS HOMECARE CORPORATION AND SUBSIDIARIES
Condensed Consolidated Balance Sheets
(Amounts in thousands)
(Unaudited)
	September 30,
	2021			2020
Assets
Current assets
Cash	$	152,379		$	170,331
Accounts receivable, net		133,814			118,623
Prepaid expenses and other current assets		13,514			10,426
Total current assets		299,707			299,380
Property and equipment, net		18,614			19,305
Other assets
Goodwill		497,919			286,552
Intangible assets, net		66,332			52,873
Deferred tax assets, net		5,919			1,479
Operating lease assets		36,424			35,842
Total other assets		606,594			376,746
Total assets	$	924,915		$	695,431
Liabilities and stockholders' equity
Current liabilities
Accounts payable	$	23,167		$	17,270
Accrued payroll		31,626			26,315
Accrued expenses		35,780			26,254
Government stimulus advance		7,674			7,141
Accrued workers compensation		14,286			14,668
Current portion of long-term debt, net of debt issuance costs		-			2,095
Total current liabilities		112,533			93,743
Long-term debt, less current portion, net of debt issuance costs		220,707			59,561
Long-term lease liability, less current portion		33,509			33,977
Other long-term liabilities		115			550
Total long-term liabilities		254,331			94,088
Total liabilities		366,864			187,831
Total stockholders' equity		558,051			507,600
Total liabilities and stockholders' equity	$	924,915		$	695,431

ADDUS HOMECARE CORPORATION AND SUBSIDIARIES
Net Service Revenues by Segment
(Amounts in thousands)
(Unaudited)
	For the Three Months Ended September 30,						For the Nine Months Ended September 30,
	2021			2020			2021			2020
Net Service Revenues by Segment
Personal Care	$	169,609		$	165,916		$	510,744		$	482,849
Hospice		39,095			23,986			112,098			73,723
Home Health		7,958			4,085			17,015			12,207
Total Revenue	$	216,662		$	193,987		$	639,857		$	568,779

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,
	2021				2020				2021				2020
General
Personal Care
States served at period end		-				-				22				24
Locations at period end		-				-				162				153
Average billable census - same store		37,270				38,589				37,534				38,443
Average billable census - acquisitions (1)		709				-				732				-
Average billable census total (2)		37,979				38,589				38,266				38,443
Billable hours (in thousands)		7,537				7,778				22,712				22,825
Average billable hours per census per month		65.8				66.9				65.7				65.6
Billable hours per business day		114,195				117,841				116,472				116,454
Revenues per billable hour	$	22.47			$	21.29			$	22.45			$	21.11
Organic growth
- Revenue (3)		4.0	%			4.8	%			6.6	%			8.8	%
Hospice
Locations served at period end		-				-				34				30
Admissions		2,565				1,399				7,211				4,393
Average daily census		2,629				1,681				2,523				1,762
Average discharge length of stay		95.2				108.6				95.4				103.4
Patient days		240,692				154,609				680,600				482,765
Revenue per patient day	$	162.43			$	155.14			$	164.71			$	152.71
Organic growth
- Revenue		(4.8	)%			(5.6	)%			(7.2	)%			0.0	%
- Average daily census		(7.6	)%			(6.2	)%			(24.6	)%			3.9	%
Home Health
Locations served at period end		-				-				11				10
New Admissions		2,608				1,096				4,962				3,186
Recertifications		1,081				607				2,476				2,006
Total Volume		3,689				1,703				7,438				5,192
Visits		55,963				28,073				115,210				91,580
Organic growth
- Revenue		24.8	%			(8.9	)%			15.9	%			(0.6	)%
- New Admissions		27.9	%			42.6	%			23.8	%			23.0	%
Percentage of Revenues by Payor:
Personal Care
State, local and other governmental programs		49.5	%			51.5	%			49.5	%			50.3	%
Managed care organizations		45.3				43.2				45.3				44.1
Private duty		2.9				3.1				2.9				3.2
Commercial		1.4				1.5				1.5				1.5
Other		0.9	%			0.7	%			0.8	%			0.9	%
Hospice
Medicare		92.8	%			93.4	%			93.4	%			92.8	%
Managed care organizations		3.9				4.7				3.9				5.0
Other		3.3	%			1.9	%			2.7	%			2.2	%
Home Health
Medicare		80.1	%			78.0	%			80.5	%			79.2	%
Managed care organizations		15.3				20.3				16.7				19.0
Other		4.6	%			1.7	%			2.8	%			1.8	%
(1) The average billable census in acquisitions of 811 and 893 for the three and nine months ended September 30, 2020 was reclassified to average billable census - same stores for comparability purposes. The average billable census for the three and nine months ended September 30, 2021 was prorated for the date of the acquisition.
(2) Exited sites would have reduced same store census for the three and nine months ended September 30, 2020 by 768 and 766, respectively.
(3) Management has suspended materially all of 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 September 30,							For the Nine Months Ended September 30,
	2021			2020				2021				2020
Reconciliation of Adjusted EBITDA to Net Income: (2)
Net income	$	11,577		$	9,119			$	32,068			$	24,684
Interest expense, net		1,577			593				4,002				1,733
(Gain) loss on sale of assets		-			(73	)			16				281
Income tax expense		4,206			2,811				10,508				6,374
Depreciation and amortization		3,406			3,045				10,594				8,872
COVID-19 expense, net		-			702				(591	)			1,228
Acquisition and de novo expenses		1,663			338				5,383				3,883
Stock-based compensation expense		2,341			1,462				7,105				3,987
Restructure expenses and other costs		103			1,529				857				4,921
Adjusted EBITDA	$	24,873		$	19,526			$	69,942			$	55,963
Reconciliation of Adjusted Net Income to Net Income: (3)
Net income	$	11,577		$	9,119			$	32,068			$	24,684
(Gain) loss on sale of assets, net of tax		-			(56	)			12				223
COVID-19 expense, net of tax		-			537				(479	)			976
Acquisition and de novo expenses, net of tax		1,220			258				4,361				3,047
Stock-based compensation expense, net of tax		1,716			1,119				5,370				3,153
Restructuring expenses and other costs, net of tax		76			1,169				647				3,897
Adjusted Net Income	$	14,589		$	12,146			$	41,979			$	35,980
Reconciliation of Net Income per Diluted Share to Adjusted Net Income per Diluted Share: (4)
Net income per diluted share	$	0.72		$	0.57			$	2.00			$	1.55
Loss on sale of assets per diluted share		-			-				-				0.01
COVID-19 expense per diluted share		-			0.02				(0.02	)			0.06
Acquisition and de novo expenses per diluted share		0.08			0.02				0.27				0.19
Restructure expenses and other costs per diluted share		-			0.08				0.04				0.25
Stock-based compensation expense per diluted share		0.11			0.07				0.33				0.20
Adjusted net income per diluted share	$	0.91		$	0.76			$	2.62			$	2.26
Reconciliation of Net Service Revenues to Adjusted Net Service Revenues: (5)
Net service revenues	$	216,662		$	193,987			$	639,857			$	568,779
Revenues associated with the closure of certain sites		-			(2,369	)			2				(7,133	)
Adjusted net service revenues	$	216,662		$	191,618			$	639,859			$	561,646
(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, interest income from the state of Illinois, other non-operating income, taxes, depreciation, amortization, acquisition and de novo expenses, stock-based compensation expense, restructure expenses and other costs and loss on the sale of assets associated with Hospice Partners of Kansas. 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 interest income from the state of Illinois, acquisition and de novo expenses, stock-based compensation expense, restructure expenses and other costs and loss on the sale of assets associated with Hospice Partners of Kansas. 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 interest income from the state of Illinois, acquisition and de novo expenses, stock-based compensation expense and restructure expense, and other costs and loss on the sale of assets associated with Hospice Partners of Kansas. 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/20211101005921/en/

Brian W. Poff

Executive Vice President, Chief Financial Officer

Addus HomeCare Corporation

(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 Q3 2021 earnings results?

In Q3 2021, Addus HomeCare reported revenues of $216.7 million, net income of $11.6 million, and adjusted earnings per diluted share of $0.91.

How much did Addus HomeCare's revenue grow in the first nine months of 2021?

For the first nine months of 2021, Addus HomeCare's revenue increased by 12.5% to $639.9 million.

What is the significance of the Summit Home Health acquisition for ADUS?

The acquisition of Summit Home Health enhances Addus's service offerings in personal care and adds approximately $7 million in annualized revenues.

What challenges is Addus HomeCare facing as of Q3 2021?

Addus HomeCare is facing pressures from the Delta variant of COVID-19 and a tightening labor market, which may affect growth in certain markets.

When will Addus HomeCare hold its next conference call?

Addus HomeCare will host its next conference call on November 2, 2021, at 9:00 a.m. Eastern time.