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, 2023.
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 $276.4 million for the fourth quarter
of 2023, an 11.9% increase compared with $247.1 million for the
fourth quarter of 2022. Net income was $19.6 million for the fourth
quarter of 2023, compared with $14.8 million for the fourth quarter
of 2022, while net income per diluted share was $1.20 compared with
$0.91 for the same period a year ago. Adjusted EBITDA increased
21.3% to $34.3 million for the fourth quarter of 2023 from $28.2
million for the fourth quarter of 2022. Adjusted net income was
$21.6 million for the fourth quarter of 2023 compared with $18.1
million for the prior-year period, while adjusted net income per
diluted share was $1.32 compared with $1.11 for the fourth quarter
of 2022. Adjusted net income per diluted share for the fourth
quarter of 2023 excludes the positive impact of retroactive
collective bargaining negotiations of $(0.07), acquisition expenses
of $0.07 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 2023, net service revenues increased 11.3% to $1.06 billion
from $951.1 million for the prior-year period. Net income was $62.5
million for 2023 compared with $46.0 million for 2022, and net
income per diluted share was $3.83 compared with $2.84 per diluted
share. Adjusted EBITDA increased 19.3% to $121.0 million for 2023
from $101.5 million for 2022. Adjusted net income was $74.8 million
for 2023 compared with $60.3 million for 2022, while adjusted net
income per diluted share was $4.58 compared with $3.73 for the
prior-year period.
Commenting on the results, Dirk Allison, Chairman and Chief
Executive Officer, said, “Our fourth quarter financial and
operating performance marked a strong finish to another record year
for Addus. Revenue was up 11.9% and adjusted EBITDA was 21.3%
higher for the fourth quarter of 2023 compared with the same period
last year. Propelled by the strong momentum in our business
throughout 2023, we surpassed $1.0 billion in annual revenues for
the first time.
“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
August 1, 2023. These acquired operations allowed us to expand our
coverage capabilities to all three levels of home-based care in
Tennessee, and we are excited about the opportunities to serve more
patients in this strategically important market. We will continue
to identify additional markets where we can enhance our personal
care presence and add clinical care operations, especially where we
see potential for growth in value-based contracting models, as
payors have expressed interest in both the cost benefits and high
quality of our home-based care services.
“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 October 1, 2023. Hospice revenues were up 3.5% over
the fourth quarter of 2022 on a same-store basis, and we were
pleased to see further improvement in average daily census and
length of stay compared with the same period last year,” said
Allison.
Cash and Liquidity
As of December 31, 2023, the Company had cash of $64.8 million
and bank debt of $126.4 million, with capacity and availability
under its revolving credit facility of $470.0 million and $335.6
million, respectively. Net cash provided by operating activities
was $30.0 million for the fourth quarter of 2023, and $112.2
million for the full year 2023, inclusive of a net $7.6 million in
ARPA funds utilization.
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 $8.5 million
from the end of the prior year. Importantly, we have the financial
flexibility to continue to invest in our business and pursue our
strategic growth initiatives, including acquisitions and other
potential development opportunities. We are optimistic that we will
see attractive acquisition opportunities in 2024 as market
conditions continue to improve.
“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 New York, and the
retroactive impact from collective bargaining negotiations. The
Company defines adjusted EBITDA as earnings before interest
expense, other non-operating income, taxes, depreciation,
amortization, acquisition expense, stock-based compensation
expense, restructure and other non-recurring costs, gain or loss on
the sale of assets, retroactive rate increases from New York, and
the retroactive impact from collective bargaining negotiations. The
Company defines adjusted net income per diluted share as net income
per share, adjusted for acquisition expenses, stock-based
compensation expense, restructure and other non-recurring costs,
gain or loss on the sale of assets, retroactive rate increases from
New York, and the retroactive impact from collective bargaining
negotiations. 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, February 27, 2024,
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 March 5,
2024, by dialing (877) 344-7529 (international dial-in number is
(412) 317-0088) and entering pass code 1856114.
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 217 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,
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 Ended
December 31,
For the Twelve Months Ended
December 31,
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)
December 31,
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 Goodwill
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 Ended
December 31,
For the Twelve Months Ended
December 31,
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
Home Health
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 Ended
December 31,
For the Twelve Months Ended
December 31,
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
%
Home Health 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
%
Home Health 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 December
31, 2022 by 3 and 24, respectively. (2) Exited sites would have
reduced average daily census for the three and twelve months ended
December 31, 2022 by 6 and 27, 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
December 31,
For the Twelve Months Ended
December 31,
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 New York rate increase
-
-
(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 New York rate increase
-
-
(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 New York rate increase per diluted
share
-
-
(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 New
York and the retroactive impact of collective bargaining
negotiations. 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, gain or loss on the sale of assets,
retroactive rate increases from New York and the retroactive impact
of collective bargaining negotiations. 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,
gain or loss on the sale of asset, retroactive rate increases from
New York and the retroactive impact of collective bargaining
negotiations. 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/20240226599321/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
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