Addus HomeCare Q4 Earnings Call Highlights

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MarketBeat

Tue, February 24, 2026 astatine 9:44 AM CST 8 min read

Addus HomeCare logo

Addus HomeCare logo
  • Strong fiscal finish: Q4 gross was $373.1 million (up 25.6%) with adjusted EPS of $1.77, and full-year 2025 gross was astir $1.4 billion (up 23.2%) with adjusted EPS of $6.23.

  • Business premix and reimbursement tailwinds: Personal attraction accounted for ~76.5% of gross with same-store idiosyncratic attraction gross up 6.3% and hospice same-store gross up 16%; absorption cited notable complaint increases (e.g., 9.9% successful Texas, 3.9% successful Illinois) that should adhd meaningful gross and margin.

  • Improving equilibrium expanse and M&A focus: Q4 operating currency travel was $18.8 million, currency was $81.6 million with full slope indebtedness $124.3 million and nett leverage nether 1x adjusted EBITDA, portion the institution closed respective 2025 acquisitions and sees an progressive pipeline for akin and larger personal-care deals.

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Addus HomeCare (NASDAQ:ADUS) reported fourth-quarter 2025 results that absorption described arsenic a beardown decorativeness to the year, driven by integrated maturation successful idiosyncratic care, continued momentum successful hospice, and contributions from caller acquisitions.

Chairman and CEO Dirk Allison said full gross for the 4th fourth of 2025 was $373.1 million, up 25.6% from $297.1 cardinal successful the prior-year period. Adjusted net per stock roseate to $1.77 from $1.38, and adjusted EBITDA accrued to $50.3 million from $37.8 million. Adjusted EBITDA borderline was 13.6%, compared with 12.9% a twelvemonth earlier, CFO Brian Poff said.

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For full-year 2025, Allison said gross was astir $1.4 billion, up 23.2% from astir $1.1 cardinal successful 2024. Adjusted EPS was $6.23 versus $5.26, and adjusted EBITDA roseate to $180 million from $140.3 million.

Excluding the interaction of a New York accounts receivable settlement, Poff said quarterly nett work gross was $371.2 million. The gross premix (excluding that New York impact) was:

  • Personal care: $284.1 cardinal (76.5% of revenue)

  • Hospice: $70.0 cardinal (18.9%)

  • Home health: $17.1 cardinal (4.6%)

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On an integrated basis, Allison said idiosyncratic attraction same-store gross grew 6.3% twelvemonth implicit twelvemonth (excluding Gentiva, which was not owned for each of fourth-quarter 2024). Same-store hours accrued 2.4%, and absorption said the percent of authorized hours served remained accordant with the 3rd quarter. President and COO Heather Dixon noted a flimsy sequential dip successful same-store billable census successful the 4th quarter, which she attributed to vacation seasonality; she said admissions and starts of attraction continued to outpace discharges and that the institution expects to spot affirmative year-over-year census maturation successful the 2nd fractional of 2026.

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