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Addus HomeCare Announces Third-Quarter 2021 Financial Results

Addus HomeCare Announces Third-Quarter 2021 Financial Results

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

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.

 

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

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