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Addus HomeCare Announces Fourth Quarter and Year End 2025 Financial Results

ADUS
  • Addus HomeCare Corporation reported fourth quarter 2025 net service revenues of $373.1 million, a 25.6% increase from $297.1 million in the prior-year period.
  • Net income for the fourth quarter of 2025 was $29.8 million, or $1.61 per diluted share, compared to $19.5 million or $1.07 per diluted share in Q4 2024.
  • Adjusted net income per diluted share rose 28.3% year-over-year to $1.77 for the fourth quarter of 2025.
  • Adjusted EBITDA increased 33.3% to $50.3 million in the fourth quarter of 2025 from $37.8 million in the same period a year ago.
  • Cash flow from operations for the fourth quarter was $18.8 million, while net cash provided by operating activities for the full year 2025 was $111.5 million.
  • Full-year 2025 net service revenues reached a record $1.42 billion, representing a 23.2% increase over the $1.15 billion reported in 2024.
  • Full-year 2025 net income totaled $95.9 million, or $5.22 per diluted share, up from $73.6 million or $4.23 per diluted share in 2024.
  • The personal care segment drove growth, accounting for 76.6% of fourth-quarter revenue with 6.3% organic revenue growth supported by higher rates in markets like Texas.
  • The hospice care segment represented 18.8% of fourth-quarter revenue, achieving 16.0% organic revenue growth driven by increased admissions \& average daily census.
  • The home health segment accounted for 4.6% of fourth-quarter revenue, experiencing a 7.4% decline in organic revenue growth.
  • As of December 31, 2025, the company held $81.6 million in cash, $124.3 million in bank debt, \& $517.7 million available under its revolving credit facility.
  • CEO Dirk Allison cited favorable hiring trends, state rate increases in Texas (9.9%) \& Illinois (3.9%), \& successful integration of acquisitions like Del Cielo as key growth factors.
  • The company completed three acquisitions in 2025, including Del Cielo Home Care Services in October, \& expects to continue pursuing acquisition opportunities in 2026.
  • Addus HomeCare serves approximately 62,500 patients across 262 locations in 23 states, with personal care operations in 201 locations.
  • A conference call to discuss these results is scheduled for February 24, 2026, at 9:00 a.m. Eastern Time.