Addus HomeCare Is a Solid Operator in the Home Care Industry with Compelling Potential

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Written By Elizabeth Monroe

Addus HomeCare stands out in the home care service industry, having demonstrated consistent value creation for investors. Unlike some of its peers, Addus has maintained solid topline sales growth and margin improvements.

Recently, the company has embarked on a significant acquisition, adding further potential to its growth trajectory. While this deal appears to be at reasonable valuation multiples, the elevated market expectations warrant a cautious approach despite Addus’ strong track record.

Business Model Overview

Credits: DepositPhotos

Addus HomeCare provides a range of home care services focusing on personal care, hospice, and home health. The company caters to nearly 50,000 patients, primarily elderly, chronically ill, or disabled individuals at risk of hospitalization.

Operating from 214 locations across 23 states, Addus employs 30,000 workers to deliver its services. The company’s comprehensive offerings, from personal hygiene and dressing to meal preparation and counseling, make it a cost-effective alternative to nursing homes, which are three times more expensive.

The company’s revenue surpasses $1 billion, with personal care accounting for 75%, hospice services nearly 20%, and home health making up the rest. The payer mix includes Managed Care Organizations, Medicare, and various government entities.

Over the past few years, Addus has doubled its sales, driven by both organic growth and strategic acquisitions. This growth has been accompanied by an improvement in EBITDA margins from high single digits to low double digits.

Financial Performance and Valuation

In recent years, Addus has shown impressive financial performance. The company posted an 11% increase in full-year sales for 2023, reaching $1.06 billion. Operating profits rose by 32% to $91 million, with operating margins improving to 8.6%. This led to a rise in GAAP earnings to $3.83 per share, with adjusted earnings of $4.58 per share.

With a modest net debt of $61 million, the company’s leverage is low, at just 0.5 times EBITDA of $121 million. Trading around the $100 mark, Addus’ market valuation approaches $2.0 billion, reflecting a near 25 times earnings multiple.

Despite this premium valuation, the company’s strong growth prospects and solid balance sheet justify investor confidence.

Strategic Acquisitions

In May, Addus announced the divestment of certain New York assets for $23 million, although details were sparse. The more significant news came in June when Addus revealed its acquisition of Gentiva’s personal care operations for $350 million.

This Atlanta-based provider adds 16,000 patients across seven states to Addus’ portfolio, with 80% of its $280 million revenue coming from Texas.

The acquisition’s valuation at just over 1.2 times sales is favorable compared to Addus’ own 1.8 times sales multiple. Pro forma net debt is expected to be around $375 million, resulting in a leverage ratio of 2.3 times EBITDA. This deal enhances Addus’ growth potential, with the combined business projected to generate substantial EBITDA.

Growth Prospects and Risks

The latest acquisition strengthens Addus’ market position, with potential for earnings to reach $5 per share. Despite this, the stock’s valuation at mid-twenty times earnings suggests a premium that may not fully account for potential risks. These include changes in the payer mix, regulatory shifts, and labor market challenges.

While Addus has demonstrated robust operational capabilities and sound strategic decisions, the high valuation requires careful consideration. The company’s history of successful acquisitions and solid financial performance provide confidence, yet the premium valuation necessitates a cautious stance.


Credits: DepositPhotos

Addus HomeCare is a standout operator in the home care industry, having built a strong track record of growth and profitability. The recent acquisition of Gentiva’s personal care operations appears compelling, offering significant growth potential.

However, the premium valuation of Addus shares reflects high market expectations, which could be impacted by various external factors. Investors should weigh the company’s solid fundamentals against the elevated valuation to determine the appropriate investment approach.


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