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Addus HomeCare (ADUS) investor relations material
Addus HomeCare Q3 2025 earnings summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.Q3 2025 earnings summary4 Nov, 2025
Executive summary
Net service revenues rose 25.0% year-over-year to $362.3 million in Q3 2025, with adjusted EBITDA up 31.6% to $45.1 million and net income of $22.8 million.
Adjusted EPS for Q3 2025 was $1.56, a 20% increase from Q3 2024; net income per diluted share was $1.24.
Leadership transition completed with Heather Dixon as President and COO; strategic focus remains on organic growth and acquisitions.
Several acquisitions, including Helping Hands, Gentiva, and Del Cielo, expanded presence in personal care, hospice, and home health markets.
Divestiture of New York operations completed, resulting in a $3.7M gain and strategic exit from a non-core market.
Financial highlights
Q3 2025 gross margin was 32.2%, up from 31.8% a year ago; adjusted EBITDA margin reached 12.5%.
Operating income for Q3 2025 was $32.9 million (9.1% margin), up 26.9% year-over-year.
Cash flow from operations was $51.3 million in Q3 2025.
Interest expense increased due to higher borrowings for acquisitions, totaling $3.3 million in Q3 2025.
Adjusted net income per diluted share was $1.56, compared to $1.30 in Q3 2024.
Outlook and guidance
Q4 2025 expected to see normal seasonality, with gross margin projected in the high 32% range and adjusted EBITDA margin above 13%.
2026 margin improvement anticipated through G&A leverage and continued top-line growth, especially in personal care and hospice.
Management expects continued growth from recent acquisitions and organic expansion, but notes risks from reimbursement changes, labor market tightness, and regulatory uncertainty.
Rate increases in Texas and Illinois to add significant annualized revenue and support future growth.
Texas received a 9.9% rate increase effective September 1, 2025.
Q4 Texas rate increase impact on revenue?
Strategy to reverse Home Health organic decline?
Beyond M&A, what are key tech investments?
Caregiver app & EMR: future efficiency gains?
M&A focus given home health rate uncertainty?
PCS value proposition amid Medicaid pressures?
Home health rate uncertainty: M&A strategy for larger deals?
Caregiver App: Volume growth potential in NM/TX?
Single EMR for all services: Timeline & cross-referral impact
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Next Addus HomeCare earnings date
Q4 202524 Feb, 2026
Next Addus HomeCare earnings date
Q4 202524 Feb, 2026
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Frequently asked questions
Addus HomeCare Corporation is a provider of home care services, primarily focused on personal care, hospice, and home health services. The company offers assistance with activities of daily living, such as bathing, grooming, meal preparation, and medication reminders, targeting elderly, chronically ill, and disabled individuals. Addus HomeCare serves clients through government-sponsored healthcare programs, managed care organizations, and private pay arrangements. The company is headquartered in Frisco, Texas, and its shares are listed on the NASDAQ.
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