Addus HomeCare Corporation reported significant financial growth for the fiscal year ending December 31, 2025, with total net service revenues reaching $1.42 billion, a 23.2% increase from $1.15 billion in 2024. The company's net income also rose to $95.9 million, up 30.3% from $73.6 million the previous year. This growth was driven primarily by a 36.3% increase in billable hours in the personal care segment, despite a 6.4% decrease in revenue per billable hour due to lower reimbursement rates following recent acquisitions. The hospice segment also contributed to the revenue increase, benefiting from organic growth and a higher average daily census.
In 2025, Addus completed several strategic acquisitions, including Helping Hands Home Care Service and Gold Horses, which expanded its personal care services into new markets such as Pennsylvania and Texas. These acquisitions accounted for approximately $11.8 million in net service revenues for the year. The company also divested its New York operations, which resulted in a gain of $3.7 million. As of December 31, 2025, Addus operated in 23 states with 262 locations, serving approximately 107,000 consumers, reflecting a commitment to geographic expansion and service diversification.
Operationally, Addus reported a total employee headcount of 50,659, including 5,982 full-time employees and 44,677 part-time staff. The company emphasized its focus on maintaining high-quality care and effective caregiver training, which is crucial for its growth strategy. The Illinois Department on Aging remained a significant payor, accounting for 18.1% of net service revenues, highlighting the company's reliance on government contracts for a substantial portion of its income.
Looking ahead, Addus anticipates continued growth driven by the aging U.S. population and the increasing demand for home-based care services. However, the company faces challenges from macroeconomic conditions, including inflation and labor market pressures, which could impact its ability to attract and retain qualified personnel. Additionally, changes in government reimbursement policies and potential regulatory shifts may affect future revenues. The company remains focused on leveraging its acquisitions and expanding its service offerings to enhance its competitive position in the home care market.
About Addus HomeCare Corp
Addus HomeCare Corporation provides in-home personal care, hospice, and home health services primarily to elderly, chronically ill, and disabled individuals, focusing on those eligible for Medicare and Medicaid. Operating across multiple U.S. states, it partners with government agencies, managed care organizations, and private payors to deliver cost-effective, coordinated care that supports consumer independence, improves health outcomes, and reduces institutionalization through a technology-enabled, outcomes-driven model.
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