Addus HomeCare Corp

Addus HomeCare Corp provides in-home care services across three operating segments: personal care, hospice, and home health. Founded in 1979, the company serves primarily dual-eligible consumers who qualify for both Medicare and Medicaid, and it works under agreements with government agencies, managed care organizations, commercial insurers, and private individuals. Its business is built around local office networks and referral relationships, with services delivered through approximately 262 offices in 23 states as of year-end 2025. Addus has been expanding by adding clinical care capabilities and by acquiring businesses that extend its geographic footprint and service mix.

10,9 %

32,5 %

6,7 %

+23,2 %

1.80

1.80

— Addus HomeCare Corp
%
Personal care77% In-home non-medical assistance, including daily living support and related staffing services.
Hospice18% End-of-life care services delivered in the home and through coordinated care settings.
Home health5% Skilled clinical home health services that complement the company’s personal care and hospice offerings.

Addus primarily serves dual-eligible consumers who receive both Medicare and Medicaid benefits, which makes...

  • Dual-eligible consumersprimary

    Individuals eligible for both Medicare and Medicaid who buy in-home personal care, hospice, and home health services because they need coordinated, lower-cost care at home.

  • Managed care organizationsprimary

    Health plans that contract with states and direct Medicaid-related referrals to Addus because of its coordinated care model and multi-service footprint.

  • State and local government agenciesprimary

    Public agencies that oversee and fund home-based care programs and generate a large portion of personal care referrals.

  • Private-pay and commercial consumerssecondary

    Individuals and families that purchase home care directly or through commercial insurance when public coverage is not the sole funding source.

  • Institutional staffing clientssecondary

    Assisted living facilities, nursing homes, and hospice facilities that buy staffing support from the personal care segment.

Addus operates entirely in the United States and had service operations in 23 states through about 262 offices at...

  • Operates in 23 U.S. states through a dense local office network
  • Core multi-service states include Ohio, Tennessee, Illinois, and New Mexico
  • Recent acquisitions expanded presence in South Carolina, Florida, and Michigan
  • Entered or expanded markets in Arizona, Arkansas, California, North Carolina, Missouri, and Texas
  • State-by-state reimbursement and labor rules materially affect profitability
  • Local office density supports referral capture and caregiver recruitment

Addus is focused on organic growth in existing markets while using acquisitions to deepen its service mix and...

01
Expand the continuum of caremedium-term

Offering personal care, home health, and hospice in the same markets increases referral capture and makes Addus more valuable to managed care partners.

02
Acquire and integrate local agenciesshort-term

Acquisitions accelerate entry into new states and add scale in markets where local density matters for referrals and caregiver recruitment.

03
Strengthen managed care relationshipsshort-term

Managed care organizations are a growing source of revenue and prefer providers that can coordinate care across settings.

Addus faces reimbursement risk because much of its revenue depends on federal, state, and local programs that can...

high

Reimbursement and budget changes

A large share of revenue comes from government agencies and managed care organizations, so rate cuts or delayed rate increases can directly affect margins and cash flow.

Scope
Illinois, Texas, and other state Medicaid programs
Materiality
high
high

Acquisition integration risk

Growth depends partly on buying and integrating agencies, which can create execution risk, systems complexity, and cultural disruption.

Scope
Recent acquisitions across multiple states
Materiality
high
high

Workforce shortages and turnover

Home care delivery requires a large frontline workforce, and inability to recruit or retain caregivers can limit growth and raise costs.

Scope
All operating states
Materiality
high
high

Cybersecurity and data privacy

The company stores and transmits sensitive health and personal data, and a breach could disrupt service delivery and create liability.

Scope
Third-party vendors and internal systems
Materiality
medium
medium

Competitive fragmentation

Local markets include many provider types, which can limit pricing power and make referral retention harder.

Scope
State and local service markets
Materiality
medium
Revenue recognition and receivables
Affects revenue timing, accounts receivable, and allowance for credit losses
Goodwill and intangible assets
Can create non-cash impairment charges and amortization expense
Acquisition accounting
Influences future amortization, impairment risk, and reported earnings
Seasonality and quarterly mix
Affects comparability of quarterly revenue and margins

: 11/08/2026