Strong Quarterly and Full-Year Revenue Growth
Q4 2025 total revenue of $373.1M, up 25.6% YoY; FY2025 revenue approximately $1.4B, up 23.2% YoY.
Improved Profitability and Margin Expansion
Q4 2025 adjusted EBITDA of $50.3M, up 33.3% YoY; adjusted EBITDA margin of 13.6% vs 12.9% in Q4 2024; FY2025 adjusted EBITDA $180M, up 28.3% YoY. Adjusted EPS Q4 $1.77 (+28.3% YoY) and FY adjusted EPS $6.23 (+18.4% YoY).
Personal Care Organic Growth and Market Momentum
Personal Care same-store revenue growth of 6.3% YoY in Q4 (above the company's 3%-5% expected range); same-store personal care hours +2.4% YoY. Personal Care revenues of $284.1M, representing 76.5% of Q4 revenue.
Hospice Segment Strength
Hospice same-store revenue +16% YoY in Q4; average daily census rose to 3,885 (up 11.9% YoY from 3,472); hospice accounted for 18.9% of Q4 revenue and benefited from ~3.1% Medicare hospice reimbursement increase effective Oct 1, 2025.
Acquisitions Expanded Scale and Coverage
Gentiva personal care acquisition (Dec 2, 2024) added ~ $280M annualized revenues; additional 2025 acquisitions (Great Lakes, Helping Hands, Del Cielo) expanded geographic density and personal care scale; acquisition integration contributing to top-line growth.
Healthy Cash Position and Deleveraging
Cash on hand ~$81.6M at Dec 31, 2025; total bank debt $124.3M with net leverage under 1x adjusted EBITDA; revolver availability $517.7M and revolver balance reduced by $98.7M in 2025; net cash flow from operations $111.5M for 2025.
Favorable State Rate Actions
Texas personal care rate increase ~9.9% effective Sept 1, 2025; Illinois personal care rate increase 3.9% effective Jan 1, 2026 (expected to add ~$17.5M annualized revenue with margins in the low-20% range); potential New Mexico legislative increase estimated at ~4%-5%.
Operational Improvements: Hiring and Technology
Q4 hiring averaged 101 hires per business day and rose to ~107 hires/day in early Jan 2026 (with temporary winter weather impacts); caregiver app rolled out in Illinois (service percentage in upper 80s), being expanded to New Mexico and Texas; Homecare Homebase rollout underway across locations.