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Addus HomeCare said its personal care census fell year over year in the third quarter, primarily because it is harder to staff cases with fewer authorized care hours as caregivers seek full workweeks. The company is expanding its caregiver app and selecting cases more carefully, while reporting higher same-store personal care hours and planning to acquire AccentCare personal care assets.
Addus HomeCare reported a year-over-year decline in its personal care census in the third quarter, with CEO Dirk Allison attributing the drop mainly to difficulty staffing lower-hour cases as caregivers seek 40-hour workweeks. The company is expanding its caregiver app and being more selective about cases it accepts, while same-store personal care hours increased year over year.
Allison said the census decline was concentrated in cases requiring fewer hours, while the number of higher-hour cases increased year over year. He said the shift, together with an improving service percentage, contributed to an increase in same-store personal care hours. The company did not provide a census decline figure in the supplied report.
Addus is extending its Addus Connect app to help caregivers manage schedules, availability and patient information. Allison said the app had performed well in Illinois; rollout is underway in Texas, with New Mexico planned next. He said the technology could help the company serve more of the hours authorized by states.
The company is also reviewing cases to assess whether it can staff them effectively, with attention to the hours they require. Allison said Addus still intends to serve lower-hour patients and is working on ways to staff those cases around caregivers’ preferred schedules. The personal care segment generated $301 million in Q3 revenue, up 9% year over year, according to the report.
Staffing Shapes Personal Care Growth
The staffing challenge highlights a tension between client needs and caregiver preferences: cases with limited authorized hours can be harder to fill if workers are seeking fuller schedules. For Addus, the ability to match caregivers to cases affects how many authorized hours it can deliver and how its personal care census develops.
The reported increase in same-store hours alongside a lower census shows why client count alone does not describe the segment’s activity. Addus said higher-hour cases increased and service percentage improved, but the supplied results do not quantify either change. The company’s app rollout and case-selection approach are intended to improve staffing fit; their effect on census and service levels remains to be seen.
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AccentCare Deal Adds Scale
The census strategy comes as Addus prepares to expand through a proposed acquisition. On Sept. 14, the company agreed to buy AccentCare personal care assets spanning 10 states and serving 13,700 clients in average daily census for about $275 million. Addus expects the transaction to close in the first quarter of 2027. Allison estimated it would increase Addus’ revenue base by approximately 19%.
Addus, based in Frisco, Texas, provides personal care, home health and hospice services. The company serves about 62,500 individuals across 263 locations in 24 states. For the third quarter, it reported total net revenue of $387.7 million, up 7% year over year, and adjusted EBITDA of $51.2 million, up 13.5%.
Home health was a smaller part of the business, generating $17.7 million, or 4.6% of Q3 revenue. Allison said same-store home health revenue rose 2.5% and admissions increased 13.8% year over year. He described Q3 2026 as the segment’s first positive year-over-year revenue quarter in years, attributing the performance to a new leadership team.
“The slight decline in our personal care census over the prior year has primarily been in our lower hour cases, as our higher hour cases have increased year over year.”
— Addus CEO Dirk Allison, on the Q3 earnings call
Census and App Results Still Pending
The company did not disclose the size of the personal care census decline in the supplied report, nor did it quantify the change in its service percentage. The report also gives no figures for how many caregivers use Addus Connect or how much the app has changed staffing outcomes in Illinois.
It remains unclear how quickly the Texas and planned New Mexico rollouts will affect the hours Addus can serve, or whether the case-selection approach will change the mix of clients. Allison said lower-hour patients will continue to receive care, but the company has not described a specific staffing model or set a target for those cases. The AccentCare transaction remains subject to its expected closing timeline.
Rollout and Acquisition Milestones
Addus plans to continue the Addus Connect rollout in Texas and then New Mexico, while working to match staffing with authorized care hours and caregiver availability. Future company updates may show whether the approach improves service percentage, personal care hours and census, but no timetable or performance target was provided.
The next major corporate milestone is the expected Q1 2027 closing of the AccentCare personal care asset acquisition. Addus has also said it plans to grow its home health business as opportunities arise. The company has not supplied further transaction details or a revised closing schedule in the source report.
Key Questions
Why did Addus’ personal care census decline?
CEO Dirk Allison said the year-over-year decline was mainly in lower-hour cases. He attributed the staffing difficulty to caregivers’ increasing preference for 40-hour workweeks.
What is Addus doing to address the staffing challenge?
The company is expanding its Addus Connect caregiver app and reviewing cases to determine whether it can staff them effectively. Allison said Addus still plans to serve lower-hour patients.
Did personal care hours also fall?
No. Allison said same-store personal care hours increased year over year, citing growth in higher-hour cases and an improvement in service percentage. The report did not provide the size of those changes.
What is the AccentCare deal?
Addus agreed to acquire AccentCare personal care assets across 10 states for about $275 million. The assets served 13,700 clients in average daily census, and the deal is expected to close in Q1 2027.
When will Addus Connect reach more states?
The rollout is underway in Texas, and Allison said New Mexico is planned next. The company did not give specific completion dates for either rollout.
Source: homehealthcarenews.com
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