Deal Timeline

Plotted by close date where disclosed, otherwise announcement. Select any marker to jump to the deal entry.

The Acquisition Playbook.

Three patterns run through Addus HomeCare's acquisitions — what it looks for, how it pays, and how it folds in what it buys.

01
Acquisition criteria
Buy-and-build across home-based care.
Addus repeatedly acquires regional providers to add scale in personal care, home health, and hospice, funding each deal with cash and its revolving credit facility - from the $350 million Gentiva personal care carve-out to the $192 million Queen City Hospice deal.
Gentiva Personal Care OperationsTennessee Quality CareJourneyCareQueen City HospiceCounty Homemakers
02
Capital deployment
Adding all three levels of care in a state.
Deals like Tennessee Quality Care and Ambercare let Addus offer personal care, home health, and hospice in a single geography, deepening markets rather than just widening the map.
Gentiva Personal Care OperationsTennessee Quality CareJourneyCareQueen City HospiceCounty Homemakers
03
Integration approach
Revenue-anchored, accretion-focused underwriting.
Every announcement frames the target by annualized revenue and expected accretion - Queen City at about $56 million, Hospice Partners at about $55 million, and Gentiva's operations at roughly $280 million.
Gentiva Personal Care OperationsTennessee Quality CareJourneyCareQueen City HospiceCounty Homemakers

The Full Deal Book

8 acquisitions — each with the deal value, financing structure, target revenue, and executive commentary where disclosed.

01 Gentiva Personal Care Operations · Atlanta, Georgia-based; personal care operations across seven states, including entry into Texas $350M
Announced Jun 2024 Closed Dec 2024 All cash
Personal care servicesin-home caregivingmulti-state personal care operations

Addus acquired the personal care operations of Gentiva for an aggregate cash purchase price of approximately $350 million, subject to customary adjustments. The acquired operations added roughly $280 million of annualized revenue across seven states and gave Addus its first personal care presence in Texas, making it one of the largest personal care providers in the country.

Why it was attractive
  • Large
  • scaled personal care platform that expanded Addus into Texas and reinforced its position as one of the largest personal care providers nationally
This important acquisition aligns with our strategy to build scale in existing markets as well as enter select new markets where we can immediately establish a significant personal care presence.Dirk Allison — Chairman and CEO, Addus HomeCare
02 Tennessee Quality Care · Tennessee $106.0M
Announced Jun 2023 Closed Aug 2023 All cash
Personal carehome healthhospicethree-level care delivery

Addus acquired Tennessee Quality Care, owned by American Health Partners, for a cash purchase price of $106.0 million. The transaction added approximately $40 million of annualized revenue and gave Addus the ability to provide all three levels of care (personal care, home health and hospice) across Tennessee.

Why it was attractive
  • Established Tennessee provider offering all three levels of care
  • deepening a state where Addus could cross-sell services
We believe this acquisition will be an ideal addition for Addus with an established market presence and reputation for quality, compassionate care. We have a shared commitment to provide safe and cost-effective home care services, and we look forward to the opportunity to offer patient-centric personal care, home health and hospice.Dirk Allison — Chairman and CEO, Addus HomeCare
03 JourneyCare · Illinois $72.5M
Closed Feb 2022 Combination
Hospice and palliative care services in Illinois

Addus acquired JourneyCare, Inc. for approximately $72.5 million, funded through a combination of a $35.0 million draw on its revolving credit facility and available cash on hand. The acquisition added hospice services in Illinois, expanding Addus's hospice footprint in the Chicago area.

Why it was attractive
  • Established Illinois hospice provider that extended Addus's hospice segment into a major metropolitan market
04 Queen City Hospice · Ohio $192.0M
Announced Nov 2020 Closed Dec 2020 All cash
Hospice and end-of-life care across Ohio

Addus acquired Queen City Hospice, LLC and Ohio Valley Hospice, LLC (together, Queen City Hospice) for a cash purchase price of $192.0 million, representing $162.8 million of value net of expected tax benefits. The Ohio-based business added approximately $56 million of annualized hospice revenue and was expected to be immediately accretive.

Why it was attractive
  • Large Ohio hospice provider expected to be immediately accretive
  • extending Addus's hospice segment
05 County Homemakers · Pennsylvania $15.8M
Closed Nov 2020 All cash
Personal care and in-home support services in Pennsylvania

Addus completed the acquisition of County Homemakers, Inc. for a purchase price of approximately $15.8 million, adding personal care operations in Pennsylvania.

Why it was attractive
  • Personal care tuck-in that added density in Pennsylvania
06 Hospice Partners of America · Birmingham, Alabama-based; hospice locations across Idaho, Kansas, Missouri, Oregon, Texas and Virginia $130.0M
Announced Aug 2019 Closed Oct 2019 All cash
Hospice services across six statesmulti-site clinical operations

Addus acquired Hospice Partners of America, LLC, a Birmingham, Alabama-based hospice provider, for a cash purchase price of $130.0 million, representing $118.4 million of value net of expected tax benefits. Hospice Partners served an average daily census of about 1,000 patients across 21 locations in six states, with roughly $55 million of annualized revenue.

Why it was attractive
  • Multi-state hospice platform that advanced Addus's goal of building a national hospice business
We look forward to Hospice Partners of America's management team and clinical staff joining our Addus family, as we leverage our combined capabilities to develop a national platform for hospice services. Importantly, we share the same mission to provide quality, compassionate healthcare services to more consumers in their homes.Dirk Allison — Chairman and CEO, Addus HomeCare
07 Ambercare Corporation · New Mexico $40M
Announced Mar 2018 Closed May 2018 All cash
Personal carehome healthhospice across New Mexico

Addus HealthCare acquired all of the outstanding stock of Ambercare Corporation, a New Mexico provider, for a cash purchase price of $40 million (before a purchase price credit for estimated cash). Ambercare served approximately 2,600 consumers through 15 locations across New Mexico and generated about $57 million of 2017 revenue, giving Addus personal care, home health and hospice in the state.

Why it was attractive
  • Scaled New Mexico provider offering all three levels of care with about $57 million of revenue
08 South Shore Home Health Care and Acaring Home Care · New York City metropolitan area (Northeast) $21.8M
Closed Feb 2016 All cash
Personal care and home health services in the New York City metro area

Addus acquired the securities of South Shore Home Health Service and Acaring Home Care for a total purchase price of approximately $21.8 million. The businesses produced about $52 million of 2015 revenue and gave Addus a growth platform in the New York City metropolitan area and its first significant presence in the Northeast.

Why it was attractive
  • Entry platform into the large New York City metropolitan personal-care market with about $52 million of revenue
The completion of this transaction provides Addus with a great platform for growth in the New York City metropolitan area and creates a strong initial presence for the Company in the Northeast.Dirk Allison — President and CEO, Addus HomeCare

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