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Addus HomeCare Corp

For the period ended Jun 30, 2026. Filed Aug 4, 2026.

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About this filing

A company's report for each of its first three quarters. The financial statements are not audited. It shows how the business has moved since the last annual report, and what management says changed.

Jun 30, 2026 · Filed Aug 4, 2026

ADUS$122.42-1.5%Stored close · as of Nov 9, 2026

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Notes to Condensed Consolidated Financial Statements

1. Nature of Operations, Consolidation, and Presentation of Financial Statements

Addus HomeCare Corporation (“Holdings”) and its subsidiaries (together with Holdings, the “Company”, “we”, “us”, or “our”) operate as a multi-state provider ofthree distinct but related business segments providing in-home services. In its personal care segment, the Company provides non-medical assistance with activities of daily living, primarily to persons who are at increased risk of hospitalization or institutionalization, such as the elderly, chronically ill, or disabled. In its hospice segment, the Company provides physical, emotional, and spiritual care for people who are terminally ill as well as related services for their families. In its home health segment, the Company provides services that are primarily medical in nature to individuals who* may*require assistance during an illness or after hospitalization and include skilled nursing and physical, occupational, and speech therapy. The Company’s payors include federal, state, and local governmental agencies, managed care organizations, commercial insurers, and private individuals.

Basis of Presentation

The accompanying Unaudited Condensed Consolidated Financial Statements and related notes have been prepared in accordance with the rules and regulations of the U.S. Securities and Exchange Commission (“SEC”) for Quarterly Reports on Form10-Q. The accompanying balance sheet as of* December 31, 2025* has been derived from the Company’s audited financial statements for the year ended* December 31, 2025* previously filed with the SEC. Accordingly, these financial statements donot include all of the information and note disclosures required by accounting principles generally accepted in the United States of America (“GAAP”) for annual financial statements and should be read in conjunction with our consolidated financial statements and notes thereto for the year ended* December 31, 2025* included in our Annual Report on Form10-K, as amended (“Annual Report on Form10-K”), which includes information and disclosuresnot included herein.

In the opinion of management, these financial statements reflect all adjustments of a normal, recurring nature necessary for the fair statement of our financial position, results of operations, and cash flows for the interim periods presented in conformity with GAAP. Our results for any interim period arenot necessarily indicative of results for a full year or any other interim period.

Principles of Consolidation

These Unaudited Condensed Consolidated Financial Statements include the accounts of Addus HomeCare Corporation and its subsidiaries. All intercompany balances and transactions have been eliminated in consolidation.

2. Summary of Significant Accounting Policies

Estimates

The financial statements are prepared by management in conformity with GAAP and include estimated amounts and certain disclosures based on assumptions about future events. The Company’s critical accounting estimates include the following areas: revenue recognition, goodwill and intangibles and business combinations, and when required, the quantitative assessment of goodwill. Actual results could differ from those estimates.

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Computation of Weighted Average Shares

The following table sets forth the computation of basic and diluted common shares:

For the Three Months Ended June 30, · For the Six Months Ended June 30,
(Amounts in thousands)(Amounts in thousands)
2026202520262025
Weighted average number of shares outstanding for basic per share calculation18,29218,04518,24318,011
Effect of dilutive potential shares:
Stock options122219136221
Restricted stock awards5868120108
Adjusted weighted average shares for diluted per share calculation18,47218,33218,49918,340
Anti-dilutive shares:
Stock options————
Restricted stock awards19991229

Recently Adopted Accounting Pronouncements

In* December 2023,the FASB issued ASU2023*-09, Improvement to Income Tax Disclosures, which requires disclosure of disaggregated income taxes paid, prescribes standard categories for the components of the effective tax rate reconciliation, and modifies other income tax-related disclosures. ASU2023-09 is effective for fiscal years beginning after* December 15, 2024.The Company adopted ASU2023*-09 during the year ended* December 31, 2025.Adoption of the standard didnot* have a material impact on the Company’s consolidated financial statements and expanded income tax disclosures.

In* July 2025,the FASB issued ASU2025*-05, Measurement of Credit Losses for Accounts Receivable and Contract Assets, which replaces the incurred-loss model with a forward-looking current expected credit loss model that requires recognition of lifetime expected credit losses on financial assets measured at amortized cost and certain off-balance-sheet credit exposures (including trade accounts receivable and contract assets), using historical experience, current conditions, and reasonable and supportable forecasts. ASU2025-05 is effective for annual reporting periods beginning after* December 15, 2025,and interim reporting periods within those annual reporting periods, with early adoption permitted. The disclosure updates should be applied prospectively. The Company adopted ASU2025*-05 during thethree months ended* March 31, 2026.Adoption didnot* have a material impact on the Company’s consolidated financial statements.

Recently Issued Accounting Pronouncements

In* November 2024,the FASB issued ASU2024*-03, Disaggregation of Income Statement Expenses, which intends to provide investors more detailed disclosures around specific types of expenses. The new disclosures require certain details for expenses presented on the face of the Consolidated Statements of Operations as well as selling expenses to be presented in the notes to the financial statements. ASU2024-03 is effective for fiscal years beginning after* December 15, 2026,and interim periods within fiscal years beginning after December 15, 2027,*with early adoption permitted. The disclosure updates are required to be applied prospectively with the option for retrospective application. The Company is currently assessing the impact and timing of adopting the updated provisions.

In* September 2025,the FASB issued ASU2025*-06, Intangibles - Goodwill and Other - Internal-Use Software (Subtopic350-40): Targeted Improvements to the Accounting for Internal-Use Software. The new guidance intends to modernize the guidance related to internal-use software costs to reflect current software development methods. It requires entities to begin capitalizing software costs when management authorizes and commits to funding the software project, and it is probable the project will be completed and the software will be used for its intended purpose. ASU2025-06 is effective for fiscal years beginning after* December 15, 2027,and interim periods within those fiscal years, and may*be adopted using a prospective, retrospective, or modified transition approach. Early adoption is permitted. The Company is currently evaluating the impact on its consolidated financial statements.

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In* December 2025,the FASB issued ASU2025*-10, Government Grants (Topic832): Accounting for Government Grants Received by Business Entities, which provides guidance on the recognition, measurement, and presentation of government grants. ASU2025-10 is effective for fiscal years beginning after* December 15, 2028,and interim periods within those fiscal years, and permits modified prospective, modified retrospective, or full retrospective adoption, with early adoption permitted. The Company has evaluated the guidance and doesnot* expect adoption to have a material impact on its consolidated financial statements or related disclosures.

In* December 2025,the FASB issued ASU2025*-11, Interim Reporting (Topic270): Narrow-Scope Improvements, which clarifies certain interim reporting guidance. ASU2025-11 is effective for fiscal years beginning after* December 15, 2027,and interim periods within those fiscal years. The Company has evaluated the guidance and doesnot* expect adoption to have a material impact on its consolidated financial statements.

3. Divestiture

Effective* May 20, 2024,the Company entered into a definitive asset purchase agreement to sell all of the Company’s New York operations for a purchase price of up to $23.0 million in cash, subject to certain adjustments, including adjustments for future operating requirements (the “New York Asset Sale”). The purchase price included 50% cash consideration, paid out as an initial payment of $4.6 million and $6.9 million paid pro rata as a deferred payment as caregivers are transferred, and 50% in the form of contingent consideration for the Company’s New York Consumer Directed Personal Assistance Program (“CDPAP”) business.No amount was recorded related to the CDPAP business contingent consideration. The Company entered into a consulting agreement with the purchaser effective May 20, 2024,as the transfer of clients and caregivers and payment for assets pursuant to the New York Asset Sale was occurring over time. The Company determined that the consulting agreement gave it the ability to control the business until October 2024,when the Company determined that itno* longer controlled the business as it transferred more than 50% of the clients and caregivers and therefore qualified for sale consideration of the New York Asset Sale. As a result, the Company deconsolidated the results of its New York operations and recorded a gain on divestiture of $3.7 million during the year ended* December 31, 2024.The gain was reflected within general and administrative expenses on the consolidated statement of operations. During thesix* months ended* June 30, 2026,*the Company recorded a lease modification reducing operating lease assets and liabilities by $1.6 million.

4. Leases

Amounts reported on the Company’s Unaudited Condensed Consolidated Balance Sheets for operating leases were as follows:

June 30, 2026December 31, 2025
(Amounts in Thousands)
Operating lease assets, net$41,034$43,713
Short-term operating lease liabilities13,05913,144
Long-term operating lease liabilities34,16437,259
Total operating lease liabilities$47,223$50,403

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Lease Costs

Components of lease costs were reported in general and administrative expenses in the Company’s Unaudited Condensed Consolidated Statements of Income as follows:

For the Three Months Ended June 30, · For the Six Months Ended June 30,
(Amounts in Thousands)(Amounts in Thousands)
2026202520262025
Operating lease costs$3,599$3,651$7,255$7,308
Short-term lease costs285271540555
Total lease costs3,8843,9227,7957,863
Less: sublease income———(226)
Total lease costs, net$3,884$3,922$7,795$7,637

Lease Term and Discount Rate

Weighted average remaining lease terms and discount rates were as follows:

June 30, 2026December 31, 2025
Operating leases:
Weighted average remaining lease term4.785.05
Weighted average discount rate6.48%6.37%

Maturity of Lease Liabilities

Remaining operating lease payments as of* June 30, 2026* were as follows:

Operating Leases
(Amounts in Thousands)
Due in the 12-month period ended June 30,
2027$15,526
202811,808
20298,470
20306,523
20315,612
Thereafter7,559
Total future minimum rental commitments55,498
Less: Imputed interest(8,275)
Total lease liabilities$47,223

Supplemental Cash Flows Information

For the Six Months Ended June 30,
(Amounts in Thousands)
20262025
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows from operating leases$8,257$8,368
Right-of-use assets obtained in exchange for lease obligations:
Operating leases$5,387$5,158

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5. Goodwill and Intangible Assets

A summary of the goodwill by segment and related adjustments is provided below:

HospicePersonal CareHome HealthTotal
(Amounts in Thousands)
Goodwill as of December 31, 2025$432,866$468,981$94,849$996,696
Additions for acquisitions—11,332—11,332
Adjustments to previously recorded goodwill(14)41(2)25
Goodwill as of June 30, 2026$432,852$480,354$94,847$1,008,053

On* May 1, 2026,*the Company completed its acquisition of substantially all of the assets of an Indiana limited liability company doing business as HomeCourt Home Care for $12.2 million (the “HomeCourt Acquisition”), with funding provided by available cash. With the HomeCourt Acquisition, the Company expanded its personal care segment to Indiana and recognized goodwill in its personal care segment of $11.3 million.

The Company’s identifiable intangible assets consist of customer and referral relationships, trade names and trademarks, non-competition agreements, and state licenses. Amortization is computed using straight-line and accelerated methods based upon the estimated useful lives of the respective assets, which range fromone totwenty years. Customer and referral relationships are amortized systematically over the periods of expected economic benefit, which range from three tofifteen years.

The carrying amount and accumulated amortization of each identifiable intangible asset category consisted of the following:

June 30, 2026 · December 31, 2025
(Amounts in Thousands) · (Amounts in Thousands)
Estimated UsefulGrossAccumulatedNetGrossAccumulatedNet
Life (years)carrying valueamortizationcarrying valuecarrying valueamortizationcarrying value
Customer and referral relationships3 - 15$34,026$(33,643)$383$34,201$(33,656)$545
Trade names and trademarks1 - 2057,987(27,472)30,51559,366(26,535)32,831
Non-competition agreement3 - 57,038(6,729)3096,728(6,663)65
State Licenses6 - 1027,069(5,508)21,56126,529(4,190)22,339
State LicensesIndefinite46,630—46,63046,630—46,630
Total intangible assets$172,750$(73,352)$99,398$173,454$(71,044)$102,410

During thesix months ended* June 30, 2026,*the Company acquired state licenses and a non-competition agreement of $0.6 million and $0.3 million, respectively, in its personal care services segment related to the HomeCourt Acquisition.

Amortization expense related to the intangible assets was $2.0 million and $3.9 million for thethree andsix months ended* June 30, 2026*, respectively, and $2.0 million and $4.0 million for thethree andsix months ended* June 30, 2025,respectively. The weighted average remaining useful lives of identifiable intangible assets as of June 30, 2026* was 8.76 years.

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6. Details of Certain Balance Sheet Accounts

Prepaid expenses and other current assets consisted of the following:

June 30, 2026December 31, 2025
(Amounts in Thousands)
Income tax receivable$1,090$10,520
Prepaid payroll21,4197,960
Prepaid workers' compensation and liability insurance7,5795,694
Prepaid licensing fees5,0054,167
Workers' compensation insurance receivable629474
Other (1)3,7397,364
Total prepaid expenses and other current assets$39,461$36,179
(1)Included $2.3 million related to the New York Asset Sale deferred payments as of June 30, 2026 and December 31, 2025.

Accrued expenses consisted of the following:

June 30, 2026December 31, 2025
(Amounts in Thousands)
Accrued health benefits$6,170$6,643
Accrued professional fees6,3046,390
Accrued payroll and other taxes5,8122,242
Other16,63712,916
Total accrued expenses$34,923$28,191

7. ARPA Spending Plans

To mitigate the fiscal effects of the COVID-19 public health emergency, the American Rescue Plan Act of2021 (“ARPA”) provided for a10-percentage point increase in federal matching funds for Medicaid home and community-based services (“HCBS”) from* April 1, 2021,through March 31, 2022,provided the states satisfied certain conditions. States must submit periodic HCBS spending plans to CMS regarding the federal and state funds tied to the increase in federal matching funds. Although states were generally permitted to use the associated state funds by March 31, 2025,CMS granted extensions to several states and some state spending plans continue through September 30, 2026.*

HCBS spending plans for the additional matching funds vary by state, but common initiatives in which the Company participates include those aimed at strengthening the provider workforce (e.g., efforts to recruit, retain, and train direct service providers). The Company is required to properly and fully document the use of such funds in reports to the state in which the funds originated. Funds* maybe subject to recoupment ifnot* expended or if they are expended on non-approved uses.

During thethree andsix months ended* June 30, 2026*, the Company received additional state funding provided by the ARPA of $0.1 million and$6.3 million, respectively. Of the total state funding received by the Company pursuant to the ARPA through* June 30, 2026*, the Company utilized $2.4 million and$5.6 million during thethree andsix months ended* June 30, 2026*, respectively, primarily for caregivers and adding support to recruiting and retention efforts, included as a reduction of cost of service revenues in the Company’s Unaudited Condensed Consolidated Statements of Income. As of* June 30, 2026*, the deferred portion of ARPA funding of$12.4 million is included within Government stimulus advances on the Company’s Unaudited Condensed Consolidated Balance Sheets.

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8. Long-Term Debt

Long-term debt consisted of the following:

June 30, 2026December 31, 2025
(Amounts in Thousands)
Revolving loan under the credit facility$64,335$124,335
Less unamortized issuance costs(2,738)(3,376)
Long-term debt$61,597$120,959

Amended and Restated Senior Secured Credit Facility

On* October 31, 2018,the Company entered into the Amended and Restated Credit Agreement, with certain lenders and Capital One, National Association, as a lender and as agent for all lenders, as amended by the First Amendment to Amended and Restated Credit Agreement, dated as of September 12, 2019,as further amended by the Second Amendment to Amended and Restated Credit Agreement, dated as of July 30, 2021,as further amended by the Third Amendment to Amended and Restated Credit Agreement, dated as of April 26, 2023,and as further amended by the Fourth Amendment to Amended and Restated Credit Agreement, dated as of October 22, 2024 (as amended, the “Credit Agreement”, as used throughout this Quarterly Report on Form10*-Q, “credit facility” shall mean the credit facility evidenced by the Credit Agreement). The credit facility consists of a $650.0 million revolving credit facility and a $150.0 million incremental loan facility, which incremental loan facility* maybe for term loans or an increase to the revolving loan commitments. The maturity of this credit facility is July 30, 2028.*

Interest on the credit facility* maybe payable at (x) the sum of (i) an applicable margin ranging from 0.75% to 1.50% based on the applicable senior net leverage ratio plus (ii) a base rate equal to the greatest of (a) the rate of interest last quoted by The Wall Street Journal as the “prime rate,” (b) the sum of the federal funds rate plus a margin of 0.50%, and (c) the sum of Term Secured Overnight Financing Rate (“SOFR”) (as published by the CME Group Benchmark Administrative Limited) for an interest period ofone* month for such applicable day (not to be less than 0.00%), plus a margin of 1.00% or (y) the sum of (i) an applicable margin ranging from 1.75% to 2.50% based on the applicable senior net leverage ratio plus (ii) the rate per annum equal to the sum of Term SOFR (as published by the CME Group Benchmark Administrative Limited) for the applicable interest period (not to be less than 0.00%). Swing loans* may**not* be SOFR loans.

Addus HealthCare, Inc. (“Addus HealthCare”) is the borrower, and its parent, Holdings, and substantially all of Holdings’ subsidiaries are guarantors under this credit facility, and it is collateralized by afirst priority security interest in all of the Company’s and the other credit parties’ current and future tangible and intangible assets, including the shares of stock of the borrower and subsidiaries. The Credit Agreement contains affirmative and negative covenants customary for credit facilities of this type, including limitations on the Company with respect to liens, indebtedness, guaranties, investments, distributions, mergers and acquisitions, and dispositions of assets. The availability of additional draws under this credit facility is conditioned, among other things, upon (after giving effect to such draws) the Total Net Leverage Ratio (as defined in the Credit Agreement)not exceeding 3.75:1.00. In certain circumstances, in connection with a Material Acquisition (as defined in the Credit Agreement), the Company can elect to increase its Total Net Leverage Ratio compliance covenant to 4.25:1.00 for the then current fiscal quarter and thethree succeeding fiscal quarters.

The Company pays a fee ranging from 0.20% to 0.35% based on the applicable senior net leverage ratio times the unused portion of the revolving loan portion of the credit facility.

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The Credit Agreement contains customary affirmative covenants regarding, among other things, the maintenance of records, compliance with laws, maintenance of permits, maintenance of insurance and property and payment of taxes. The Credit Agreement also contains certain customary financial covenants and negative covenants that, among other things, include a requirement to maintain a minimum Interest Coverage Ratio (as defined in the Credit Agreement) and a requirement to stay below a maximum Total Net Leverage Ratio (as defined in the Credit Agreement). The Credit Agreement also contains restrictions on guarantees, indebtedness, liens, investments and loans, subject to customary carve outs, a restriction on dividends (provided that Addus HealthCare** may** make distributions to the Company in an amount that doesnot exceed $10.0 million in any year absent an event of default, plus limited exceptions for tax and administrative distributions), a restriction on the ability to consummate acquisitions (without the consent of the lenders) under its credit facility subject to compliance with the Total Net Leverage Ratio (as defined in the Credit Agreement) thresholds, restrictions on mergers, dispositions of assets, and affiliate transactions, and restrictions on fundamental changes and lines of business.

During thesix months ended* June 30, 2026*, the Company didnot draw on its credit facility and repaid $60.0 million under the revolving credit facility.

As of* June 30, 2026*, the Company had a total of$64.3 million of revolving loans, with an interest rate of 5.40%, outstanding on its credit facility. After giving effect to the amount drawn on its credit facility, approximately $7.9 million of outstanding letters of credit and borrowing limits based on an advance multiple of adjusted EBITDA (as defined in the Credit Agreement), the Company had $650.0 million of capacity and $577.8 million available for borrowing under its credit facility. As of* December 31, 2025*, the Company had a total of $124.3 million of revolving loans, with an interest rate of 5.48%, outstanding on its credit facility.

As of* June 30, 2026*, the Company was in compliance with all financial covenants under the Credit Agreement.

9. Income Taxes

The effective income tax rates were 26.9%and 26.4% for thethree months ended* June 30, 2026* and2025, respectively. The effective income tax rates were 25.0% and 24.0% for thesix months ended* June 30, 2026and2025*, respectively.

For thethree months ended* June 30, 2026*, the difference between our federal statutory and effective income tax rates was principally due to the inclusion of state taxes, non-deductible compensation and an excess tax expense, partially offset by the use of federal employment tax credits. The Work Opportunity Tax Credit (“WOTC”) is a federal tax credit available to employers for hiring individuals from certain targeted groups. The Company has historically benefited from this credit; however, because the program expired on* December 31, 2025,and had not been renewed as of January 1, 2026,the effective income tax rate for the current quarter includes only the benefit associated with employees hired on or before December 31, 2025.For both thethree* months ended* June 30, 2026and2025*, the effective tax rates were inclusive of an excess tax benefit of 0.0% and 0.1%, respectively. The excess tax expense and tax benefit are discrete items, related to the vesting of equity shares, which requires the Company to recognize the expense or benefit fully in the period. An excess tax expense results if the Company’s cumulative costs of the award recognized exceed the income tax deduction, whereas an excess tax benefit results if the Company’s cumulative costs of the award recognized are less than the income tax deduction.

10. Commitments and Contingencies

Legal Proceedings

From time to time, the Company is subject to legal and/or administrative proceedings incidental to its business.

It is the opinion of management that the outcome of pending legal and/or administrative proceedings willnot have a material effect on the Company’s Unaudited Condensed Consolidated Balance Sheets and Unaudited Condensed Consolidated Statements of Income.

11. Segment Information

Operating segments are defined as components of a company that engage in business activities from which it* may*earn revenues and incur expenses, and for which separate financial information is available and is regularly reviewed by the Company’s chief operating decision maker (“CODM”). The Company identifies its Chief Executive Officer and Chief Operating Officer together as CODMs to assess the performance of the individual segments and make decisions about resources to be allocated to the segments. The Company operates as a multi-state provider ofthree business segments providing in-home services.

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In its personal care segment, the Company provides non-medical assistance with activities of daily living, primarily to persons who are at increased risk of hospitalization or institutionalization, such as the elderly, chronically ill or disabled. In its hospice segment, the Company provides physical, emotional, and spiritual care for people who are terminally ill as well as related services for their families. In its home health segment, the Company provides services that are primarily medical in nature to individuals who* may*require assistance during an illness or after hospitalization and include skilled nursing and physical, occupational, and speech therapy.

The Company’s method for measuring profitability on each reportable segment basis is the same as those described in the summary of significant accounting policies and its CODMs frequently review the actual result to budget variance to allocate resources to the segment and assess its performance. Segment operating income consists of revenue generated by a segment, less the direct costs of service revenues and general and administrative expenses that are incurred directly by the segment. Unallocated general and administrative costs are those costs for functions performed in a centralized manner and thereforenot attributable to a particular segment. These costs include accounting, finance, human resources, legal, information technology, corporate office support and facility costs and overall corporate management.

The CODMs donot review disaggregated assets by segment. The measure of segment assets is reported on the balance sheet as total consolidated assets.

The tables below set forth information about the Company’s reportable segments, along with the items necessary to reconcile the segment information to the totals reported in the accompanying Unaudited Condensed Consolidated Financial Statements.

(Amounts in Thousands)
Personal CareHospiceHome HealthTotal
Net service revenues$295,995$64,247$17,175$377,417
Direct service personnel209,89029,7619,203248,854
General and administrative salaries, wages and benefits19,49012,2823,60035,372
Other segment items (1)6,23510,0991,08517,419
Segment operating income60,38012,1053,28775,772
Segment reconciliation:
Items not allocated at segment level:
Other general and administrative expenses32,705
Depreciation and amortization4,125
Interest income(566)
Interest expense1,724
Income before income taxes$37,784
(1)Other segment items include other costs for direct service personnel, office expense, licenses and taxes, communication, medical director fees, travel, and bad debt expense.
(Amounts in Thousands)
Personal CareHospiceHome HealthTotal
Net service revenues$269,183$62,212$18,048$349,443
Direct service personnel192,86826,1779,451228,496
General and administrative salaries, wages and benefits18,40711,4483,02932,884
Other segment items (1)6,2689,7651,18617,219
Segment operating income51,64014,8224,38270,844
Segment reconciliation:
Items not allocated at segment level:
Other general and administrative expenses34,044
Depreciation and amortization3,913
Interest income(583)
Interest expense3,525
Income before income taxes$29,945

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(1)Other segment items include other costs for direct service personnel, office expense, licenses and taxes, communication, medical director fees, travel, and bad debt expense.
(Amounts in Thousands)
Personal CareHospiceHome HealthTotal
Net service revenues$577,089$130,032$33,907$741,028
Direct service personnel412,76258,92918,037489,728
General and administrative salaries, wages and benefits38,78824,4447,19870,430
Other segment items (1)12,29319,9022,22234,417
Segment operating income113,24626,7576,450146,453
Segment reconciliation:
Items not allocated at segment level:
Other general and administrative expenses65,284
Depreciation and amortization8,155
Interest income(1,076)
Interest expense3,875
Income before income taxes$70,215
(1)Other segment items include other costs for direct service personnel, office expense, licenses and taxes, communication, medical director fees, travel, and bad debt expense
(Amounts in Thousands)
Personal CareHospiceHome HealthTotal
Net service revenues$527,469$123,649$36,033$687,151
Direct service personnel379,51852,38219,864451,764
General and administrative salaries, wages and benefits36,64722,4276,30865,382
Other segment items (1)12,07319,4012,46533,939
Segment operating income99,23129,4397,396136,066
Segment reconciliation:
Items not allocated at segment level:
Other general and administrative expenses64,809
Depreciation and amortization7,856
Interest income(1,085)
Interest expense7,543
Income before income taxes$56,943
(1)Other segment items include other costs for direct service personnel, office expense, licenses and taxes, communication, medical director fees, travel, and bad debt expense

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12. Significant Payors

The Company’s revenue by payor type was as follows:

Personal Care Segment · For the Three Months Ended June 30, · For the Six Months Ended June 30,
2026 · 2025 · 2026 · 2025
% of Segment% of Segment% of Segment% of Segment
AmountNet ServiceAmountNet ServiceAmountNet ServiceAmountNet Service
(in Thousands)Revenues(in Thousands)Revenues(in Thousands)Revenues(in Thousands)Revenues
State, local and other governmental programs$148,82250.3%$138,50651.4%$288,45750.0%$271,41051.4%
Managed care organizations139,28547.1121,90045.3272,95947.3238,90745.3
Private pay6,4942.27,2922.712,7212.214,2682.7
Commercial insurance1,1890.41,3340.52,2950.42,4940.5
Other205—1510.16570.13900.1
Total personal care segment net service revenues$295,995100.0%$269,183100.0%$577,089100.0%$527,469100.0%
Hospice Segment · For the Three Months Ended June 30, · For the Six Months Ended June 30,
2026 · 2025 · 2026 · 2025
% of Segment% of Segment% of Segment% of Segment
AmountNet ServiceAmountNet ServiceAmountNet ServiceAmountNet Service
(in Thousands)Revenues(in Thousands)Revenues(in Thousands)Revenues(in Thousands)Revenues
Medicare$60,02093.4%$57,84693.0%$122,11193.9%$114,63892.7%
Commercial insurance1,9103.01,9973.23,7222.94,3753.5
Managed care organizations1,9203.02,0013.23,4202.64,0293.3
Other3970.63680.67790.66070.5
Total hospice segment net service revenues$64,247100.0%$62,212100.0%$130,032100.0%$123,649100.0%
Home Health Segment · For the Three Months Ended June 30, · For the Six Months Ended June 30,
2026 · 2025 · 2026 · 2025
% of Segment% of Segment% of Segment% of Segment
AmountNet ServiceAmountNet ServiceAmountNet ServiceAmountNet Service
(in Thousands)Revenues(in Thousands)Revenues(in Thousands)Revenues(in Thousands)Revenues
Medicare$10,90363.5%$12,51769.4%$21,12862.3%$25,09469.7%
Managed care organizations4,41425.74,26423.68,38124.78,07222.4
State, local and other governmental programs (excluding Medicare)1,3187.77964.43,3699.91,8845.2
Other5403.14712.61,0293.19832.7
Total home health segment net service revenues$17,175100.0%$18,048100.0%$33,907100.0%$36,033100.0%

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The Company derives a significant amount of its revenue from its operations in Illinois, New Mexico, Ohio, Tennessee, and Texas. The percentages of segment revenue for each of these significant states for thethree andsix months ended* June 30, 2026and2025*, respectively, were as follows:

Personal Care Segment · For the Three Months Ended June 30, · For the Six Months Ended June 30,
2026 · 2025 · 2026 · 2025
% of Segment% of Segment% of Segment% of Segment
AmountNet ServiceAmountNet ServiceAmountNet ServiceAmountNet Service
(in Thousands)Revenues(in Thousands)Revenues(in Thousands)Revenues(in Thousands)Revenues
Illinois$121,08940.9%$115,22642.8%$237,83941.2%$226,64043.0%
Texas59,13920.052,46419.5116,52920.2102,32419.4
New Mexico31,96210.828,98710.862,45210.857,29210.9
All other states83,80528.372,50626.9160,26927.8141,21326.7
Total personal care segment net service revenues$295,995100.0%$269,183100.0%$577,089100.0%$527,469100.0%
Hospice Segment · For the Three Months Ended June 30, · For the Six Months Ended June 30,
2026 · 2025 · 2026 · 2025
% of Segment% of Segment% of Segment% of Segment
AmountNet ServiceAmountNet ServiceAmountNet ServiceAmountNet Service
(in Thousands)Revenues(in Thousands)Revenues(in Thousands)Revenues(in Thousands)Revenues
Ohio$24,20737.7%$23,20437.3%$50,67439.0%$46,39137.5%
Illinois13,70821.314,41923.228,04721.628,98323.4
New Mexico8,47513.28,18413.216,34612.616,09713.0
All other states17,85727.816,40526.334,96526.832,17826.1
Total hospice segment net service revenues$64,247100.0%$62,212100.0%$130,032100.0%$123,649100.0%
Home Health Segment · For the Three Months Ended June 30, · For the Six Months Ended June 30,
2026 · 2025 · 2026 · 2025
% of Segment% of Segment% of Segment% of Segment
AmountNet ServiceAmountNet ServiceAmountNet ServiceAmountNet Service
(in Thousands)Revenues(in Thousands)Revenues(in Thousands)Revenues(in Thousands)Revenues
New Mexico$9,16653.4%$8,73748.4%$17,70552.2%$17,29248.0%
Tennessee6,53338.07,32240.613,41739.614,82041.1
Illinois1,4768.61,98911.02,7858.23,92110.9
Total home health segment net service revenues$17,175100.0%$18,048100.0%$33,907100.0%$36,033100.0%

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A substantial portion of the Company’s revenue and accounts receivable are derived from services performed for federal, state, and local governmental agencies. The personal care segment derives a significant amount of its net service revenues in Illinois, which represented 32.1% and 33.0% of our net service revenues for both thethree andsix months ended* June 30, 2026* and2025, respectively. The Illinois Department on Aging, the largest payor program for the Company’s Illinois personal care operations, accounted for 17.7% and 18.6% of the Company’s net service revenues for thethree months ended* June 30, 2026* and2025, respectively, and accounted for 17.8% and 18.6% of the Company’s net service revenues for thesix months ended* June 30, 2026and2025*, respectively.

The related receivables due from the Illinois Department on Aging represented 13.2% and 25.2% of the Company’s net accounts receivable at* June 30, 2026* and* December 31, 2025*, respectively.

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