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Frisco-based Addus HomeCare expands through $350 million acquisition

Atlanta-based Gentiva is selling its personal care arm to the North Texas health care company.

Frisco-based Addus HomeCare is growing its footprint in Texas with the $350 million acquisition of a Georgia company.

Addus HomeCare Corp., which specializes in assisted care, is expected to add annual revenues of approximately $280 million with its acquisition of the personal care arm of Atlanta-based hospice group Gentiva. Texas will represent more than 80% of that total, according to Addus CEO Dirk Allison.

“This will give us largely statewide coverage for personal care,” Allison said. “We’ll continue to expand that coverage as we see areas that might need it, but this gives us most of the major markets.”


Personal care services are non-clinical assistance with daily living tasks including dressing, bathing and meal prepping, among other things. There is a “very needed and growing market” for such services, Allison said.

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“In Texas, we do not have home health at this point,” he said. “We do have hospice down in the southern part of the state, but it was just a way for us to add non-clinical service growth that we wanted to see into Texas.”

An estimated 31% of Texans are 50 or older — the AARP criteria to be an “older adult” — according to 2022 1-year American Community Survey data. And the population of people older than 65 nationally has continued to grow, according to the Census Bureau.


Gentiva is a hospice and personal care company backed by Humana Inc. Its personal care services arm currently serves more than 16,000 patients per day in states including Texas, Arkansas and Missouri, the company said.

Addus HomeCare has steadily grown over the past few years with acquisitions including a Birmingham, Ala.-based hospice firm that served 1,000 patients a day in 2019 and another hospice firm based out of Ohio in 2020. Acquisitions are a key part of Addus’ growth strategy — Allison previously told The Dallas Morning News the company added $82 million to its top line in 2020 in three deals. The company’s net service revenues increased 11.6% year-over-year last quarter, according to results published last month.

Elderly, disabled Texans wanting to stay in their homes have also been threatened by low home care pay, which drives attendants to quit.


Gentiva deferred to Addus HomeCare for comment.

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