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AdaptHealth (AHCO)

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Earnings summaries and quarterly performance for AdaptHealth.

Recent press releases and 8-K filings for AHCO.

AdaptHealth Reports Q4 and Full-Year 2025 Results, Provides 2026 Guidance
AHCO
Earnings
Guidance Update
Legal Proceedings
  • AdaptHealth reported full-year 2025 revenue of $3.245 billion and Q4 revenue of $846.3 million, both exceeding the midpoint of guidance. Full-year Adjusted EBITDA was $616.7 million and Q4 Adjusted EBITDA was $163.1 million, with both periods impacted by a $14.5 million legal settlement and $10 million in accelerated capitated contract costs.
  • The company achieved record patient census in Sleep Health, Respiratory Health, and Wellness at Home, and record retention in Diabetes Health. Sleep Health net revenue grew 4.4% and Respiratory Health net revenue grew 7.8% year-over-year in Q4 2025.
  • AdaptHealth provided 2026 guidance, projecting net revenue of $3.44 billion-$3.51 billion, Adjusted EBITDA of $680 million-$730 million, and free cash flow of $175 million-$225 million. This guidance includes 5%-6% growth from a new capitated agreement.
  • The company reduced its debt balance by $250 million in 2025, ending the year with net debt of $1.694 billion and a net leverage ratio of 2.75 times. Full-year free cash flow was $219.4 million, exceeding the top end of guidance.
  • AdaptHealth successfully onboarded the first phase of its largest capitated contract in the HME industry in December 2025, earlier than planned, serving approximately 50,000 members.
4 days ago
AdaptHealth Reports Q4 and Full-Year 2025 Results, Provides 2026 Guidance
AHCO
Earnings
Guidance Update
New Projects/Investments
  • AdaptHealth reported Q4 2025 revenue of $846.3 million and full-year 2025 revenue of $3.245 billion, with organic revenue growth of 1.7% for both periods. Adjusted EBITDA was $163.1 million for Q4 and $616.7 million for the full year, impacted by a $14.5 million legal settlement and ~$10 million in accelerated costs.
  • The company reduced its debt by $250 million in 2025, ending the year with net debt of $1.694 billion and a net leverage ratio of 2.75 times. S&P and Moody's upgraded its credit ratings. AdaptHealth also successfully went live with the Mid-Atlantic cohort of its largest capitated contract in December, earlier than planned.
  • For 2026, AdaptHealth projects net revenue between $3.44 billion and $3.51 billion, Adjusted EBITDA between $680 million and $730 million, and Free Cash Flow between $175 million and $225 million. Q1 2026 is expected to have lower margins and negative free cash flow due to infrastructure investments before revenue ramps up.
4 days ago
AdaptHealth Announces Q4 2025 Financial Results
AHCO
Earnings
Debt Issuance
Demand Weakening
  • AdaptHealth reported total net revenue of $846,289 thousand for Q4 2025, a decrease from $856,645 thousand in Q4 2024.
  • The company recorded a net loss attributable to AdaptHealth Corp. of $(102,770) thousand in Q4 2025, compared to a net income of $50,262 thousand in Q4 2024, resulting in a basic and diluted net loss per share of $(0.76).
  • Adjusted EBITDA for Q4 2025 was $163,143 thousand, with an Adjusted EBITDA Margin of 19.3%, down from $200,600 thousand and 23.4% respectively in Q4 2024.
  • Free cash flow for Q4 2025 increased to $79,288 thousand from $73,079 thousand in Q4 2024.
  • As of December 31, 2025, AdaptHealth's net debt stood at $1,694,170 thousand, with a Consolidated Total Leverage Ratio of 2.75.
4 days ago
AdaptHealth Announces Q4 and Full-Year 2025 Results and 2026 Guidance
AHCO
Earnings
Guidance Update
M&A
  • AdaptHealth reported full-year 2025 revenue of $3.245 billion and Q4 revenue of $846.3 million, both exceeding the midpoint of their guidance range, with organic revenue growth of 1.7% for both periods.
  • Full-year Adjusted EBITDA reached $616.7 million and Q4 Adjusted EBITDA was $163.1 million, which included a $14.5 million legal settlement and over $10 million in accelerated costs for a new capitated contract.
  • The company generated $219.4 million in full-year Free Cash Flow and reduced debt by $250 million in 2025, ending the year with net debt of $1.694 billion and a net leverage ratio of 2.75 times.
  • For 2026, AdaptHealth issued guidance projecting net revenue of $3.44 billion-$3.51 billion, Adjusted EBITDA of $680 million-$730 million, and Free Cash Flow of $175 million-$225 million.
  • Key operational achievements included implementing a new operating model, closing the industry's largest capitated contract, achieving record patient census in several health segments, and receiving credit rating upgrades from S&P and Moody's.
4 days ago
AdaptHealth Corp. Announces Q4 and Full-Year 2025 Results and Provides 2026 Financial Guidance
AHCO
Earnings
Guidance Update
New Projects/Investments
  • AdaptHealth Corp. reported full-year 2025 net revenue of $3,244.9 million and a net loss attributable to AdaptHealth Corp. of $70.8 million, which included a non-cash goodwill impairment charge of $128.0 million.
  • For the fourth quarter of 2025, net revenue was $846.3 million and the net loss attributable to AdaptHealth Corp. was $102.8 million, also impacted by the $128.0 million goodwill impairment charge.
  • Full-year 2025 Adjusted EBITDA was $616.7 million and free cash flow was $219.4 million.
  • The company provided financial guidance for fiscal year 2026, projecting net revenue of $3.44 billion to $3.51 billion, Adjusted EBITDA of $680 million to $730 million, and free cash flow of $175 million to $225 million.
  • AdaptHealth expanded its geographic footprint to its 48th State by acquiring an HME provider in Hawaii and made significant investments to support a new key capitated agreement.
4 days ago
AdaptHealth Discusses Humana Contract, Operational Improvements, and 2026 Outlook
AHCO
Guidance Update
New Projects/Investments
Revenue Acceleration/Inflection
  • AdaptHealth has renewed and expanded its Humana contract for another five-year term, now covering 33 states, with expected 20% EBITDA and 6%-7% free cash flow margin once fully ramped.
  • A new large capitated contract is projected to generate at least $1 billion over the next five years, requiring significant upfront investment in 1,200 new employees, 300 new vehicles, and 36 new sites.
  • The company anticipates 6%-8% top-line growth for 2026, with revenue ramping throughout the year, and expects half a point of EBITDA margin expansion for the full year, weighted towards the second half.
  • Operational improvements include reducing sleep therapy time from 23 to 10 days and investing in technology to cut diabetes order processing from 36 to 5 minutes.
  • AdaptHealth views upcoming competitive bidding as a strategic advantage, expecting industry consolidation from 5,500 to 3,000 DME providers, which is anticipated to drive organic growth.
Nov 11, 2025, 6:15 PM
AHCO Reports Q3 2025 Financial Results
AHCO
Earnings
Revenue Acceleration/Inflection
  • AdaptHealth Corp. reported total net revenue of $820,314 thousand for Q3 2025, driven by 1.5% organic revenue growth.
  • The company achieved Adjusted EBITDA of $170,056 thousand and an Adjusted EBITDA Margin of 20.7% in Q3 2025.
  • Diluted net income per share was $0.16 for Q3 2025, and free cash flow totaled $66,824 thousand.
  • As of September 30, 2025, total long-term debt stood at $1,812,993 thousand, with a Consolidated Total Leverage Ratio of 2.68.
Nov 4, 2025, 1:30 PM
AdaptHealth Reports Q3 2025 Results, Announces New Capitated Partner, and Provides 2026 Outlook
AHCO
Earnings
Guidance Update
New Projects/Investments
  • AdaptHealth reported Q3 2025 revenue of $820.3 million, an increase of 1.8% year-over-year, with organic revenue growth of 5.1%.
  • Adjusted EBITDA reached $170.1 million, up 3.5% from the prior year quarter, resulting in an adjusted EBITDA margin of 20.7%.
  • The company reduced debt by $50 million in Q3 2025, bringing the year-to-date total to $225 million, and achieved a net leverage ratio of 2.68 times.
  • AdaptHealth announced a new capitation partner to exclusively serve an additional 170,000 lives and is making significant investments in infrastructure, technology, and labor for new capitated arrangements.
  • For full year 2025, the company is maintaining its revenue and free cash flow guidance (expecting $170-$190 million for FCF), while expecting adjusted EBITDA to be at the bottom end of its guidance range. For 2026, AdaptHealth anticipates top-line growth of 6-8% and an adjusted EBITDA margin approximately 50 basis points better than 2025.
Nov 4, 2025, 1:30 PM
AdaptHealth Corp. Announces Third Quarter 2025 Results
AHCO
Earnings
Guidance Update
  • AdaptHealth Corp. reported net revenue of $820.3 million for the third quarter ended September 30, 2025, an increase of 1.8% compared to the same period in 2024, with organic revenue growth of 5.1%.
  • Net income attributable to AdaptHealth Corp. for Q3 2025 was $24.5 million, and Adjusted EBITDA increased by 3.5% to $170.1 million.
  • The company reduced debt by $50.0 million in the third quarter, bringing the year-to-date debt reduction to $225.0 million, resulting in a net leverage ratio of 2.68x at quarter end.
  • AdaptHealth is maintaining its financial guidance for fiscal year 2025, projecting net revenue between $3.18 billion and $3.26 billion, Adjusted EBITDA between $642 million and $682 million, and free cash flow between $170 million and $190 million.
Nov 4, 2025, 12:00 PM
AdaptHealth Discusses Growth Trajectory, New Contracts, and Competitive Bidding at Jefferies Conference
AHCO
Guidance Update
New Projects/Investments
M&A
  • AdaptHealth, the largest DME operator, reported over 3% growth in CPAP setups in Q2 and is seeing improved retention in its diabetes segment, aiming for a return to growth. The company expects 3% to 4% top-line organic revenue growth and has committed $30 million to $35 million for tuck-in M&A this year.
  • A significant new capitated contract, starting in Q1 2026, is projected to add at least $200 million annually with 20-21% adjusted EBITDA margins. The company also anticipates at least a point of bottom-line margin improvement in 2026 due to an accounting change and expects future cost savings from AI and automation investments.
  • The CFO noted that upcoming competitive bidding for diabetes products will consolidate the market to no more than nine operators per competitive bidding area, positioning AdaptHealth to gain market share.
  • AdaptHealth consistently generates 6% to 7% of revenue as free cash flow and aims to reduce its net debt to EBITDA leverage from 2.8x (Q2) to under 2.5x by mid-2026. The company does not anticipate paying cash tax for the next couple of years due to bonus depreciation.
Sep 29, 2025, 4:30 PM