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Adapthealth (AHCO)
NASDAQ:AHCO
US Market

AdaptHealth (AHCO) AI Stock Analysis

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AHCO

AdaptHealth

(NASDAQ:AHCO)

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Neutral 56 (OpenAI - 5.2)
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Neutral 56 (OpenAI - 5.2)
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Neutral 56 (OpenAI - 5.2)
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Neutral 56 (OpenAI - 5.2)
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Neutral 56 (OpenAI - 5.2)
Rating:56Neutral
Price Target:
$11.00
▲(11.00% Upside)
Action:ReiteratedDate:02/25/26
The score is anchored by strong cash flow generation despite volatile and recently weaker reported financial performance (sharp TTM revenue decline and a return to net loss) and still-elevated leverage. Technicals are weak with the stock trading below key moving averages, while the latest earnings call guidance provides a partial offset via expected 2026 growth, margin improvement, and free cash flow supported by the capitated contract (despite near-term ramp headwinds).
Positive Factors
Strong cash generation
Consistent TTM operating cash flow ($601.8M) and positive free cash flow ($219.4M) provide durable internal funding for capex, working capital and debt reduction. Reliable cash generation reduces reliance on external financing and supports strategic investments and contract ramping over the medium term.
Large capitated contract win
The industry-leading capitated agreement creates a structurally more predictable, recurring revenue stream and margin leverage as onboarding scales. Successful early execution and a large addressable population support durable organic growth and operating-margin expansion as per-management ramp expectations.
Operational improvements and scale
Faster referral-to-setup, higher clinical adherence and growing digital engagement indicate sustainable improvements in unit economics, patient retention and throughput. Operational scale and digitization lower per-patient costs and support long-term margin sustainability across core therapy lines.
Negative Factors
Revenue and earnings volatility
Sharp TTM revenue decline and a swing to net loss highlight structural volatility in underlying demand, payor dynamics and disposals. Persistent earnings unpredictability undermines long-term planning, complicates reinvestment and makes forecasted margin and cash targets harder to rely upon.
Elevated leverage remains an overhang
Debt materially above equity and multi-year leverage metrics constrain financial flexibility. Even with recent reduction efforts, higher leverage increases interest sensitivity, limits strategic optionality and raises refinancing risk if cash generation or margins stumble during contract ramp or cyclical weakness.
Diabetes segment weakness and impairment
Declining CGM starts, lower reimbursement per patient and a sizeable goodwill impairment signal slower structural recovery in Diabetes. Persistent weakness demands continued investment or restructuring, pressuring margins and raising the risk that this segment will underdeliver versus company-wide growth assumptions.

AdaptHealth (AHCO) vs. SPDR S&P 500 ETF (SPY)

AdaptHealth Business Overview & Revenue Model

Company DescriptionAdaptHealth Corp., together with its subsidiaries, provides home medical equipment (HME), medical supplies, and home and related services in the United States. The company provides sleep therapy equipment, supplies, and related services, such as CPAP and bi-PAP services to individuals suffering from obstructive sleep apnea; medical devices and supplies, including continuous glucose monitors and insulin pumps to patients for the treatment of diabetes; HME to patients discharged from acute care and other facilities; oxygen and related chronic therapy services in the home; and other HME devices and supplies on behalf of chronically ill patients with wound care, urological, incontinence, ostomy, and nutritional supply needs. It serves beneficiaries of Medicare, Medicaid, and commercial insurance payors. AdaptHealth Corp. is headquartered in Plymouth Meeting, Pennsylvania.
How the Company Makes MoneyAdaptHealth primarily makes money by providing home medical equipment, consumable supplies, and related services that are reimbursed by third-party payors. A major component of its revenue model is ongoing resupply and recurring utilization tied to chronic therapies: for example, sleep therapy patients require periodic replacement of masks, cushions, filters, and tubing, and diabetes patients require regular supplies associated with glucose monitoring. The company also earns revenue from respiratory therapy through the provision of oxygen and other respiratory equipment along with associated service and support; depending on payer rules and the product category, reimbursement may be structured as capped rental/recurring payments over time and/or as sales of equipment and supplies. Across categories, revenue is generated through (1) dispensing equipment, (2) recurring shipments of consumable supplies, and (3) patient setup, education, compliance/support, and logistics services that enable continued therapy use and reimbursement. Key factors that contribute to earnings include payor reimbursement rates and policies (including Medicare, Medicaid, and commercial insurers), the company’s ability to document medical necessity and patient compliance where required (especially in sleep therapy), patient retention and resupply fulfillment execution, and referral relationships with healthcare providers and hospital systems. Any specific material partnership terms or customer concentration details not publicly specified are null.

AdaptHealth Key Performance Indicators (KPIs)

Any
Any
Revenue by Segment
Revenue by Segment
Breaks down income from various business segments, indicating which parts of the company are generating the most revenue and where growth opportunities or challenges may exist.
Chart InsightsAdaptHealth's Sleep and Respiratory Health segments show robust growth, with Sleep Health benefiting from a 7% increase in new starts and Respiratory Health seeing a 7.8% revenue rise. However, the Wellness at Home segment faces a 16% revenue decline due to asset dispositions, and Diabetes Health struggles with softer CGM starts despite a 6.4% revenue uptick. The company is focusing on debt reduction and operational efficiencies, maintaining a positive outlook with strategic agreements expected to drive future growth.
Data provided by:The Fly

AdaptHealth Earnings Call Summary

Earnings Call Date:Feb 24, 2026
(Q4-2025)
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% Change Since: |
Next Earnings Date:May 12, 2026
Earnings Call Sentiment Positive
The call presents a largely positive outlook driven by operational improvements, record patient census in key segments, strong adjusted EBITDA and free cash flow performance, meaningful debt reduction, credit upgrades, and a major capitated contract with successful early onboarding and clear revenue/margin upside in 2026. Offsetting risks include reported revenue declines due to dispositions, weakness and a goodwill impairment in the Diabetes segment, a one-time legal settlement and accelerated onboarding costs that pressure near-term working capital and leverage, and anticipated negative free cash flow and margin drag in Q1 2026 as the capitated contract ramps. Overall, the positive operational momentum, cash generation, strategic contract win and upwardly revised 2026 guidance outweigh the near-term financial headwinds and one-time charges.
Q4-2025 Updates
Positive Updates
Revenue Beat and Organic Growth
Full year 2025 net revenue of $3.245B and Q4 revenue of $846.3M both exceeded the midpoint of guidance; organic revenue growth was 1.7% for both the full year and Q4.
Record Patient Census and New Starts Across Key Segments
Sleep health patient census reached a record 1.73M (+4% YoY) with new starts ~130,600 (+~6% YoY). Respiratory health set new records for oxygen (~335k patients) and vents; oxygen and vent new starts rose ~4% and ~5%, respectively. Wellness at Home new starts for wheelchairs and beds rose ~6% and ~5%, with patient census records.
Adjusted EBITDA and Margin Strength
Full year adjusted EBITDA of $616.7M (19.0% margin) and Q4 adjusted EBITDA of $163.1M (19.3% margin). Excluding a $14.5M legal settlement and ~ $10M of accelerated capitated onboarding costs, adjusted EBITDA was in line with FY25 guidance.
Strong Free Cash Flow and Cash Generation
Full year free cash flow of $219.4M, meaningfully exceeding the top end of guidance; Q4 cash flow from operations was $183.2M and Q4 free cash flow was $79.3M.
Debt Reduction and Credit Upgrades
Debt reduced by $25M in Q4 and $250M year-to-date; net debt $1.694B and net leverage 2.75x. Interest expense decreased ~ $21M YoY and both S&P and Moody's upgraded the company’s credit ratings.
Largest Capitated Contract Win and Early Successful Onboarding
Closed the largest capitated contract in the industry; Dec go-live for 3 Mid-Atlantic states (~50k members) executed ahead of plan with a 98% contact center answer rate. Fully scaled contract expected to serve >10M patients with ~1,200 employees across 30 locations.
Operational Improvements and Technology Initiatives
Standardized operating model improved referral-to-setup in sleep to 9 days (from 23 a year ago); respiratory referral-to-setup improved by 3 days YoY. Clinical adherence ~10 percentage points above industry top quartile. AI pilots reduced processing time and PAP self-scheduling cut patient phone times; myAPP users grew to >327,000.
2026 Guidance: Growth and Margin Upside
2026 guidance: net revenue $3.44B–$3.51B (6%–8% growth), adjusted EBITDA $680M–$730M (midpoint ~20.3% margin, +~1 ppt vs 2025), and free cash flow $175M–$225M. Company expects capitated contract to contribute ~5%–6% revenue growth in 2026 and ramp to low-double-digit YoY growth by Q4.
Negative Updates
Reported Revenue Slightly Down on a Reported Basis
Full year 2025 net revenue decreased 0.5% YoY on a reported basis; Q4 net revenue decreased 1.2% YoY on a reported basis (though organic +1.7%). Dispositions reduced FY revenue by $92.4M.
Diabetes Health Weakness and Goodwill Impairment
Diabetes health net revenue was $158.5M in Q4, down 7.4% YoY. CGM new starts remained soft and a shift in payer mix lowered CGM reimbursement per patient. Company recorded a $128M noncash goodwill impairment related to the Diabetes Health segment.
Wellness at Home Revenue Decline from Dispositions
Wellness at Home net revenue declined 16.1% YoY in Q4, driven primarily by disposition of noncore assets sold during 2025.
One-Time Legal Settlement and Accelerated Onboarding Costs
Q4 and FY results included a $14.5M legal settlement (final settlement of a 2022 class action in North Carolina) and ~ $10M of accelerated costs to bring the new capitated arrangement live early; these items pressured working capital and leverage in the quarter.
Short-Term Leverage and Working Capital Pressure
Net leverage rose modestly to 2.75x from 2.68x at Q3-end, and unrestricted cash ended at $106.1M. Working capital was $16.5M, lower than normal due to the legal settlement and infrastructure spending.
Near-Term Cash Flow and Margin Drag from Capitated Ramp
Company expects Q1 2026 free cash flow to be negative $20M to $40M and adjusted EBITDA margin of ~16% in Q1 as infrastructure and pre-revenue costs are carried ahead of capitated revenue ramp. CapEx stepped up: Q4 CapEx $103.9M (12.3% of revenue).
Higher Run-Rate Spending and Revolver Draw
Drew $100M on the revolver to fund equipment acquisitions related to capitated contract support (acquisition cost highlighted of $47.6M). These near-term draws increase leverage until free cash flow ramps through 2026.
Segment-Specific Risks and Mixed Recovery Timelines
Diabetes new starts and CGM demand remain soft and management is holding expectations generally flat until investments in sales force and operations prove out; recovery is expected but timing is uncertain.
Company Guidance
AdaptHealth guided 2026 net revenue of $3.44–3.51 billion (6–8% growth vs. 2025, ~7% at the midpoint), adjusted EBITDA of $680–730 million (midpoint implying ~20.3% adjusted EBITDA margin, ~1 ppt improvement vs. 2025) and free cash flow of $175–225 million; management expects organic growth of 7.5–9.5% partially offset by ~1.5% net revenue compression from acquisitions/dispositions, with 5–6% of 2026 growth attributable to the new capitated agreement and 2.5–3.5% from the rest of the business. They forecast Q1 revenue +2–3% year‑over‑year, a Q1 adjusted EBITDA margin of ~16% (carrying upfront capitated costs), Q1 free cash flow of negative $20–40 million, and a quarter‑by‑quarter capitated ramp that adds “a few points” each quarter to reach low‑double‑digit growth by Q4; roughly one‑third of full‑year free cash flow is expected in the first half. CapEx was ~12.3% of revenue in Q4 and management indicated that run‑rate is broadly sustainable as they absorb infrastructure costs.

AdaptHealth Financial Statement Overview

Summary
Cash generation is a key strength (TTM operating cash flow $601.8M; free cash flow $219.4M). However, operating results are unstable: TTM revenue fell 36.3% and the company swung to a net loss (-$72.9M) with gross margin compression, while leverage remains an overhang (debt-to-equity ~1.18 in TTM).
Income Statement
44
Neutral
Results are volatile. Revenue declined sharply in TTM (Trailing-Twelve-Months) (down 36.3%), and the company moved to a net loss (-$72.9M) after being profitable in 2024. Profitability is mixed: EBITDA margin in TTM (Trailing-Twelve-Months) remains solid (~22.8%) and EBIT margin improved versus 2024, but gross margin compressed meaningfully versus 2024 and net results have swung between profits (2021, 2022, 2024) and large losses (2020, 2023, TTM).
Balance Sheet
52
Neutral
Leverage remains a key overhang, with debt running above equity (debt-to-equity ~1.08–1.57 historically, ~1.18 in TTM), though it has improved from the 2023 peak. Equity is sizable ($1.53B in TTM), providing some balance sheet support, but returns on equity are modest in profitable years and have been deeply negative in loss years, highlighting earnings instability against a leveraged capital structure.
Cash Flow
70
Positive
Cash generation is a relative strength. Operating cash flow was strong in TTM (Trailing-Twelve-Months) ($601.8M) and free cash flow remained healthy ($219.4M), with a large step-up in free cash flow growth versus the prior period. The main drawback is that cash conversion versus accounting earnings is inconsistent across years (and TTM shows a net loss despite positive free cash flow), suggesting earnings quality and working-capital/timing effects should be monitored.
BreakdownDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue3.24B3.26B3.20B2.97B2.45B
Gross Profit568.56M681.09M681.77M417.43M445.61M
EBITDA503.64M628.02M-171.09M630.76M544.21M
Net Income-70.79M90.42M-678.89M69.32M156.18M
Balance Sheet
Total Assets4.32B4.49B4.51B5.22B5.25B
Cash, Cash Equivalents and Short-Term Investments106.14M109.75M77.13M46.27M149.63M
Total Debt1.90B2.13B2.29B2.33B2.37B
Total Liabilities2.79B2.91B3.04B3.06B3.18B
Stockholders Equity1.52B1.57B1.46B2.15B2.06B
Cash Flow
Free Cash Flow219.38M235.78M143.20M-17.56M72.37M
Operating Cash Flow601.77M541.84M480.67M373.87M275.68M
Investing Cash Flow-303.19M-310.27M-357.28M-411.17M-1.82B
Financing Cash Flow-302.19M-198.95M-92.53M-66.05M1.60B

AdaptHealth Technical Analysis

Technical Analysis Sentiment
Negative
Last Price9.91
Price Trends
50DMA
10.10
Negative
100DMA
9.92
Negative
200DMA
9.54
Positive
Market Momentum
MACD
0.06
Negative
RSI
48.72
Neutral
STOCH
53.03
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For AHCO, the sentiment is Negative. The current price of 9.91 is above the 20-day moving average (MA) of 9.77, below the 50-day MA of 10.10, and above the 200-day MA of 9.54, indicating a neutral trend. The MACD of 0.06 indicates Negative momentum. The RSI at 48.72 is Neutral, neither overbought nor oversold. The STOCH value of 53.03 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for AHCO.

AdaptHealth Risk Analysis

AdaptHealth disclosed 47 risk factors in its most recent earnings report. AdaptHealth reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

AdaptHealth Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
69
Neutral
$1.47B25.0417.36%29.47%23.24%
56
Neutral
$1.35B-4.63%-0.23%
56
Neutral
$1.11B26.784.68%2.02%4.69%-51.57%
56
Neutral
$1.60B-95.98-13.44%18.72%85.77%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
47
Neutral
$696.76M-1.85-39.90%4.99%-7151.40%
45
Neutral
$1.70B-7.22-141.98%17.87%-57.03%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
AHCO
AdaptHealth
9.91
-0.48
-4.62%
CNMD
Conmed
35.94
-24.41
-40.45%
IART
Integra Lifesciences
8.94
-13.70
-60.51%
UFPT
Ufp Technologies
191.05
-19.45
-9.24%
TNDM
Tandem Diabetes Care
24.82
4.20
20.37%
AXGN
AxoGen
30.78
12.63
69.59%
Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Feb 25, 2026