AdaptHealth Corp. — Third Quarter 2026 Earnings Summary
Financial Performance:
- Net revenue for the quarter ended September 30, 2026, was $745.6 million, an increase of 10.9% year-over-year from $672.4 million.
- Organic revenue growth was 12.8%, with growth reported across all reportable segments.
- Net loss attributable to AdaptHealth Corp. was $168.2 million for the quarter, compared to net income of $10.2 million in the prior year period, primarily driven by a $184.8 million pre-tax goodwill write-down.
- Adjusted EBITDA was $141.9 million for the quarter, a decrease of 2.9% from $146.1 million in the prior year period.
- Year-to-date 2026 cash flow from operations was $395.6 million, down from $418.6 million in the comparable 2025 period.
- Year-to-date 2026 free cash flow was $2.6 million, a significant decrease from $140.1 million in the comparable 2025 period.
- Goodwill impairment for the nine months ended September 30, 2026, totaled $328.9 million, compared to $0 in the prior year.
- Total assets were $4.20 billion as of September 30, 2026, down from $4.32 billion as of December 31, 2025.
- Long-term debt, less current portion, was $1.87 billion as of September 30, 2026, up from $1.72 billion as of December 31, 2025.
Guidance and Future Outlook:
- The Company revised its fiscal year 2026 financial guidance on a continuing operations basis (excluding the Diabetes Health business).
- Revised net revenue guidance is $2.88 billion to $2.90 billion, up from the previous range of $2.85 billion to $2.89 billion.
- Revised Adjusted EBITDA guidance is $510 million to $525 million, up from the previous range of $490 million to $520 million.
- Revised free cash flow guidance is $50 million to $75 million, down from the previous range of $80 million to $120 million.
- Management indicated the business is stabilizing during its transformation period and expects to carry momentum into 2027.
Business Segments and Product Lines:
- The Company operates under three reportable segments: Sleep Health, Respiratory Health, and Wellness at Home.
- The second full quarter of the exclusive capitated agreement with a large national integrated delivery network showed sequential improvement in contract profitability, driven by utilization lower than peak levels and reduced labor costs.
- The Company signed preferred-provider agreements with four health systems.
- The capitated portfolio was broadened through two smaller agreements with regional health plans, one new and one expanded.
- Registered myAPP users grew to more than 615,000, an increase of approximately 88% from year-end 2025.
- The Company completed more than 12,600 patient scans using its AI-powered mask-fitting tool.
Market and Competitive Landscape:
- The Company serves approximately 4.8 million patients annually across all 50 states through a network of approximately 660 locations in 48 states.
- Referral sources include acute care hospitals, sleep labs, pulmonologists, skilled nursing facilities, and clinics.
- The Company services beneficiaries of Medicare, Medicaid, and commercial insurance payors.
Risks and Challenges:
- The Company reported a $184.8 million pre-tax goodwill impairment charge in the third quarter of 2026.
- The sale of the Diabetes Health business is subject to regulatory approvals and other customary closing conditions, with the transaction expected to close in early 2027.
- Forward-looking statements are subject to risks including judicial and administrative proceedings, governmental investigations, changes in customer preferences, and competitive conditions in the healthcare sector.
Management Commentary and Tone:
- Suzanne Foster, Chief Executive Officer, stated the Company delivered strong organic revenue growth and exceeded guidance for revenue, Adjusted EBITDA, and free cash flow.
- Management noted the capitated partnership made a positive contribution to enterprise Adjusted EBITDA, driven by a tighter labor model and lower costs to serve.
- Management expressed confidence in moving toward a more focused portfolio built around Sleep Health, Respiratory Health, and Wellness-at-Home following the pending sale of the Diabetes Health business.
Other Key Points:
- The Company cleared the Hart-Scott-Rodino waiting period for the sale of its Diabetes Health business for $235.0 million in cash.
- The Diabetes Health business was reported as discontinued operations for all periods presented.
- The Company recognized a pre-tax gain of $12.0 million associated with the deconsolidation of its former wholly-owned eCommerce subsidiary.
- The Company recognized a gain on sale of businesses of $6.3 million for the nine months ended September 30, 2026.
- The Company refinanced its credit agreement, incurring a loss on extinguishment of debt of $1.3 million for the nine months ended September 30, 2026.
- The Company paid $26.8 million in payments relating to the Tax Receivable Agreement for the nine months ended September 30, 2026.
- Company
- ADAPTHEALTH CORP
- Sector
- Healthcare
- Industry
- Medical Devices