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AdaptHealth Corp.: Q3 FY2025 earnings call

What management said about Q3 FY2025, from the documents filed with the SEC on 4 November 2025: press release. Guidance figures: 3 kept. The quarter’s numbers.

Key takeaways

  • Revenue rose; organic growth highest since Q1 2024: Net revenue was $820.3 million, up from $805.9 million. The company said organic growth of 5.1% reflected solid underlying volume across the four reportable segments. Source
  • Adjusted EBITDA up 3.5% year over year: Adjusted EBITDA was $170.1 million, against $164.3 million, a 3.5% increase in the quarter. Source
  • New capitated payor agreement signed: The company signed a capitated agreement to be the exclusive HME provider for a payor with about 170,000 members. Source
  • Free cash flow fell in the quarter: Free cash flow for the quarter was $66.8 million, against $84.8 million, as equipment purchases rose to $94.2 million from $59.6 million. Source
  • Debt reduced $50.0 million in quarter: Debt was reduced by $50.0 million in the quarter, and the year-to-date reduction reached $225.0 million. Source
  • Net leverage above stated target: Net leverage was 2.68 times at quarter end, against a stated net leverage target of 2.50 times. Source

““Q3 was a milestone quarter for AdaptHealth,” said Suzanne Foster, CEO of AdaptHealth.”

AdaptHealth Corp., press release

Guidance

AreaPeriodFigureAgainst last quarter
Net revenue Sourcefiscal year 2025$3.18 billion to $3.26 billionKept
Adjusted EBITDA Sourcefiscal year 2025$642 million to $682 millionKept
Free cash flow Sourcefiscal year 2025$170 million to $190 millionKept

What changed from last quarter

  • Guidance kept: Fiscal 2025 guidance for net revenue, Adjusted EBITDA and free cash flow was maintained. Source
  • New: The company signed a new capitated agreement with a payor serving about 170,000 members. Source

Results and growth drivers

  • Revenue rose; organic growth highest since Q1 2024: Net revenue was $820.3 million, up from $805.9 million. The company said organic growth of 5.1% reflected solid underlying volume across the four reportable segments. Source
  • Net income attributable to company higher: Net income attributable to AdaptHealth Corp. was $24.5 million, against $22.9 million. Diluted net income per share was $0.16, against $0.15 a year earlier. Source
  • Adjusted EBITDA up 3.5% year over year: Adjusted EBITDA was $170.1 million, against $164.3 million, a 3.5% increase in the quarter. Source
  • Nine-month gain on business sales: Nine-month results include a $32.2 million pre-tax gain on the dispositions of two Wellness at Home businesses, recognized in the second quarter. Source

Segments and network

  • Four reportable segments named: The company reports four segments aligned to product categories: Sleep Health, Respiratory Health, Diabetes Health and Wellness at Home. Source
  • Locations about 640 in 47 states: The network stood at about 640 locations, up from about 630 in the prior release, serving patients in all 50 states. Source
  • Diversified referral sources: Referral sources include acute care hospitals, sleep labs, pulmonologists, skilled nursing facilities and clinics. Source

“We delivered strong financial results that exceeded our expectations, made substantial operational improvements across the organization, and continued building foundational capabilities to drive sustainable growth.”

Suzanne Foster, CEO of AdaptHealth

Customers and capitated contracts

  • New capitated payor agreement signed: The company signed a capitated agreement to be the exclusive HME provider for a payor with about 170,000 members. Source
  • Infrastructure built for national system deal: Infrastructure was added to support the previously announced capitated partnership with a major national healthcare system. Source
  • Registered myApp users reached 271,000: Digital engagement and self-service expanded, with registered myApp users up from 118,000 a year earlier. Source

Costs and margins

  • Cost of revenue and G&A rose: Cost of net revenue was $658.4 million, against $643.8 million. General and administrative expenses were $90.1 million, against $87.3 million. Source
  • Adjusted EBITDA margin at 20.7%: Adjusted EBITDA Margin was 20.7% for the quarter, against 20.4% a year earlier. Source
  • Other non-recurring expenses fell: Other non-recurring expenses were $5.3 million, against $9.1 million, including reorganization consulting, asset write-offs and disposition consulting. Equity-based compensation was $5.3 million, against $0.9 million. Source

“The quarter demonstrated both the progress we've made and the significant opportunity ahead.”

Suzanne Foster, CEO of AdaptHealth

Cash flow and capital spending

  • Free cash flow fell in the quarter: Free cash flow for the quarter was $66.8 million, against $84.8 million, as equipment purchases rose to $94.2 million from $59.6 million. Source
  • Operating cash flow higher year-to-date: Operating cash flow was $418.6 million year-to-date, against $391.4 million. Year-to-date free cash flow was $140.1 million, against $162.7 million. Source
  • Business sale proceeds and acquisitions: Year-to-date investing included $117.2 million of proceeds from business sales and $18.6 million paid for acquisitions. Source

Debt and leverage

  • Debt reduced $50.0 million in quarter: Debt was reduced by $50.0 million in the quarter, and the year-to-date reduction reached $225.0 million. Source
  • Net leverage above stated target: Net leverage was 2.68 times at quarter end, against a stated net leverage target of 2.50 times. Source
  • Net interest expense lower: Net interest expense was $25.4 million in the quarter, against $31.4 million, and $81.3 million year-to-date, against $96.9 million. Source

Full-year guidance history

  • All fiscal 2025 ranges held: Net revenue, Adjusted EBITDA and free cash flow ranges for fiscal 2025 were kept at the levels in the prior release. Source
  • Revenue range narrowed in August: The August release narrowed the net revenue range from $3.15 billion to $3.29 billion to the current range.
  • Adjusted EBITDA range narrowed in August: The August release also narrowed the Adjusted EBITDA range from $662 million to $702 million to the current range.

Figures management reported

FigureReported
Patients served annually Sourceapproximately 4.3 million
Members under new capitated agreement Sourceapproximately 170,000 members

Earlier plans management reported on

  • Met: Management said the previously disclosed asset sales had closed.
  • Not stated: Management said it is executing a focused plan across the enterprise.

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.