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AdaptHealth Corp.: Q2 FY2026 earnings call

What management said about Q2 FY2026, from the documents filed with the SEC on 4 August 2026: press release. Guidance figures: 3 lowered. The quarter’s numbers.

Key takeaways

  • Organic revenue growth of 15.9%: Q2 net revenue was $740.3M vs $657.1M prior year, up 12.7%. Organic revenue growth of 15.9% reflects record volume gains across all reportable segments, driven by capitated contract expansions. Source
  • West Coast capitated partnership at full scale: West Coast exclusive capitated agreement with large national integrated delivery network representing 10+ million members reached full operational run-rate in Q2. Completed largest de novo expansion in home medical equipment industry history. Source
  • Adjusted EBITDA declined 3.2% year-over-year: Q2 Adjusted EBITDA was $132.0M vs $136.4M prior year, a 3.2% decrease. Adjusted EBITDA margin compressed to 17.8% from 20.8%, driven by West Coast capitated contract transition complexity and unexpected manufacturer cost increases. Source
  • Diabetes Health business sold for $235M: Signed definitive agreement post quarter-end to divest Diabetes Health business for $235M in cash subject to purchase price adjustments. Represents most significant step in multi-year portfolio concentration around Sleep, Respiratory, and Wellness-at-Home. Source
  • Free cash flow negative $48.4M year-to-date: YTD 2026 free cash flow was negative $48.4M vs positive $73.3M prior year. Operating cash flow of $239.0M down from $257.5M, impacted by significant capex investments and working capital timing. Source

“In the second quarter, we delivered 15.9% organic growth, with record volume gains across the business”

Suzanne Foster, Chief Executive Officer

Guidance

AreaPeriodFigureAgainst last quarter
Net revenue Sourcefiscal year 2026$2.85 billion to $2.89 billionLowered from $3.45 billion to $3.52 billion
Adjusted EBITDA Sourcefiscal year 2026$490 million to $520 millionLowered from $680 million to $730 million
Free cash flow Sourcefiscal year 2026$80 million to $120 millionLowered from $175 million to $225 million

What changed from last quarter

  • New: Signed new capitated agreement with Humana OneHome covering South Florida and Texas markets. Successfully completed transition of 478,000 members, establishing second major capitated partnership at scale alongside West Coast 10+ million member base. Source
  • New: Agreed to divest Diabetes Health business for $235M in cash subject to customary purchase price adjustments. Represents portfolio concentration on Sleep Health, Respiratory Health, and Wellness-at-Home. Diabetes Health now shown as discontinued operations. Source
  • New: Formed joint venture combining eCommerce assets with leading eCommerce sleep retailer. Joint venture adds home sleep test capability to reach undiagnosed obstructive sleep apnea population. Source
  • New: Completed workforce restructuring plan in June 2026 generating $19M in annualized cost savings. Restructuring designed to address cost pressures from rapid growth while maintaining operational delivery. Source
  • Guidance lowered: Company lowered all three FY2026 guidance metrics. Net revenue cut by $600-630M, Adjusted EBITDA by $190-210M, free cash flow by $95-105M, reflecting Diabetes discontinuation and operational cost pressures. Source

Organic growth with member volume expansion

  • Organic revenue growth of 15.9%: Q2 net revenue was $740.3M vs $657.1M prior year, up 12.7%. Organic revenue growth of 15.9% reflects record volume gains across all reportable segments, driven by capitated contract expansions. Source
  • West Coast capitated partnership at full scale: West Coast exclusive capitated agreement with large national integrated delivery network representing 10+ million members reached full operational run-rate in Q2. Completed largest de novo expansion in home medical equipment industry history. Source
  • Humana OneHome agreement signed with 478K members: Signed new capitated agreement with Humana OneHome covering South Florida and Texas. Successfully completed transition of 478,000 members, establishing dual capitated partnerships providing significant scale and diversification. Source

Adjusted EBITDA margin compression

  • Adjusted EBITDA declined 3.2% year-over-year: Q2 Adjusted EBITDA was $132.0M vs $136.4M prior year, a 3.2% decrease. Adjusted EBITDA margin compressed to 17.8% from 20.8%, driven by West Coast capitated contract transition complexity and unexpected manufacturer cost increases. Source
  • West Coast transition costs impacting profitability: West Coast capitated contract transition complexity contributed $55M to FY2026 Adjusted EBITDA guidance reduction. Integration and operating model optimization more challenging than anticipated, creating near-term margin headwinds. Source
  • Manufacturer price increase of $30M annual impact: Unexpected price increase from a major equipment manufacturer adds $30M cost headwind to FY2026 Adjusted EBITDA. Management noted this as unforeseen supply cost inflation affecting profitability. Source

“Our West Coast capitated partnership reached full scale in the quarter, and the complexity of that transition has impacted our margins”

Suzanne Foster, Chief Executive Officer

Portfolio concentration and divestitures

  • Diabetes Health business sold for $235M: Signed definitive agreement post quarter-end to divest Diabetes Health business for $235M in cash subject to purchase price adjustments. Represents most significant step in multi-year portfolio concentration around Sleep, Respiratory, and Wellness-at-Home. Source
  • Diabetes discontinued operations impact: Diabetes Health business now presented as discontinued operations. Discontinuation represents $100M impact on FY2026 Adjusted EBITDA guidance, of which $60M of previously allocated corporate overhead remains with continuing operations. Source
  • ECommerce joint venture adds sleep testing: Formed joint venture combining eCommerce assets with leading eCommerce sleep retailer. Partnership adds home sleep test capability to reach undiagnosed obstructive sleep apnea population. Source

Digital engagement and patient reach

  • MyAPP users grew 56% to 512,000: Registered myAPP users reached 512,000 at quarter-end, up 56% from year-end 2025. Represents significant expansion of digital patient engagement and self-service capabilities. Source
  • AI-powered mask-fitting tool launched: Launched AI-powered mask-fitting tool to advance patient digital engagement. New capability expands self-service options and improves patient experience with sleep therapy equipment. Source

“Together with an unexpected price increase from one of our manufacturers, this has led us to lower our full-year outlook”

Suzanne Foster, Chief Executive Officer

Cash flow and capital management

  • Free cash flow negative $48.4M year-to-date: YTD 2026 free cash flow was negative $48.4M vs positive $73.3M prior year. Operating cash flow of $239.0M down from $257.5M, impacted by significant capex investments and working capital timing. Source
  • Senior Notes redeemed post-quarter-end: Redeemed 6.125% Senior Notes due 2028 using proceeds from $325M delayed draw term loan secured in April 2026 refinancing. April 2026 refinancing completed $1.1B senior secured credit facility refinancing. Source

Cost management and workforce optimization

  • Workforce restructuring generated $19M savings: Completed workforce restructuring in June 2026 generating $19M in annualized cost savings. Restructuring maintains full operational delivery across all functions while addressing cost pressures from rapid growth. Source
  • Management addressing cost pressures actively: Management committed to moving quickly to address cost pressures introduced by rapid growth. Actions expected to make company stronger and more efficient going forward. Source

Coming up, as management said on 4 August 2026

  • Diabetes Health sale expected to close: Definitive agreement signed post quarter-end for $235M sale of Diabetes Health business. Transaction subject to customary purchase price adjustments. Expected to close in upcoming quarters. Source
  • ECommerce joint venture to launch sleep testing: Joint venture combining eCommerce assets with leading eCommerce sleep retailer adds home sleep test capability. Expected to expand reach to undiagnosed obstructive sleep apnea population. Source
  • Corporate overhead elimination within 12 months: Following Diabetes Health discontinuation, $60M of previously allocated corporate overhead remains with continuing operations. Company expects to eliminate roughly half of this $60M within 12 months. Source

Figures management reported

FigureReported
Annual patients served Sourceapproximately 4.8 million patients annually
Humana OneHome members transitioned Source478,000 members
Digital user engagement - myAPP Source512,000 registered users, up 56%
Organic revenue growth Source15.9%

Risks management discussed

  • Operational: West Coast capitated contract transition more complex than anticipated, requiring significant additional integration costs and operating model adjustments. Complexity contributed $55M to FY2026 Adjusted EBITDA guidance reduction. Source
  • Operational: Unexpected price increase from a major equipment manufacturer adds $30M cost headwind to FY2026. Supply cost inflation risk in healthcare-at-home sector could persist. Source
  • Financial: Goodwill impairment of $144.2M indicates valuation pressures in Respiratory Health and Wellness-at-Home segments. Fair values of these units fell below carrying values, raising concerns about segment valuations. Source
  • Operational: Rapid expansion and integration of large member populations creates execution risk. Dual capitated partnerships totaling 10+ million West Coast members plus 478,000 Humana members require sustained operational excellence. Source

Earlier plans management reported on

  • Delayed: Q1 guidance stated $12M elevated labor expense would normalize by end of Q2, with majority being variable costs. Q2 results show continued significant margin pressure with $55M West Coast impact in revised guidance.
  • On track: Following Diabetes Health discontinuation, $60M of previously allocated corporate overhead remains with continuing operations. Company expects to eliminate roughly half of this amount within 12 months post-transaction close. Source

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.