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AdaptHealth Corp.: Q3 FY2026 earnings call

What management said about Q3 FY2026, from the documents filed with the SEC on 3 November 2026: press release. Guidance figures: 2 raised, 1 lowered. The quarter’s numbers.

Key takeaways

  • Net revenue up 10.9%, organic 12.8%: Net revenue was $745.6 million against $672.4 million a year earlier. Organic revenue growth was 12.8%, with growth across each reportable segment. Source
  • Net loss reflects goodwill write-down: Net loss attributable to AdaptHealth Corp. was $168.2 million, against net income of $10.2 million a year earlier. Management attributed the change largely to a $184.8 million pre-tax goodwill write-down. Source
  • Adjusted EBITDA down 2.9%: Adjusted EBITDA was $141.9 million against $146.1 million a year earlier. Adjusted EBITDA margin was 19.0%, against 21.7% in the prior-year quarter. Source
  • Capitated contract profit improved sequentially: Management described the second full quarter of the exclusive capitated agreement, with contract profitability improving sequentially on utilization below peak and lower labor costs. Source
  • Operating cash flow lower year-to-date: Year-to-date cash flow from operations was $395.6 million, against $418.6 million. The figures include continuing and discontinued operations. Source
  • Year-to-date free cash flow $2.6 million: Free cash flow was $2.6 million year-to-date, against $140.1 million a year earlier. Source
  • Diabetes Health reported as discontinued: Diabetes Health results, assets and liabilities are reported as discontinued operations for all periods presented. Source

“Our capitated partnership made a positive contribution to enterprise Adjusted EBITDA, driven by a tighter labor model and lower costs to serve.”

Suzanne Foster, Chief Executive Officer

Guidance

AreaPeriodFigureAgainst last quarter
Net revenue Sourcefiscal 2026, continuing operations$2.88 billion to $2.90 billionRaised from $2.85 billion to $2.89 billion
Adjusted EBITDA Sourcefiscal 2026, continuing operations$510 million to $525 millionRaised from $490 million to $520 million
Free cash flow Sourcefiscal 2026, continuing and discontinued operations$50 million to $75 millionLowered from $80 million to $120 million

What changed from last quarter

  • Guidance raised: Fiscal 2026 net revenue and Adjusted EBITDA ranges were raised, with both ends higher. Source
  • Guidance lowered: Fiscal 2026 free cash flow range was lowered to $50 million to $75 million. Source
  • New: Hart-Scott-Rodino waiting period cleared for the $235.0 million Diabetes Health sale, with closing expected in early 2027. Source
  • New: Four preferred-provider agreements with health systems were signed; two capitated agreements with regional health plans were added, one new and one expanded. Source
  • New: Harriss T. Currie is listed as Chief Financial Officer in the contacts, in place of Jason Clemens shown in the prior release. Source

Results and growth drivers

  • Net revenue up 10.9%, organic 12.8%: Net revenue was $745.6 million against $672.4 million a year earlier. Organic revenue growth was 12.8%, with growth across each reportable segment. Source
  • Net loss reflects goodwill write-down: Net loss attributable to AdaptHealth Corp. was $168.2 million, against net income of $10.2 million a year earlier. Management attributed the change largely to a $184.8 million pre-tax goodwill write-down. Source
  • Adjusted EBITDA down 2.9%: Adjusted EBITDA was $141.9 million against $146.1 million a year earlier. Adjusted EBITDA margin was 19.0%, against 21.7% in the prior-year quarter. Source

Segments and regions

  • Growth in all three segments: Organic growth occurred across each reportable segment: Sleep Health, Respiratory Health and Wellness at Home. Source
  • Goodwill impaired in two units: The non-cash goodwill charge reflects fair values of the Respiratory Health and Wellness at Home reporting units below their carrying values. Source
  • Sleep Health serves sleep apnea patients: Sleep Health supplies therapy equipment, supplies and services, including CPAP and BiLevel, for obstructive sleep apnea. Source

“The business is stabilizing as we work through a period of transformation, and we look forward to carrying that momentum into 2027.”

Suzanne Foster, Chief Executive Officer

Products and customers

  • MyAPP registrations up 88%: Registered myAPP users passed 615,000, up about 88% from year-end 2025. Source
  • AI mask-fitting scans passed 12,600: The AI-powered mask-fitting tool completed more than 12,600 patient scans, as reported in the third quarter highlights. Source
  • Referral sources span care settings: Referral sources include acute care hospitals, sleep labs, pulmonologists, skilled nursing facilities and clinics. Source

Costs and margins

  • Capitated contract profit improved sequentially: Management described the second full quarter of the exclusive capitated agreement, with contract profitability improving sequentially on utilization below peak and lower labor costs. Source
  • Other non-recurring expenses of $7.3 million: Other non-recurring expenses were $7.3 million in the quarter, including $5.1 million of consulting expenses tied to asset dispositions and $0.6 million of other expenses. Source
  • Cost of revenue grew faster than revenue: Cost of net revenue was $630.8 million against $533.8 million, up 18.2%, while net revenue rose 10.9%. Source

“We also continue to move toward closing the sale of our Diabetes Health business, bringing us closer to a more focused portfolio built”

Suzanne Foster, Chief Executive Officer

Cash flow and capital

  • Operating cash flow lower year-to-date: Year-to-date cash flow from operations was $395.6 million, against $418.6 million. The figures include continuing and discontinued operations. Source
  • Year-to-date free cash flow $2.6 million: Free cash flow was $2.6 million year-to-date, against $140.1 million a year earlier. Source
  • Capital purchases higher in both periods: Purchases of equipment were $105.5 million in the quarter, against $94.2 million; year-to-date they were $393.0 million, against $278.5 million. Source

Strategy and portfolio

  • Diabetes Health reported as discontinued: Diabetes Health results, assets and liabilities are reported as discontinued operations for all periods presented. Source
  • ECommerce subsidiary deconsolidated: A $12.0 million pre-tax gain arose from deconsolidating the former wholly-owned eCommerce subsidiary. Source
  • Discontinued operations income steady: Net income from discontinued operations was $14.3 million in the quarter, against $14.3 million a year earlier; year-to-date it was $34.6 million, against $31.1 million. Source

People and leadership

  • Former CFO severance recorded: Severance of $1.6 million was recorded related to the former Chief Financial Officer. Source
  • Cost-savings plan costs in 2026: Restructuring expenses of $6.1 million in the nine months relate to a cost savings plan implemented in June 2026. Source
  • Equity-based compensation down: Equity-based compensation expense was $1.0 million in the quarter, against $5.2 million a year earlier. Source

Coming up, as management said on 3 November 2026

  • Diabetes Health sale closing: Closing is expected in early 2027, subject to certain regulatory approvals and other customary closing conditions. Source

Figures management reported

FigureReported
Patient volumes Sourceapproximately 4.8 million patients annually
Utilization trends Sourcelower than peak levels

Risks management discussed

  • Operational: Contract profitability is described as depending on labor cost reduction and utilization levels. Source
  • Regulatory: Completion of the Diabetes Health sale depends on regulatory approvals and standard closing conditions. Source

Earlier plans management reported on

  • Ahead: Management says the quarter exceeded its own guidance for revenue, Adjusted EBITDA and free cash flow. Source
  • On track: Management says the sale is on track to close in early 2027. 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.