AdaptHealth Conference Call Summary Company Overview - **Company**: AdaptHealth (NasdaqCM: AHCO) - **Event**: UBS Healthcare Conference - **Date**: November 11, 2025 Key Points Industry and Company Performance - AdaptHealth has successfully partnered with Humana, leading to a five-year contract renewal and expansion into 33 states [6][7] - The revenue from capitated contracts is expected to be stable, with modest year-over-year changes based on membership fluctuations [7][12] - The company anticipates a free cash flow margin of 6%-7% and an EBITDA margin of around 20% as the contracts ramp up [12][17] Contractual Insights - The Humana contract does not currently include diabetes management but may explore opportunities in continuous glucose monitoring (CGM) in the future [8][11] - The company is experimenting with a smaller cap agreement for CGMs, indicating a cautious approach to risk [11][30] Operational Improvements - AdaptHealth has focused on standardizing operations across different regions, improving service delivery and customer satisfaction [21][22] - The average time to therapy for sleep patients has been reduced from 23 days to 10 days, showcasing significant operational efficiency [23][24] Technology and Automation - The company is investing in technology to streamline operations, including a new pharmacy SaaS technology that reduces prescription processing time from 36 minutes to 5 minutes [66][70] - AdaptHealth is leveraging automation and AI to enhance efficiency in revenue cycle management, potentially reducing costs associated with manual processes [85][90] Market Dynamics and Competitive Landscape - The DMEPOS fee schedule has seen minimal increases since 2017, leading to industry consolidation; the number of DME providers is expected to decrease from 5,500 to around 3,000 [95][96] - Competitive bidding may provide a strategic advantage for AdaptHealth, allowing the company to capture a larger market share as smaller competitors exit the market [98][100] Future Outlook - The company projects a revenue growth of 6%-8% for 2026, with expectations of margin expansion in the latter half of the year [49][51] - AdaptHealth is optimistic about its operational improvements and industry trends, positioning itself for growth in the coming years [122] Additional Considerations - The company is not currently pursuing M&A aggressively, believing that organic growth opportunities will arise from market consolidation [102] - AdaptHealth is monitoring the potential re-entry of Philips into the sleep market, which could impact competitive dynamics [112][113] This summary encapsulates the critical insights from the AdaptHealth conference call, highlighting the company's strategic direction, operational efficiencies, and market positioning.

Financial Data and Key Metrics Changes - The company reported a full year consolidated revenue growth of 16%, reaching a record level of $359 billion, with adjusted earnings per diluted share at $33.5, exceeding expectations and reflecting a year-over-year EPS growth of 20% [5][40][42] - Fourth quarter earnings per diluted share increased 64% to $10.12, driven by a lower effective tax rate and strong operational growth across the business [32][29] - Operating profit for the full year increased 15% to $5.6 billion, with significant contributions from the U.S. Pharmaceutical and Prescription Technology Solutions segments [41][42] Business Line Data and Key Metrics Changes - The U.S. Pharmaceutical segment saw revenues increase by 21% to $83.2 billion, driven by increased prescription volumes and growth in specialty product distribution [33][22] - The Prescription Technology Solutions segment reported a revenue increase of 13% to $1.3 billion, with operating profit rising 34% to $285 million, reflecting increased prescription transaction volumes [34][35] - The Medical Surgical Solutions segment experienced a 1% revenue increase to $2.9 billion, with operating profit up 15% to $285 million, benefiting from cost optimization initiatives [37][36] Market Data and Key Metrics Changes - The Canadian business, part of the international segment, reported revenues of $3.5 billion, a decrease of 2% due to the divestiture of certain businesses, but operating profit increased by 9% [38][24] - The company anticipates continued growth in the Canadian distribution business, partially offset by the impact of previous divestitures [58] Company Strategy and Development Direction - The company is focusing on strategic acquisitions in oncology and biopharma services, including the acquisition of a controlling interest in Prism Vision and Core Ventures, aimed at enhancing community-based care [6][12][49] - A strategic decision was made to separate the Medical Surgical segment into an independent company to enhance operational focus and capital deployment [19][27] - The company plans to continue investing in technology, automation, and AI to improve operational efficiencies and customer service [7][10] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the ability to maintain momentum and deliver strong results in fiscal 2026, with anticipated revenue growth of 11% to 15% and operating profit growth of 8% to 12% [43][44] - The company remains committed to maximizing shareholder value through disciplined portfolio management and strategic capital deployment [27][62] Other Important Information - The company returned $3.5 billion to shareholders in fiscal 2025, including $3.1 billion through share repurchases [42] - Free cash flow for the fourth quarter was robust at $7.5 billion, driven by strong operating results [39] Q&A Session Summary Question: Impact of Medicare Part B on ASPs - Management indicated that there are currently no concrete announcements regarding Medicare Part B impacts, and any potential changes would likely face legal challenges [65][66] Question: Tariff Impacts on Business - Management is closely monitoring the tariff landscape and believes that current assessments have been incorporated into guidance, with no material impact anticipated on fiscal 2026 results [75][81] Question: Urgency in Capital Deployment for Biopharma Services - Management stated that the urgency for capital deployment remains consistent, driven by strategic alignment and financial discipline [85][88] Question: Long-term Pharma Growth Rate Guidance - Management noted that the increase in long-term guidance reflects a stable environment for prescription utilization and successful capital deployment in oncology and other specialties [92][96]