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 revenue of $120 million for Q2 2025, reflecting a year-over-year growth of over 20% [5] - Adjusted EBITDA loss improved to $4.1 million in Q2 2025, a $4.6 million improvement compared to the same quarter last year [6][20] - Consolidated revenue increased by 21.5% to $119.8 million compared to Q2 2024 [15] - Gross profit for the quarter was $17.5 million, a 34% increase year-over-year, with a gross margin of 14.6% [16][17] Business Line Data and Key Metrics Changes - Patient services revenue was $55.9 million, a 7% increase year-over-year, representing 47% of total revenue [16] - Pharmacy revenue reached $62.6 million, up 41% year-over-year, now constituting 52% of total revenue [16] - The pharmacy business is forecasted to grow over 35% for the full year compared to the previous year [9] Market Data and Key Metrics Changes - The company added over 50,000 capitated lives in Nevada and California through new contracts effective in Q2 [6] - An expanded capitation relationship in Nevada added 49,000 Medicaid patients, and a verbal agreement in Florida will add over 40,000 Medicare Advantage lives [7][8] Company Strategy and Development Direction - The company aims to achieve positive adjusted EBITDA in Q4 2025, driven by strong growth in pharmacy and fee-for-service businesses [6][26] - The focus is on expanding capitated partnerships and leveraging technology to enhance operational efficiency [12][26] - The company is launching three AI enablement efforts in Q3 to improve performance and cost management [13][24] Management's Comments on Operating Environment and Future Outlook - Management noted that drug cost trends are increasing, but the company is positioned to provide value to payer partners through effective cost management [44][45] - The company expects to recognize revenue from new contracts in Q4 2025, with substantial growth anticipated in Florida [47][56] - Management expressed confidence in achieving the high end of the revenue guidance for 2025, projecting $460 million to $480 million [22] Other Important Information - The company announced the retirement of its current Chairman, Richard Barish, and the election of Anne McGeorge as the new Chair [13][14] - The company is focused on improving drug margins through strategic purchasing and active formulary management [21] Q&A Session Summary Question: Can you talk about the dispensing gross margin? - The increase in gross margin is attributed to improved drug procurement and scale, with significant growth year-over-year [28][30] Question: Thoughts on drug pricing reform impacts? - Management believes the Inflation Reduction Act will be net positive for the company, benefiting both capitated and fee-for-service margins [32][33] Question: Any specific drugs impacting EBITDA? - No significant risks were identified in the current drug portfolio that would impact EBITDA negatively [36] Question: Pressure on gross patient service margin? - The pressure is primarily from capitation margins, with expectations for improvement as new contracts mature [37][39] Question: Observations on oncology spend trends? - The company noted a stable medical loss ratio despite rising drug costs, indicating effective cost management [44][45] Question: Details on new patient contracts? - The company expects substantial growth in patient lives, particularly in Florida, with projections of around 100,000 Medicare Advantage lives by year-end [57][58] Question: Clarification on fully delegated risk arrangements? - The company clarified that it takes risk for Part B oncology services and has authority over utilization management and network design [61][62]