AHCOHIGH SIGNALFINANCIAL10-K

AdaptHealth experienced a dramatic earnings collapse, swinging from $90.4M net income to a $70.8M loss while operating income plummeted 65.5%.

The company's profitability deterioration is severe and unexpected for a healthcare services provider, raising questions about operational efficiency, reimbursement pressures, or one-time charges. Despite maintaining positive operating cash flow growth, the disconnect between cash generation and reported earnings suggests potential write-downs or restructuring costs that warrant immediate investor attention.

Comparing 2026-02-24 vs 2025-02-25View on EDGAR →
FINANCIAL ANALYSIS

AdaptHealth's financial profile shows concerning mixed signals with the company swinging from profitable to unprofitable operations despite growing its patient base and maintaining strong cash generation. While operating cash flow increased 11.1% to $601.8M and the company reduced total debt by 12.4%, the 178.3% earnings swing to negative territory and 65.5% operating income decline indicate significant operational headwinds or one-time charges. The combination of increased capital expenditures (+24.9%) and higher current liabilities (+25.6%) alongside the earnings collapse suggests the company is investing heavily while facing profitability pressures, creating a complex risk-reward scenario for investors.

FINANCIAL STATEMENT CHANGES
Cash & Equivalents
Balance Sheet
+690.4%
$120K$947K

Cash position surged 690.4% — strong cash generation or capital raise providing significant financial cushion.

Net Income
P&L
-178.3%
$90.4M-$70.8M

Net income declined 178.3% — review whether driven by operations, interest costs, or non-recurring items.

Operating Income
P&L
-65.5%
$263.7M$90.9M

Operating income deteriorated sharply — investigate whether driven by one-time charges or structural cost issues.

Current Liabilities
Balance Sheet
+25.6%
$567.0M$712.4M

Current liabilities rose 25.6% — increased short-term obligations, watch current ratio.

Capital Expenditure
Cash Flow
+24.9%
$306.1M$382.4M

Capex increased 24.9% — ongoing investment in capacity or infrastructure for future growth.

Total Debt
Balance Sheet
-12.4%
$2.0B$1.7B

Debt reduced 12.4% — deleveraging strengthens balance sheet and reduces financial risk.

Operating Cash Flow
Cash Flow
+11.1%
$541.8M$601.8M

Operating cash flow grew 11.1% — strong conversion of earnings to cash, healthy business fundamentals.

LANGUAGE CHANGES
NEW — 2026-02-24
PRIOR — 2025-02-25
ADDED
As of February 20, 2026, there were 135,914,816 shares of the Registrant s Common Stock outstanding.
Securities and Exchange Commission not later than April 30, 2026.
2 SUMMARY RISK FACTORS AdaptHealth s business is subject to numerous risks and uncertainties, including those described in Item 1A, Risk Factors.
Sleep Health The Sleep Health segment provides sleep therapy equipment, supplies and related services (including continuous positive airway pressure and BiLevel services) to individuals for the treatment of obstructive sleep apnea.
As of December 31, 2025, AdaptHealth serviced approximately 4.3 million patients annually in all 50 states through our network of approximately 640 locations in 48 states.
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REMOVED
As of February 21, 2025, there were 134,867,011 shares of the Registrant s Common Stock outstanding.
Securities and Exchange Commission not later than April 30, 2025.
Sleep Health The Sleep Health segment provides sleep therapy equipment, supplies and related services (including CPAP and BiLevel services) to individuals for the treatment of obstructive sleep apnea.
As of December 31, 2024, AdaptHealth serviced approximately 4.2 million patients annually in all 50 states through our network of approximately 660 locations in 47 states.
The Company's principal executive offices are located at 220 West Germantown Pike, Suite 250, Plymouth Meeting, Pennsylvania 19462.
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