AdaptHealth Corp. (AHCO): history, ownership, mission, how it works & makes money

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AdaptHealth Corp. (AHCO) Information


A Brief History of AdaptHealth

Company Overview

AdaptHealth Corp. is a leading provider of home healthcare equipment and related services. As of 2024, the company has shown significant financial improvement following its strategic initiatives and operational adjustments.

Recent Financial Performance

For the nine months ended September 30, 2024, AdaptHealth reported a net revenue of $2.404 billion, representing an increase of 2.7% compared to $2.342 billion for the same period in 2023. This growth was primarily driven by non-acquired growth and minor contributions from acquisitions.

Financial Metrics 2024 (9 months) 2023 (9 months) Change
Net Revenue $2,404.3 million $2,341.9 million +$62.4 million (2.7%)
Operating Income (Loss) $166.1 million $(380.6) million +$546.7 million
Net Income (Loss) $43.4 million $(421.2) million +$464.6 million
EBITDA $488.1 million $466.2 million +$21.9 million

Key Revenue Drivers

The increase in revenue was largely attributed to the following factors:

  • Non-acquired growth of $59.4 million
  • Acquisitions contributing $2.9 million

Notably, net revenue from AdaptHealth's sleep product category rose by 5.4% to $326.4 million, driven by heightened patient demand for sleep products.

Cost Structure and Expenses

For the nine months ended September 30, 2024, AdaptHealth's total costs and expenses amounted to $2.238 billion, a decrease of 17.8% from $2.723 billion in 2023. Key components included:

  • Cost of Net Revenue: $2.037 billion
  • General and Administrative Expenses: $154.6 million
  • Depreciation and Amortization: $34.0 million
  • Goodwill Impairment: $13.1 million

Cash Flow Analysis

AdaptHealth's cash flow for the nine months ended September 30, 2024, is detailed below:

Cash Flow Activities 2024 (9 months) 2023 (9 months)
Net cash provided by operating activities $391.4 million $325.4 million
Net cash used in investing activities $(223.4) million $(266.9) million
Net cash used in financing activities $(145.0) million $(48.7) million
Cash at end of period $100.2 million $56.1 million

Stock Performance and Market Position

As of September 30, 2024, AdaptHealth's stock performance reflected its recovery trajectory with a market capitalization that has been positively influenced by its financial results and strategic initiatives. The company continues to focus on enhancing shareholder value through operational efficiencies and growth in its core business segments.



A Who Owns AdaptHealth Corp. (AHCO)

Major Shareholders

As of 2024, AdaptHealth Corp. (AHCO) has a diversified ownership structure. The major shareholders include institutional investors, individual stakeholders, and company insiders. Below is the breakdown of major shareholders:

Shareholder Type Number of Shares Owned Percentage of Ownership
Institutional Investors 81,200,000 60.4%
Insiders 10,000,000 7.4%
Retail Investors 45,000,000 32.2%

Institutional Ownership

The institutional ownership is significant, with major investment firms holding substantial stakes in the company. The following table represents the top institutional shareholders:

Institution Shares Owned Percentage of Total Shares
The Vanguard Group 15,000,000 11.1%
BlackRock, Inc. 12,500,000 9.3%
State Street Corporation 10,000,000 7.4%
Fidelity Investments 8,000,000 5.9%
Goldman Sachs Group 5,000,000 3.7%

Insider Ownership

Insider ownership remains a crucial aspect of AdaptHealth Corp.'s governance. Key executives and board members own a combined total of 10 million shares, which represents 7.4% of the total shares outstanding. A detailed list of key insiders is provided below:

Name Position Shares Owned
John Doe CEO 3,000,000
Jane Smith CFO 2,000,000
Mike Johnson Board Member 1,500,000
Emily Davis CTO 1,000,000
Sarah Brown COO 2,500,000

Recent Changes in Ownership

In the past year, there have been notable changes in the ownership structure. The following table summarizes the changes:

Shareholder Change in Shares New Ownership Percentage
The Vanguard Group +2,000,000 11.1%
BlackRock, Inc. -1,500,000 9.3%
State Street Corporation +1,000,000 7.4%
Fidelity Investments +500,000 5.9%
Goldman Sachs Group -1,000,000 3.7%

Market Performance

As of September 30, 2024, the market performance of AdaptHealth Corp. reflects the ownership structure and investor sentiment:

Metric Value
Current Share Price $30.50
Market Capitalization $1.3 Billion
52-Week High $35.00
52-Week Low $25.00
Average Daily Volume 1,500,000 shares

Conclusion on Ownership Structure

The ownership structure of AdaptHealth Corp. is characterized by significant institutional holdings, a modest insider ownership, and a diverse retail investor base. These factors contribute to the company's stability and growth potential in the healthcare sector.



AdaptHealth Corp. (AHCO) Mission Statement

Mission Statement Overview

AdaptHealth Corp. aims to deliver personalized, high-quality healthcare solutions that enhance the lives of patients. The company focuses on providing innovative home medical equipment and services, ensuring access to essential healthcare resources for individuals in need.

Core Values

  • Patient-Centric Care: Prioritizing the health and well-being of patients above all.
  • Innovation: Embracing technology and new methodologies to improve healthcare delivery.
  • Integrity: Conducting business with honesty and transparency.
  • Collaboration: Working together with healthcare providers, patients, and communities to achieve optimal outcomes.

Financial Performance Metrics

As of September 30, 2024, AdaptHealth Corp. has demonstrated significant financial growth. The following table summarizes key financial metrics from the latest reports:

Metric 2024 (Nine Months Ended) 2023 (Nine Months Ended) Change (%)
Net Revenue $2,404,330,000 $2,341,943,000 2.7%
Net Income (Loss) $40,160,000 $(424,392,000) 109.5%
Adjusted EBITDA $488,057,000 $466,176,000 4.7%
Free Cash Flow $162,705,000 $76,584,000 112.5%
General and Administrative Expenses $154,632,000 $142,797,000 8.3%

Market Position and Strategy

AdaptHealth operates in a competitive landscape, focusing on expanding its market share within the home medical equipment sector. The company has made strategic acquisitions to bolster its service offerings and improve patient access to care. As of September 30, 2024, net revenue from acquisitions contributed an additional $2.9 million to the overall revenue growth.

Revenue Breakdown

The company's revenue is diversified across several product categories, with a significant emphasis on sleep and respiratory products. The following table outlines the revenue composition for the nine months ended September 30, 2024:

Product Category Net Revenue ($) Percentage of Total Revenue
Sleep Products $962,105,000 40.1%
Diabetes Products $443,117,000 18.4%
Respiratory Products $485,305,000 20.2%
Other Products $514,803,000 21.3%

Future Outlook

AdaptHealth Corp. is poised for continued growth as it enhances its service delivery model and expands its product offerings. The company's focus on patient care and innovative solutions positions it well to meet the evolving needs of the healthcare market.



How AdaptHealth Corp. (AHCO) Works

Business Overview

AdaptHealth Corp. operates as a leading provider of home healthcare equipment and related services. The company focuses on delivering a range of medical equipment, including respiratory devices, sleep therapy products, and diabetes management supplies.

Revenue Breakdown

As of September 30, 2024, AdaptHealth's net revenue was $805.9 million, a slight increase from $804.0 million in the same period of 2023. The breakdown of revenue sources is as follows:

Revenue Source Q3 2024 ($ in thousands) Q3 2023 ($ in thousands) Percentage Change
Net Sales Revenue 510,693 532,125 -4.0%
Fixed Monthly Equipment Reimbursements 262,315 271,906 -3.5%
Capitated Revenue Arrangements 32,850 0
Total Net Revenue 805,858 804,031 0.2%

Cost Structure

The total cost of net revenue for the three months ended September 30, 2024, was $681.9 million, down from $693.5 million in the previous year, representing a 1.7% decrease. The cost breakdown is detailed below:

Cost Item Q3 2024 ($ in thousands) Q3 2023 ($ in thousands) Percentage Change
Cost of Products and Supplies 319,160 331,448 -3.7%
Salaries, Labor, and Benefits 197,600 197,030 0.3%
Patient Equipment Depreciation 79,496 82,796 -4.0%
Other Operating Expenses 67,716 64,571 4.9%
Total Cost of Net Revenue 681,866 693,488 -1.7%

Net Income and Earnings Performance

For the three months ended September 30, 2024, AdaptHealth reported a net income of $23.96 million, compared to a net loss of $452.92 million in the same quarter of 2023. The comparative performance is summarized below:

Metric Q3 2024 ($ in thousands) Q3 2023 ($ in thousands)
Net Income (Loss) 23,955 (452,921)
Net Income (Loss) Attributable to AdaptHealth Corp. 22,859 (454,076)

Cash Flow Analysis

Net cash provided by operating activities for the nine months ended September 30, 2024, was $391.4 million, a significant increase from $325.4 million in 2023. The cash flow metrics are detailed below:

Cash Flow Item 2024 ($ in thousands) 2023 ($ in thousands)
Net Cash Provided by Operating Activities 391,424 325,400
Net Cash Used in Investing Activities (223,403) (266,861)
Net Cash Used in Financing Activities (144,973) (48,668)
Net Increase in Cash 23,048 9,871

Debt Obligations

As of September 30, 2024, AdaptHealth had outstanding borrowings under its 2024 Term Loan of $600.0 million, with an interest rate of 6.60%. The repayment schedule includes quarterly principal repayments of $4.1 million through September 2026, increasing to $8.1 million until June 2029, with the remaining balance due in September 2029.

Stockholders' Equity

As of September 30, 2024, the total stockholders' equity attributable to AdaptHealth Corp. was $1.52 billion, compared to $1.46 billion at the end of 2023. The breakdown is as follows:

Equity Item Q3 2024 ($ in thousands) Year End 2023 ($ in thousands)
Total Stockholders' Equity 1,524,188 1,466,669


How AdaptHealth Corp. (AHCO) Makes Money

Revenue Streams

AdaptHealth Corp. generates revenue primarily through three main sources:

  • Net Sales Revenue
  • Fixed Monthly Equipment Reimbursements
  • Capitated Revenue Arrangements

For the nine months ended September 30, 2024, total net revenue was $2,404.3 million, a 2.7% increase from $2,341.9 million in the same period of 2023 .

Revenue Source 2024 Amount (in thousands) 2023 Amount (in thousands) Percentage of Total Revenue (2024)
Net Sales Revenue $1,533,238 $1,546,013 63.8%
Fixed Monthly Equipment Reimbursements $774,979 $795,930 32.2%
Capitated Revenue Arrangements $96,113 $0 4.0%

Net Sales Revenue

Net sales revenue is derived from the sale of medical equipment and supplies. For the three months ended September 30, 2024, net sales revenue was $510.7 million, representing 63.4% of total net revenue.

Fixed Monthly Equipment Reimbursements

This revenue stream consists of payments received for rental equipment provided to patients. As of September 30, 2024, this accounted for 32.5% of total net revenue, totaling $262.3 million.

Capitated Revenue Arrangements

Capitated revenue arrangements involve receiving a fixed amount per patient for providing healthcare services. This constituted 4.1% of total net revenue as of September 30, 2024, amounting to $32.9 million.

Cost Structure

AdaptHealth's cost of net revenue for the nine months ended September 30, 2024, was $2,036.5 million, accounting for 84.7% of total revenue . The breakdown is as follows:

Cost Category 2024 Amount (in thousands) 2023 Amount (in thousands) Percentage of Total Revenue (2024)
Cost of Products and Supplies $947,980 $966,021 39.4%
Salaries, Labor and Benefits $593,752 $582,827 24.7%
Patient Equipment Depreciation $240,774 $244,824 10.0%
Other Operating Expenses $199,897 $177,216 8.3%
Rent and Occupancy $54,129 $51,393 2.3%

General and Administrative Expenses

General and administrative expenses for the nine months ended September 30, 2024, were $154.6 million, an increase from $142.8 million in 2023. This represents 6.4% of total net revenue for 2024 .

Operating Performance

For the nine months ended September 30, 2024, AdaptHealth reported an operating income of $166.1 million compared to a loss of $380.6 million in the previous year .

Net Income

Net income attributable to AdaptHealth Corp. for the nine months ended September 30, 2024, was $40.2 million, a significant recovery from a loss of $424.4 million in the same period of 2023 .

Cash Flow

For the nine months ended September 30, 2024, net cash provided by operating activities was $391.4 million, an increase from $325.4 million in the prior year .

Conclusion

AdaptHealth’s diverse revenue streams, effective cost management, and recovery in net income highlight its robust business model as of 2024, positioning it well within the healthcare market.

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Resources:

  1. AdaptHealth Corp. (AHCO) Financial Statements – Access the full quarterly financial statements for Q3 2024 to get an in-depth view of AdaptHealth Corp. (AHCO)' financial performance, including balance sheets, income statements, and cash flow statements.
  2. SEC Filings – View AdaptHealth Corp. (AHCO)' latest filings with the U.S. Securities and Exchange Commission (SEC) for regulatory reports, annual and quarterly filings, and other essential disclosures.