Adjusting for revenue disposed to our recent divestiture, revenue was, as expected, in line with the second quarter of the prior year. Our adjusted EBITDA margin was 19.4% at the high end of our balance range. Free cash flow was $73.3 million in the second quarter, ahead of our expectations, and we are on track to meet our free cash flow guidance for FY 2025. Starting with non-acquired growth, we are leveraging our organizational strengths to address payer preference and build a pipeline of new capitated arrangements.

Also, once ramped, this new arrangement will elevate capitated revenue to at least 10% of our total revenue, increasing our mix of recurring revenue. Meanwhile, our diabetes health segment delivered a third consecutive quarter of sequential improvement in new starts and a resupply retention rate that once again outperformed the comparable quarters of the past two years. We are prioritizing initiatives that will drive labor productivity, increase the capacity of our operating assets, expand our adjusted EBITDA margin, and amplify returns on our invested capital. Second, as noted earlier, we are leveraging AI to automate order intake to increase intake efficiency, improve order accuracy, and reduce order cycle time.

Importantly, we expect these initiatives to slow the rate of new hiring that would otherwise be required to support the growth of our business. As a leading strategic player, we have seen a notable increase in inbound opportunities over the past few months, and we have completed two small transactions here to date. Every potential acquisition must meet rigorous financial standards, support the targeted expansion of our geographic footprint, and align with our strengths in sleep and respiratory with meaningful synergies. I'll follow that with the usual review of the balance sheet and our plans for capital allocation and finish up with updates to our guidance for 2025.

What went well
  • Q2 revenue of $800.4 million, roughly flat YoY excluding divested infusion assets, in line with expectations
  • Adjusted EBITDA of $155.5 million at a 19.4% margin, slightly above the high end of Q2 guidance
  • Free cash flow of $73.3 million, ahead of expectations; on track for FY2025 FCF guidance
  • Signed exclusive 5-year capitated HME agreement with a major national health system covering 10M+ members, $1B+ total revenue / at least $200M annual run-rate once ramped
  • Sleep health starts of ~128,000 (up 3% YoY), the highest quarter in two years; sleep census 1.7M patients; new setups strongest since 2023 recall recovery
  • Respiratory health revenue up 5.6% YoY to $170.5M with record Q2 oxygen census of 329,000 patients
  • Diabetes health posted a third consecutive quarter of sequential improvement in new starts and resupply retention; CGM census grew YoY for a second straight quarter
  • Reduced debt by $150M in Q2 ($175M YTD, $345M over last six quarters); net leverage improved to 2.81x from 2.98x; completed two tuck-in HME acquisitions
What went wrong
  • Net revenue declined 0.7% YoY to $800.4M, pressured by asset dispositions (~$20M in wellness-at-home) and ~$8M sleep purchase-vs-rental mix impact
  • Adjusted EBITDA margin fell to 19.4% from 20.5% in Q2 2024 on lower diabetes revenue/gross margins and the sleep revenue mix shift
  • Diabetes health revenue declined 4.1% YoY to $145.0M as volume growth was offset by payer mix shifts
  • Wellness-at-home revenue declined 7.2% YoY to $153.3M due to divestitures of non-core assets
  • Full-year adjusted EBITDA guidance lowered by ~$20M (to $642-$682M) on slipping payer rate negotiations (>half) and retained infrastructure spend for the new contract
  • CMS proposed competitive-bidding rule (potentially adding CGMs and ostomy/urological supplies) creates uncertainty; too early to quantify impact and could pressure industry economics

Guidance Changes

MetricPeriodCurrent guidance

Performance Breakdown

MetricYoYNote

Earnings Call Themes & Trends

TopicPrevious mentionCurrent periodTrend

Q&A Summary

More on AdaptHealth Corp.

Reported 2025-08-05 · figures from the AdaptHealth Corp. Q2 2025 earnings call.

See how VectorShift works for your firm

Request Demo