By doing so, it allowed us to better manage our resources, and that decision was a key contributor to the mid-single-digit organic growth each segment produced this quarter. We are continuing to demonstrate progress across all three value drivers: growth, profitability, and risk profile. Starting with growth, our third quarter revenue was $820.3 million, up 1.8% from prior year quarter. Organic revenue growth, which does not include changes in revenue from divestitures or acquisitions, was 5.1% versus the prior year quarter, with strength across each of our four reportable segments.

We experienced robust year-over-year growth in our wellness at home segment, driven by orthotics and hospice. In diabetes health, we delivered the first quarter of revenue growth since Q1 2024. Moving to profitability, our third quarter adjusted EBITDA was $170.1 million, up 3.5% from the prior year quarter and above the high end of our guidance range. Debt reduction remains among our highest capital allocation priorities, as we believe a strong balance sheet is essential to unlocking and sustaining value for shareholders.

Now, with a standard operating model across the country, we can more efficiently deploy operational improvements and technology solutions in a timely manner and at scale. Looking forward, as we deploy technology that allows more patients to self-serve, this new call center will supplement the local branches with increased capacity to manage the most critical patient concerns. We continue to believe that there is significant potential to deploy AI and automation across our business. For example, in the third quarter, automation enabled the revenue cycle management team to reduce its reliance on offshore labor by approximately 5%.

What went well
  • Net revenue of $820.3M, up 1.8% YoY, with organic revenue growth of 5.1% and mid-single-digit organic growth in all four segments
  • Adjusted EBITDA of $170.1M, up 3.5% YoY, above the high end of guidance; margin 20.7%, up 30 bps YoY (from 20.4%)
  • Sleep new starts ~130,000, up 6.8% YoY (highest quarter in two years); sleep census a record 1.72M patients; sleep revenue $354.8M (+5.7%)
  • Respiratory health revenue $177.0M (+7.8% YoY) with a new Q3 record oxygen census of 330,000 patients
  • Diabetes health revenue $150.1M (+6.4% YoY), first YoY growth since Q1 2024, with CGM census up for a third consecutive quarter on better retention
  • Reduced debt by $50M in Q3 ($225M YTD); net leverage down to 2.68x from 2.81x, approaching 2.50x target; interest expense down over $15M YTD
  • Announced a second new capitation partner (major payer) making AdaptHealth exclusive provider to an additional 170,000 lives; automation cut RCM offshore labor reliance ~5%
What went wrong
  • Wellness at home revenue declined 16.0% YoY to $138.4M, driven by dispositions of non-core assets ($34.4M of prior-year revenue divested)
  • Oxygen new starts were lower than anticipated (retention offset the shortfall)
  • CGM starts in diabetes were softer than expected
  • Full-year 2025 adjusted EBITDA now expected at the bottom end of guidance range due to accelerated investments to stand up the new capitated arrangement
  • Elevated forward investment (labor, infrastructure, vehicles) running 'hotter' than plan in some markets, carrying extra expense into Q1 and potentially mid-Q2 2026
  • Government shutdown could delay the CMS competitive bidding final rule and push some cash collections into Q1 2026

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Reported 2025-11-04 · figures from the AdaptHealth Corp. Q3 2025 earnings call.

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