AdaptHealth (AHCO) Return on Sales [ROS] (2019 - 2026)
AdaptHealth's Return on Sales [ROS] came in at -20.91% for Q3 2026, down 27.36 percentage points from 6.45% a year earlier and down 2.30 percentage points from the prior quarter.
Powered by 
Analysis
AdaptHealth (AHCO) Return on Sales [ROS] (2019 - 2026) Analysis & Trends
Over the trailing twelve months to Sep 30, 2026, AdaptHealth reported Return on Sales [ROS] of -8.94%, down 16.70 percentage points year-over-year; for FY2025, it was 2.80%, down 5.29 percentage points from FY2024.
- Return on Sales [ROS] carries a five-year change of -3.95 percentage points (FY2020 to FY2025).
- Going back by year, Return on Sales [ROS] was 8.09% in FY2024 (+26.79 pp), -18.70% in FY2023 (-25.11 pp), 6.41% in FY2022 (-2.78 pp) and 9.19% in FY2021 (+2.44 pp).
- The Q3 2026 figure represents the lowest quarterly Return on Sales [ROS] since Q4 2023.
- Year-over-year, Return on Sales [ROS] has declined for five consecutive quarters, with an average year-over-year change of -4.58 percentage points over the last eight quarters.
- The fastest year-over-year change in Return on Sales [ROS] over five years came in Q3 2024 (a gain of 65.22 percentage points), and the weakest in Q3 2023 (a drop of 64.34 percentage points).
- Business Quant data shows AHCO's Return on Sales [ROS] at -18.61% (Q2 2026), 0.67% (Q1 2026) and -2.49% (Q4 2025) in the three quarters before Q3 2026.
Peer Set
Peer Comparison
| # | Company | Market Cap | Enterprise Value | Gross Profit (Qtr) | ROS (Qtr) |
|---|---|---|---|---|---|
| 1 | HCA Healthcare | 106.37 Bn | 104.21 Bn | 17.03 Bn | 15.00% |
| 2 | Natera | 45.03 Bn | 40.66 Bn | 513.47 Mn | -8.60% |
| 3 | Labcorp Holdings | 30.12 Bn | 28.22 Bn | 1.11 Bn | 10.55% |
| 4 | Quest Diagnostics | 28.44 Bn | 26.52 Bn | 1.04 Bn | 15.47% |
| 5 | Guardant Health | 20.93 Bn | 16.54 Bn | 236.15 Mn | -36.78% |
| 6 | BrightSpring Health Services | 14.41 Bn | 11.29 Bn | 518.55 Mn | 3.81% |
| 7 | Tempus AI | 14.27 Bn | 11.42 Bn | 266.70 Mn | -13.82% |
| 8 | Encompass Health | 13.98 Bn | 14.44 Bn | 1.54 Bn | 13.86% |
| 9 | Davita | 11.35 Bn | 10.22 Bn | 1.13 Bn | 13.95% |
| 10 | AdaptHealth | 1.05 Bn | 782.94 Mn | 114.81 Mn | -20.91% |
Historic Data
Download Data
Historic Data
| Date | Value |
|---|---|
| Sep 30, 2026 | -20.91% |
| Jun 30, 2026 | -18.61% |
| Mar 31, 2026 | 0.67% |
| Dec 31, 2025 | -2.49% |
| Sep 30, 2025 | 6.45% |
| Jun 30, 2025 | 10.00% |
| Mar 31, 2025 | 2.98% |
| Dec 31, 2024 | 11.40% |
| Sep 30, 2024 | 7.88% |
| Jun 30, 2024 | 6.46% |
| Mar 31, 2024 | 6.38% |
| Dec 31, 2023 | -25.38% |
| Sep 30, 2023 | -57.34% |
| Jun 30, 2023 | 6.84% |
| Mar 31, 2023 | 3.52% |
| Dec 31, 2022 | 3.43% |
| Sep 30, 2022 | 7.00% |
| Jun 30, 2022 | 8.13% |
| Mar 31, 2022 | 7.30% |
| Dec 31, 2021 | 9.84% |
API Access
AdaptHealth Return on Sales [ROS] API
Pull this series into your own models, spreadsheets and apps with the Business Quant
Historical Metrics API. The request below matches the chart above — change the
frequency, period or values and it follows. Swap YOUR_API_KEY for your own key.
https://data.businessquant.com/historic?slug=return-on-sales-%5Bros%5D&ticker=AHCO&period=max&api_key=YOUR_API_KEYimport requests
url = "https://data.businessquant.com/historic"
params = {"slug": "return-on-sales-[ros]", "ticker": "AHCO", "period": "max", "api_key": "YOUR_API_KEY"}
data = requests.get(url, params=params).json()const res = await fetch("https://data.businessquant.com/historic?slug=return-on-sales-%5Bros%5D&ticker=AHCO&period=max&api_key=YOUR_API_KEY");
const data = await res.json();