AdaptHealth Corp. (NASDAQ: AHCO)

Sector: Healthcare Industry: Medical Devices CIK: 0001725255
Market Cap 1.51 Bn
P/B 0.94
P/E 18.39
P/S 0.46
ROIC (Qtr) 5.18
Div Yield % 0.00
Rev 1y % (Qtr) 1.79
Total Debt (Qtr) 1.90 Bn
Debt/Equity (Qtr) 1.18
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About

AdaptHealth Corp., with the ticker symbol AHCO, operates in the healthcare industry, specifically as a national leader in providing patient-centered, healthcare-at-home solutions. These solutions encompass home medical equipment (HME), medical supplies, and related services. The company's primary focus is on providing sleep therapy equipment, medical devices, and supplies to patients suffering from obstructive sleep apnea (OSA), diabetes management supplies, home medical equipment to patients discharged from acute care and other facilities, oxygen...

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Investment thesis

Bull case

  • Operating cash flow of 569M provides exceptional 122x coverage of minority interest expenses 4.66M, showing strong core operations.
  • Tangible assets of 1.64B provide exceptional 27.40x coverage of deferred revenue 59.85M, showing strong service capability backing.
  • Operating cash flow of 569M provides strong 27.09x coverage of stock compensation 21M, indicating sustainable incentive practices.
  • Cash position of 80.36M provides exceptional 17.23x coverage of minority interest expenses 4.66M, indicating strong liquidity.
  • Operating cash flow of 569M provides strong 9.51x coverage of deferred revenue 59.85M, indicating service delivery capability.

Bear case

  • Operating cash flow of 569M barely covers its investment activities of (265.59M), with a coverage ratio of -2.14, indicating heavy reliance on external financing for growth which may not be sustainable in a tighter credit environment.
  • Cash reserves of 80.36M provide limited coverage of acquisition spending of 90.23M, which is 0.89x, suggesting aggressive expansion might strain liquidity if market conditions deteriorate.
  • High receivables of 380.32M relative to inventory of 149.09M (2.55 ratio) suggests aggressive credit terms or collection difficulties, potentially masking revenue quality issues.
  • Operating earnings of 259.93M show weak coverage of depreciation charges of 419.96M, with a 0.62 ratio indicating high capital intensity and potential reinvestment needs.
  • Free cash flow of 213.17M represents just -0.74x of debt issuance (288.78M), suggesting concerning reliance on leverage rather than internal cash generation for growth.

Segments Breakdown of Revenue (2024)

Customer Breakdown of Revenue (2024)

Peer comparison

Companies in the Medical Devices
S.No. Ticker Company Market Cap P/E P/S Total Debt (Qtr)
1 ABT Abbott Laboratories 173.80 Bn 32.73 5.47 12.94 Bn
2 SYK Stryker Corp 141.15 Bn 43.48 5.62 15.86 Bn
3 MDT Medtronic plc 123.47 Bn 25.92 3.55 29.10 Bn
4 BSX Boston Scientific Corp 112.80 Bn 38.92 5.62 11.44 Bn
5 EW Edwards Lifesciences Corp 45.66 Bn 33.38 7.76 0.70 Bn
6 DXCM Dexcom Inc 27.52 Bn 32.91 5.90 1.34 Bn
7 STE STERIS plc 24.13 Bn 34.08 4.14 2.05 Bn
8 PODD Insulet Corp 17.33 Bn 70.38 6.87 1.01 Bn

Industry comparisons

Current Valuation Value Ind Avg Percentile
EV to Assets EV to Assets 0.77 2.13
EV to Cash from Ops. EV/CFO 5.96 2.75
EV to Debt EV to Debt 1.78 17.25
EV to EBIT EV/EBIT 13.06 2.89
EV to EBITDA EV/EBITDA 4.98 4.53
EV to Free Cash Flow [EV/FCF] EV/FCF 15.92 29.36
EV to Market Cap EV to Market Cap 2.24 25.09
EV to Revenue EV/Rev 1.04 32.80
Price to Book Value [P/B] P/B 0.94 4.73
Price to Earnings [P/E] P/E 18.39 -2.04
Dividend Metrics Value Ind Avg Percentile
Dividend Coverage Ratio Div Coverage (Qtr) 0.00 40.22
Dividend Payout Ratio % Div Payout % (Qtr) 0.00 1.59
Dividend per Basic Share Div per Share (Qtr) 0.00 0.10
FCF Dividend Payout Ratio % FCF Div Payout % (Qtr) 0.00 -0.37
Interest Coverage Int. cover (Qtr) 2.34 196.93
Growth Metrics Value Ind Avg Percentile
Capex Growth (1y) % Capex 1y % (Qtr) -14.03 -152.08
Cash and Equivalents Growth (1y) % Cash & Equiv 1y % (Qtr) -19.79 8,476.58
Dividend Growth (1y) % Dividend Growth (1y) % 0.00 -0.44
EBIAT Growth (1y) % EBIAT 1y % (Qtr) 276.05 -792.16
EBITDA Growth (1y) % EBITDA 1y % (Qtr) 91.55 3.79
EBIT Growth (1y) % EBIT 1y % (Qtr) 424.51 -301.80
EBT Growth (1y) % EBT 1y % (Qtr) 170.72 -121.44
EPS Growth (1y) % EPS 1y % (Qtr) 134.15 -87.51
FCF Growth (1y) % FCF 1y % (Qtr) -9.15 10.43
Gross Profit Growth (1y) % Gross Profit 1y % (Qtr) -5.41 38.21
Liquidity Ratios Value Ind Avg Percentile
Asset Utilization Ratio Asset Util Ratio (Qtr) 0.74 0.55
Cash Payout Ratio Cash Payout (Qtr) 0.00 0.02
Cash Ratio Cash Ratio (Qtr) 0.12 1.80
Current Ratio Curr Ratio (Qtr) 1.08 4.18
Debt to Equity Ratio Debt/Equity (Qtr) 1.18 1.20
Interest Cover Ratio Int Coverage (Qtr) 2.34 196.93
Times Interest Earned Times Interest Earned (Qtr) 2.34 196.93
Profitability Value Ind Avg Percentile
EBITDA Margin % EBITDA Margin % (Qtr) 20.90 -2,396.63
EBIT Margin % EBIT Margin % (Qtr) 7.98 -2,478.60
EBT Margin % EBT Margin % (Qtr) 4.57 -2,690.42
Gross Margin % Gross Margin % (Qtr) 23.10 30.80
Net Profit Margin % Net Margin % (Qtr) 2.50 -2,821.53