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AdaptHealth Corp

For the period ended Dec 31, 2024. Filed Feb 25, 2025.

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A company's yearly report to the SEC, with audited financial statements. It is the fullest account a company gives of its business, its finances and the risks it sees.

FY2024 · Filed Feb 25, 2025

AHCO$7.33-1.1%Stored close · as of Nov 6, 2026
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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

FORM 10-K

x ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the fiscal year ended December 31, 2024

OR

o TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

Commission file number:001-38399

AdaptHealth Corp.

(Exact name of registrant as specified in its charter)

Delaware82-3677704
(State of Other Jurisdiction of incorporation or Organization)(I.R.S. Employer Identification No.)
220 West Germantown Pike Suite 250, Plymouth Meeting, PA19462
(Address of principal executive offices)(Zip code)

Registrant’s telephone number, including area code: (610)424-4515

Securities registered pursuant to Section 12(b) of the Act:

Title of Each ClassTrading Symbol(s)Name Of Each ExchangeOn Which Registered
Common Stock, par value $0.0001 per shareAHCOThe Nasdaq Stock Market LLC

Securities registered pursuant to Section 12(g) of the Act: None

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yeso No x

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. Yeso No x

Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes x Noo

Indicate by check mark whether the Registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.0405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes x Noo

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

Large accelerated filer xAccelerated filer oNon-accelerated filer oSmaller reporting company o
Emerging growth company o

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. o

Indicate by check mark whether the registrant has filed a report on and attestation to its management’s assessment of the effectiveness of its internal control over financial reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by the registered public accounting firm that prepared or issued its audit report. x

If securities are registered pursuant to Section 12(b) of the Act, indicate by check mark whether the financial statements of the registrant included in the filing reflect the correction of an error to previously issued financial statements.¨

Indicate by check mark whether any of those error corrections are restatements that required a recovery analysis of incentive-based compensation received by any of the registrant’s executive officers during the relevant recovery period pursuant to §240.10D-1(b).¨

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yeso Nox

As of June 28, 2024, the last business day of the Registrant's most recently completed second fiscal quarter, the aggregate market value of the shares of Common Stock, par value $0.0001 per share, held by non-affiliates of the Registrant, computed based on the closing sale price of $10.00 per share on June 28, 2024, as reported by The Nasdaq Stock Market LLC, was approximately $1.07 billion. Shares of Common Stock held by each executive officer and director and by each shareholder affiliated with a director or an executive officer have been excluded from this calculation because such persons may be deemed to be affiliates. As of February 21, 2025, there were 134,867,011 shares of the Registrant’s Common Stock outstanding.

Documents Incorporated by Reference

The information called for by Part III is incorporated by reference to the Definitive Proxy Statement for the 2025 Annual Meeting of Stockholders of the Registrant which will be filed with the U.S. Securities and Exchange Commission not later than April 30, 2025.

TABLE OF CONTENTS

Page
PART I
Item 1. Business5
Item 1A. Risk Factors12
Item 1B. Unresolved Staff Comments35
Item 1C. Cybersecurity35
Item 2. Properties36
Item 3. Legal Proceedings36
Item 4. Mine Safety Disclosures36
PART II
Item 5. Market Price of and Dividends on Registrant’s Common Equity and Related Stockholder Matters; Issuer Purchases of Equity Securities37
Item 6. [Reserved]37
Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations37
Item 7A. Quantitative and Qualitative Disclosures About Market Risk63
Item 8. Financial Statements and Supplementary Data64
Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure123
Item 9A. Controls and Procedures123
Item 9B. Other Information125
Item 9C. Disclosure Regarding Foreign Jurisdictions that Prevent Inspections125
PART III
Item 10. Directors, Executive Officers and Corporate Governance125
Item 11. Executive Compensation125
Item 12. Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters125
Item 13. Certain Relationships and Related Transactions, and Director Independence125
Item 14. Principal Accountant’s Fees and Services125
PART IV
Item 15. Exhibits and Financial Statement Schedules126
Signatures131

CAUTIONARY STATEMENT

In this Annual Report on Form 10-K, including “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in Item 7, and the documents incorporated by reference herein, we make forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. These forward-looking statements relate to expectations for future financial performance, business strategies or expectations for our business. These statements may be preceded by, followed by or include the words “may,” “might,” “will,” “will likely result,” “should,” “estimate,” “plan,” “project,” “forecast,” “intend,” “expect,” “anticipate,” “believe,” “seek,” “continue,” “target” or similar expressions.

These forward-looking statements are based on information available to us as of the date they were made, and involve a number of risks and uncertainties which may cause them to turn out to be wrong. Accordingly, forward-looking statements should not be relied upon as representing our views as of any subsequent date, and we do not undertake any obligation to update forward-looking statements to reflect events or circumstances after the date they were made, whether as a result of new information, future events or otherwise, except as may be required under applicable securities laws. As a result of a number of known and unknown risks and uncertainties, our actual results or performance may be materially different from those expressed or implied by these forward- looking statements. Some factors that could cause actual results to differ include:

competition and the ability of our business to grow and manage profitable growth;

fluctuations in the U.S. and/or global stock markets;

the possibility that we may be adversely affected by other economic, business, and/or competitive factors;

changes in applicable laws or regulations; and

other risks and uncertainties set forth in this Form 10-K, as well as the documents incorporated by reference herein.

SUMMARY RISK FACTORS

AdaptHealth’s business is subject to numerous risks and uncertainties, including those described in Item 1A, “Risk Factors”. These risks include, but are not limited to the following:

reliance on relatively few suppliers for the majority of our patient service equipment and supplies;

supply chain disruptions and economy-wide labor shortages in the U.S.;

the impact of inflation;

cyber-attacks on us or our vendors, security breaches, or the improper disclosure or use of protected health information could cause a loss of confidential data, give rise to remediation and other expenses, expose us to liability under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), consumer protection, common law or other legal theories, subject us to litigation and federal and state governmental inquiries, damage our reputation, and otherwise be disruptive to our business;

our ability to successfully design, modify and implement technology-based and other process changes and our dependence on information systems, including software licensed from third parties;

continuing efforts by private third-party payors to control their costs and payor contracts being subject to renegotiation or termination;

changes in governmental or private payor supply replenishment schedules and our ability to manage the complex and lengthy reimbursement process;

reliance for a significant portion of our revenue on the provision of sleep therapy equipment and supplies to patients;

consolidation among health insurers and other industry participants;

failure to maintain controls and processes over billing and collections;

ability to effectively implement controls and procedures required by the Sarbanes-Oxley Act;

ability to maintain or develop relationships with patient referral sources;

competition from numerous other sleep therapy equipment, home respiratory, mobility equipment, and diabetes medical devices and supplies providers;

risks related to government regulation, including federal and state changes to reimbursement and other Medicaid and Medicare policies, and our ability to comply with applicable laws, including healthcare fraud and abuse and false claims laws and regulations;

changes in medical equipment technology and development of new treatments;

the use or anticipated use of artificial intelligence ("AI") technologies, including generative AI, by us or third parties;

the risk of rupture or other accidents due to the transport of compressed and liquid oxygen;

the timing and amount of share repurchases;

outsourcing of a portion of our internal business functions to third-party providers;

ability to attract and retain key members of senior management and other key personnel;

ability to execute our strategic growth plan, which involves the acquisition of other companies, including our ability to integrate the operations of acquired companies into our business and realize the expected benefits of such acquisitions;

the impact of political and economic conditions;

changes in the authorizations or documentation necessary for products we provide and the findings as a result of audits of reimbursement claims by various governmental and private payor entities;

significant reimbursement reductions and/or exclusion from markets or product lines;

our ability to maintain required licenses and accreditation;

the impact of global climate change and legal, regulatory or market responses to such change;

the impact of writing down all or a portion of goodwill and/or identifiable intangible assets if required;

our ability to generate sufficient cash flow or obtain additional capital to fund our operating subsidiaries and finance our growth; and

significant expenses and administrative burdens as a result of being a public company.

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