0001104659-21-133991.txt : 20211104 0001104659-21-133991.hdr.sgml : 20211104 20211104064259 ACCESSION NUMBER: 0001104659-21-133991 CONFORMED SUBMISSION TYPE: 8-K PUBLIC DOCUMENT COUNT: 14 CONFORMED PERIOD OF REPORT: 20211104 ITEM INFORMATION: Results of Operations and Financial Condition ITEM INFORMATION: Financial Statements and Exhibits FILED AS OF DATE: 20211104 DATE AS OF CHANGE: 20211104 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AdaptHealth Corp. CENTRAL INDEX KEY: 0001725255 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOME HEALTH CARE SERVICES [8082] IRS NUMBER: 823677704 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-K SEC ACT: 1934 Act SEC FILE NUMBER: 001-38399 FILM NUMBER: 211377872 BUSINESS ADDRESS: STREET 1: 220 WEST GERMANTOWN PIKE STREET 2: SUITE 250 CITY: PLYMOUTH MEETING STATE: PA ZIP: 19462 BUSINESS PHONE: 610-630-6357 MAIL ADDRESS: STREET 1: 220 WEST GERMANTOWN PIKE STREET 2: SUITE 250 CITY: PLYMOUTH MEETING STATE: PA ZIP: 19462 FORMER COMPANY: FORMER CONFORMED NAME: DFB Healthcare Acquisitions Corp. DATE OF NAME CHANGE: 20171213 8-K 1 tm2131927d1_8k.htm FORM 8-K
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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

 

 

 

FORM 8-K

 

CURRENT REPORT

Pursuant to Section 13 OR 15(d)

of The Securities Exchange Act of 1934

 

Date of Report (Date of earliest event reported): November 4, 2021

 

 

AdaptHealth Corp.

(Exact name of registrant as specified in its charter)

 

Delaware  001-38399  82-3677704
(State or other jurisdiction of
incorporation)
  (Commission File Number)  (IRS Employer Identification No.)

 

220 West Germantown Pike, Suite 250

Plymouth Meeting, PA

  19462
(Address of principal executive offices)   (Zip Code)
     
(610) 630-6357

(Registrant’s telephone number, including area code)

 

Not Applicable

(Former name or former address, if changed since last report.)

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

 

¨Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

¨Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

¨Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

¨Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

 

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

 

Title of each class

Trading Symbol(s)

Name of each exchange on which registered

Common Stock, par value $0.0001 per share AHCO The Nasdaq Stock Market LLC

 

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

 

Emerging growth company ¨

 

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.  ¨

 

 

 

 

 

Item 2.02. Results of Operations and Financial Condition.

 

The following information is furnished pursuant to Regulation FD.

 

On November 4, 2021, AdaptHealth Corp. (the “Company”) issued a press release (the “Press Release”) announcing financial results for the three and nine months ended September 30, 2021. A copy of the Press Release is furnished herewith as Exhibit 99.1 to this Current Report on Form 8-K and is incorporated herein by reference.

 

The information in this Item 2.02 (including Exhibit 99.1) shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933, as amended (the “Securities Act”), or the Exchange Act, regardless of any general incorporation language in such filing, unless expressly incorporated by reference in such filing.

 

Item 9.01. Financial Statements and Exhibits.

 

(d) Exhibits

 

99.1 Press Release dated November 4, 2021 announcing the earnings results for the three and nine months ended September 30, 2021.
104 The cover page from this Current Report on Form 8-K, formatted in Inline XBRL.

 

- 2 -

 

 

SIGNATURE

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, hereunto duly authorized.

 

Dated: November 4, 2021

 

  AdaptHealth Corp.

 

By:/s/ Jason Clemens
  Name: Jason Clemens
  Title: Chief Financial Officer

 

- 3 -

 

EX-99.1 2 tm2131927d1_ex99-1.htm EXHIBIT 99.1

 

Exhibit 99.1

 

 

FOR IMMEDIATE RELEASE

 

ADAPTHEALTH ANNOUNCES THIRD QUARTER 2021 FINANCIAL RESULTS,
RAISES FULL-YEAR 2021 GUIDANCE, AND PROVIDES FULL-YEAR 2022 GUIDANCE

 

Plymouth Meeting, PA – November 4, 2021 – AdaptHealth Corp. (NASDAQ: AHCO) (“AdaptHealth” or “the Company”), a national leader in providing patient-centered, healthcare-at-home solutions including home medical equipment, medical supplies, and related services, announced today financial results for the third quarter ended September 30, 2021.

 

Highlights

 

·AdaptHealth delivered record net revenue and Adjusted EBITDA for the third quarter and further increased fiscal 2021 guidance, despite the challenging operating environment.
·During the quarter, the Company completed six previously-discussed acquisitions, expanding HME operations in Kentucky, Ohio, West Virginia, New Jersey, New York, South Carolina, and Florida.
·Since quarter end, the Company has completed four additional acquisitions: three HME providers in Florida, Washington, and Wisconsin, and a diabetes supplier in Texas.
·In addition to the AeroCare merger, AdaptHealth has acquired more than $400 million in annualized revenue to date in 2021.
·In August the Company completed an offering of $600 million aggregate principal amount of 5.125% unsecured senior notes due 2030.

 

Third Quarter Results

 

·Net revenue was $653.3 million, compared to $284.4 million in the third quarter of 2020, a 130% increase.
·Organic growth for the third quarter was 6.5%.
·Net income attributable to AdaptHealth Corp. was $58.1 million, or $0.20 per diluted share, compared to a net loss of $51.0 million, or $0.89 per diluted share, in the third quarter of 2020.
·Adjusted EBITDA was $156.3 million, compared to $53.2 million in the third quarter of 2020, a 194% increase.
·Adjusted EBITDA less Patient Equipment Capex was $106.1 million, compared to $35.9 million in the third quarter of 2020, a 196% increase.

 

Guidance Increased for 2021

 

Based on current business, market trends, and acquisitions completed to date, the Company is increasing its previously issued financial guidance for fiscal year 2021 as follows:

 

·Net revenue of $2.41 billion to $2.46 billion, up from prior guidance of $2.38 billion to $2.48 billion;
·Adjusted EBITDA of $570 million to $580 million, up from prior guidance of $555 million to $580 million; and
·Adjusted EBITDA less Patient Equipment Capex of $365 million to $375 million, up from prior guidance of $360 million to $375 million.

 

 

 

 

Guidance Established for 2022

 

The Company is also establishing initial financial guidance for fiscal year 2022 as follows:

 

·Net revenue of $2.70 billion to $2.90 billion;
·Adjusted EBITDA of $635 million to $695 million; and
·Total capital expenditures are expected to be 9-11% of net revenue.

 

Guidance for 2021 and 2022 does not include any contribution from acquisitions that have not yet closed. 2022 also excludes any potential impact from continuing sequestration relief, continuing PHE benefits, and any change to the DMEPOS fee schedule.

 

Management Commentary

 

Steve Griggs, Chief Executive Officer, commented, “We are very pleased with our operating and financial performance for the quarter, which reflected the outstanding efforts of our team members. We continue to drive organic growth in the face of challenging external circumstances (including the ongoing impact of the Philips recall), as well as further expanding our presence through strategic acquisitions in key markets. During the third quarter, we completed six acquisitions and today we are announcing another four deals in the HME and diabetes product lines.”

 

Mr. Griggs continued, “Having already achieved many of the targets we set for the AeroCare merger, we are focused as a combined company on a strong finish to the year and continuing to execute on our core strategies of organic growth, improving operations, and closing accretive acquisitions.”

 

Josh Parnes, President, commented, “We continue to leverage technology to drive operational improvements, such as our patient-facing technology. The Company continues to progress in evolving our business toward chronic disease management, with an overall goal to drive improvements in patient outcomes and reductions in the cost of care, while at the same time continuing to deliver strong organic growth from our existing businesses.”

 

Conference Call

 

Management will host a conference at 8:30 am ET today to discuss the results and business activities. Interested parties may participate in the call by dialing:

 

·(888) 428-7458 (Domestic) or
·(862) 298-0702 (International)

 

Webcast registration: Click Here

 

Following the live call, a replay will be available for six months on the Company's website, www.adapthealth.com under "Investor Relations."

 

About AdaptHealth Corp.

 

AdaptHealth is a national leader in providing patient-centered, healthcare-at-home solutions including home medical equipment, medical supplies, and related services. The Company provides a full suite of medical products and solutions designed to help patients manage chronic conditions in the home, adapt to challenges in their activities of daily living, and thrive. Product and service offerings include (i) sleep therapy equipment, supplies, and related services (including CPAP and bi PAP services) to individuals suffering from obstructive sleep apnea, (ii) medical devices and supplies to patients for the treatment of diabetes (including continuous glucose monitors and insulin pumps), (iii) home medical equipment (HME) to patients discharged from acute care and other facilities, (iv) oxygen and related chronic therapy services in the home, and (v) other HME devices and supplies to chronically ill patients with wound care, urological, incontinence, ostomy and nutritional supply needs. The Company is proud to partner with an extensive and highly diversified network of referral sources, including acute care hospitals, sleep labs, pulmonologists, skilled nursing facilities, and clinics. AdaptHealth services beneficiaries of Medicare, Medicaid, and commercial insurance payors, reaching approximately 3.5 million patients annually in all 50 states through its network of 716 locations in 47 states.

 

- 2 -

 

 

Forward-Looking Statements

 

This press release includes certain statements that are not historical facts but are forward-looking statements for purposes of the safe harbor provisions under the United States Private Securities Litigation Reform Act of 1995. Forward-looking statements generally are accompanied by words such as “believe,” “may,” “will,” “estimate,” “continue,” “anticipate,” “intend,” “expect,” “should,” “would,” “plan,” “predict,” “potential,” “seem,” “seek,” “future,” “outlook,” and similar expressions that predict or indicate future events or trends or that are not statements of historical matters. These forward-looking statements include, but are not limited to, statements regarding projections, estimates and forecasts of revenue and other financial and performance metrics and projections of market opportunity and expectations and the Company’s acquisition pipeline. These statements are based on various assumptions and on the current expectations of AdaptHealth management and are not predictions of actual performance. These forward-looking statements are provided for illustrative purposes only and are not intended to serve as, and must not be relied on, by any investor as, a guarantee, an assurance, a prediction or a definitive statement of fact or probability. Actual events and circumstances are difficult or impossible to predict and will differ from assumptions. Many actual events and circumstances are beyond the control of the Company.

 

These forward-looking statements are subject to a number of risks and uncertainties, including the outcome of judicial and administrative proceedings to which the Company may become a party or governmental investigations to which the Company may become subject that could interrupt or limit the Company’s operations, result in adverse judgments, settlements or fines and create negative publicity; changes in the Company’s clients’ preferences, prospects and the competitive conditions prevailing in the healthcare sector; and the impact of the recent coronavirus (COVID-19) pandemic and the Company’s response to it. A further description of such risks and uncertainties can be found in the Company’s filings with the Securities and Exchange Commission. If the risks materialize or assumptions prove incorrect, actual results could differ materially from the results implied by these forward-looking statements. There may be additional risks that the Company presently knows or that the Company currently believes are immaterial that could also cause actual results to differ from those contained in the forward-looking statements. In addition, forward-looking statements reflect the Company’s expectations, plans or forecasts of future events and views as of the date of this press release. The Company anticipates that subsequent events and developments will cause the Company’s assessments to change. However, while the Company may elect to update these forward-looking statements at some point in the future, the Company specifically disclaims any obligation to do so. These forward-looking statements should not be relied upon as representing the Company’s assessments as of any date subsequent to the date of this press release. Accordingly, undue reliance should not be placed upon the forward-looking statements.

 

Use of Non-GAAP Financial Information and Financial Guidance

 

This release contains non-GAAP financial guidance, which is adjusted to exclude certain costs, expenses, gains and losses and other specified items that are evaluated on an individual basis. These non-GAAP items are adjusted after considering their quantitative and qualitative aspects and typically have one or more of the following characteristics, such as being highly variable, difficult to project, unusual in nature, significant to the results of a particular period or not indicative of future operating results. Similar charges or gains were recognized in prior periods and will likely reoccur in future periods.

 

- 3 -

 

 

The Company uses EBITDA, Adjusted EBITDA and Adjusted EBITDA less Patient Equipment Capex, which are financial measures that are not prepared in accordance with generally accepted accounting principles in the United States, or U.S. GAAP, to analyze its financial results and believes that they are useful to investors, as a supplement to U.S. GAAP measures. In addition, the Company’s ability to incur additional indebtedness and make investments under its existing credit agreement is governed, in part, by its ability to satisfy tests based on a variation of Adjusted EBITDA less Patient Equipment Capex.

 

The Company believes Adjusted EBITDA less Patient Equipment Capex is useful to investors in evaluating the Company’s financial performance. The Company’s business requires significant investment in equipment purchases to maintain its patient equipment inventory. Some equipment title transfers to patients’ ownership after a prescribed number of fixed monthly payments. Equipment that does not transfer wears out or often times is not recovered after a patient’s use of the equipment terminates. The Company uses this metric as the profitability measure in its incentive compensation plans that have a profitability component and to evaluate acquisition opportunities, where it is most often used for purposes of contingent consideration arrangements. In addition, the Company’s debt agreements contain covenants that use a variation of Adjusted EBITDA less Patient Equipment Capex for purposes of determining debt covenant compliance. For purposes of this metric, patient equipment capital expenditure is measured as the value of the patient equipment received during the accounting period without regard to whether the equipment is purchased or financed through lease transactions.

 

EBITDA, Adjusted EBITDA and Adjusted EBITDA less Patient Equipment Capex should not be considered as measures of financial performance under U.S. GAAP, and the items excluded from EBITDA, Adjusted EBITDA and Adjusted EBITDA less Patient Equipment Capex are significant components in understanding and assessing financial performance. Accordingly, these key business metrics have limitations as an analytical tool. They should not be considered as an alternative to net income or any other performance measures derived in accordance with U.S. GAAP or as an alternative to cash flows from operating activities as a measure of the Company’s liquidity.

 

There is no reliable or reasonably estimable comparable GAAP measure for the Company’s non-GAAP financial guidance because the Company is not able to reliably predict the impact of certain items, including equity-based compensation expense, transaction costs, changes in fair value of both the contingent consideration common shares liability and the warrant liability, and other non-recurring expense (income) in full year 2021. As a result, reconciliation of these non-GAAP measures to the most directly comparable GAAP measure is not available without unreasonable effort. In addition, the Company believes such a reconciliation would imply a degree of precision and certainty that could be confusing to investors. The variability of the specified items may have a significant and unpredictable impact on the Company’s future GAAP results.

 

In addition, the Company’s non-GAAP financial guidance in this release excludes the impact of any potential additional future strategic acquisitions and any specified items that have not yet been identified and quantified. The guidance also excludes macro-economic effects due to the COVID-19 pandemic that are not yet quantifiable. The financial guidance is subject to risks and uncertainties applicable to all forward-looking statements as described elsewhere in this press release.

 

- 4 -

 

 

ADAPTHEALTH CORP.

 

Condensed Consolidated Balance Sheets (Unaudited)

 

   September 30,   December 31, 
(in thousands)  2021   2020 
Assets          
Current assets:          
Cash and cash equivalents  $336,654   $99,962 
Accounts receivable   347,515    171,065 
Inventory   99,881    58,783 
Prepaid and other current assets   39,388    33,441 
Total current assets   823,438    363,251 
Equipment and other fixed assets, net   341,357    110,468 
Operating lease right-of-use assets   148,891    —  
Goodwill   3,362,268    998,810 
Identifiable intangible assets, net   209,909    116,061 
Other assets   12,051    16,483 
Deferred tax assets   293,801    208,399 
Total Assets  $5,191,715   $1,813,472 
Liabilities and Stockholders' Equity          
Current liabilities:          
Accounts payable and accrued expenses  $312,355   $254,212 
Current portion of finance lease obligations   21,672    22,282 
Current portion of operating lease obligations   31,015     
Current portion of long-term debt   20,000    8,146 
Contract liabilities   22,252    11,043 
Other liabilities   73,369    89,524 
Current portion of contingent consideration common shares liability   21,402    36,846 
Total current liabilities   502,065    422,053 
Long-term debt, less current portion   2,187,373    776,568 
Operating lease obligations, less current portion   121,411     
Other long-term liabilities   314,932    186,470 
Contingent consideration common shares liability, less current portion   15,025    33,631 
Warrant liability   56,546    113,905 
Total Liabilities   3,197,352    1,532,627 
Total Stockholders' Equity   1,994,363    280,845 
Total Liabilities and Stockholders' Equity  $5,191,715   $1,813,472 

 

- 5 -

 

 

ADAPTHEALTH CORP.

 

Consolidated Statements of Operations (Unaudited)

 

   Three Months Ended   Nine Months Ended 
(in thousands, except per share data)  September 30,   September 30, 
   2021   2020   2021   2020 
Net revenue  $653,293   $284,405   $1,752,429   $707,960 
                     
Costs and expenses:                    
Cost of net revenue   529,887    240,720    1,417,305    606,768 
General and administrative expenses   33,006    26,306    132,584    57,745 
Depreciation and amortization, excluding patient equipment depreciation   14,690    4,120    46,014    6,398 
Total costs and expenses   577,583    271,146    1,595,903    670,911 
Operating income   75,710    13,259    156,526    37,049 
Interest expense, net   24,252    12,406    69,584    27,826 
Loss on extinguishment of debt   8,240    5,316    20,189    5,316 
Change in fair value of contingent consideration common shares liability   (10,006)   25,525    (34,050)   41,850 
Change in fair value of warrant liability   (16,737)   36,912    (57,359)   72,358 
Other (income) loss, net   (452)       698    (1,991)
Income (loss) before income taxes   70,413    (66,900)   157,464    (108,310)
Income tax expense (benefit)   12,147    (4,921)   22,782    (4,736)
Net income (loss)   58,266    (61,979)   134,682    (103,574)
Income (loss) attributable to noncontrolling interests   174    (10,944)   1,449    (22,458)
Net income (loss) attributable to AdaptHealth Corp.  $58,092   $(51,035)  $133,233   $(81,116)
                     
Weighted average common shares outstanding - basic   131,684    57,372    124,228    47,986 
Weighted average common shares outstanding - diluted   140,322    57,372    133,638    47,986 
                     
Basic net income (loss) per share  $0.40   $(0.89)  $0.97   $(1.69)
Diluted net income (loss) per share  $0.20   $(0.89)  $0.27   $(1.69)

 

- 6 -

 

 

ADAPTHEALTH CORP.

 

Consolidated Statements of Cash Flows (Unaudited)

 

(in thousands)  Nine Months Ended September 30, 
   2021   2020 
Cash flows from operating activities:          
Net income (loss)  $134,682   $(103,574)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:          
Depreciation, including patient equipment depreciation   146,476    55,186 
Equity-based compensation   21,394    10,969 
Change in fair value of contingent consideration common shares liability   (34,050)   41,850 
Change in fair value of warrant liability   (57,359)   72,358 
Reduction in the carrying amount of operating lease right-of-use assets   23,832     
Deferred income tax expense (income)   11,666    (7,590)
Change in fair value of interest rate swaps, net of reclassification adjustment   (2,185)   (2,130)
Change in fair value of contingent consideration   1,135    (2,900)
Payment of contingent consideration in connection with an acquisition   (1,000)   (1,000)
Amortization of intangible assets   34,351    2,675 
Amortization of deferred financing costs   4,069    1,189 
Imputed interest expense   173    128 
Write-off of deferred financing costs   4,054    46 
Loss on extinguishment of debt from prepayment penalty   16,135    5,316 
Gain on equity method investment   (1,922)    
Gain on sale of investment       (591)
Changes in operating assets and liabilities, net of effects from acquisitions:          
Accounts receivable   (25,046)   (19,251)
Inventory   3,626    (10,166)
Prepaid and other assets   (137)   (1,459)
Operating lease obligations   (23,292)    
Operating liabilities   (81,852)   104,231 
Net cash provided by operating activities   174,750    145,287 
Cash flows from investing activities:          
Payments for business acquisitions, net of cash acquired   (1,417,946)   (605,309)
Purchases of equipment and other fixed assets   (139,686)   (22,834)
Payments for investments   (875)   (1,000)
Proceeds from sale of investment       2,046 
Net cash used in investing activities   (1,558,507)   (627,097)
Cash flows from financing activities:          
Proceeds from borrowings on long-term debt and lines of credit   1,165,000    536,275 
Repayments on long-term debt and lines of credit   (822,271)   (545,584)
Proceeds from the sale of Class A Common Stock and Series A Preferred Stock       225,000 
Proceeds from the issuance of Class A Common Stock   278,850    142,600 
Proceeds from the issuance of senior unsecured notes   1,100,000    350,000 
Proceeds from the exercise of warrants       24,495 
Proceeds from the exercise of stock options   12,140     
Repayments of finance lease obligations   (31,043)   (29,710)
Payments for equity issuance costs   (13,832)   (11,197)
Payments of deferred financing costs   (29,185)   (12,879)
Proceeds received in connection with employee stock purchase plan   1,016     
Payments for tax withholdings from equity-based compensation activity   (810)    
Distributions to noncontrolling interests   (1,070)   (800)
Payments of contingent consideration in connection with acquisitions   (17,200)   (200)
Payments of deferred purchase price in connection with acquisitions   (5,011)   (750)
Payments for debt prepayment penalties   (16,135)    
Net cash provided by financing activities   1,620,449    677,250 
Net increase in cash and cash equivalents   236,692    195,440 
Cash and cash equivalents at beginning of period   99,962    76,878 
Cash and cash equivalents at end of period  $336,654   $272,318 

 

- 7 -

 

 

Non-GAAP Financial Measures

 

This press release presents AdaptHealth’s EBITDA, Adjusted EBITDA and Adjusted EBITDA less Patient Equipment Capex for the three and nine months ended September 30, 2021 and 2020.

 

AdaptHealth defines EBITDA as net income (loss) attributable to AdaptHealth Corp., plus net income (loss) attributable to noncontrolling interests, interest expense, net, income tax expense (benefit), and depreciation and amortization.

 

AdaptHealth defines Adjusted EBITDA as EBITDA (as defined above), plus loss on extinguishment of debt, equity-based compensation expense, transaction costs, severance, change in fair value of the contingent consideration common shares liability, change in fair value of the warrant liability, and other non-recurring items of expense (income).

 

AdaptHealth defines Adjusted EBITDA less Patient Equipment Capex as Adjusted EBITDA (as defined above) less patient equipment acquired during the period without regard to whether the equipment was purchased or financed through lease transactions.

 

The following unaudited table presents the reconciliation of net income (loss) attributable to AdaptHealth Corp. to EBITDA, Adjusted EBITDA and Adjusted EBITDA less Patient Equipment Capex for the three and nine months ended September 30, 2021 and 2020:

 

   Three Months Ended   Nine Months Ended 
(in thousands)  September 30,   September 30, 
   2021   2020   2021   2020 
Net income (loss) attributable to AdaptHealth Corp.  $58,092   $(51,035)  $133,233   $(81,116)
Income (loss) attributable to noncontrolling interests   174    (10,944)   1,449    (22,458)
Interest expense, net   24,252    12,406    69,584    27,826 
Income tax expense (benefit)   12,147    (4,921)   22,782    (4,736)
Depreciation and amortization, including patient equipment depreciation   69,828    22,747    180,827    57,861 
EBITDA   164,493    (31,747)   407,875    (22,623)
Loss on extinguishment of debt (a)   8,240    5,316    20,189    5,316 
Equity-based compensation expense (b)   5,365    5,502    21,394    10,969 
Transaction costs (c)   4,616    10,213    44,570    16,612 
Severance (d)   469    921    2,002    3,245 
Change in fair value of contingent consideration common shares liability (e)   (10,006)   25,525    (34,050)   41,850 
Change in fair value of warrant liability (f)   (16,737)   36,912    (57,359)   72,358 
Other non-recurring expense (income) (g)   (166)   518    3,219    (1,473)
Adjusted EBITDA   156,274    53,160    407,840    126,254 
Less: Patient equipment capex (h)   (50,153)   (17,248)   (140,936)   (42,283)
Adjusted EBITDA less Patient Equipment Capex  $106,121   $35,912   $266,904   $83,971 

 

(a)Represents write offs of unamortized deferred financing costs related to refinancing of debt and pre-payment penalties for early debt payoff.

 

(b)Represents equity-based compensation expense for awards granted to employees and non-employee directors. The higher expense in the 2021 period is due to overall increased equity compensation grant activity in that period, as well as expense resulting from accelerated vesting of certain awards in that period, including accelerated vesting of certain awards in connection with the separation of the Company’s former Co-CEO.

 

(c)Represents transaction costs related to acquisitions.

 

(d)Represents severance costs related to acquisition integration and internal AdaptHealth restructuring and workforce reduction activities.

 

- 8 -

 

 

(e)Represents a non-cash charge or gain for the change in the estimated fair value of the contingent consideration common shares liability.

 

(f)Represents a non-cash charge or gain for the change in the estimated fair value of the warrant liability.

 

(g)The 2021 year-to-date period includes $1.9 million of expenses related to legal and other costs associated with the separation of the Company’s former Co-CEO, $0.9 million of expenses associated with legal settlements for employee and other matters, $1.6 million of expenses associated with lease terminations, a $1.1 million charge for the increase in the fair value of contingent consideration liabilities related to acquisitions, and $0.1 million of other non-recurring charges, offset by a $1.9 million gain in connection with the consolidation of an equity method investment and a gain of $0.5 million for the receipt of earnout proceeds in connection with the sale of an investment. The 2020 year-to-date period includes $2.9 million of reductions in the fair value of contingent consideration liabilities related to acquisitions, a $0.6 million gain in connection with the sale of an investment, offset by a $1.5 million expense related to a transition services agreement executed in connection with an acquisition completed in 2020, and $0.5 million of other non-recurring expenses.

 

(h)Represents the value of the patient equipment obtained during the respective period without regard to whether the equipment is purchased or financed through lease transactions.

 

Contacts

 

AdaptHealth Corp.

 

Jason Clemens, CFA

Chief Financial Officer

jclemens@adapthealth.com

 

Anton Hie

Vice President, Investor Relations

(615) 887-4012

anton.hie@adapthealth.com

 

The Equity Group Inc.

 

Devin Sullivan

Senior Vice President

(212) 836-9608

dsullivan@equityny.com

 

Kalle Ahl, CFA

Vice President

(212) 836-9614

kahl@equityny.com

 

- 9 -

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Cover
Nov. 04, 2021
Cover [Abstract]  
Document Type 8-K
Amendment Flag false
Document Period End Date Nov. 04, 2021
Entity File Number 001-38399
Entity Registrant Name AdaptHealth Corp.
Entity Central Index Key 0001725255
Entity Tax Identification Number 82-3677704
Entity Incorporation, State or Country Code DE
Entity Address, Address Line One 220 West Germantown Pike
Entity Address, Address Line Two Suite 250
Entity Address, City or Town Plymouth Meeting
Entity Address, State or Province PA
Entity Address, Postal Zip Code 19462
City Area Code 610
Local Phone Number 630-6357
Written Communications false
Soliciting Material false
Pre-commencement Tender Offer false
Pre-commencement Issuer Tender Offer false
Title of 12(b) Security Common Stock, par value $0.0001 per share
Trading Symbol AHCO
Security Exchange Name NASDAQ
Entity Emerging Growth Company false
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