The Filing Desk

AdaptHealth vs Idexx Laboratories

AdaptHealth AHCO · Idexx Laboratories IDXX · Health Care Equipment

Idexx Laboratories reported revenue of $4.3 billion in fiscal 2025, 1.3 times AdaptHealth's $3.2 billion in fiscal 2025. AdaptHealth's revenue fell 0.5% in its latest year, and Idexx Laboratories' grew 10.4%. AdaptHealth had an operating margin of 2.8%, against 31.6% at Idexx Laboratories. Free cash flow was $219 million at AdaptHealth and $1.1 billion at Idexx Laboratories.

Side by side

AdaptHealthIdexx Laboratories
Latest fiscal yearFY2025, Dec 31, 2025FY2025, Dec 31, 2025
Revenue$3.2B$4.3B
Revenue growth−0.5%10.4%
Revenue growth a year, last 5 years25.2%9.7%
Gross margin18.8%61.8%
Operating margin2.8%31.6%
Net margin−2.2%24.6%
Free cash flow$219M$1.1B
Free cash flow margin6.8%24.6%
Return on capital2.1%57.3%
Net debt to EBITDA3.5x0.2x
Dividends and buybacks$0M$1.2B
Change in diluted share count−0.3%−2.7%
Last close$5.93$570.21
P/E at the last close—40.1×
Insider trades, last 12 monthsbought $24.9 million, sold $278,287sold $37.7 million
Piotroski F-score4 of 98 of 9
Amounts in each company's own currency, US$ unless marked (a foreign company may report in another), each company's latest fiscal year from its 10-K, or 20-F or 40-F for a foreign company. Growth rates compare with the year before; the five-year rate is the average a year. Free cash flow is cash from operations minus capital spending; return on capital is after-tax operating income over the money invested in the business; P/E is the last close over the latest earnings per share. Banks are measured differently (return on equity, efficiency ratio), so some rows apply to one company only.

Ten years

Revenue
US$ billions, fiscal years
AdaptHealthIdexx Laboratories
Operating margin
Percent of revenue
AdaptHealthIdexx Laboratories
Free cash flow
US$ billions. Cash from operations minus capital expenditure.
AdaptHealthIdexx Laboratories

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Source: the companies' Form 10-K filings, from SEC EDGAR, and the last close. For information only, not investment advice: the figures describe results, not which company is the better investment. The Filing Desk is not affiliated with either company. Full figures on the AdaptHealth and Idexx Laboratories pages.