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Our ESG Overview

At AdaptHealth, we are building a robust framework for emphasizing environmental, social, and governance (ESG) issues throughout our business. Read more>

Our ESG Overview

At AdaptHealth, we are building a robust framework for emphasizing environmental, social, and governance (ESG) issues throughout our business. Read more>

Ethics &
Accountability

At AdaptHealth, we foster a culture of ethical conduct, integrity, and open communication, conducting business in full compliance with all applicable laws and regulations. Our industry-leading compliance program is a critical enabler for delivering high quality care to our nearly 4 million patients.

Compliance

AdaptHealth’s compliance program spans the entire enterprise, including all subsidiaries. More>

Data Security

Automated, compliant &  integrated. Our best-in-class technology platform improves the patient experience. More>

Environmental
Impact

Because we recognize the importance of managing our environmental impact to help ensure a healthier planet for generations to come, we are committed to developing understanding of environmental impact metrics and identifying opportunities to improve.

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Managing Our Environmental Impact

We collect data to understand and positively influence consumption and environmental impact. More>

Product Life Cycle

In addition to leveraging technology for efficiency and innovation, we evaluate our products to determine other ways to maximize utility and minimize environmental impact. More>

Our
People

AdaptHealth strives to attract and retain talented employees who are both aligned to our vision and effective in the fast-paced and high-growth environment in which we operate. Our DIRECT values framework guides our employees’ actions every day as they work to make a positive difference in the lives of our patients.

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Engagement & Development

We strive to attract and retain talented employees who will thrive in our high-growth environment. More>

Diversity & Inclusion

Every employee, patient, and partner should feel included every day, in all situations. More>

Our Products
& Services

AdaptHealth is the leading innovator in healthcare at home, providing best-in-class services and superior technology to improve patient lives while reducing the overall cost of care.

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Better Care through Innovation

Equipment and services that allow patients to live their best lives out of the hospital & in their homes. More>

Quality, Safety

Providing patients with safe, high-quality therapy products and equipment. More>

 

Our Framework

At AdaptHealth, we are building a robust framework for emphasizing environmental, social, and governance (ESG) issues throughout our business.

In addition to having our DIRECT values to guide us, achieving our mission and realizing our vision requires focus on long-term financial sustainability and the prudent management of ESG matters. We continue to assess and improve our policies and processes in these areas, and are committed to advancing ESG efforts to drive value for team members, customers, shareholders, and communities. Through a thoughtful and coordinated approach, our ESG strategy will support business growth while staying at the forefront of the evolving ESG principles in healthcare.

Oversight

The Compliance Committee of the Board of Directors oversees AdaptHealth’s corporate responsibility approach and activities. This includes oversight of environmental and social matters and review of ESG-related strategy, initiatives, policies, and risk management. The Nominating and Governance Committee assists the Board in developing and maintaining AdaptHealth’s corporate governance policies and guidelines. We believe this structure facilitates strong Board-level ESG oversight. Additional information related to AdaptHealth’s corporate governance can be found on our Investor Relations page.

AdaptHealth also uses an ESG Task Force comprised of cross-functional leaders from Compliance, Legal, People, and Operations, as well as Executive Leadership. The ESG Working Group reports to the Compliance Committee of the Board on an as-needed basis.

ESG Focus Areas

In 2022, in partnership with external ESG experts, AdaptHealth undertook an assessment of ESG topics and principles applicable to our business. In developing our ESG strategy, we referenced the Sustainability Accounting Standards Board (SASB) standards related to Health Care Distributors.

We have aligned our ESG strategy and initiatives in four areas fundamental to our business.

  • Ethics & Accountability
  • Environmental Impact
  • Our People
  • Our Products & Services

Enabling Better Home Care Through Innovation

AdaptHealth is the leading innovator in healthcare at home, providing best-in-class services and superior technology to improve patient lives while reducing the overall cost of care. We improve the lives of patients suffering from sleep apnea, diabetes, respiratory illnesses, and other chronic diseases by providing equipment and services that allow patients to live their best lives out of the hospital and in their homes. Chronic disease is the largest driver of healthcare spending in the United States, estimated at approximately $4 trillion annually. Our patient-first, tech-enabled care model plays a critical role in lowering costs for the health system. By enabling treatment and monitoring in the home, AdaptHealth’s solutions are more affordable for patients compared to care provided in the hospital or institutional setting.

Our leading therapies and our team of over 1,000 clinicians provide care to 4.3 million patients across the country. Completing more than 38,988 deliveries every day to our patients’ homes, we leverage scale and technology to deliver crucial therapies on time and at lower cost. AdaptHealth’s innovation in technology is leading the digital transformation of the home healthcare industry. Leaning into modern, digitized workflows for electronic prescribing and mobile documentation has established AdaptHealth as an industry leader in tech-enabled patient engagement. For example, our proprietary cloud-based mobile delivery software improves the patient experience by reducing the time between delivery, billing, and reimbursement.

We are investing in information technology systems to create a value-based connected care model that will drive exceptional customer service and keep more patients healthy at home. Our strategic vision for the future – AdaptHealth 2.0 – is centered upon improving our ability to provide real time, actionable data through integrated technology platforms, to enable better health outcomes for patients, more referrals for providers, and more efficient payments for payors.

AdaptHealth’s patient-first, care-based approach positions us as the partner of choice for referral partners and payors. Much of the durable medical equipment we supply for patients is traditionally reimbursed by Medicare and commercial insurance payors on fixed fee schedules. For our extensive network of 1,365 payors, we have built out a direct payor technology platform that reduces administrative costs and avoids delays in discharge, allowing more patients to receive treatment at home faster. A network of 70,000 primary care physicians and 1,000 health systems allows us to create deep relationships with referral sources and expand services to support patients throughout the progression of their diseases.

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Product Quality & Safety

Together with a nationwide network of suppliers and distributors, we provide patients with safe, high-quality therapy products and equipment. AdaptHealth is pleased to be accredited by three third-party organizations known for setting comprehensive national industry standards: ACHC, The Joint Commission, and URAC. These accreditations demonstrate compliance with specific safety, quality, and process standards, as well as a thorough commitment to the continual improvement of patient care.

We also maintain certain quality standards to comply with the requirements set by the Centers for Medicare & Medicaid Services (CMS), including the Medicare DMEPOS Supplier Standards. It is our policy that AdaptHealth only offers equipment and supplies that meet applicable regulations for medical device effectiveness and safety.

AdaptHealth employees inspect shipments of devices and supplies for possible contamination or damage upon arrival at our facilities, and we verify containers, labels, and purchase orders to ensure products are delivered from the correct suppliers. A digital inventory tracking system, currently in implementation, will improve the transparency and efficiency of supply chain management processes, and upgrades to our enterprise resource planning system help to mitigate potential supply chain challenges and shortages. We also have established programs to drive more utilization out of existing devices.

Our vendor procurement policy stipulates that distributors and manufacturers that provide devices and supplies to AdaptHealth meet all FDA licensing, registration, and quality requirements. Robust protocols are in place at AdaptHealth to monitor equipment, supplies, devices, and medications that have been subject to recalls, and to notify patients accordingly and work with suppliers to remove recalled items from distribution. We also communicate information about products that have been recalled by our suppliers or the FDA.

Anti-Discrimination & Harassment

A healthy, safe, and productive work environment is one that does not tolerate discrimination or harassment based on race, color, religion, national origin, age, gender, sexual orientation, or disability. AdaptHealth does not permit any conduct in the workplace that creates, encourages, or permits an offensive, intimidating, or inappropriate work environment. We conduct annual harassment training in compliance with our internal policies and state regulations, which educates our employees on prevention, description, escalation, and reporting methods.
We have instituted an anonymous, third-party reporting system for any claims of discrimination or harassment and established an internal investigation process for all reported instances. As of year-end 2022, all incidents have been investigated and closed based on due diligence obtained during investigations and resolution in accordance with our company policy.

Employee Health & Safety

Environment of Safety

The health and safety of our employees, patients, and customers is AdaptHealth’s top priority. This showed in the steps taken to protect our workforce and patients during the COVID-19 pandemic. A cross-functional committee oversaw the needs of critical employees and staff working in the field. Contact-free operational procedures, personal protective equipment (PPE), and monitoring protocols for all facilities were key aspects of our approach. Every staff member was granted five extra PTO days during the pandemic to support any illness that affected them or their families.

Diversity & Inclusion

We want AdaptHealth to be a place where every employee, patient, and partner feels included every day, in all situations. Our Diversity and Inclusion Council, led by the company’s Chief People Officer, activates and engages employees on diversity initiatives that strive to create a welcoming environment for all. The council is comprised of individual employees with diverse backgrounds and experiences who share a common interest in professional development, building a great culture, and delivering sustained business results.

In January 2023, AdaptHealth Corp was named included in Newsweek's 2023 list of the Greatest Workplaces in America for Diversity.

As of December 31, 2022, AdaptHealth’s total workforce consisted of 63% female employees and 30% non-white employees. The council is currently working with the leadership team to set diversity goals and establish employee resource groups to provide a forum for employees who identify with various affinity groups.

Amid significant growth in the AdaptHealth business in recent years, ensuring high levels of employee engagement is critical. We periodically conduct employee surveys, and a cross-functional Employee Engagement committee provides tactical support toward strengthening a purpose-driven company culture.

Employee Engagement & Talent Development

AdaptHealth strives to attract and retain talented employees who are both aligned to our vision and effective in the fast-paced and high-growth environment in which we operate. Our DIRECT values framework guides our employees’ actions every day as they work to make a positive difference in the lives of our patients.

A strong talent pipeline is imperative to AdaptHealth’s success. Our talent and performance management approach is designed to ensure employees and managers have regular feedback conversations about personal development and performance. Our Operations and Human Resources teams have established a robust career development program across the company, which includes development pathways designed for specific roles.

In support of AdaptHealth’s ambition to create a best-in-class employee experience, we are focused on robust onboarding and management training offerings. Regular competence training sessions support employees who are pursuing professional certifications and credentials. Ongoing and required compliance training gives employees the knowledge and tools to support our commitment to compliance leadership in all dimensions of the business.

Amid significant growth in the AdaptHealth business in recent years, ensuring high levels of employee engagement is critical. We periodically conduct employee opinion surveys within different areas of the business to measure engagement and other factors, and a cross-functional Employee Engagement committee provides tactical support toward strengthening a purpose-driven company culture.

Managing Our Environmental Impact

A national leader in healthcare-at-home solutions, AdaptHealth serves approximately 4.3 million patients annually in 48 states through our network of approximately 644 locations. AdaptHealth’s locations consist of retail storefronts, warehouses, and office spaces. We also manage a fleet of both owned and leased vehicles for delivering products to customers. Because we recognize the importance of managing our environmental impact to help ensure a healthier planet for generations to come, we are committed to developing understanding of environmental impact metrics and identifying opportunities to improve.

We are driving change and efficiencies with technology to help patients stay healthy at home. AdaptHealth’s product offerings consist primarily of home medical equipment (HME) and consumable supplies. In addition to leveraging technology for efficiency and innovation, we evaluate our products to determine other ways to maximize utility and minimize environmental impact. For example, we have a program to reclaim and refurbish certain machines for deployment back in the field. By extending the useful life of patient equipment, we can help reduce waste related to existing machines and increase the availability of solutions to our patient population.

With the help of a third-party consultant, we are currently evaluating of the energy, water, and waste data across our entire business network to establish a baseline and visibility into our consumption patterns. Upon completion of this evaluation, we expect to identify efficiencies and cost saving opportunities, and establish a baseline for a greenhouse gas (GHG) emissions inventory and other environmental metrics.

While some of our environmental initiatives are in the early days, we are establishing a strong foundation upon which to build. By delivering on AdaptHealth’s mission of transitioning more patient care to the home as opposed to requiring large healthcare facilities and institutions, there is significant opportunity to contribute to a more environmentally friendly and sustainable healthcare system.

Compliance Oversight & Risk Management

AdaptHealth has developed an industry leading compliance program that spans the entire enterprise, including all subsidiaries. This focus on compliance starts at the top of the organization and benefits from the strong support of the Board of Directors and Executive Leadership Team. The Compliance Team operates independently and reports on a monthly and quarterly basis to the Board’s Compliance Committee and Executive Leadership. The program incorporates all the required elements from the U.S. Department of Health and Human Services Office of the Inspector General (OIG) Guidance, as well as factors from the Department of Justice's evaluation of corporate compliance programs.

In 2021, the Board commissioned an independent assessment of the compliance program to determine its ability to support the scale of the organization and the company’s growth strategy. Upon completion of this in-depth, five-month-long process, an independent auditor concluded that the program was well-designed and exceeded Medicare’s standards for Durable Medical Equipment (DME) suppliers.

We also conduct an annual enterprise risk assessment to identify risks across the organization, collect relevant data, and implement risk mitigation measures. The risk assessment consists of a survey with eight enterprise risk categories that are determined based on current regulatory developments and company-specific compliance issues.

The compliance program includes ongoing education for all employees, focusing on basics as well as keeping employees up-to-date on compliance standards and topics as they evolve. Monthly live compliance training and refresher sessions serve to keep compliance at the front of employees’ minds and support quality everyday decision-making.

Code of Business Conduct & Ethics

In 2017,  we introduced an enterprise-wide Code of Ethics & Business Conduct (the “Code”), replacing subsidiaries' individual legacy programs. The Code reinforces a company-wide commitment to the highest ethical and legal standards, providing each employee with clear guidelines and conduct expectations that are in full compliance with all applicable laws, rules, and regulations. Every employee is required to understand and comply fully with both the rules and approval procedures established in the Code.
To reinforce and implement the Code, confidential and anonymous reporting mechanisms are available to all employees, administered through a third party, including a 24/7 Compliance Hotline. Employees are expected and encouraged to report any suspected or observed illegal, dishonest, or unethical acts. The Corporate Compliance Department includes individuals who specialize in investigations, and who investigate all credible reports raised through reporting channels. Our established disciplinary procedures set the guidelines for corrective actions where appropriate. Retaliation against any person who has raised compliance concerns or questions in good faith is strictly prohibited.

Data Security

AdaptHealth’s best-in-class technology platform improves the patient experience by using an automated, compliant, and integrated workflow to deliver timely, quality care to patients. Advanced e-prescribing capabilities enhance transparency, reduce transcription errors, and decrease time of order delivery. We take great care to safeguard patients’ protected health information (PHI) and maintain policies and procedures to manage PHI as required by the HIPAA and HITECH Acts. In addition to annual enterprise risk assessments, regular HIPAA risk assessments ensure the presence and utilization of privacy and security measures to protect PHI.

We use market-leading defense tools to protect and secure IT networks and data, and have implemented best practices from the CIS Top 20 Critical Security Controls Framework. The Senior IT management team discusses significant cybersecurity matters periodically with the Audit Committee, and annual information security training is a requirement for all employees.