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Services-Home Health Care Services: capital spending and supply chain

SIC 8082 · 5 companies with filed cash-flow statements

Capital spending, 12 months$723M
Operating cash flow$2.0B
Capex / cash flow36%
Capex / revenue2.3%
Top 3 share93%

Analysis

5 companies in Services-Home Health Care Services (SIC 8082) spent $723M on capital projects over their latest twelve months, 36% of the $2.0B their operations generated; the three largest spenders — AHCO, BTSG, CHE — account for 93%.

Capital spending is 2.3% of the industry's $30.9B of annual revenue.

By the industry's asset mix most of it goes to equipment (54%); about $134M is imported.

The largest supplier of that spending is health care structures ($179M).

Its largest supplying industries, by the input-output tables: other real estate ($1.4B), employment services ($1.0B), imports ($806M).

Charts

Services-Home Health Care Services: capital spending by company, latest twelve monthsServices-Home Health Care Services: capital spending by company, latest twelve monthsAHCO$497MBTSG$110MCHE$67.7MOPCH$40.5MADUS$7.8M
Filed cash-flow statements (SEC XBRL).
Services-Home Health Care Services: what the capital spending buys (US part)Services-Home Health Care Services: what the capital spending buys (US part)Structures$194MEquipment$331MSoftware$54.5MOther$30.9M
Capital spending × the industry’s asset mix (BEA fixed assets): grade C, an industry average applied to filed figures.
Services-Home Health Care Services: the industries that build and sell what it buysServices-Home Health Care Services: the industries that build and sell what it buysHealth care structures$179MElectromedical and electrotherape…$129MSurgical and medical instrument m…$89.1MSurgical appliance and supplies m…$40.3MIrradiation apparatus manufacturi…$31.6MSoftware publishers$27.7MComputer systems design services$14.7MDental equipment and supplies man…$13.3MCustom computer programming servi…$10.3MAircraft manufacturing$6.2M
BEA fixed assets: investment by asset type → supplying industry. Estimates (grade C).
Services-Home Health Care Services: its first-tier supplying industriesServices-Home Health Care Services: its first-tier supplying industriesOther real estate$1.4BEmployment services$1.0BImports$806MManagement of companies and enter…$785MPharmaceutical preparation manufa…$636MDrugs and druggists' sundries$421MOther plastics product manufactur…$235MGlass and glass product manufactu…$231MInsurance carriers, except direct…$222MOther basic organic chemical manu…$159M
Purchased inputs × the industry’s input mix (BEA Use table), US part: grade C.
Services-Home Health Care Services: where the industry's cash came from (+) and went (−)Services-Home Health Care Services: where the industry's cash came from (+) and went (−)Operating cash flow$2.2BOther investing (in)$813MBuybacks−$790MCapital spending−$723MAcquisitions−$657MCash added to the balance she…−$577MNet debt repaid−$495MOther financing (in)$272MOther financing (out)−$206MNet borrowing$101MCash drawn from the balance s…$99.0MShares issued$80.7MTaxes paid on employees' shar…−$39.2MOther investing (out)−$37.7M
The companies’ cash-flow statements, latest four quarters or fiscal year: every figure filed (grade A).

Capital spending by company

CompanyCapital spendingOperating cash flowCapex / OCFPeriod
AHCO AdaptHealth$497M$579M86%TTM to Q3 2026
BTSG BrightSpring Health Services$110M$603M18%TTM to Q3 2026
CHE Chemed$67.7M$363M19%TTM to Q3 2026
OPCH Option Care Health$40.5M$322M13%TTM to Q3 2026
ADUS Addus HomeCare$7.8M$152M5%TTM to Q3 2026

Customers and suppliers named in annual reports

SupplierCustomerShare of supplier revenueEvidenceSource
AVAHMedicare & Medicaid59%Stated in 10-K (XBRL)filing
AHCOMedicare & Medicaid26%Stated in 10-K (sentence)filing
BTSGMedicare & Medicaid6%Stated in 10-K (sentence)filing
ADUSMedicare & Medicaid39%Stated in 10-K (sentence)filing
CHEMedicare & Medicaid3%Stated in 10-K (sentence)filing

The interactive money flow: switch views, follow each dollar →

Evidence grades: A filed figure · B computed from filed figures · C industry average (BEA input-output and fixed-asset tables) applied to filed figures. Estimates are not the companies’ own records. Not investment advice.