Agiliti Announces Financial Results for First Quarter 2021 and Provides Full Year 2021 Outlook
Agiliti Inc. (NYSE: AGTI) reported a 31% revenue growth to $235 million for Q1 2021, with a net income of $9.6 million, a significant turnaround from a net loss of $12.6 million in Q1 2020. Adjusted EBITDA increased 77% to $86 million. Following its IPO, the leverage ratio was reduced to 3.3x. The company projects full-year 2021 revenue between $950 million and $975 million and Adjusted EBITDA between $275 million and $285 million.
- 31% revenue growth to $235 million in Q1 2021.
- Net income increased by $22.2 million from a loss to $9.6 million.
- 77% increase in Adjusted EBITDA to $86 million.
- Leverage ratio reduced to 3.3x post-IPO.
- None.
Agiliti Inc. (NYSE: AGTI) (“Agiliti”), a nationwide provider of healthcare technology management and service solutions to the United States healthcare industry, today announced its financial results for the quarter ended March 31, 2021, and provided a preliminary outlook for the full year 2021.
Highlights
-
Revenue growth of 31 percent to
$235 million -
Net income of
$9.6 million , up$22.2 million from Q1 2020, and diluted earnings per share of$0.09 , up$0.22 per share from the prior year period -
Adjusted EBITDA growth of 77 percent to
$86 million , and adjusted diluted earnings per share of$0.30 , up$0.25 per share from the prior year period - Leverage ratio reduced to 3.3x following the close of its initial public offering
-
Full year 2021 guidance for revenue of
$950 -$975 million and Adjusted EBITDA of$275 -$285 million
“Our strong first quarter results reflect the continued execution of our growth strategy and the extraordinary work of our entire team at Agiliti,” said Tom Leonard, Chief Executive Officer. “The challenges of the past year helped raise awareness of the unique and essential nature of what we do, while also demonstrating the stable and predictable nature of our business model. Agiliti is a critical part of our national healthcare infrastructure, and as the events of 2020 highlight, the services we provide are always necessary and in high demand. This long term consistency gives us confidence in our 2021 outlook and beyond.”
Total revenue for the three months ended March 31, 2021, was
Net income for the first quarter was
Adjusted EBITDA for the three months ended March 31, 2021, was
Balance Sheet
Following the close of its initial public offering (“IPO”) on April 27, 2021, the Company used net proceeds from the offering to repay outstanding borrowings and related fees and expenses under the Company’s credit facilities. Post IPO proceeds and following its acquisition of Northfield Medical on March 19, 2021, it’s pro-forma leverage ratio approximates 3.3x.
Financial Guidance
For the full year 2021, the Company expects revenue to be in the range of
With regard to the non-GAAP Adjusted EBITDA guidance provided above, a reconciliation to GAAP net income has not been provided as the quantification of certain items included in the calculation of GAAP net income cannot be calculated or predicted at this time without unreasonable efforts. For example, the non-GAAP adjustment for stock-based compensation expense requires additional inputs such as number of shares granted and market price that are not currently ascertainable, and the non-GAAP adjustment for certain reserves and expenses depends on the timing and magnitude of these expenses and cannot be accurately forecasted. For the same reasons, the Company is unable to address the probable significance of the unavailable information, which could have a potentially unpredictable, and potentially significant, impact on its future GAAP financial results.
Conference Call Information
Agiliti will hold a conference call to discuss its 2021 first quarter results on Tuesday, May 18, at 5 p.m. Eastern Time (4 p.m. Central Time).
The conference call can be accessed live over the phone by dialing 1-877-407-0792 or for international callers, 1-201-689-8263. A replay will be available two hours after the call and can be accessed by dialing 1-844-512-2921, or for international callers, 1-412-317-6671. The passcode for the live call and the replay is 13719551. The replay will be available until May 25, 2021.
Interested investors and other parties may view a simultaneous webcast of the conference call by visiting the Agiliti Investor Relations site at https://investors.agilitihealth.com. The webcast replay will be available for a limited time shortly following the call.
About Agiliti
Agiliti is an essential service provider to the U.S. healthcare industry with solutions that help support a more efficient, safe and sustainable healthcare delivery system. Agiliti serves more than 7,000 national, regional and local acute care and alternate site providers across the U.S. For more than eight decades, Agiliti has delivered medical equipment management and service solutions that help healthcare providers reduce costs, increase operating efficiencies and support optimal patient outcomes.
Forward-Looking Statements
Safe Harbor Statement under the Private Securities Litigation Reform Act of 1995: Agiliti Inc., believes statements in this presentation looking forward in time, including preliminary results, involve risks and uncertainties. The following factors, among others, could adversely affect our business, operations and financial condition causing our actual results to differ materially from those expressed in any forward-looking statements: our history of net losses and substantial interest expense; our need for substantial cash to operate and expand our business as planned; our substantial outstanding debt and debt service obligations; restrictions imposed by the terms of our debt; a decrease in the number of patients our customers are serving; our ability to effect change in the manner in which health care providers traditionally procure medical equipment; the absence of long-term commitments with customers; our ability to renew contracts with group purchasing organizations and integrated delivery networks; changes in reimbursement rates and policies by third-party payors; the impact of health care reform initiatives; the impact of significant regulation of the health care industry and the need to comply with those regulations; the effect of prolonged negative changes in domestic and global economic conditions; difficulties or delays in our continued expansion into certain of our businesses/geographic markets and developments of new businesses/geographic markets; additional credit risks in increasing business with home care providers and nursing homes, impacts of equipment product recalls or obsolescence; increases in vendor costs that cannot be passed through to our customers; and other Risk Factors as detailed in our final prospectus filed with the Securities and Exchange Commission (“SEC”), on April 26, 2021.
| Agiliti, Inc. and Subsidiaries | |||||||
| Condensed Consolidated Statements of Operations | |||||||
| (in thousands, except share and per share information) | |||||||
| (unaudited) | |||||||
| Three Months Ended | |||||||
| March 31, | |||||||
2021 |
2020 |
|
|||||
| Revenue | $ | 235,245 |
$ | 179,240 |
|
||
| Cost of revenue | 133,922 |
121,433 |
|
||||
| Gross margin | 101,323 |
57,807 |
|
||||
| Selling, general and administrative | 69,224 |
56,566 |
|
||||
| Operating income | 32,099 |
1,241 |
|
||||
| Interest expense | 18,021 |
17,817 |
|
||||
| Income (loss) before income taxes and noncontrolling interest | 14,078 |
(16,576 |
) |
||||
| Income tax expense (benefit) | 4,495 |
(4,028 |
) |
||||
| Consolidated net income (loss) | 9,583 |
(12,548 |
) |
||||
| Net income attributable to noncontrolling interest | 30 |
74 |
|
||||
| Net income (loss) attributable to Agiliti, Inc. and Subsidiaries | $ | 9,553 |
$ | (12,622 |
) |
||
| Basic income (loss) per share | $ | 0.10 |
$ | (0.13 |
) |
||
| Diluted income (loss) per share | $ | 0.09 |
$ | (0.13 |
) |
||
| Weighted-average common shares outstanding: | |||||||
| Basic | 99,103,933 |
98,954,862 |
|
||||
| Diluted | 106,090,703 |
98,954,862 |
|
||||
| Agiliti, Inc. and Subsidiaries | ||||||||
| Condensed Consolidated Balance Sheets | ||||||||
| (in thousands, except share and per share information) | ||||||||
| (unaudited) | ||||||||
| March 31, | December 31, | |||||||
2021 |
|
2020 |
|
|||||
| Assets | ||||||||
| Current assets: | ||||||||
| Cash and cash equivalents | $ | 13,328 |
|
$ | 206,505 |
|
||
| Accounts receivable, less allowance for doubtful accounts of |
168,679 |
|
154,625 |
|
||||
| Inventories | 27,699 |
|
27,062 |
|
||||
| Other current assets | 13,129 |
|
14,175 |
|
||||
| Total current assets | 222,835 |
|
402,367 |
|
||||
| Property and equipment: | ||||||||
| Medical equipment | 295,398 |
|
285,723 |
|
||||
| Property and office equipment | 124,054 |
|
112,646 |
|
||||
| Accumulated depreciation | (208,484 |
) |
(183,953 |
) |
||||
| Total property and equipment, net | 210,968 |
|
214,416 |
|
||||
| Other long-term assets: | ||||||||
| Goodwill | 1,122,530 |
|
817,113 |
|
||||
| Operating lease right-of-use assets | 53,447 |
|
51,214 |
|
||||
| Other intangibles, net | 569,343 |
|
402,095 |
|
||||
| Other | 16,713 |
|
16,151 |
|
||||
| Total assets | $ | 2,195,836 |
|
$ | 1,903,356 |
|
||
| Liabilities and Equity | ||||||||
| Current liabilities: | ||||||||
| Current portion of long-term debt | $ | 19,060 |
|
$ | 16,044 |
|
||
| Current portion of operating lease liability | 14,985 |
|
14,155 |
|
||||
| Current portion of obligation under tax receivable agreement | 15,650 |
|
15,572 |
|
||||
| Accounts payable | 47,523 |
|
37,215 |
|
||||
| Accrued compensation | 38,864 |
|
38,671 |
|
||||
| Accrued interest | 3,533 |
|
6,347 |
|
||||
| Deferred revenue | 11,356 |
|
8,800 |
|
||||
| Other accrued expenses | 29,394 |
|
22,727 |
|
||||
| Total current liabilities | 180,365 |
|
159,531 |
|
||||
| Long-term debt, less current portion | 1,350,035 |
|
1,145,055 |
|
||||
| Obligation under tax receivable agreement, pension and other long-term liabilities | 56,182 |
|
53,794 |
|
||||
| Operating lease liability, less current portion | 41,904 |
|
40,283 |
|
||||
| Deferred income taxes, net | 101,297 |
|
62,748 |
|
||||
| Commitments and contingencies (Note 11) | ||||||||
| Equity | ||||||||
| Common stock, 98,983,296 shares issued and outstanding at March 31, 2021 and December 31, 2020 |
10 |
|
10 |
|
||||
| Additional paid-in capital | 527,626 |
|
513,902 |
|
||||
| Accumulated deficit | (58,939 |
) |
(68,492 |
) |
||||
| Accumulated other comprehensive loss | (2,768 |
) |
(3,619 |
) |
||||
| Total Agiliti, Inc. and Subsidiaries equity | 465,929 |
|
441,801 |
|
||||
| Noncontrolling interest | 124 |
|
144 |
|
||||
| Total equity | 466,053 |
|
441,945 |
|
||||
| Total liabilities and equity | $ | 2,195,836 |
|
$ | 1,903,356 |
|
||
| Agiliti, Inc. and Subsidiaries | ||||||||
| Condensed Consolidated Statements of Cash Flows | ||||||||
| (in thousands) | ||||||||
| (unaudited) | ||||||||
| Three Months Ended | ||||||||
| March 31, | ||||||||
2021 |
|
2020 |
|
|||||
| Cash flows from operating activities: | ||||||||
| Consolidated net income (loss) | $ | 9,583 |
|
$ | (12,548 |
) |
||
| Adjustments to reconcile net income (loss) to net cash provided by operating activities: | ||||||||
| Depreciation | 26,217 |
|
23,377 |
|
||||
| Amortization | 18,399 |
|
17,756 |
|
||||
| Remeasurement of tax receivable agreement | 4,148 |
|
— |
|
||||
| Provision for doubtful accounts | 18 |
|
656 |
|
||||
| Provision for inventory obsolescence | 1,532 |
|
233 |
|
||||
| Non-cash share-based compensation expense | 2,412 |
|
2,383 |
|
||||
| Gain on sales and disposals of equipment | (647 |
) |
(165 |
) |
||||
| Deferred income taxes | 3,932 |
|
(4,195 |
) |
||||
| Changes in operating assets and liabilities: | ||||||||
| Accounts receivable | 2,898 |
|
(10,709 |
) |
||||
| Inventories | 3,641 |
|
(1,539 |
) |
||||
| Other operating assets | 226 |
|
565 |
|
||||
| Accounts payable | 1,361 |
|
4,378 |
|
||||
| Other operating liabilities | (10,811 |
) |
7,487 |
|
||||
| Net cash provided by operating activities | 62,909 |
|
27,679 |
|
||||
| Cash flows from investing activities: | ||||||||
| Medical equipment purchases | (4,415 |
) |
(9,165 |
) |
||||
| Property and office equipment purchases | (3,915 |
) |
(3,003 |
) |
||||
| Proceeds from disposition of property and equipment | 1,003 |
|
524 |
|
||||
| Acquisitions, net of cash acquired | (450,198 |
) |
(89,495 |
) |
||||
| Net cash used in investing activities | (457,525 |
) |
(101,139 |
) |
||||
| Cash flows from financing activities: | ||||||||
| Proceeds under new revolver | 10,000 |
|
178,000 |
|
||||
| Payments under new revolver | — |
|
(161,500 |
) |
||||
| Proceeds under new term loan | 198,052 |
|
124,844 |
|
||||
| Payments under new term loan | (2,840 |
) |
(1,650 |
) |
||||
| Payments of principal under finance lease liability | (2,051 |
) |
(1,857 |
) |
||||
| Payments of deferred financing costs | — |
|
(199 |
) |
||||
| Payments under tax receivable agreement | (748 |
) |
— |
|
||||
| Distributions to noncontrolling interests | (50 |
) |
(124 |
) |
||||
| Dividend and equity distribution payment | (924 |
) |
(1,115 |
) |
||||
| Shares forfeited for taxes | — |
|
(145 |
) |
||||
| Change in book overdrafts | — |
|
(1,771 |
) |
||||
| Net cash provided by financing activities | 201,439 |
|
134,483 |
|
||||
| Net change in cash and cash equivalents | (193,177 |
) |
61,023 |
|
||||
| Cash and cash equivalents at the beginning of period | 206,505 |
|
— |
|
||||
| Cash and cash equivalents at the end of period | $ | 13,328 |
|
$ | 61,023 |
|
||
| Supplemental cash flow information: | ||||||||
| Interest paid | $ | 19,746 |
|
$ | 16,523 |
|
||
| Income taxes (refund) paid | (715 |
) |
5 |
|
||||
| Agiliti, Inc. and Subsidiaries | |||||||
| Adjusted EBITDA | |||||||
| (unaudited) | |||||||
| Three Months Ended | |||||||
| March 31, | |||||||
| (in thousands) | 2021 |
2020 |
|
||||
| Net income (loss) attributable to Agiliti, Inc. and Subsidiaries | $ | 9,553 |
$ | (12,622 |
) |
||
| Interest expense | 18,021 |
17,817 |
|
||||
| Income tax expense (benefit) | 4,495 |
(4,028 |
) |
||||
| Depreciation and amortization | 43,563 |
40,166 |
|
||||
| EBITDA | 75,632 |
41,333 |
|
||||
| Non-cash share-based compensation expense | 2,412 |
2,383 |
|
||||
| Management and other expenses (1) | 563 |
4,111 |
|
||||
| Transaction costs (2) | 3,451 |
889 |
|
||||
| Tax receivable agreement remeasurement | 4,148 |
— |
|
||||
| Adjusted EBITDA | $ | 86,206 |
$ | 48,716 |
|
||
_________________________
(1) Management and other expenses represent (a) the Advisory Services Fees, which were subsequently terminated in connection with the initial public offering and (b) employee related non-recurring expenses.
(2) Transaction costs represent costs associated with potential mergers and acquisitions and are primarily related to the Northfield acquisition.
EBITDA is defined as earnings attributable to Agiliti before interest expense, income taxes, depreciation and amortization. Adjusted EBITDA is defined as EBITDA excluding non-cash shared-based compensation expense, management fees and other non-recurring gains, expenses or losses, transaction costs and remeasurement of the tax receivable agreement. In addition to using EBITDA and Adjusted EBITDA internally as measures of operational performance, we disclose them externally to assist analysts, investors and lenders in their comparisons of operational performance, valuation and debt capacity across companies with differing capital, tax and legal structures. We believe the investment community frequently uses EBITDA and Adjusted EBITDA in the evaluation of similarly situated companies. Adjusted EBITDA is also used by the Company as a factor to determine the total amount of incentive compensation to be awarded to executive officers and other employees. EBITDA and Adjusted EBITDA, however, are not measures of financial performance under accounting principles generally accepted in the United States of America (“GAAP”) and should not be considered as alternatives to, or more meaningful than, net income as measures of operating performance or to cash flows from operating, investing or financing activities or as measures of liquidity. Since EBITDA and Adjusted EBITDA are not measures determined in accordance with GAAP and are thus susceptible to varying interpretations and calculations, EBITDA and Adjusted EBITDA, as presented, may not be comparable to other similarly titled measures of other companies. EBITDA and Adjusted EBITDA do not represent amounts of funds that are available for management’s discretionary use. EBITDA and Adjusted EBITDA presented may not be the same as EBITDA and Adjusted EBITDA calculations as defined in the First Lien Credit Facilities.
| Agiliti, Inc. and Subsidiaries | ||||||||
| Non-GAAP Financial Measure: Adjusted EPS | ||||||||
| (unaudited) | ||||||||
| Three months ended | ||||||||
| March 31, | ||||||||
| (in thousands) |
|
2021 |
|
|
2020 |
|
||
| Net income (loss) attributable to Agiliti, Inc. and Subsidiaries | $ |
9,553 |
|
$ |
(12,622 |
) |
||
| Amortization |
|
17,348 |
|
|
16,788 |
|
||
| Non-cash share-based compensation expense |
|
2,412 |
|
|
2,383 |
|
||
| Management & other expenses (1) |
|
563 |
|
|
4,111 |
|
||
| Transaction costs (2) |
|
3,451 |
|
|
889 |
|
||
| Tax receivable agreement remeasurement(3) |
|
4,148 |
|
|
- |
|
||
| Income tax benefit associated with pre-tax adjustments (4) |
|
(5,463 |
) |
|
(6,223 |
) |
||
| Adjusted Net Income | $ |
32,012 |
|
$ |
5,326 |
|
||
| Weighted average shares outstanding - diluted |
|
106,091 |
|
|
103,695 |
|
||
| Adjusted EPS | $ |
0.30 |
|
$ |
0.05 |
|
||
____________________________
(1) Represents management and advisory fees, which were subsequently terminated in connection with the initial public offering and employee related non-recurring expenses. (2) Represents costs associated with potential mergers and acquisitions and are primarily related to the Northfield acquisition. (3) Represents the change in the fair value of the tax receivable agreement. (4) Represents the tax benefit or provision associated with the reconciling items between net income (loss) and Adjusted Net Income. To determine the aggregate tax effect of the reconciling items, we utilized statutory income tax rates ranging from
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FAQ
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