InfuSystem Reports First Quarter 2024 Financial Results
InfuSystem reported record net revenues of $32.0 million in the first quarter of 2024, representing a 5% growth from the prior year. The gross profit increased by 10%, with a gross margin of 51.5%. Adjusted EBITDA decreased by 9% compared to the prior year. The company's liquidity totaled $45.4 million as of March 31, 2024.
Record net revenues of $32.0 million represent a 5% growth from the prior year, indicating positive revenue growth for InfuSystem.
Gross profit increased by 10% with a gross margin of 51.5%, reflecting improved profitability and efficiency for the company.
Device Solutions net revenue increased by 16% compared to the prior year, showcasing growth in this segment of InfuSystem's business.
Adjusted EBITDA decreased by 9% vs. the prior year, indicating a decline in earnings before interest, income taxes, depreciation, and amortization.
Net loss was $1.1 million, or $(0.05) per diluted share, compared to a net loss of $0.3 million, showing a negative impact on profitability.
G&A expenses increased by 18.2% from the prior year, leading to higher operating costs for the company.
Insights
Record Net Revenues of
Gross Profit increased
2024 First Quarter Overview:
-
Net revenues totaled
, an increase of$32.0 million 5% vs. prior year.-
Patient Services net revenue was
, a decrease of$18.6 million 1% vs. prior year. -
Device Solutions net revenue was
, an increase of$13.4 million 16% vs. prior year.
-
Patient Services net revenue was
-
Gross profit was
, an increase of$16.5 million 10% vs. prior year. -
Gross margin was
51.5% , an increase of2.3% vs. prior year.-
Patient Services gross margin was
66.0% , an increase of4.5% vs. prior year. -
Device Solutions gross margin was
31.3% , an increase of1.9% vs. prior year.
-
Patient Services gross margin was
-
Net loss was
, or$1.1 million per diluted share vs. prior year net loss of$(0.05) , or$0.3 million per diluted share.$(0.02) -
Adjusted earnings before interest, income taxes, depreciation, and amortization (“Adjusted EBITDA”) (non-GAAP) was
, a decrease of$3.9 million 9% vs. prior year. -
Company liquidity totaled
, as of March 31, 2024.$45.4 million
Management Discussion
Richard DiIorio, Chief Executive Officer of InfuSystem, said, “We have started the year as planned, focusing on operating efficiencies, particularly in our biomedical services business where during the first quarter we completed the initial onboarding of devices under the master services agreement with a leading global healthcare technology and diagnostic company. These efforts are working to both improve our margins and prepare our network for the incremental growth we see coming later this year.”
“Biomedical services is just the first of several areas of our business seeing strong positive momentum. Oncology continues to win market share, securing incremental revenue and contribution that will contribute later this year. The pain management team is preparing for the impact of the NOPAIN Act which is expected to be implemented in 2025. Wound Care revenue related to Sanara’s advanced wound care products is ramping, even as the new business opportunities with our joint-venture partner continue to expand. We remain confident in our outlook and guidance for 2024 as we continue to build off the strong fundamentals of our business,” concluded Mr. DiIorio.
2024 First Quarter Financial Review
Net revenues for the quarter ended March 31, 2024 ("2024 First Quarter") were
Patient Services net revenue of
Device Solutions net revenue of
Gross profit of
Patient Services gross profit was
Device Solutions gross profit during the 2024 First Quarter was
Selling and marketing expenses for the 2024 First Quarter were
G&A expenses for the 2024 First Quarter were
Net loss for the 2024 First Quarter was
Adjusted EBITDA, a non-GAAP measure, for the 2024 First Quarter was
Balance sheet, cash flows and liquidity
During the three-month period ended March 31, 2024, operating cash flow provided cash totaling
As of March 31, 2024, available liquidity totaled
Full Year 2024 Guidance
InfuSystem is reaffirming its annual guidance for the full year 2024 with net revenue growth estimated to be in the high-single-digit range and forecasting Adjusted EBITDA margin (non-GAAP) to be in the high-teens, exceeding the Company's margin of
The full year 2024 guidance reflects management’s current expectation for operational performance, given the current market conditions. This includes our best estimate of revenue and Adjusted EBITDA and does not include any expenses related to planned upgrades of the Company's information technology and business applications. The Company and its businesses are subject to certain risks, including those risk factors discussed in our most recent annual report on Form 10-K for the year ended December 31, 2023, filed on April 10, 2024.
Conference Call
The Company will conduct a conference call for all interested investors on Thursday, May 9, 2024, at 9:00 a.m. Eastern Time to discuss its first quarter 2024 financial results. The call will include discussion of Company developments, forward-looking statements and other material information about business and financial matters.
To participate in this call, please dial (800) 285-6670 or (713) 481-1320, or listen via a live webcast, which is available in the Investors section of the Company’s website at https://ir.infusystem.com/. A replay of the call will be available by visiting https://ir.infusystem.com/ for the next 90 days or by calling (888) 556-3470, replay access code 159874, through May 16, 2024.
Non-GAAP Measures
This press release contains information prepared in conformity with GAAP as well as non-GAAP financial information. Non-GAAP financial measures presented in this press release include EBITDA, Adjusted EBITDA, Adjusted EBITDA Margin, net debt and Adjusted EBITDA to net debt ratio. The Company believes that the non-GAAP financial measures presented in this press release provide useful information to the Company’s management, investors and other interested parties about the Company’s operating performance because they allow them to understand and compare the Company’s operating results during the current periods to the prior year periods in a more consistent manner. This non-GAAP information should be considered by the reader in addition to, but not instead of, the financial statements prepared in accordance with GAAP, and similarly titled non-GAAP measures may be calculated differently by other companies. The Company calculates those non-GAAP measures by adjusting for non-recurring or non-core items that are not part of the normal course of business. A reconciliation of those measures to the most directly comparable GAAP measures is provided in the accompanying schedule, titled "GAAP to Non-GAAP Reconciliation" below. Future period non-GAAP guidance includes adjustments for items not indicative of our core operations, which may include, without limitation, items included in the accompanying schedule below. Such adjustments may be affected by changes in ongoing assumptions and judgments, as well as non-core, nonrecurring, unusual or unanticipated changes, expenses or gains or other items that may not directly correlate to the underlying performance of our business operations. The exact amounts of these adjustments are not currently determinable but may be significant. It is therefore not practicable to provide the comparable GAAP measures or reconcile this non-GAAP guidance to the most comparable GAAP measures and, therefore, such comparable GAAP measures and reconciliations are excluded from this release in reliance upon applicable SEC staff guidance.
About InfuSystem Holdings, Inc.
InfuSystem Holdings, Inc. (NYSE American: INFU), is a leading national health care service provider, facilitating outpatient care for durable medical equipment manufacturers and health care providers. INFU services are provided under a two-platform model. The first platform is Patient Services, providing the last-mile solution for clinic-to-home healthcare where the continuing treatment involves complex durable medical equipment and services. The Patient Services segment is comprised of Oncology, Pain Management and Wound Therapy businesses. The second platform, Device Solutions, supports the Patient Services platform and leverages strong service orientation to win incremental business from its direct payer clients. The Device Solutions segment is comprised of direct payer rentals, pump and consumable sales, and biomedical services and repair. Headquartered in
Forward-Looking Statements
The financial results in this press release reflect preliminary results, which are not final until the Company’s quarterly report on Form 10-Q for the quarter year ended March 31, 2024 is filed. In addition, certain statements contained in this press release are forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, such as statements relating to future actions, our share repurchase program and capital allocation strategy, business plans, strategic partnerships, growth initiatives, objectives and prospects, future operating or financial performance, guidance and expected new business relationships and the terms thereof (including estimated potential revenue under new or existing contracts). The words “believe,” “may,” “will,” “estimate,” “continue,” “anticipate,” “intend,” “should,” “plan,” “goal,” “expect,” “strategy,” “future,” “likely,” variations of such words, and other similar expressions, as they relate to the Company, are intended to identify forward-looking statements. Forward-looking statements are subject to factors, risks and uncertainties that could cause actual results to differ materially, including, but not limited to, our ability to successfully execute on our growth initiatives and strategic partnerships, our ability to enter into definitive agreements for the new business relationships on expected terms or at all, our ability to generate estimated potential revenue amounts under new or existing contracts, the uncertain impact of the COVID-19 pandemic, our dependence on estimates of collectible revenue, potential litigation, changes in third-party reimbursement processes, changes in law, global financial conditions and recessionary risks, rising inflation and interest rates, supply chain disruptions, systemic pressures in the banking sector, including disruptions to credit markets, the Company's ability to remediate its previously disclosed material weaknesses in internal control over financial reporting, contributions from acquired businesses or new business lines, products or services and other risk factors disclosed in the Company’s most recent annual report on Form 10-K and, to the extent applicable, quarterly reports on Form 10-Q. Our strategic partnerships are subject to similar factors, risks and uncertainties. All forward-looking statements made in this press release speak only as of the date hereof. We do not undertake any obligation to update any forward-looking statements to reflect future events or circumstances, except as required by law.
Additional information about InfuSystem Holdings, Inc. is available at www.infusystem.com.
FINANCIAL TABLES FOLLOW
INFUSYSTEM HOLDINGS, INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED) |
|||||||
|
Three Months Ended
|
||||||
(in thousands, except share and per share data) |
|
2024 |
|
|
|
2023 |
|
|
|
|
|
||||
Net revenues |
$ |
31,995 |
|
|
$ |
30,370 |
|
Cost of revenues |
|
15,521 |
|
|
|
15,420 |
|
Gross profit |
|
16,474 |
|
|
|
14,950 |
|
|
|
|
|
||||
Selling, general and administrative expenses: |
|
|
|
||||
Amortization of intangibles |
|
248 |
|
|
|
248 |
|
Selling and marketing |
|
3,376 |
|
|
|
3,224 |
|
General and administrative |
|
13,695 |
|
|
|
11,585 |
|
|
|
|
|
||||
Total selling, general and administrative |
|
17,319 |
|
|
|
15,057 |
|
|
|
|
|
||||
Operating loss |
|
(845 |
) |
|
|
(107 |
) |
Other expense: |
|
|
|
||||
Interest expense |
|
(456 |
) |
|
|
(484 |
) |
Other income (expense) |
|
3 |
|
|
|
(35 |
) |
|
|
|
|
||||
Loss before income taxes |
|
(1,298 |
) |
|
|
(626 |
) |
Benefit from income taxes |
|
186 |
|
|
|
302 |
|
Net loss |
$ |
(1,112 |
) |
|
$ |
(324 |
) |
Net loss per share: |
|
|
|
||||
Basic |
$ |
(0.05 |
) |
|
$ |
(0.02 |
) |
Diluted |
$ |
(0.05 |
) |
|
$ |
(0.02 |
) |
Weighted average shares outstanding: |
|
|
|
||||
Basic |
|
21,225,768 |
|
|
|
20,853,018 |
|
Diluted |
|
21,225,768 |
|
|
|
20,853,018 |
|
INFUSYSTEM HOLDINGS, INC. AND SUBSIDIARIES CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS SEGMENT REPORTING (UNAUDITED) |
||||||||||||
|
|
Three Months Ended
|
|
Better/ (Worse) |
||||||||
(in thousands) |
|
|
2024 |
|
|
|
2023 |
|
|
|||
|
|
|
|
|
|
|
||||||
Net revenues: |
|
|
|
|
|
|
||||||
Patient Services |
|
$ |
18,591 |
|
|
$ |
18,774 |
|
|
$ |
(183 |
) |
Device Solutions |
|
|
15,117 |
|
|
|
13,226 |
|
|
|
1,891 |
|
Less: elimination of inter-segment revenues (a) |
|
|
(1,713 |
) |
|
|
(1,630 |
) |
|
|
(83 |
) |
Total Device Solutions |
|
|
13,404 |
|
|
|
11,596 |
|
|
|
1,808 |
|
Total |
|
|
31,995 |
|
|
|
30,370 |
|
|
|
1,625 |
|
Gross profit: |
|
|
|
|
|
|
||||||
Patient Services |
|
|
12,274 |
|
|
|
11,541 |
|
|
|
733 |
|
Device Solutions |
|
|
4,200 |
|
|
|
3,409 |
|
|
|
791 |
|
Total |
|
$ |
16,474 |
|
|
$ |
14,950 |
|
|
$ |
1,524 |
|
(a) Inter-segment allocations are for cleaning and repair services performed on medical equipment. |
INFUSYSTEM HOLDINGS, INC. AND SUBSIDIARIES GAAP TO NON-GAAP RECONCILIATION (UNAUDITED)
NET LOSS TO EBITDA, ADJUSTED EBITDA, NET LOSS MARGIN AND ADJUSTED EBITDA MARGIN: |
||||||||
|
|
Three Months Ended
|
||||||
(in thousands) |
|
|
2024 |
|
|
|
2023 |
|
|
|
|
|
|
||||
GAAP net loss |
|
$ |
(1,112 |
) |
|
$ |
(324 |
) |
Adjustments: |
|
|
|
|
||||
Interest expense |
|
|
456 |
|
|
|
484 |
|
Income tax benefit |
|
|
(186 |
) |
|
|
(302 |
) |
Depreciation |
|
|
2,652 |
|
|
|
2,955 |
|
Amortization |
|
|
248 |
|
|
|
248 |
|
|
|
|
|
|
||||
Non-GAAP EBITDA |
|
$ |
2,058 |
|
|
$ |
3,061 |
|
|
|
|
|
|
||||
Stock compensation costs |
|
|
1,057 |
|
|
|
720 |
|
Medical equipment reserve and disposals (1) |
|
|
(104 |
) |
|
|
430 |
|
Management reorganization/transition costs |
|
|
108 |
|
|
|
— |
|
Cooperation Agreement payment and associated legal expenses |
|
|
649 |
|
|
|
— |
|
Certain other non-recurring costs |
|
|
89 |
|
|
|
24 |
|
|
|
|
|
|
||||
Non-GAAP Adjusted EBITDA |
|
$ |
3,857 |
|
|
$ |
4,235 |
|
|
|
|
|
|
||||
GAAP Net Revenues |
|
$ |
31,995 |
|
|
$ |
30,370 |
|
Net Loss Margin (2) |
|
|
(3.5 |
)% |
|
|
(1.1 |
)% |
Non-GAAP Adjusted EBITDA Margin (3) |
|
|
12.1 |
% |
|
|
13.9 |
% |
(1) | Amounts represent a non-cash (recovery) expense recorded to adjust the reserve for missing medical equipment and is being (deducted) added back due to its similarity to depreciation. |
|
(2) | Net Loss Margin is defined as GAAP Net Loss as a percentage of GAAP Net Revenues. |
|
(3) | Non-GAAP Adjusted EBITDA Margin is defined as Non-GAAP Adjusted EBITDA as a percentage of GAAP Net Revenues. |
INFUSYSTEM HOLDINGS, INC. AND SUBSIDIARIES CONSOLIDATED BALANCE SHEETS (UNAUDITED) |
||||||||
|
|
As of |
||||||
(in thousands, except par value and share data) |
|
March 31,
|
|
December 31,
|
||||
|
|
|
|
|
||||
ASSETS |
|
|
|
|
||||
Current assets: |
|
|
|
|
||||
Cash and cash equivalents |
|
$ |
822 |
|
|
$ |
231 |
|
Accounts receivable, net |
|
|
20,543 |
|
|
|
19,830 |
|
Inventories, net |
|
|
6,249 |
|
|
|
6,402 |
|
Other current assets |
|
|
4,842 |
|
|
|
4,157 |
|
|
|
|
|
|
||||
Total current assets |
|
|
32,456 |
|
|
|
30,620 |
|
Medical equipment for sale or rental |
|
|
4,084 |
|
|
|
3,049 |
|
Medical equipment in rental service, net of accumulated depreciation |
|
|
34,425 |
|
|
|
34,928 |
|
Property & equipment, net of accumulated depreciation |
|
|
4,231 |
|
|
|
4,321 |
|
Goodwill |
|
|
3,710 |
|
|
|
3,710 |
|
Intangible assets, net |
|
|
7,199 |
|
|
|
7,446 |
|
Operating lease right of use assets |
|
|
6,206 |
|
|
|
6,703 |
|
Deferred income taxes |
|
|
9,236 |
|
|
|
9,115 |
|
Derivative financial instruments |
|
|
1,716 |
|
|
|
1,442 |
|
Other assets |
|
|
1,587 |
|
|
|
1,581 |
|
|
|
|
|
|
||||
Total assets |
|
$ |
104,850 |
|
|
$ |
102,915 |
|
|
|
|
|
|
||||
LIABILITIES AND STOCKHOLDERS’ EQUITY |
|
|
|
|
||||
Current liabilities: |
|
|
|
|
||||
Accounts payable |
|
$ |
9,796 |
|
|
$ |
8,009 |
|
Other current liabilities |
|
|
7,516 |
|
|
|
7,704 |
|
|
|
|
|
|
||||
Total current liabilities |
|
|
17,312 |
|
|
|
15,713 |
|
Long-term debt, net of current portion |
|
|
29,931 |
|
|
|
29,101 |
|
Operating lease liabilities, net of current portion |
|
|
5,331 |
|
|
|
5,799 |
|
|
|
|
|
|
||||
Total liabilities |
|
|
52,574 |
|
|
|
50,613 |
|
|
|
|
|
|
||||
Stockholders’ equity: |
|
|
|
|
||||
Preferred stock, |
|
|
— |
|
|
|
— |
|
Common stock, |
|
|
2 |
|
|
|
2 |
|
Additional paid-in capital |
|
|
110,715 |
|
|
|
109,837 |
|
Accumulated other comprehensive income |
|
|
1,296 |
|
|
|
1,088 |
|
Retained deficit |
|
|
(59,737 |
) |
|
|
(58,625 |
) |
|
|
|
|
|
||||
Total stockholders’ equity |
|
|
52,276 |
|
|
|
52,302 |
|
|
|
|
|
|
||||
Total liabilities and stockholders’ equity |
|
$ |
104,850 |
|
|
$ |
102,915 |
|
INFUSYSTEM HOLDINGS, INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED) |
||||||||
|
|
Three Months Ended March 31, |
||||||
(in thousands) |
|
|
2024 |
|
|
|
2023 |
|
|
|
|
|
|
||||
OPERATING ACTIVITIES |
|
|
|
|
||||
Net loss |
|
$ |
(1,112 |
) |
|
$ |
(324 |
) |
Adjustments to reconcile net loss to net cash provided by operating activities: |
|
|
|
|
||||
Provision for doubtful accounts |
|
|
(130 |
) |
|
|
114 |
|
Depreciation |
|
|
2,652 |
|
|
|
2,955 |
|
(Gain) loss on disposal of and reserve adjustments for medical equipment |
|
|
(43 |
) |
|
|
450 |
|
Gain on sale of medical equipment |
|
|
(629 |
) |
|
|
(883 |
) |
Amortization of intangible assets |
|
|
248 |
|
|
|
248 |
|
Amortization of deferred debt issuance costs |
|
|
19 |
|
|
|
18 |
|
Stock-based compensation |
|
|
1,057 |
|
|
|
720 |
|
Deferred income taxes |
|
|
(186 |
) |
|
|
(302 |
) |
Changes in assets - (increase)/decrease: |
|
|
|
|
||||
Accounts receivable |
|
|
(237 |
) |
|
|
(961 |
) |
Inventories |
|
|
153 |
|
|
|
(823 |
) |
Other current assets |
|
|
(685 |
) |
|
|
(830 |
) |
Other assets |
|
|
376 |
|
|
|
(846 |
) |
Changes in liabilities - (decrease)/increase: |
|
|
|
|
||||
Accounts payable and other liabilities |
|
|
(1,106 |
) |
|
|
313 |
|
NET CASH PROVIDED BY (USED IN) OPERATING ACTIVITIES |
|
|
377 |
|
|
|
(151 |
) |
|
|
|
|
|
||||
INVESTING ACTIVITIES |
|
|
|
|
||||
Purchase of medical equipment |
|
|
(1,493 |
) |
|
|
(3,968 |
) |
Purchase of property and equipment |
|
|
(182 |
) |
|
|
(317 |
) |
Proceeds from sale of medical equipment, property and equipment |
|
|
1,257 |
|
|
|
1,234 |
|
NET CASH USED IN INVESTING ACTIVITIES |
|
|
(418 |
) |
|
|
(3,051 |
) |
|
|
|
|
|
||||
FINANCING ACTIVITIES |
|
|
|
|
||||
Principal payments on long-term debt |
|
|
(15,258 |
) |
|
|
(13,683 |
) |
Cash proceeds from long-term debt |
|
|
16,069 |
|
|
|
16,894 |
|
Debt issuance costs |
|
|
— |
|
|
|
— |
|
Cash payment of contingent consideration |
|
|
— |
|
|
|
— |
|
Common stock repurchased as part of share repurchase program |
|
|
— |
|
|
|
(153 |
) |
Common stock repurchased to satisfy statutory withholding on employee stock-based compensation plans |
|
|
(365 |
) |
|
|
(324 |
) |
Cash proceeds from exercise of options and ESPP |
|
|
186 |
|
|
|
559 |
|
NET CASH PROVIDED BY FINANCING ACTIVITIES |
|
|
632 |
|
|
|
3,293 |
|
|
|
|
|
|
||||
Net change in cash and cash equivalents |
|
|
591 |
|
|
|
91 |
|
Cash and cash equivalents, beginning of period |
|
|
231 |
|
|
|
165 |
|
Cash and cash equivalents, end of period |
|
$ |
822 |
|
|
$ |
256 |
|
View source version on businesswire.com: https://www.businesswire.com/news/home/20240509823880/en/
Joe Dorame, Joe Diaz & Robert Blum
Lytham Partners, LLC
602-889-9700
Source: InfuSystem Holdings, Inc.
FAQ
What were InfuSystem's first quarter 2024 net revenues?
What was the gross profit margin in the first quarter of 2024?
How did Device Solutions net revenue perform in the first quarter of 2024?
What was the net loss in the first quarter of 2024 for InfuSystem?
What is InfuSystem's liquidity position as of March 31, 2024?
What is InfuSystem's full year 2024 guidance for net revenue growth?