InfuSystem Reports Fourth Quarter and Full Year 2020 Financial Results
InfuSystem Holdings reported a remarkable financial performance for the full year 2020, reflecting a 20% increase in net revenues, reaching $97.4 million, and a 15.9 million surge in net income, totaling $17.3 million. Adjusted EBITDA climbed 44% to $26.2 million. For 2021, the company reaffirms its guidance with projected net revenues of $107 million - $110 million and adjusted EBITDA of $29 million - $30 million. Notably, the fourth quarter saw a 14% revenue increase, driven by significant growth in oncology and DME services.
- Net revenues grew by 20% to $97.4 million in 2020.
- Net income increased by $15.9 million, totaling $17.3 million.
- Adjusted EBITDA rose by 44% to $26.2 million.
- Operating cash flow increased by 46% to $20.3 million.
- General and administrative expenses rose by 27% to $10.2 million due to increased employee compensation.
Full Year 2020 vs. Full Year 2019:
Net Revenues:
Net Income:
Adjusted EBITDA:
Adjusted EBITDA margin of
Company Reaffirms Full Year 2021 Guidance:
Net Revenues of
Adjusted EBITDA of
Operating Cash Flow of
ROCHESTER HILLS, Michigan, March 17, 2021 (GLOBE NEWSWIRE) -- InfuSystem Holdings, Inc. (NYSE American: INFU), (“InfuSystem” or the “Company”), a leading national health care service provider, facilitating outpatient care for durable medical equipment manufacturers and health care providers, today reported financial results for the fourth quarter and full year ended December 31, 2020.
Fourth Quarter Highlights:
- Net revenues were
$24.7 million , an increase of14% vs. prior year. - Gross profit was
$15.0 million , an increase of16% vs. prior year. - Gross margin was
60.7% , an improvement of1.1% vs. prior year. - Net income of
$10.7 million , or$0.49 per diluted share, an improvement of$9.9 million compared to the net income of$0.8 million , or$0.04 per diluted share, during the prior year. - Adjusted earnings before interest, income taxes, depreciation, and amortization (“Adjusted EBITDA”) (non-GAAP) was
$6.2 million , an increase of14% vs. prior year.
Full Year Highlights:
- Net revenues were
$97.4 million , an increase of20% vs. prior year. - Gross profit was
$58.8 million , an increase of25% vs. prior year. - Gross margin was
60.3% , an improvement of2.5% vs. prior year. - Net income of
$17.3 million , or$0.80 per diluted share, an improvement of$15.9 million compared to the net income of$1.4 million , or$0.07 per diluted share, during the prior year. - Adjusted EBITDA was
$26.2 million , an increase of44% vs. prior year. - Operating cash flow was
$20.3 million , an increase of46% vs. prior year.
Management Discussion
Richard DiIorio, chief executive officer of InfuSystem, said, “Full year 2020 was a record year for InfuSystem, characterized by net revenue growth of
“The strength of our two operating platforms – Integrated Therapy Services (ITS) and Durable Medical Equipment Services (DME) – allowed us to successfully navigate the Company through these unprecedented times. The growing importance of home health care was clearly demonstrated in 2020 as our services allow patients to leave the hospital and other medical facilities to continue their medical treatment at home in a safe environment. Our pain management therapy continues to gain traction as we treated a record number of patients in 2020 despite limited access to medical facilities and the broad postponement of elective surgeries during the year. I believe our business model positions InfuSystem for long-term success. Looking ahead, our goal for pain management is to double revenues in each of the next two years and to capture
Mr. DiIorio continued, “We have a very strong and experienced team in place to continue to successfully execute on our strategic business plan. The financial condition of the Company is as strong as it has ever been and was recently improved with a new
“Looking forward, I am reaffirming our full year 2021 guidance with net revenues to be with the ranges of
2020 Fourth Quarter Financial Review
Results of operations
Net revenues for the fourth quarter ended December 31, 2020 were
ITS net revenue, of
DME Services net revenue during the fourth quarter of 2020 of
Gross profit for the fourth quarter of 2020 of
ITS gross profit was
DME Services gross profit during the fourth quarter of 2020 was
General and administrative (“G&A”) expenses for the fourth quarter of 2020 were
During the fourth quarter of 2020 the Company recorded a tax benefit totaling
Net income for the fourth quarter of 2020 was
Adjusted EBITDA, a non-GAAP measure, for the fourth quarter of 2020 was
Balance sheet, cash flows and liquidity
During the fourth quarter of 2020, operating cash flow increased to
The favorable cash flow during the fourth quarter of 2020 increased our available liquidity. Our net debt, a non-GAAP measure (calculated as total debt of
Full Year 2021 Guidance
InfuSystem is reaffirming its annual guidance for the full year 2021 with net revenues estimated to be within the range of
The full year 2021 guidance reflects management’s current expectation for operational performance, given the current market conditions, as well as various COVID-19 pandemic-related uncertainties. The Company cannot predict the degree to which the COVID-19 pandemic will ultimately, negatively or positively, impact future business, financial condition, results of operations and cash flows. It may also heighten other risks to which the Company is subject, including risks discussed in our most recent annual report on Form 10-K. The financial guidance is subject to risks and uncertainties applicable to all forward-looking statements as described elsewhere in this press release.
Conference Call
The Company will also conduct a conference call for all interested investors on Wednesday, March 17, 2021, at 9:00 a.m. Eastern Time to discuss its fourth quarter and full year 2020 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 (833) 366-1127 or (412) 902-6773, 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 (877) 344-7529 or (412) 317-0088, confirmation code 10152717, through March 24, 2021.
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 Adjusted EBITDA, Adjusted EBITDA Margin and net debt. 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 and that the Company’s management does not believe will have similar comparable year-over-year items or for non-operating items. 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 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.
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 lead platform is Integrated Therapy Services (“ITS”), providing the last-mile solution for clinic-to-home healthcare where the continuing treatment involves complex durable medical equipment and services. The ITS segment is comprised of Oncology, Pain Management, and Wound Therapy businesses. The second platform, Durable Medical Equipment Services (“DME Services”), supports the ITS platform and leverages strong service orientation to win incremental business from its direct payor clients. The DME Services segment is comprised of direct payor rentals, pump and consumable sales, and biomedical services and repair. Headquartered in Rochester Hills, Michigan, the Company delivers local, field-based customer support and also operates Centers of Excellence in Michigan, Kansas, California, Massachusetts and Ontario, Canada.
Forward-Looking Statements
The financial results in this press release reflect preliminary results, which are not final until the Company's Form 10-K for the year ended December 31, 2020 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, business plans, objectives and prospects, future operating or financial performance and guidance. The words “believe,” “may,” “will,” “estimate,” “continue,” “anticipate,” “intend,” “should,” “plan,” “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, 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 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. 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.
CONTACT: | Joe Dorame, Joe Diaz & Robert Blum |
Lytham Partners, LLC | |
602-889-9700 |
FINANCIAL TABLES FOLLOW
INFUSYSTEM HOLDINGS, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS
Three Months Ended | Twelve Months Ended | |||||||||||||||
(in thousands, except share and per share data) | December 31, | December 31, | ||||||||||||||
2020 | 2019 | 2020 | 2019 | |||||||||||||
Net revenues | $ | 24,711 | $ | 21,710 | $ | 97,388 | $ | 81,115 | ||||||||
Cost of revenues | 9,715 | 8,763 | 38,629 | 34,233 | ||||||||||||
Gross profit | 14,996 | 12,947 | 58,759 | 46,882 | ||||||||||||
Selling, general and administrative expenses: | ||||||||||||||||
Provision for doubtful accounts | 257 | 67 | 791 | 37 | ||||||||||||
Amortization of intangibles | 1,060 | 1,076 | 4,285 | 4,402 | ||||||||||||
Selling and marketing | 2,398 | 2,452 | 9,661 | 9,932 | ||||||||||||
General and administrative | 10,246 | 8,041 | 35,195 | 28,986 | ||||||||||||
Total selling, general and administrative | 13,961 | 11,636 | 49,932 | 43,357 | ||||||||||||
Operating income | 1,035 | 1,311 | 8,827 | 3,525 | ||||||||||||
Other expense: | ||||||||||||||||
Interest expense | (237 | ) | (468 | ) | (1,255 | ) | (1,904 | ) | ||||||||
Other expense | (9 | ) | (26 | ) | (29 | ) | (97 | ) | ||||||||
Income before income taxes | 789 | 817 | 7,543 | 1,524 | ||||||||||||
Provision for income taxes | 9,881 | (12 | ) | 9,789 | (163 | ) | ||||||||||
Net income | $ | 10,670 | $ | 805 | $ | 17,332 | $ | 1,361 | ||||||||
Net income per share: | ||||||||||||||||
Basic | $ | 0.53 | $ | 0.04 | $ | 0.86 | $ | 0.07 | ||||||||
Diluted | 0.49 | 0.04 | 0.80 | 0.07 | ||||||||||||
Weighted average shares outstanding: | ||||||||||||||||
Basic | 20,245,500 | 19,852,450 | 20,106,940 | 19,731,498 | ||||||||||||
Diluted | 21,729,440 | 21,321,415 | 21,717,216 | 20,839,396 |
INFUSYSTEM HOLDINGS, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
SEGMENT REPORTING
Three Months Ended | ||||||||||||
December 31, | Better/ | |||||||||||
(in thousands, except share and per share data) | 2020 | 2019 | (Worse) | |||||||||
Net revenues: | ||||||||||||
ITS | $ | 15,703 | $ | 14,358 | $ | 1,345 | ||||||
DME Services (inclusive of inter-segment revenues) | 10,423 | 8,351 | 2,072 | |||||||||
Less: elimination of inter-segment revenues | (1,415 | ) | (999 | ) | (416 | ) | ||||||
Total | 24,711 | 21,710 | 3,001 | |||||||||
Gross profit (exclusive of certain inter-segment allocations): | ||||||||||||
ITS | 11,708 | 10,580 | 1,128 | |||||||||
DME Services | 3,288 | 2,367 | 921 | |||||||||
Total | 14,996 | 12,947 | 2,049 | |||||||||
Gross profit (inclusive of certain inter-segment allocations) (a): | ||||||||||||
ITS | 10,293 | 9,581 | 712 | |||||||||
DME Services | 4,703 | 3,366 | 1,337 | |||||||||
Total | 14,996 | 12,947 | 2,049 | |||||||||
(a) Inter-segment allocations are for cleaning and repair services performed on medical equipment. |
Twelve Months Ended | ||||||||||||
December 31, | Better/ | |||||||||||
(in thousands, except share and per share data) | 2020 | 2019 | (Worse) | |||||||||
Net revenues: | ||||||||||||
ITS | $ | 61,072 | $ | 51,540 | $ | 9,532 | ||||||
DME Services (inclusive of inter-segment revenues) | 41,686 | 33,363 | 8,323 | |||||||||
Less: elimination of inter-segment revenues | (5,370 | ) | (3,788 | ) | (1,582 | ) | ||||||
Total | 97,388 | 81,115 | 16,273 | |||||||||
Gross profit (exclusive of certain inter-segment allocations): | ||||||||||||
ITS | 45,143 | 36,851 | 8,292 | |||||||||
DME Services | 13,616 | 10,031 | 3,585 | |||||||||
Total | 58,759 | 46,882 | 11,877 | |||||||||
Gross profit (inclusive of certain inter-segment allocations) (a): | ||||||||||||
ITS | 39,773 | 33,063 | 6,710 | |||||||||
DME Services | 18,986 | 13,819 | 5,167 | |||||||||
Total | 58,759 | 46,882 | 11,877 | |||||||||
(a) Inter-segment allocations are for cleaning and repair services performed on medical equipment. |
INFUSYSTEM HOLDINGS, INC. AND SUBSIDIARIES
GAAP TO NON-GAAP RECONCILIATION
NET INCOME TO ADJUSTED EBITDA: | ||||||||||||||||
Three Months Ended | Twelve Months Ended | |||||||||||||||
December 31, | December 31, | |||||||||||||||
(in thousands) | 2020 | 2019 | 2020 | 2019 | ||||||||||||
GAAP net income | 10,670 | - | 805 | 17,332 | - | 1,361 | ||||||||||
Adjustments: | ||||||||||||||||
Interest expense | 237 | 468 | 1,255 | 1,904 | ||||||||||||
Income tax provision | (9,881 | ) | 12 | (9,789 | ) | 163 | ||||||||||
Depreciation | 2,473 | 2,213 | 9,740 | 7,940 | ||||||||||||
Amortization | 1,060 | 1,076 | 4,285 | 4,402 | ||||||||||||
Non-GAAP EBITDA | $ | 4,559 | $ | 4,574 | $ | 22,823 | $ | 15,770 | ||||||||
Stock compensation costs | 1,388 | 217 | 2,610 | 997 | ||||||||||||
Expense in connection with the corporate office lease | 72 | - | 252 | |||||||||||||
Office move expenses | - | 216 | 17 | 258 | ||||||||||||
Early termination fees for capital leases | - | - | - | 190 | ||||||||||||
Shareholder costs | - | - | 30 | 23 | ||||||||||||
Management reorganization/transition costs | 116 | 24 | 521 | 76 | ||||||||||||
Fees to integrate business of other provider | - | 11 | - | 163 | ||||||||||||
Certain other non-recurring costs | 97 | 296 | 220 | 491 | ||||||||||||
Non-GAAP Adjusted EBITDA | $ | 6,160 | $ | 5,410 | $ | 26,221 | $ | 18,220 | ||||||||
GAAP Net Revenues | $ | 24,711 | $ | 21,710 | $ | 97,388 | $ | 81,115 | ||||||||
Non-GAAP Adjusted EBITDA Margin | 24.9 | % | 24.9 | % | 26.9 | % | 22.5 | % |
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
December 31, | December 31, | |||||||
(in thousands, except share and per share data) | 2018 | 2017 | ||||||
ASSETS | ||||||||
Current assets: | ||||||||
Cash and cash equivalents | $ | 4,318 | $ | 3,469 | ||||
Accounts receivable, net | ||||||||
| 10,033 | 11,385 | ||||||
Inventories | 2,254 | 1,764 | ||||||
Other current assets | 932 | 1,049 | ||||||
Total current assets | 17,537 | 17,667 | ||||||
Medical equipment held for sale or rental | 1,601 | 1,567 | ||||||
Medical equipment in rental service, net of accumulated depreciation | 23,488 | 23,369 | ||||||
Property & equipment, net of accumulated depreciation | 1,445 | 1,633 | ||||||
Intangible assets, net | 19,865 | 24,514 | ||||||
Other assets | 137 | 131 | ||||||
Total assets | $ | 64,073 | $ | 68,881 | ||||
LIABILITIES AND STOCKHOLDERS� EQUITY | ||||||||
Current liabilities: | ||||||||
Accounts payable | $ | 7,091 | $ | 5,516 | ||||
Capital lease liability, current | 33 | 505 | ||||||
Current portion of long-term debt | 4,903 | 3,039 | ||||||
Other current liabilities | 2,763 | 3,414 | ||||||
Total current liabilities | 14,790 | 12,474 | ||||||
Long-term debt, net of current portion | 28,842 | 25,352 | ||||||
Capital lease liability, long-term | - | 33 | ||||||
Deferred income taxes | - | 62 | ||||||
Other long-term liabilities | - | 7 | ||||||
Total liabilities | $ | 43,632 | $ | 37,928 | ||||
Stockholders equity: | ||||||||
Preferred stock, $.0001 par value: authorized 1,000,000 shares; none issued | - | - | ||||||
Common stock, $.0001 par value: authorized 200,000,000 shares; issued and outstanding | ||||||||
23,095,513 and 19,577,024, as of December 31, 2018, respectively, and issued and | ||||||||
outstanding 22,978,398 and 22,780,738, as of December 31, 2017, respectively. | 2 | 2 | ||||||
Additional paid-in capital | 83,167 | 92,584 | ||||||
Retained deficit | (62,728 | ) | (61,633 | ) | ||||
Total stockholders equity | 20,441 | 30,953 | ||||||
Total liabilities and stockholders equity | $ | 64,073 | $ | 68,881 |
INFUSYSTEM HOLDINGS, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS
Year Ended | Year Ended | |||||||
December 31, | December 31, | |||||||
(in thousands) | 2020 | 2019 | ||||||
OPERATING ACTIVITIES | ||||||||
Net income | $ | 17,332 | $ | 1,361 | ||||
Adjustments to reconcile net income to net cash provided by operating activities: | ||||||||
Provision for doubtful accounts | 791 | 37 | ||||||
Depreciation | 9,740 | 7,940 | ||||||
Loss on disposal of medical equipment and other assets | 418 | 638 | ||||||
Gain on sale of medical equipment | (3,577 | ) | (1,453 | ) | ||||
Amortization of intangible assets | 4,285 | 4,402 | ||||||
Amortization of deferred debt issuance costs | 17 | 37 | ||||||
Stock-based compensation | 2,610 | 997 | ||||||
Deferred income taxes | (10,071 | ) | 104 | |||||
Changes in Assets - Increase: | ||||||||
Accounts receivable | (2,631 | ) | (1,560 | ) | ||||
Inventories | (102 | ) | (645 | ) | ||||
Other current assets | (740 | ) | (290 | ) | ||||
Other assets | (186 | ) | (129 | ) | ||||
Changes in Liabilities - Increase: | ||||||||
Accounts payable and other liabilities | 2,394 | 2,436 | ||||||
NET CASH PROVIDED BY OPERATING ACTIVITIES | 20,280 | 13,875 | ||||||
INVESTING ACTIVITIES | ||||||||
Purchase of medical equipment | (15,820 | ) | (19,669 | ) | ||||
Purchase of property and equipment | (1,094 | ) | (2,926 | ) | ||||
Proceeds from sale of medical equipment, property and equipment | 4,752 | 2,952 | ||||||
NET CASH USED IN INVESTING ACTIVITIES | (12,162 | ) | (19,643 | ) | ||||
FINANCING ACTIVITIES | ||||||||
Principal payments on term loans, equipment line, revolving credit facility and other financing | (37,180 | ) | (4,868 | ) | ||||
Cash proceeds from 2019 equipment line, equipment line, revolving credit facility and other financing | 37,587 | 9,436 | ||||||
Debt issuance costs | - | (6 | ) | |||||
Common stock repurchased to satisfy statutory withholding on employee stock-based | ||||||||
compensation plans | (1,714 | ) | (717 | ) | ||||
Cash proceeds from stock plans | 190 | 252 | ||||||
NET CASH (USED IN) PROVIDED BY FINANCING ACTIVITIES | (1,117 | ) | 4,097 | |||||
Net change in cash and cash equivalents | 7,001 | (1,671 | ) | |||||
Cash and cash equivalents, beginning of year | 2,647 | 4,318 | ||||||
Cash and cash equivalents, end of year | $ | 9,648 | $ | 2,647 |
FAQ
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