InfuSystem Reports Second Quarter 2021 Financial Results
InfuSystem Holdings, Inc. (INFU) reported a Q2 2021 net revenue of $24.8 million, down 4% from the prior year. However, ITS segment revenue increased 5% to $16.3 million. Gross profit decreased 6% to $15.1 million, with a gross margin of 60.6%. Net income was $0.8 million, or $0.04/share, compared to $4.1 million or $0.19/share in Q2 2020. The company announced a $20 million stock repurchase program and revised its 2021 guidance to lower end estimates of $107 million to $110 million in net revenues.
- Launch of fourth ITS therapy in Lymphedema.
- Pain Management and NPWT combined net revenues increased 114% year-over-year.
- Operating cash flow increased 107% year-over-year to $8.8 million.
- Net revenues decreased 4% year-over-year.
- DME Services net revenue fell 18% year-over-year.
- Adjusted EBITDA decreased 31% year-over-year.
Launched Fourth ITS Therapy - Lymphedema
Announced
Updates Guidance for 2021
ROCHESTER HILLS, Michigan, Aug. 12, 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 second quarter ended June 30, 2021.
2021 Second Quarter Overview:
- Net revenues totaled
$24.8 million , a decrease of4% vs. prior year and up2% sequentially.- ITS net revenue was
$16.3 million , an increase of5% vs. prior year. - DME Services net revenue was
$8.5 million , a decrease of18% vs. prior year.
- ITS net revenue was
- Pain Management and Negative Pressure Wound Therapy (“NPWT”) combined net revenues increased
$0.7 million or114% vs. prior year. - Gross profit was
$15.1 million , a decrease of6% vs. prior year and up3% sequentially. - Gross margin was
60.6% , a decrease of0.9% vs. prior year and up1% sequentially. - Net income of
$0.8 million , or$0.04 per diluted share. - Adjusted earnings before interest, income taxes, depreciation, and amortization (“Adjusted EBITDA”) (non-GAAP) was
$5.9 million , a decrease of31% vs. prior year. - Net cash provided by operations was
$8.8 million , an increase of107% vs. prior year. - During the six-month period the Company acquired FilAMed and OB Healthcare for a total of
$7.5 million .
Management Discussion
Richard DiIorio, Chief Executive Officer of InfuSystem, said, “2021 is proving to be a very dynamic year for InfuSystem and the health care sectors in which we operate. The keys to our future success are the investments we are making to elevate both our ITS and DME segments to expand our future opportunity and growth potential. In addition to the two previously announced acquisitions of small biomedical services companies, we have materially accelerated the hiring of experienced sales professionals into our NPWT and Pain Management ITS businesses. This is all on top of the recent launch of our fourth ITS therapy in Lymphedema. These investments and expansions of our business are expected to begin contributing to our operating performance in the second half of this year, but even more significantly as we look to 2022 and beyond.”
Mr. DiIorio continued, “The dynamic nature of the current marketplace is apparent in our DME segment. In the second quarter of 2020, as Covid was ramping up, health care providers were aggressively renting and buying pumps. In 2021, as Covid cases declined, we saw a material reduction in this activity. It is not possible to predict what impact the Delta variant will have on second half demand for our DME services, but we have been seeing relative stability over the last couple of months.”
“Overall, I am extremely pleased with the progress of our business thus far in 2021. We saw accelerating growth in our Pain Management business as we treated a record number of patients for the second consecutive quarter. Negative Pressure Wound Therapy continues to gain momentum with the addition of new customers and increasing patient treatments. We believe these businesses are well positioned to grow materially in the coming years. In that regard, we have made strategic investments into each of these platforms by adding industry leading sales professionals, making two acquisitions, and hiring new biomedical technicians. We are confident our DME service business is now better positioned, with the added biomedical service capabilities, to aggressively grow market share in the
“Given the strategic investments in Negative Pressure and Pain Management and the lower revenue contribution from COVID-19 pump rentals, we expect Adjusted EBITDA margins to decrease by approximately
“Looking ahead, our team is highly focused on executing our growth initiatives and building a strong foundation for long-term success in facilitating industry-leading in-home healthcare services. These dynamics, combined with our financial performance in the first half of the year, provides us confidence for another record year in 2021 and potentially beyond. I am excited for the future of InfuSystem as we enter the next phase of growth with four therapies in ITS and enhanced biomedical services in DME that positions the Company for long-term success while improving patient outcomes,” concluded Mr. DiIorio.
2021 Second Quarter Financial Review
Results of operations
Net revenues for the second quarter ended June 30, 2021 were
ITS net revenue of
DME Services net revenue of
Gross profit for the second quarter of 2021 of
ITS gross profit was
DME Services gross profit during the second quarter of 2021 was
General and administrative (“G&A”) expenses for the second quarter of 2021 were
During the second quarter of 2021, the Company recorded a benefit from income taxes of
Net income for the second quarter of 2021 was
Adjusted EBITDA, a non-GAAP measure, for the second quarter of 2021 was
Balance sheet, cash flows and liquidity
During the six-month period ended June 30, 2021, operating cash flow increased to
On February 5, 2021, the Company refinanced all of its existing bank debt under its 2015 Credit Agreement which, at the beginning of the 2021 first quarter, consisted of three term notes totaling
Full Year 2021 Guidance
InfuSystem is revising its annual guidance for the full year 2021 with net revenues estimated to come in at the lower end of the range of
The full year 2021 guidance reflects management’s current expectation for operational performance, given the current market conditions. 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, 2020, filed on March 22, 2021. 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 conduct a conference call for all interested investors on Thursday, August 12, 2021, at 9:00 a.m. Eastern Time to discuss its second quarter 2021 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 10158098, through August 19, 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 EBITDA, 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. 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, Wound Therapy and Lymphedema 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 payer clients. The DME Services segment is comprised of direct payer 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, Texas and Ontario, Canada.
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 June 30, 2021 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, 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, 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. 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 |
INFUSYSTEM HOLDINGS, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS
(UNAUDITED)
Three Months Ended | Six Months Ended | |||||||||||||||
(in thousands, except share and per share data) | June 30, | June 30, | ||||||||||||||
2021 | 2020 | 2021 | 2020 | |||||||||||||
Net revenues | $ | 24,834 | $ | 25,999 | $ | 49,297 | $ | 47,552 | ||||||||
Cost of revenues | 9,784 | 10,021 | 19,671 | 18,911 | ||||||||||||
Gross profit | 15,050 | 15,978 | 29,626 | 28,641 | ||||||||||||
Selling, general and administrative expenses: | ||||||||||||||||
Provision for doubtful accounts | (39 | ) | 238 | (109 | ) | 523 | ||||||||||
Amortization of intangibles | 1,096 | 1,075 | 2,139 | 2,150 | ||||||||||||
Selling and marketing | 2,680 | 2,449 | 5,056 | 5,067 | ||||||||||||
General and administrative | 10,617 | 7,710 | 20,971 | 16,362 | ||||||||||||
Total selling, general and administrative | 14,354 | 11,472 | 28,057 | 24,102 | ||||||||||||
Operating income | 696 | 4,506 | 1,569 | 4,539 | ||||||||||||
Other expense: | ||||||||||||||||
Interest expense | (317 | ) | (332 | ) | (639 | ) | (735 | ) | ||||||||
Other expense | (37 | ) | (9 | ) | (106 | ) | (28 | ) | ||||||||
Income before income taxes | 342 | 4,165 | 824 | 3,776 | ||||||||||||
Benefit from (provision for) income taxes | 478 | (25 | ) | 657 | (54 | ) | ||||||||||
Net income | $ | 820 | $ | 4,140 | $ | 1,481 | $ | 3,722 | ||||||||
Net income per share: | ||||||||||||||||
Basic | $ | 0.04 | $ | 0.21 | $ | 0.07 | $ | 0.19 | ||||||||
Diluted | $ | 0.04 | $ | 0.19 | $ | 0.07 | $ | 0.17 | ||||||||
Weighted average shares outstanding: | ||||||||||||||||
Basic | 20,487,845 | 20,082,590 | 20,413,416 | 20,000,444 | ||||||||||||
Diluted | 22,065,486 | 21,635,705 | 22,017,455 | 21,598,071 |
INFUSYSTEM HOLDINGS, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
SEGMENT REPORTING
(UNAUDITED)
Three Months Ended | |||||||||||||
June 30 | Better/ | ||||||||||||
(in thousands) | 2021 | 2020 | (Worse) | ||||||||||
Net revenues: | |||||||||||||
ITS | $ | 16,334 | $ | 15,605 | $ | 729 | |||||||
DME Services (inclusive of inter-segment revenues) | 10,098 | 11,652 | (1,554 | ) | |||||||||
Less: elimination of inter-segment revenues | (1,598 | ) | (1,258 | ) | (340 | ) | |||||||
Total | 24,834 | 25,999 | (1,165 | ) | |||||||||
Gross profit (inclusive of certain inter-segment allocations) (a): | |||||||||||||
ITS | 10,451 | 10,279 | 172 | ||||||||||
DME Services | 4,599 | 5,699 | (1,100 | ) | |||||||||
Total | 15,050 | 15,978 | (928 | ) | |||||||||
(a) Inter-segment allocations are for cleaning and repair services performed on medical equipment. |
Six Months Ended | |||||||||||||
June 30 | Better/ | ||||||||||||
(in thousands) | 2021 | 2020 | (Worse) | ||||||||||
Net revenues: | |||||||||||||
ITS | $ | 32,245 | $ | 29,731 | $ | 2,514 | |||||||
DME Services (inclusive of inter-segment revenues) | 20,096 | 20,317 | (221 | ) | |||||||||
Less: elimination of inter-segment revenues | (3,044 | ) | (2,496 | ) | (548 | ) | |||||||
Total | 49,297 | 47,552 | 1,745 | ||||||||||
Gross profit (inclusive of certain inter-segment allocations) (a): | |||||||||||||
ITS | 20,454 | 19,385 | 1,069 | ||||||||||
DME Services | 9,172 | 9,256 | (84 | ) | |||||||||
Total | 29,626 | 28,641 | 985 | ||||||||||
(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 INCOME TO EBITDA, ADJUSTED EBITDA AND ADJUSTED EBITDA MARGIN: | |||||||||||||||||
Three Months Ended | Six Months Ended | ||||||||||||||||
June 30 | June 30 | ||||||||||||||||
(in thousands) | 2021 | 2020 | 2021 | 2020 | |||||||||||||
GAAP net income | 820 | 4,140 | 1,481 | 3,722 | |||||||||||||
Adjustments: | |||||||||||||||||
Interest expense | 317 | 332 | 639 | 735 | |||||||||||||
Income tax (benefit) provision | (478 | ) | 25 | (657 | ) | 54 | |||||||||||
Depreciation | 2,563 | 2,454 | 5,090 | 4,782 | |||||||||||||
Amortization | 1,096 | 1,075 | 2,139 | 2,150 | |||||||||||||
Non-GAAP EBITDA | $ | 4,318 | $ | 8,026 | $ | 8,692 | $ | 11,443 | |||||||||
Stock compensation costs | 1,372 | 357 | 3,007 | 563 | |||||||||||||
Medical equipment reserve (1) | (54 | ) | 26 | 414 | 52 | ||||||||||||
Office move expenses | - | - | - | 17 | |||||||||||||
Acquisition costs | 109 | - | 147 | - | |||||||||||||
SOX readiness costs | 18 | - | 18 | - | |||||||||||||
Management reorganization/transition costs | 25 | 76 | 28 | 461 | |||||||||||||
Certain other non-recurring costs | 91 | 6 | (267 | ) | 34 | ||||||||||||
Non-GAAP Adjusted EBITDA | $ | 5,879 | $ | 8,491 | $ | 12,039 | $ | 12,570 | |||||||||
GAAP Net Revenues | $ | 24,834 | $ | 25,999 | $ | 49,297 | $ | 47,552 | |||||||||
Non-GAAP Adjusted EBITDA Margin (2) | 23.7 | % | 32.7 | % | 24.4 | % | 26.4 | % | |||||||||
(1) Amounts represent a non-cash expense recorded as a reserve for missing medical equipment and is being added back due to its similarity | |||||||||||||||||
to depreciation. Amounts for the prior period, which were not previously included in the calculation of adjusted EBITDA, have been | |||||||||||||||||
included for comparability. | |||||||||||||||||
(2) 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 | ||||||||
June 30, | December 31, | |||||||
(in thousands, except par value and share data) | 2021 | 2020 | ||||||
ASSETS | ||||||||
Current assets: | ||||||||
Cash and cash equivalents | $ | 164 | $ | 9,648 | ||||
Accounts receivable, net | 15,525 | 14,720 | ||||||
Inventories | 3,722 | 3,001 | ||||||
Other current assets | 2,264 | 2,402 | ||||||
Total current assets | 21,675 | 29,771 | ||||||
Medical equipment for sale or rental | 2,955 | 1,603 | ||||||
Medical equipment in rental service, net of accumulated depreciation | 35,401 | 35,611 | ||||||
Property & equipment, net of accumulated depreciation | 4,319 | 4,296 | ||||||
Goodwill | 3,711 | - | ||||||
Intangible assets, net | 13,053 | 11,177 | ||||||
Operating lease right of use assets | 4,102 | 4,461 | ||||||
Deferred income taxes | 10,612 | 9,967 | ||||||
Other assets | 169 | 105 | ||||||
Total assets | $ | 95,997 | $ | 96,991 | ||||
LIABILITIES AND STOCKHOLDERS’ EQUITY | ||||||||
Current liabilities: | ||||||||
Accounts payable | $ | 7,804 | $ | 6,779 | ||||
Current portion of long-term debt | 520 | 9,423 | ||||||
Other current liabilities | 7,525 | 6,795 | ||||||
Total current liabilities | 15,849 | 22,997 | ||||||
Long-term debt, net of current portion | 31,940 | 29,378 | ||||||
Operating lease liabilities, net of current portion | 3,508 | 3,864 | ||||||
Total liabilities | 51,297 | 56,239 | ||||||
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 | ||||||||
24,084,117 and 20,565,628, respectively, as of June 30, 2021, and issued and | ||||||||
outstanding 23,816,193 and 20,297,704, respectively, as of December 31, 2020 | 2 | 2 | ||||||
Additional paid-in capital | 87,213 | 84,785 | ||||||
Accumulated other comprehensive income | 39 | - | ||||||
Retained deficit | (42,554) | (44,035) | ||||||
Total stockholders’ equity | 44,700 | 40,752 | ||||||
Total liabilities and stockholders’ equity | $ | 95,997 | $ | 96,991 | ||||
INFUSYSTEM HOLDINGS, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS
(UNAUDITED)
Six Months Ended | |||||||
June 30, | |||||||
(in thousands) | 2021 | 2020 | |||||
OPERATING ACTIVITIES | |||||||
Net income | $ | 1,481 | $ | 3,722 | |||
Adjustments to reconcile net income to net cash provided by operating activities: | |||||||
Provision for doubtful accounts | (109) | 523 | |||||
Depreciation | 5,090 | 4,782 | |||||
Loss on disposal of and reserve adjustments for medical equipment | 640 | 77 | |||||
Gain on sale of medical equipment | (375) | (3,224) | |||||
Amortization of intangible assets | 2,139 | 2,150 | |||||
Amortization of deferred debt issuance costs | 114 | 9 | |||||
Stock-based compensation | 3,007 | 563 | |||||
Deferred income taxes | (658) | 12 | |||||
Changes in assets - (increase)/decrease: | |||||||
Accounts receivable | (329) | (2,115) | |||||
Inventories | (647) | (1,363) | |||||
Other current assets | 138 | 205 | |||||
Other assets | (70) | (123) | |||||
Changes in liabilities - (decrease)/increase: | |||||||
Accounts payable and other liabilities | (1,607) | (956) | |||||
NET CASH PROVIDED BY OPERATING ACTIVITIES | 8,814 | 4,262 | |||||
INVESTING ACTIVITIES | |||||||
Acquisition of business | (7,490) | - | |||||
Purchase of medical equipment | (4,943) | (8,783) | |||||
Purchase of property and equipment | (334) | (680) | |||||
Proceeds from sale of medical equipment, property and equipment | 1,503 | 971 | |||||
NET CASH USED IN INVESTING ACTIVITIES | (11,264) | (8,492) | |||||
FINANCING ACTIVITIES | |||||||
Principal payments on long-term debt | (53,982) | (23,777) | |||||
Cash proceeds from long-term debt | 47,913 | 26,259 | |||||
Debt issuance costs | (386) | - | |||||
Common stock repurchased to satisfy statutory withholding on employee | |||||||
stock-based compensation plans | (1,141) | (741) | |||||
Cash proceeds from stock plans | 562 | 74 | |||||
Common stock - issued | - | 250 | |||||
NET CASH (USED IN) PROVIDED BY FINANCING ACTIVITIES | (7,034) | 2,065 | |||||
Net change in cash and cash equivalents | (9,484) | (2,165) | |||||
Cash and cash equivalents, beginning of period | 9,648 | 2,647 | |||||
Cash and cash equivalents, end of period | $ | 164 | $ | 482 | |||
FAQ
What were InfuSystem's Q2 2021 earnings results?
What guidance has InfuSystem provided for 2021?