InfuSystem Reports Third Quarter 2022 Financial Results
InfuSystem Holdings reported record net revenues of $27.3 million for Q3 2022, up 3% year-over-year, with Integrated Therapy Services (ITS) revenues rising to $17.4 million, a 5% increase. Operating income increased by $1.3 million to $0.9 million, with net income of $0.4 million or $0.02 per diluted share. Gross profit also rose to $16.2 million, marking a 6% increase. The company projects full-year revenue at about $112 million, on the lower end of growth guidance of 10% to 13%.
- Record net revenues of $27.3 million, a 3% increase YoY.
- ITS revenue reached $17.4 million, a 5% increase YoY.
- Operating income rose by $1.3 million to $0.9 million.
- Net income improved to $0.4 million from a loss of $0.4 million YoY.
- Gross profit increased by 6% to $16.2 million.
- DME Services revenue decreased slightly by 1% to $9.9 million.
- Operating cash flow fell by 11% to $13 million for the nine-month period.
Record Net Revenues of
Operating Income increased
Recent Events:
-
November 3, 2022 :Formed Wound Therapy Partnership with Sanara MedTech – delivering a complete wound care solution to improve patient outcomes and lower the cost of care. -
November 3, 2022 : Signed distribution agreement with Cork Medical for their negative pressure wound therapy devices and supplies.
2022 Third Quarter Overview:
-
Net revenues totaled
, an increase of$27.3 million 3% vs. prior year.-
Integrated Therapy Services ("ITS") net revenue was
, an increase of$17.4 million 5% vs. prior year. -
Durable Medical Equipment Services ("DME Services") net revenue was
, a decrease of$9.9 million 1% vs. prior year.
-
Integrated Therapy Services ("ITS") net revenue was
-
Gross profit was
, an increase of$16.2 million 6% vs. prior year. -
Gross margin was
59.5% , an increase of2.0% vs. prior year.-
ITS gross margin was
65.6% , an increase of1.8% vs. prior year. -
DME Services gross margin was
48.7% , an increase of1.7% vs. prior year.
-
ITS gross margin was
-
Operating income increased
to$1.3 million vs. prior year.$0.9 million -
Net income of
, or$0.4 million per diluted share, an increase of$0.02 vs. prior year.$0.9 million -
Adjusted earnings before interest, income taxes, depreciation, and amortization (“Adjusted EBITDA”) (non-GAAP) was
, an increase of$5.6 million 2% vs. prior year. -
Net cash provided by operations was
for the nine-month period, a decrease of$13.0 million 11% vs. the same prior year period.
Management Discussion
“Our recently announced strategic partnership with Sanara MedTech significantly improves our wound care service offering, which we expect will help accelerate our growth initiatives and capture additional market share and revenue. Our vision is patient-focused and geared to providing solutions that promote healing, lower the cost of care and improve patient outcomes. The Sanara partnership provides complementary wound care solutions and products, expertise in the acute care setting and added experienced sales managers. These offerings, along with a new negative pressure wound therapy device from Cork Medical, gives us a complete line of advanced wound care products that can be used before, during or after therapy to promote healing throughout the continuum of care. Combined with InfuSystem’s turnkey solution, the partnership will soon be providing patients and providers leading-edge options for the treatment of chronic and acute wounds.”
“We believe that the unique service solutions offered by our two service platforms, ITS and DME Services, are well-positioned for long-term success. We continue to execute at a high level in both platforms, assisting our clients to effectively deliver acute care and efficiently facilitate clinic-to-home care. We are intensely focused on executing our strategic plan by supporting our patients and partners with a goal of delivering sustainable growth for years to come,” concluded
2022 Third Quarter Financial Review
Net revenues for the quarter ended
ITS net revenue of
DME Services net revenue of
Gross profit for the third quarter of 2022 of
ITS gross profit was
DME Services gross profit during the third quarter of 2022 was
Selling and marketing expenses were
General and administrative (“G&A”) expenses for the third quarter of 2022 were
Net income for the third quarter of 2022 was
Adjusted EBITDA, a non-GAAP measure, for the third quarter of 2022 was
Balance sheet, cash flows and liquidity
During the nine-month period ended
On
Full Year 2022 Guidance
The full year 2022 guidance reflects management’s current expectation for operational performance, given the current market conditions. This includes our best estimate of revenue and Adjusted EBITDA from medical equipment sales opportunities included in our current sales pipeline. 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
Conference Call
The Company will conduct a conference call for all interested investors on
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 5564226, through
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.
About
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
Additional information about
FINANCIAL TABLES FOLLOW
|
||||||||||||||||
|
Three Months Ended
|
|
Nine Months Ended
|
|||||||||||||
(in thousands, except share and per share data) |
2022 |
|
2021 |
|
2022 |
|
2021 |
|||||||||
|
|
|
|
|
|
|
|
|||||||||
Net revenues |
$ |
27,279 |
|
|
$ |
26,566 |
|
|
$ |
81,084 |
|
|
$ |
75,863 |
|
|
Cost of revenues |
|
11,060 |
|
|
|
11,308 |
|
|
|
34,597 |
|
|
|
30,979 |
|
|
Gross profit |
|
16,219 |
|
|
|
15,258 |
|
|
|
46,487 |
|
|
|
44,884 |
|
|
|
|
|
|
|
|
|
|
|||||||||
Selling, general and administrative expenses: |
|
|
|
|
|
|
|
|||||||||
Provision for doubtful accounts |
|
(90 |
) |
|
|
10 |
|
|
|
(84 |
) |
|
|
(99 |
) |
|
Amortization of intangibles |
|
704 |
|
|
|
1,125 |
|
|
|
2,125 |
|
|
|
3,264 |
|
|
Selling and marketing |
|
2,894 |
|
|
|
2,908 |
|
|
|
9,296 |
|
|
|
7,964 |
|
|
General and administrative |
|
11,768 |
|
|
|
11,566 |
|
|
|
34,525 |
|
|
|
32,537 |
|
|
|
|
|
|
|
|
|
|
|||||||||
Total selling, general and administrative |
|
15,276 |
|
|
|
15,609 |
|
|
|
45,862 |
|
|
|
43,666 |
|
|
|
|
|
|
|
|
|
|
|||||||||
Operating income (loss) |
|
943 |
|
|
|
(351 |
) |
|
|
625 |
|
|
|
1,218 |
|
|
Other expense: |
|
|
|
|
|
|
|
|||||||||
Interest expense |
|
(385 |
) |
|
|
(270 |
) |
|
|
(976 |
) |
|
|
(909 |
) |
|
Other expense |
|
(11 |
) |
|
|
(44 |
) |
|
|
(69 |
) |
|
|
(150 |
) |
|
|
|
|
|
|
|
|
|
|||||||||
Income (Loss) before income taxes |
|
547 |
|
|
|
(665 |
) |
|
|
(420 |
) |
|
|
159 |
|
|
(Provision for) benefit from income taxes |
|
(104 |
) |
|
|
217 |
|
|
|
331 |
|
|
|
874 |
|
|
Net income (loss) |
$ |
443 |
|
|
$ |
(448 |
) |
|
$ |
(89 |
) |
|
$ |
1,033 |
|
|
Net income (loss) per share: |
|
|
|
|
|
|
|
|||||||||
Basic |
$ |
0.02 |
|
|
$ |
(0.02 |
) |
|
$ |
— |
|
|
$ |
0.05 |
|
|
Diluted |
$ |
0.02 |
|
|
$ |
(0.02 |
) |
|
$ |
— |
|
|
$ |
0.05 |
|
|
Weighted average shares outstanding: |
|
|
|
|
|
|
|
|||||||||
Basic |
|
20,683,366 |
|
|
|
20,577,886 |
|
|
|
20,625,826 |
|
|
|
20,468,842 |
|
|
Diluted |
|
21,452,483 |
|
|
|
20,577,886 |
|
|
|
20,625,826 |
|
|
|
21,995,216 |
|
|
||||||||||||
|
|
Three Months Ended
|
|
Better/ (Worse) |
||||||||
(in thousands) |
|
2022 |
|
2021 |
|
|||||||
|
|
|
|
|
|
|
||||||
Net revenues: |
|
|
|
|
|
|
||||||
ITS |
|
$ |
17,375 |
|
|
$ |
16,581 |
|
|
$ |
794 |
|
DME Services (inclusive of inter-segment revenues) |
|
|
11,514 |
|
|
|
11,425 |
|
|
|
89 |
|
Less: elimination of inter-segment revenues |
|
|
(1,610 |
) |
|
|
(1,440 |
) |
|
|
(170 |
) |
Total |
|
|
27,279 |
|
|
|
26,566 |
|
|
|
713 |
|
Gross profit (inclusive of certain inter-segment allocations) (a): |
|
|
|
|
|
|
||||||
ITS |
|
|
11,400 |
|
|
|
10,574 |
|
|
|
826 |
|
DME Services |
|
|
4,819 |
|
|
|
4,684 |
|
|
|
135 |
|
Total |
|
$ |
16,219 |
|
|
$ |
15,258 |
|
|
$ |
961 |
|
(a) |
Inter segment allocations are for cleaning and repair services performed on medical equipment. |
|
|
Nine Months Ended
|
|
Better/ (Worse) |
||||||||
(in thousands) |
|
2022 |
|
2021 |
|
|||||||
|
|
|
|
|
|
|
||||||
Net revenues: |
|
|
|
|
|
|
||||||
ITS |
|
$ |
51,260 |
|
|
$ |
48,826 |
|
|
$ |
2,434 |
|
DME Services (inclusive of inter-segment revenues) |
|
|
34,684 |
|
|
|
31,521 |
|
|
|
3,163 |
|
Less: elimination of inter-segment revenues |
|
|
(4,860 |
) |
|
|
(4,484 |
) |
|
|
(376 |
) |
Total |
|
|
81,084 |
|
|
|
75,863 |
|
|
|
5,221 |
|
Gross profit (inclusive of certain inter-segment allocations) (a): |
|
|
|
|
|
|
||||||
ITS |
|
|
32,251 |
|
|
|
31,028 |
|
|
|
1,223 |
|
DME Services |
|
|
14,236 |
|
|
|
13,856 |
|
|
|
380 |
|
Total |
|
$ |
46,487 |
|
|
$ |
44,884 |
|
|
$ |
1,603 |
|
(a) |
Inter segment allocations are for cleaning and repair services performed on medical equipment. |
|
||||||||||||||||
NET INCOME (LOSS) TO EBITDA, ADJUSTED EBITDA, NET INCOME (LOSS) MARGIN AND ADJUSTED EBITDA MARGIN: |
||||||||||||||||
|
|
Three Months Ended
|
|
Nine Months Ended
|
||||||||||||
(in thousands) |
|
2022 |
|
2021 |
|
2022 |
|
2021 |
||||||||
|
|
|
|
|
|
|
|
|
||||||||
GAAP net income (loss) |
|
$ |
443 |
|
|
$ |
(448 |
) |
|
$ |
(89 |
) |
|
$ |
1,033 |
|
Adjustments: |
|
|
|
|
|
|
|
|
||||||||
Interest expense |
|
|
385 |
|
|
|
270 |
|
|
|
976 |
|
|
|
909 |
|
Income tax provision (benefit) |
|
|
104 |
|
|
|
(217 |
) |
|
|
(331 |
) |
|
|
(874 |
) |
Depreciation |
|
|
2,736 |
|
|
|
2,615 |
|
|
|
8,131 |
|
|
|
7,705 |
|
Amortization |
|
|
704 |
|
|
|
1,125 |
|
|
|
2,125 |
|
|
|
3,264 |
|
|
|
|
|
|
|
|
|
|
||||||||
Non-GAAP EBITDA |
|
$ |
4,372 |
|
|
$ |
3,345 |
|
|
$ |
10,812 |
|
|
$ |
12,037 |
|
|
|
|
|
|
|
|
|
|
||||||||
Stock compensation costs |
|
|
1,066 |
|
|
|
1,955 |
|
|
|
3,236 |
|
|
|
4,962 |
|
Medical equipment reserve (1) |
|
|
85 |
|
|
|
68 |
|
|
|
976 |
|
|
|
482 |
|
Acquisition costs |
|
|
— |
|
|
|
7 |
|
|
|
— |
|
|
|
154 |
|
SOX readiness costs |
|
|
— |
|
|
|
68 |
|
|
|
110 |
|
|
|
86 |
|
Management reorganization/transition costs |
|
|
19 |
|
|
|
6 |
|
|
|
56 |
|
|
|
34 |
|
Certain other non-recurring costs |
|
|
62 |
|
|
|
46 |
|
|
|
82 |
|
|
|
(221 |
) |
|
|
|
|
|
|
|
|
|
||||||||
Non-GAAP Adjusted EBITDA |
|
$ |
5,604 |
|
|
$ |
5,495 |
|
|
$ |
15,272 |
|
|
$ |
17,534 |
|
|
|
|
|
|
|
|
|
|
||||||||
GAAP Net Revenues |
|
$ |
27,279 |
|
|
$ |
26,566 |
|
|
$ |
81,084 |
|
|
$ |
75,863 |
|
Net Income (Loss) Margin (2) |
|
|
1.6 |
% |
|
|
(1.7 |
) % |
|
|
(0.1 |
) % |
|
|
1.4 |
% |
Non-GAAP Adjusted EBITDA Margin (3) |
|
|
20.5 |
% |
|
|
20.7 |
% |
|
|
18.8 |
% |
|
|
23.1 |
% |
(1) | Amounts represent a non-cash expense recorded to adjust the reserve for missing medical equipment and is being added back due to its similarity to depreciation. |
|
(2) | Net Income (Loss) Margin is defined as GAAP Net (Loss) Income 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. |
|
||||||||
|
|
As of |
||||||
(in thousands, except par value and share data) |
|
|
|
|
||||
|
|
|
|
|
||||
ASSETS |
|
|
|
|
||||
Current assets: |
|
|
|
|
||||
Cash and cash equivalents |
|
$ |
363 |
|
|
$ |
186 |
|
Accounts receivable, net |
|
|
16,112 |
|
|
|
15,405 |
|
Inventories |
|
|
4,861 |
|
|
|
3,939 |
|
Other current assets |
|
|
2,311 |
|
|
|
2,535 |
|
|
|
|
|
|
||||
Total current assets |
|
|
23,647 |
|
|
|
22,065 |
|
Medical equipment for sale or rental |
|
|
2,843 |
|
|
|
1,742 |
|
Medical equipment in rental service, net of accumulated depreciation |
|
|
39,202 |
|
|
|
39,871 |
|
Property & equipment, net of accumulated depreciation |
|
|
4,211 |
|
|
|
4,523 |
|
|
|
|
3,710 |
|
|
|
3,710 |
|
Intangible assets, net |
|
|
8,805 |
|
|
|
10,930 |
|
Operating lease right of use assets |
|
|
4,441 |
|
|
|
4,241 |
|
Deferred income taxes |
|
|
9,941 |
|
|
|
10,033 |
|
Other assets |
|
|
2,181 |
|
|
|
471 |
|
|
|
|
|
|
||||
Total assets |
|
$ |
98,981 |
|
|
$ |
97,586 |
|
|
|
|
|
|
||||
LIABILITIES AND STOCKHOLDERS’ EQUITY |
|
|
|
|
||||
Current liabilities: |
|
|
|
|
||||
Accounts payable |
|
$ |
6,648 |
|
|
$ |
7,862 |
|
Current portion of long-term debt |
|
|
— |
|
|
|
349 |
|
Other current liabilities |
|
|
6,086 |
|
|
|
4,685 |
|
|
|
|
|
|
||||
Total current liabilities |
|
|
12,734 |
|
|
|
12,896 |
|
Long-term debt, net of current portion |
|
|
34,461 |
|
|
|
32,748 |
|
Operating lease liabilities, net of current portion |
|
|
3,979 |
|
|
|
3,670 |
|
|
|
|
|
|
||||
Total liabilities |
|
|
51,174 |
|
|
|
49,314 |
|
|
|
|
|
|
||||
Stockholders’ equity: |
|
|
|
|
||||
Preferred stock, |
|
|
— |
|
|
|
— |
|
Common stock, |
|
|
2 |
|
|
|
2 |
|
Additional paid-in capital |
|
|
105,557 |
|
|
|
101,905 |
|
Accumulated other comprehensive income |
|
|
1,599 |
|
|
|
268 |
|
Retained deficit |
|
|
(59,351 |
) |
|
|
(53,903 |
) |
|
|
|
|
|
||||
Total stockholders’ equity |
|
|
47,807 |
|
|
|
48,272 |
|
|
|
|
|
|
||||
Total liabilities and stockholders’ equity |
|
$ |
98,981 |
|
|
$ |
97,586 |
|
|
||||||||
|
|
Nine Months Ended
|
||||||
(in thousands) |
|
2022 |
|
2021 |
||||
|
|
|
|
|
||||
OPERATING ACTIVITIES |
|
|
|
|
||||
Net (loss) income |
|
$ |
(89 |
) |
|
$ |
1,033 |
|
Adjustments to reconcile net (loss) income to net cash provided by operating activities: |
|
|
|
|
||||
Provision for doubtful accounts |
|
|
(84 |
) |
|
|
(99 |
) |
Depreciation |
|
|
8,131 |
|
|
|
7,705 |
|
Loss on disposal of and reserve adjustments for medical equipment |
|
|
1,450 |
|
|
|
848 |
|
Gain on sale of medical equipment |
|
|
(1,348 |
) |
|
|
(1,588 |
) |
Amortization of intangible assets |
|
|
2,125 |
|
|
|
3,264 |
|
Amortization of deferred debt issuance costs |
|
|
55 |
|
|
|
132 |
|
Stock-based compensation |
|
|
3,236 |
|
|
|
4,962 |
|
Deferred income taxes |
|
|
(331 |
) |
|
|
(875 |
) |
Changes in assets - (increase)/decrease: |
|
|
|
|
||||
Accounts receivable |
|
|
(607 |
) |
|
|
217 |
|
Inventories |
|
|
(922 |
) |
|
|
(630 |
) |
Other current assets |
|
|
224 |
|
|
|
251 |
|
Other assets |
|
|
(89 |
) |
|
|
(102 |
) |
Changes in liabilities - increase/(decrease): |
|
|
|
|
||||
Accounts payable and other liabilities |
|
|
1,200 |
|
|
|
(513 |
) |
NET CASH PROVIDED BY OPERATING ACTIVITIES |
|
|
12,951 |
|
|
|
14,605 |
|
|
|
|
|
|
||||
INVESTING ACTIVITIES |
|
|
|
|
||||
Acquisition of business |
|
|
— |
|
|
|
(7,650 |
) |
Purchase of medical equipment |
|
|
(10,452 |
) |
|
|
(9,645 |
) |
Purchase of property and equipment |
|
|
(571 |
) |
|
|
(607 |
) |
Proceeds from sale of medical equipment, property and equipment |
|
|
2,597 |
|
|
|
2,214 |
|
|
|
|
(8,426 |
) |
|
|
(15,688 |
) |
|
|
|
|
|
||||
FINANCING ACTIVITIES |
|
|
|
|
||||
Principal payments on long-term debt |
|
|
(31,089 |
) |
|
|
(69,306 |
) |
Cash proceeds from long-term debt |
|
|
32,398 |
|
|
|
61,654 |
|
Debt issuance costs |
|
|
— |
|
|
|
(386 |
) |
Cash payment of contingent consideration |
|
|
(750 |
) |
|
|
— |
|
Common stock repurchased to satisfy statutory withholding on employee stock-based compensation plans |
|
|
(698 |
) |
|
|
(1,141 |
) |
Common stock repurchased as part of share repurchase program |
|
|
(5,359 |
) |
|
|
— |
|
Cash proceeds from stock plans |
|
|
1,150 |
|
|
|
779 |
|
|
|
|
(4,348 |
) |
|
|
(8,400 |
) |
|
|
|
|
|
||||
Net change in cash and cash equivalents |
|
|
177 |
|
|
|
(9,483 |
) |
Cash and cash equivalents, beginning of period |
|
|
186 |
|
|
|
9,648 |
|
Cash and cash equivalents, end of period |
|
$ |
363 |
|
|
$ |
165 |
|
View source version on businesswire.com: https://www.businesswire.com/news/home/20221108005402/en/
602-889-9700
Source:
FAQ
What were InfuSystem's Q3 2022 earnings results?
What guidance did InfuSystem provide for full-year 2022?
What improvements did InfuSystem see in its gross profit?
How did InfuSystem's Integrated Therapy Services perform in Q3 2022?