Record Net Revenues of $35.3 million
Representing 11% Growth from the Prior Year
Net income of $1.8 million, an increase of
162%
Adjusted EBITDA (non-GAAP) margin expanded
by 2.8% to 22%
Reaffirms Full-Year 2024 Guidance
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 third quarter ended September 30,
2024.
2024 Third Quarter
Overview:
- Net revenues totaled $35.3 million, an increase of 11% vs.
prior year.
- Patient Services net revenue was $20.8 million, an increase of
8% vs. prior year.
- Device Solutions net revenue was $14.5 million, an increase of
15% vs. prior year.
- Gross profit was $19.0 million, an increase of 22% vs. prior
year.
- Gross margin was 53.9%, an increase of 5.0% vs. prior year.
- Patient Services gross margin was 66.0%, an increase of 4.6%
vs. prior year.
- Device Solutions gross margin was 36.7%, an increase of 6.7%
vs. prior year.
- Net income increased 162.3% to $1.8 million, or $0.08 per
diluted share vs. prior year net income of $0.7 million, or $0.03
per diluted share.
- Adjusted earnings before interest, income taxes, depreciation,
and amortization (“Adjusted EBITDA”) (non-GAAP) was $7.9 million,
an increase of 27% vs. prior year.
- Adjusted EBITDA (non-GAAP) margin increased 2.8% to 22.3% vs.
19.5% prior year.
- Net operating cash flow was up 91% to $12.5 million, as of
September 30, 2024.
- Company liquidity totaled $46.9 million, as of September 30,
2024.
Management Discussion
Richard DiIorio, Chief Executive Officer of InfuSystem, said,
“Our third quarter financial results reflect the forecasted
acceleration in our business in the second half of the year. We saw
significant growth in both our top- and bottom-line results,
accompanied by strong cash flow. The record revenue of $35.3
million which represents organic growth of 11% was driven by strong
growth in our oncology and rental businesses, and ramping revenue
in wound care third-party payer revenues. Our cash flow from
operations in the quarter was very strong coming in at $9.8 million
and was used to pay down debt and repurchase stock as part of our
repurchase program.”
“During the quarter, we entered into two new strategic
partnerships. In August, we issued a press release announcing the
new distribution agreement with Smith+Nephew for negative pressure
wound therapy. In September, we announced that SI Healthcare
Technologies, our joint venture with Sanara MedTech, became the
exclusive distributor of the Chemo Mouthpiece®, an oral cryotherapy
device with FDA 510(k) clearance, that will be marketed to
approximately 3,000 cancer centers in the United States. Each of
these opportunities will help drive growth going into 2025.”
“Our core businesses, oncology and equipment rentals and sales,
continue to grow and deliver strong operating returns as we pursue
and ramp our major strategic initiatives in wound care and
biomedical services. Our momentum is strong and we are excited
about the future of InfuSystem. I am immensely proud of our team,
as these results are a testament to their dedication, execution,
and unwavering commitment to our patients and the inherent strength
of our business,” concluded Mr. DiIorio.
2024 Third Quarter Financial Review
Net revenues for the quarter ended September 30, 2024 were $35.3
million, an increase of $3.4 million, or 10.7%, compared to $31.9
million for the quarter ended September 30, 2023. The increase
included higher net revenues for both the Patient Services and
Device Solutions segments.
Patient Services net revenue of $20.8 million increased $1.5
million, or 7.7%, during the third quarter of 2024 compared to the
prior year period. This increase was primarily attributable to
additional treatment volume and increased third-party payer
collections totaling $2.4 million, offset partially by $1.0 million
lower revenue from sales-type leases of NPWT pumps. The improved
volume and collections benefited Oncology revenue by $1.8 million
or 10.7%, Pain Management revenue by $0.2 million, or 14.3%, and
Wound Care treatment revenue by $0.5 million, or 219%. Sales-Type
Lease revenue of NPWT pumps, which had a tough comparison to an
unusually strong prior year amount, decreased by $1.0 million.
Device Solutions net revenue of $14.5 million increased $1.9
million, or 15.2%, during the third quarter of 2024 compared to the
prior year period. This increase included increased medical
equipment sales of $1.1 million, or 89.5%, and higher rental
revenue totaling $0.7 million, or 16.0%. Higher medical equipment
sales were due to a large sale to an existing rental customer and
reflects how timing for large contracts can vary from
quarter-to-quarter. The increases in rental revenue was mainly
attributable to a new customer added during the 2024 second
quarter.
Gross profit for the third quarter of 2024 of $19.0 million
increased by $3.4 million, or 22.0%, compared to the third quarter
of 2023. This increase was due to the increase in net revenues and
by a higher gross profit percentage of net revenue ("gross
margin"). Gross margin was 53.9% during the third quarter of 2024
compared to 48.9% during the prior year period, an increase of
5.0%. Gross profit and gross margin were each higher in both the
Patient Services and Devices Solutions segments.
Patient Services gross profit was $13.7 million during the third
quarter of 2024, representing an increase of $1.9 million, or
15.8%, compared to the prior year period. The increase reflected
the higher net revenue and higher gross margin, which increased
from the prior year by 4.6% to 66.0%. The increase in gross margin
reflected increased third-party payer collections, favorable gross
margin mix and improved coverage of fixed costs from higher net
revenue. The favorable gross margin mix was mainly related to the
decrease in revenue related to NPWT equipment leases which had
lower average gross margin than other Patient Services revenue
categories.
Device Solutions gross profit during the third quarter of 2024
was $5.3 million, representing an increase of $1.6 million, or
41.2%, compared to the prior year. This increase was due to the
increase in net revenue and an increased gross margin. The Device
Solutions gross margin was 36.7% during the current quarter, which
was 6.7% higher than the prior year period. The increase was due to
favorable sales mix involving higher margin products including
rental revenue and sales of used medical equipment.
Selling and marketing expenses were $2.8 million for the third
quarter of 2024, representing an increase of 1.0%, compared to the
prior year. Selling and marketing expenses as a percentage of net
revenues decreased to 7.8% compared to 8.5% in the prior year
period. This decrease reflected a reduction in sales team members
and improved coverage of fixed costs from higher net revenues.
General and administrative ("G&A") expenses for the third
quarter of 2024 were $12.8 million, an increase of $1.8 million, or
16.8%, from the third quarter of 2023. This increase included
increased stock-based compensation expenses of $0.2 million,
increased accrued incentive compensation totaling $0.3 million, an
increase in accrued bad debt expense of $0.2 million and $0.3
million of expenses not incurred in 2023 related to a project to
upgrade the Company's information technology and business
applications. Other increased expenses totaling $0.8 million were
associated with revenue volume growth including the cost of
additional personnel, information technology and general business
expenses and included inflationary increases. G&A expenses as a
percentage of net revenues for the third quarter of 2024 increased
to 36.2% from 34.3% for the prior year period.
Net income for the third quarter of 2024 was $1.8 million, or
$0.08 per diluted share, compared to net income of $0.7 million, or
$0.03 per diluted share, for the third quarter of 2023.
Adjusted EBITDA, a non-GAAP measure, for the third quarter of
2024 was $7.9 million, or 22.3% of net revenue, and increased by
$1.7 million, or 26.6%, compared to Adjusted EBITDA for the same
prior year quarter of $6.2 million, or 19.5% of prior period net
revenue.
Balance sheet, cash flows and liquidity
During the nine-month period ended September 30, 2024, operating
cash flow increased to $12.5 million, a $6.0 million, or 91%,
increase over operating cash flow during the same prior year
nine-month period. The increase reflected higher operating income
and lower working capital growth during 2024 as compared to 2023.
Capital expenditures during the nine-month period of 2024 included
purchases of medical devices totaling $12.2 million, which was $3.7
million, or 43%, higher than the amount purchased during the same
prior year period. Purchases of medical equipment were higher
during 2024 compared to 2023 because a higher portion of the
revenue growth in 2024 came from rental revenues that require
capital equipment purchases.
As of September 30, 2024, available liquidity for the Company
totaled $46.9 million and consisted of $46.5 million in available
borrowing capacity under its revolving line of credit plus cash and
cash equivalents of $0.4 million. Net debt, a non-GAAP measure
(calculated as total debt of $28.0 million less cash and cash
equivalents of $0.4 million) as of September 30, 2024 was $27.6
million representing a decrease of $1.3 million compared to net
debt of $28.9 million as of December 31, 2023 (calculated as total
debt of $29.1 million less cash and cash equivalents of $0.2
million). Our ratio of Adjusted EBITDA to net debt (non-GAAP) for
the last four quarters was 1.15 to 1.00 (calculated as net debt of
$27.6 million divided by Adjusted EBITDA of $24.0 million).
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 17.8% in 2023.
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. These estimates include expected 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, November 7, 2024, at 9:00 a.m. Eastern Time
to discuss its third 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 (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, replay access code
7261158, through November 14, 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 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 September 30, 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 disruptions caused
by public health emergencies or extreme weather or other climate
change-related events, 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
September 30,
Nine Months Ended
September 30,
(in thousands, except share and per
share data)
2024
2023
2024
2023
Net revenues
$
35,320
$
31,909
$
101,013
$
94,014
Cost of revenues
16,275
16,293
48,826
47,616
Gross profit
19,045
15,616
52,187
46,398
Selling, general and administrative
expenses:
Amortization of intangibles
248
248
743
743
Selling and marketing
2,755
2,728
9,173
8,937
General and administrative
12,777
10,943
37,996
33,880
Total selling, general and
administrative
15,780
13,919
47,912
43,560
Operating income
3,265
1,697
4,275
2,838
Other expense:
Interest expense
(476
)
(563
)
(1,416
)
(1,667
)
Other expense
(4
)
(14
)
(64
)
(47
)
Income before income taxes
2,785
1,120
2,795
1,124
Provision for income taxes
(978
)
(431
)
(1,383
)
(324
)
Net income
$
1,807
$
689
$
1,412
$
800
Net income per share:
Basic
$
0.08
$
0.03
$
0.07
$
0.04
Diluted
$
0.08
$
0.03
$
0.07
$
0.04
Weighted average shares outstanding:
Basic
21,290,512
21,095,404
21,271,858
20,968,711
Diluted
21,652,457
21,719,404
21,707,835
21,615,706
INFUSYSTEM HOLDINGS, INC. AND
SUBSIDIARIES
CONDENSED CONSOLIDATED
STATEMENTS OF OPERATIONS
SEGMENT REPORTING
(UNAUDITED)
Three Months Ended
September 30,
Better/
(Worse)
(in thousands)
2024
2023
Net revenues:
Patient Services
$
20,780
$
19,289
$
1,491
Device Solutions
16,532
14,218
2,314
Less: elimination of inter-segment
revenues (a)
(1,992
)
(1,598
)
(394
)
Total Device Solutions
14,540
12,620
1,920
Total
35,320
31,909
3,411
Gross profit:
Patient Services
13,710
11,837
1,873
Device Solutions
5,335
3,779
1,556
Total
$
19,045
$
15,616
$
3,429
(a)
Inter-segment allocations are for cleaning
and repair services performed on medical equipment.
Nine Months Ended
September 30,
Better/
(Worse)
(in thousands)
2024
2023
Net revenues:
Patient Services
$
59,617
$
57,382
$
2,235
Device Solutions
46,843
41,541
5,302
Less: elimination of inter-segment
revenues (a)
(5,447
)
(4,909
)
(538
)
Total Device Solutions
41,396
36,632
4,764
Total
101,013
94,014
6,999
Gross profit:
Patient Services
39,428
35,223
4,205
Device Solutions
12,759
11,175
1,584
Total
$
52,187
$
46,398
$
5,789
(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,
NET INCOME MARGIN AND ADJUSTED EBITDA MARGIN:
Three Months Ended
September 30,
Nine Months Ended
September 30,
(in thousands)
2024
2023
2024
2023
GAAP net income
$
1,807
$
689
$
1,412
$
800
Adjustments:
Interest expense
476
563
1,416
1,667
Income tax provision
978
431
1,383
324
Depreciation
2,897
2,820
8,335
8,621
Amortization
248
248
743
743
Non-GAAP EBITDA
$
6,406
$
4,751
$
13,289
$
12,155
Stock compensation costs
1,221
1,063
3,276
2,799
Medical equipment reserve and disposals
(1)
241
307
368
1,073
Management reorganization/transition
costs
—
—
108
72
Cooperation Agreement payment and
associated legal expenses
—
—
649
—
Certain other non-recurring costs
—
96
109
114
Non-GAAP Adjusted EBITDA
$
7,868
$
6,217
$
17,799
$
16,213
GAAP Net Revenues
$
35,320
$
31,909
$
101,013
$
94,014
Net Income Margin (2)
5.1
%
2.2
%
1.4
%
0.9
%
Non-GAAP Adjusted EBITDA Margin
(3)
22.3
%
19.5
%
17.6
%
17.2
%
(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 Margin is defined as GAAP Net
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.
INFUSYSTEM HOLDINGS, INC. AND
SUBSIDIARIES
CONSOLIDATED BALANCE
SHEETS
(UNAUDITED)
As of
(in thousands, except par value and
share data)
September 30,
2024
December 31,
2023
ASSETS
Current assets:
Cash and cash equivalents
$
380
$
231
Accounts receivable, net
22,761
19,830
Inventories, net
6,700
6,402
Other current assets
3,772
4,157
Total current assets
33,613
30,620
Medical equipment for sale or rental
4,699
3,049
Medical equipment in rental service, net
of accumulated depreciation
37,001
34,928
Property & equipment, net of
accumulated depreciation
3,910
4,321
Goodwill
3,710
3,710
Intangible assets, net
6,704
7,446
Operating lease right of use assets
5,735
6,703
Deferred income taxes
7,815
9,115
Derivative financial instruments
1,107
1,442
Other assets
1,009
1,581
Total assets
$
105,303
$
102,915
LIABILITIES AND STOCKHOLDERS’
EQUITY
Current liabilities:
Accounts payable
$
8,908
$
8,009
Other current liabilities
8,028
7,704
Total current liabilities
16,936
15,713
Long-term debt, net of current portion
27,975
29,101
Operating lease liabilities, net of
current portion
4,879
5,799
Total liabilities
49,790
50,613
Stockholders’ equity:
Preferred stock, $0.0001 par value:
authorized 1,000,000 shares; none issued
—
—
Common stock, $0.0001 par value:
authorized 200,000,000 shares; 21,234,303 issued and outstanding as
of September 30, 2024 and 21,196,851 issued and outstanding as of
December 31, 2023
2
2
Additional paid-in capital
112,869
109,837
Accumulated other comprehensive income
836
1,088
Retained deficit
(58,194
)
(58,625
)
Total stockholders’ equity
55,513
52,302
Total liabilities and stockholders’
equity
$
105,303
$
102,915
INFUSYSTEM HOLDINGS, INC. AND
SUBSIDIARIES
CONSOLIDATED STATEMENTS OF
CASH FLOWS
(UNAUDITED)
Nine Months Ended September
30,
(in
thousands)
2024
2023
OPERATING ACTIVITIES
Net income
$
1,412
$
800
Adjustments to reconcile net income to
net cash provided by operating activities:
Provision for doubtful accounts
(141
)
(122
)
Depreciation
8,335
8,621
Loss on disposal of and reserve
adjustments for medical equipment
678
1,278
Gain on sale of medical equipment
(1,863
)
(1,990
)
Amortization of intangible assets
743
743
Amortization of deferred debt issuance
costs
58
99
Stock-based compensation
3,276
2,799
Deferred income taxes
1,383
325
Changes in assets -
(increase)/decrease:
Accounts receivable
(1,348
)
(1,035
)
Inventories
(298
)
(1,270
)
Other current assets
385
(1,090
)
Other assets
1,137
(2,304
)
Changes in liabilities -
(decrease)/increase:
Accounts payable and other liabilities
(1,229
)
(289
)
NET CASH PROVIDED BY OPERATING
ACTIVITIES
12,528
6,565
INVESTING ACTIVITIES
Purchase of medical equipment
(12,162
)
(8,503
)
Purchase of property and equipment
(562
)
(616
)
Proceeds from sale of medical equipment,
property and equipment
2,754
3,429
NET CASH USED IN INVESTING
ACTIVITIES
(9,970
)
(5,690
)
FINANCING ACTIVITIES
Principal payments on long-term debt
(40,415
)
(43,160
)
Cash proceeds from long-term debt
39,231
42,788
Debt issuance costs
—
(229
)
Common stock repurchased as part of share
repurchase program
(981
)
(153
)
Common stock repurchased to satisfy
statutory withholding on employee stock-based compensation
plans
(625
)
(1,157
)
Cash proceeds from exercise of options and
ESPP
381
1,032
NET CASH USED IN FINANCING
ACTIVITIES
(2,409
)
(879
)
Net change in cash and cash
equivalents
149
(4
)
Cash and cash equivalents, beginning of
period
231
165
Cash and cash equivalents, end of
period
$
380
$
161
View source
version on businesswire.com: https://www.businesswire.com/news/home/20241107962236/en/
Joe Dorame, Joe Diaz & Robert Blum Lytham Partners, LLC
602-889-9700
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