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InfuSystem Holdings, Inc. Reports Third Quarter 2015 Financial Results

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Third Quarter 2015 Net Income UP 61% and Net Collected Rental Revenues UP 16%

MADISON HEIGHTS, Mich., Nov. 12, 2015 /PRNewswire/ -- InfuSystem Holdings, Inc. (NYSE MKT: INFU) ("InfuSystem" or the "Company"), a leading national provider of infusion pumps and related services for the healthcare industry in the United States, today reported financial results for the quarter ended September 30, 2015.

Highlights for the third quarter of 2015 included:

  • Net Income increased 61% to $1.4 million, or diluted EPS of $0.06, compared to third quarter 2014 net income of $0.9 million or diluted EPS of $0.04.
  • Net Collected Rental Revenues increased 16% over last year's comparable quarter.
  • Net Revenues totaled $18.7 million, an increase of 13% versus third quarter 2014 net revenues of $16.6 million.
  • Investment of approximately $1.6 million to expand our information technology capabilities, including InfuSystem EXPRESS and our Pain Management initiatives.
  • The integration of Ciscura is essentially completed.  Revenue from these assets in the third quarter approximated $1 million. 

Net Revenues in the third quarter of 2015 were $18.7 million, an increase of $2.1 million, or 13%, compared to $16.6 million for the quarter ended September 30, 2014. During the period, net revenues from rentals increased $2.3 million, or 16%, compared to the same prior year period.  The increase in revenues can be attributed to greater rental volume with new and existing therapy sites, partially offset by an overall slight reduction in reimbursement rates from payors, and additional revenue of approximately $1.0 million from the Ciscura asset acquisition.    

The Company is focused on net rental revenues less bad debt ("Net Collected Rental Revenues") versus prior year. Net Collected Rental Revenues increased 16% to $15.4 million versus $13.2 million in the comparable quarter of 2014. Bad debt increased slightly for the quarter based on $2.1 million of additional revenue and is down 21% YTD compared to the prior year period, as a result of increased focus on new payor contracts and patient collections.

Net income in the third quarter increased 61% to $1.4 million, equal to $0.06 per diluted share, compared to net income of $0.9 million, or $0.04 per diluted share, in the same prior year period.  Adjusted net income, adding back integration costs associated with the Ciscura acquisition and other income and expenses was $1.4 million, or $0.06 per diluted share, compared to $0.8 million, or $0.04 per diluted share, in the same prior year period.

Gross profit for the three months ended September 30, 2015 was $13.3 million, an increase of $1.5 million, or 13%, compared to the quarter ended September 30, 2014.  Gross profit, as a percentage of revenues, was consistent with the same prior year period at 71%. 

Eric K. Steen, chief executive officer of InfuSystem, said, "We had solid financial results for both top and bottom lines in the third quarter of 2015, with double-digit increases in net collected revenue of 16%, gross margin that exceeded 70%, and a 61% increase in net income. We continue to gain traction on our electronic connectivity strategy as we added an additional 21 sites, bringing to 73 the number of sites connected on our EMR network. We are particularly pleased to have successful integrations with most of the major EMR platforms including EPIC, Cerner, Varian and Altos, with projects underway for Mosaiq, GE Centricity and All Scripts. Our solution gathers all the necessary data for insurance billings with little to no work for our customers.  Looking to the fourth quarter we have already shipped pump sales of $1.2 million.  All of this is a reflection of the focus of the team to get the job done effectively on a day-to-day basis. I am satisfied with the results of the quarter and believe we are well positioned for continued growth reinforcing our confidence in the long-term outlook for the Company."

Selling and marketing expenses was $2.7 million, an increase of $0.2 million, or 7%, compared to $2.5 million for the quarter ended September 30, 2014. These increases were largely attributable to increased efforts in the marketing and additional headcount as a result of our acquisition of Ciscura.

During the three months ended September 30, 2015, general and administrative ("G&A") expenses were $5.7 million, an increase of 16%, from $4.9 million for the quarter ended September 30, 2014.  The increase in G&A expenses versus the same prior year period was mainly attributable to increases in spending on IT and Pain Management initiatives of $0.2 million and increases in compensation and personnel associated with our most recent additions of centers of excellence in Houston and Atlanta of $0.5 million. 

During the quarter ended September 30, 2015, we recorded interest expense of $0.3 million, a decrease of $0.5 million, or 55%, compared to $0.8 million with the same prior year period. This is a direct result of the lower interest rates associated with the Company's new credit facility.

Adjusted EBITDA was $5.0 million for the third quarter of 2015 compared to $4.2 million for the same period in 2014 – an increase of 19%. The Company utilizes Adjusted Net Income and Adjusted EBITDA as a means to measure its operating performance.  A reconciliation table from GAAP operating measures to Adjusted Net Income and Adjusted EBITDA, both non-GAAP measures, can be found in the appendix.

Financial Condition

Cash provided by operating activities for the nine months ended September 30, 2015 was $5.4 million compared to $4.2 million for the nine months ended September 30, 2014.  This increase is due to higher amounts of non-cash expenses (such as the loss on the extinguishment of debt, stock based compensation, depreciation and amortization) in the current period.

Cash used in investing activities was $12.7 million for the nine months ended September 30, 2015 compared to cash used of $2.0 million for the nine months ended September 30, 2014.  The increase in cash used was due to $5.9 million for the acquisition of Ciscura, a $0.7 million increase in spending on non-pump assets, which was a direct result of a significant ongoing investment in IT, $1.5 million increase in cash used to purchase medical equipment and $2.5 million less in cash proceeds from sale of medical equipment.  The Company bought $6.9 million of infusion pumps during the nine month period ended September 30, 2015 to serve new rental business anticipated for the remainder of 2015 and into 2016.

During the nine month period ended September 30, 2015, the Company entered into a new five-year senior secured credit agreement comprised of a $27.0 million Term Loan A, an $8.0 million Term Loan B and a $10.0 million revolving credit facility ("Revolver"). Term Loan B was unfunded at closing and as of September 30, 2015, had a balance of $6.3 million with an additional $1.7 million available to be drawn under certain conditions for acquisitions. The new credit facility strengthens the Company's balance sheet and reduced the Company's interest rate to 3.00% from the previous interest rate of 7.75%.

As of September 30, 2015, we had cash and cash equivalents of $1.0 million and $9.9 million of net availability under the Revolver compared to $0.5 million of cash and cash equivalents and $6.6 million of availability under our prior Revolver at December 31, 2014.

Jonathan P. Foster, chief financial officer, commented, "Interest expense for the third quarter of 2015 was reduced by 55% as a function of the refinancing of our credit facility, with JP Morgan Chase, in the previous quarter, favorably impacting the bottom line of the Company. During the quarter, we once again made optional pre-payments on our Term Loan A with Chase. We have now prepaid two quarters with regard to the Term Loan A with JP Morgan Chase, which will allow us to grow the Company effectively while responsibly servicing that debt and driving value for our shareholders."

Guidance

The Company reaffirms its 2015 Guidance of double-digit Net Collected Revenue growth for fiscal year 2015.

Conference Call

The Company will conduct a conference call for investors on Thursday, November 12, 2015 at 11:00 a.m. Eastern Time to discuss third quarter performance and results.  Eric K. Steen, chief executive officer, Jan Skonieczny, chief operating officer, Jonathan P. Foster, chief financial officer, and Michael McReynolds, chief information officer, will discuss the Company's financial performance and answer questions from the financial community. To participate in this call, please dial in toll-free (800) 446-1671 and use the confirmation number 41165582. This press release will be available on most financial websites. Additionally, a web replay will be available on the Company's website for 30 days.

Non-GAAP Measures

This press release contains information prepared in conformity with GAAP as well as non-GAAP information. It is management's intent to provide non-GAAP financial information in order to enhance readers' understanding of its consolidated financial information as prepared in accordance with GAAP. 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.  Each non-GAAP financial measure and the corresponding GAAP financial measures are presented so as to not imply that more emphasis should be placed on the non-GAAP measure. The non-GAAP financial information presented may be determined or calculated differently by other companies.  Additional information about non-GAAP financial measures and a reconciliation of those measures to the most directly comparable GAAP measures are included later in this release.

About InfuSystem Holdings, Inc.

InfuSystem Holdings, Inc. is a leading provider of infusion pumps and related services to hospitals, oncology practices and other alternate site healthcare providers.  Headquartered in Madison Heights, Michigan, the Company delivers local, field-based customer support and also operates Centers of Excellence in Michigan, Kansas, California, Texas, Georgia and Ontario, Canada.  The Company's stock is traded on the NYSE MKT under the symbol INFU.

Forward-Looking Statements

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 (the "Securities Act") and Section 21E of the Securities Exchange Act of 1934, as amended (the "Exchange Act"). 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.  However, the absence of these words or similar expressions does not mean that a statement is not forward-looking.  In connection with the "safe harbor" provisions of the Private Securities Litigation Reform Act of 1995, the Company is identifying certain factors that could cause actual results to differ, perhaps materially, from those indicated by these forward-looking statements. Those factors, risks and uncertainties include, but are not limited to, potential changes in overall healthcare reimbursement,  including the Centers for Medicare and Medicaid Services competitive bidding, sequestration, concentration of customers, increased focus on early detection of cancer, competitive treatments, dependency on Medicare Supplier Number, availability of chemotherapy drugs, global financial conditions, changes and enforcement of state and federal laws, natural forces, competition, dependency on suppliers, risks in acquisitions & joint ventures, U.S. Healthcare Reform, relationships with healthcare professionals and organizations, technological changes related to infusion therapy, dependency on websites and intellectual property, the ability of the Company to successfully integrate acquired businesses, dependency on key personnel, dependency on banking relations and covenants, and other risks associated with our common stock, as well as any litigation to which the Company may be involved in from time to time; and other risk factors as discussed in the Company's annual report on Form 10-K for the year ended December 31, 2014 and in other filings made by the Company from time to time with the Securities and Exchange Commission, including subsequent quarterly reports on our Form 10-Q.  Our annual report on Form 10-K is available on the SEC's EDGAR website at www.sec.gov, and a copy may also be obtained by contacting the Company.  All forward-looking statements made in this press release speak only as of the date hereof.  We do not intend, and do not undertake any obligation, to update any forward-looking statements to reflect future events or circumstances after the date of such statements.

Additional information about InfuSystem Holdings, Inc. is available at www.infusystem.com.

FINANCIAL TABLES FOLLOW

 

INFUSYSTEM HOLDINGS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS



As of


September 30,


December 31,

(in thousands, except share data)

2015


2014


(Unaudited)



ASSETS




Current Assets:




           Cash and cash equivalents

$                   989


$                  515

           Accounts receivable, less allowance for doubtful accounts of $4,938and $4,739 at September 30, 2015 and December 31, 2014, respectively




13,584


10,300

           Inventory

1,907


1,758

           Other current assets

824


633

           Deferred income taxes

2,252


2,252





                      Total Current Assets

19,556


15,458

Medical equipment held for sale or rental

2,032


2,255

Medical equipment in rental service, net of accumulated depreciation

24,831


19,814

Property & equipment, net of accumulated depreciation

2,321


2,451

Deferred debt issuance costs, net

142


1,194

Goodwill

1,000


-

Intangible assets, net

30,726


25,073

Deferred income taxes

12,944


13,756

Other assets

225


212





           Total Assets

$              93,777


$             80,213





LIABILITIES AND STOCKHOLDERS' EQUITY




Current Liabilities:




          Accounts payable

$                5,526


$               5,215

          Current portion of long-term debt

5,266


6,452

          Other current liabilities

4,018


3,062





                      Total Current Liabilities

14,810


14,729

Long-term debt, net of current portion

29,969


19,032









          Total Liabilities

$              44,779


$             33,761





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 22,665,069 and 22,467,409, respectively, as of September 30, 2015 and 22,506,421 and 22,308,730, respectively, as of December 31, 2014







2


2

Additional paid-in capital

90,964


90,155


-



Retained deficit

(41,968)


(43,705)





Total Stockholders' Equity

48,998


46,452





          Total Liabilities and Stockholders' Equity

$             93,777


$             80,213

 

INFUSYSTEM HOLDINGS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(UNAUDITED)



Three Months Ended


Nine Months Ended

(in thousands, except share and per share data)

September 30


September 30


2015


2014


2015


2014

Net revenues: 








Rentals

$     16,849


$      14,505


$      47,604


$      44,150

Product Sales

1,843


2,108


4,983


6,077

Net revenues

18,692


16,613


52,587


50,227









Cost of revenues:








Cost of revenues — Product, service and supply costs 

3,580


3,221


10,251


9,024

Cost of revenues — Pump depreciation and disposals 

1,854


1,662


5,135


5,474









Gross profit 

13,258


11,730


37,201


35,729









Selling, general and administrative expenses:








Provision for doubtful accounts 

1,453


1,266


3,790


4,811

Amortization of intangibles 

756


622


2,100


1,876









Selling and marketing 

2,655


2,483


8,079


7,762

General and administrative 

5,683


4,916


17,652


14,723









Total selling, general and administrative

10,547


9,287


31,621


29,172









Operating income

2,711


2,443


5,580


6,557

Other income (expense):
















Interest expense 

(338)


(752)


(1,397)


(2,355)

Loss on extinguishment of long term debt

-


-


(1,599)


-

Other (expense) income

(47)


3


(28)


26









Total other expense

(385)


(749)


(3,024)


(2,329)









Income before income taxes 

2,326


1,694


2,556


4,228

Income tax expense

(957)


(842)


(819)


(1,907)

Net income

$       1,369


$           852


$        1,737


$        2,321









Net income per share:








Basic 

$         0.06


$          0.04


$          0.08


$          0.10

Diluted 

$         0.06


$          0.04


$          0.08


$          0.10

Weighted average shares outstanding:








Basic 

22,448,849


22,203,053


22,380,202


22,108,143

Diluted 

22,838,371


22,511,159


22,769,715


22,364,999

 

INFUSYSTEM HOLDINGS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(UNAUDITED)



Nine Months Ended


September 30

(in thousands)

2015


2014


NET CASH PROVIDED BY OPERATING ACTIVITIES 

$     5,385


$     4,204





INVESTING ACTIVITIES




Acquisition of business

(5,899)


-

Purchase of medical equipment and property

(9,390)


(7,168)

Proceeds from sale of medical equipment and property

2,599


5,193

NET CASH USED IN INVESTING ACTIVITIES 

(12,690)


(1,975)





FINANCING ACTIVITIES




Principal payments on revolving credit facility, term loans and capital lease obligations

(52,681)


(49,101)

Cash proceeds from revolving credit facility

60,605


47,814

Debt issuance costs

(157)


-

Common stock repurchased to satisfy statutory withholding on employee stock based compensation plans




(144)


(178)

Cash proceeds from stock plans

156


-

NET CASH PROVIDED BY (USED IN) FINANCING ACTIVITIES 

7,779


(1,465)





Net change in cash and cash equivalents 

474


764

Cash and cash equivalents, beginning of period 

515


1,138

Cash and cash equivalents, end of period 

$        989


$     1,902

 

INFUSYSTEM HOLDINGS, INC. AND SUBSIDIARIES

NON-GAAP RECONCILIATION

(UNAUDITED)


NET INCOME TO ADJUSTED EBITDA:



Three Months Ended


Nine Months Ended



September 30,


September 30,

(in thousands)


2015


2014


2015


2014










Net income


$         1,369


$            852


$         1,737


$         2,321

Adjustments:









  Interest expense


338


752


1,397


2,355

  Income tax expense


957


842


819


1,907

  Depreciation


1,414


938


3,746


2,595

  Amortization


756


622


2,100


1,876










EBITDA


$       4,834


$       4,006


$       9,799


$     11,054










Stock compensation


179


145


796


417

Loss on early extinguishment of long term debt


-


-


1,599


-

Strategic alternative/transition costs


22


-


628


-










EBITDA - Adjusted


$       5,035


$       4,151


$     12,822


$     11,471




























OPERATING INCOME TO ADJUSTED NET INCOME:










Three Months Ended


Nine Months Ended



September 30,


September 30,

(in thousands)


2015


2014


2015


2014










Operating income


$         2,711


$         2,443


$         5,580


$         6,557

Adjustments:









  Strategic alternative/transition costs


22


-


628


-

  Interest expense


(338)


(752)


(1,397)


(2,355)

  Other income


(47)


3


(28)


26










Income before income taxes - adjusted


$         2,348


$         1,694


$         4,783


$         4,228










Income tax expense


963


847


1,531


1,903










NET INCOME - adjusted


$        1,385


$           847


$        3,252


$        2,325










Net income per share:









                                 Basic


$       0.0617


$       0.0381


$       0.1453


$       0.1052

                                 Diluted


$       0.0606


$       0.0376


$       0.1428


$       0.1040

Weighted average shares outstanding:









                                 Basic


22,448,849


22,203,053


22,380,202


22,108,143

                                 Diluted


22,838,371


22,511,159


22,769,715


22,364,999

 

CONTACT:   

Joe Dorame, Joe Diaz & Robert Blum


Lytham Partners, LLC


602-889-9700

 

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SOURCE InfuSystem Holdings, Inc.