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InfuSystem Holdings, Inc. Reports Second Quarter 2016 Financial Results

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Second Quarter 2016 Net Revenues UP 11%

MADISON HEIGHTS, Mich., Aug. 10, 2016 /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 June 30, 2016.

InfuSystem Holdings, Inc. is the 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 and Ontario, Canada.

Highlights for the second quarter of 2016 included:

  • Net Revenues totaled $19.1 million, an increase of 11% versus second quarter 2015 net revenues of $17.2 million.
  • Net Collected Revenues increased 12% over last year's comparable quarter.
  • Net Collected Rental Revenues increased 11% over last year's comparable quarter.
  • Product sales increased 21% to $1.9 million over last year's comparable quarter.
  • Bad debt decreased 7% for the quarter compared to the prior year period, as a result of the Company's increased focus on new payor contracts and patient collections.
  • Net Income of $0.7 million, or diluted EPS of $0.03, compared to second quarter 2015 net income of $0.8 million or diluted EPS of $0.03.
  • AEBITDA increased 10% to $4.3 million and AEBITDA margin was 22.8%.
  • The Company purchased $2.7 million in the second quarter and $5.8 million YTD of medical equipment in rental service expected to be deployed during the second half of the year.

Management Discussion

Eric K. Steen, chief executive officer of InfuSystem, said, "In the face of sweeping changes by the federal government to the Medicare patient ambulatory pump reimbursement process during the second quarter, which has been described in detail in our SEC filings, our team achieved double-digit growth with a 10% increase in our net rental revenues driven by a 24% increase in our direct rental business. During the first half of the year we added 116 new customers and we deployed a record of approximately 2,500 infusion pumps into the oncology market; setting the stage for strong revenue growth in the second half of 2016. I am pleased with the dedication, hard work and focus of all our employees to quickly adapt and work with our customers to navigate through the new CMS reimbursement changes."

Mr. Steen continued, "We continued to expand the rollout of our new EXPRESS system, as we now have approximately 1,375 medical facilities converted to our new connectivity system. InfuSystem EXPRESS delivers significant operating efficiencies to our customers by eliminating duplicate data entry and errors associated with human input.  Also, we are directly integrated to the electronic medical record system with 114 facilities utilizing our InfuBus™ integration engine."

Mr. Steen concluded, "It is important to note that upon placement of an infusion pump with new large hospital customers, it can take up to 6 months before we start to recognize revenue from that pump. Given the record number of pumps that have been deployed in the first half of the year and the number of new customers added to our base, we expect that our gross margins will be positively impacted as deployments slow from recent record levels and we recognize the additional revenue. Our goal is to continue to build off this positive momentum, deliver meaningful IT solutions, diversify our revenue stream and finish the year with solid top- and bottom-line growth."

Second Quarter Results

Net Revenues in the second quarter of 2016 were $19.1 million, an increase of $1.9 million, or 11%, from $17.2 million in the second quarter of 2015. Net Rental revenues increased 10% to $17.2 million; net revenues from product sales, mainly disposables, increased 21% to $1.9 million from the second quarter of 2015. The increase in net revenues can be attributed to greater rental volume with new and existing sites of therapy, partially offset by a higher mix of Medicaid and patient payors in our rental business, which generally have lower collection rates than commercial payors. 

The Company is focused on net rental revenues less bad debt ("Net Collected Rental Revenues") versus prior year. Net Collected Rental Revenues increased 11% to $16.1 million versus $14.5 million in the comparable quarter of 2015. Bad debt as a percentage of net revenues decreased to 6% compared to 7% for the same prior year period.  

Net income in the second quarter was $0.7 million, equal to $0.03 per diluted share, compared to net income of $0.8 million, or $0.03 per diluted share, in the same prior year period.  Adjusted net income, adding back interest expense and other income and expenses was $0.8 million, or $0.04 per diluted share, compared to $1.1 million, or $0.05 per diluted share, in the same prior year period.

Gross profit for the three months ended June 30, 2016 was $12.1 million, an increase of $0.2 million, or 2%, from $11.9 million in the second quarter of 2015. It represented 63% of net revenues in the second quarter compared to 69% in the prior year period. The decrease in gross profit as a percentage of net revenues for the period is mainly due to the increase in cost of revenues – product and supply costs, including $0.5 million for additional depreciation on newly purchased pumps.

During the three months ended June 30, 2016, general and administrative ("G&A") expenses were $6.4 million, an increase of $0.4 million, or 7%, compared to $6.0 million for the same prior year period. The increase in G&A expenses versus the same prior year period was mainly attributable to increases in spending on IT of $0.9 million, offset by decreases in stock compensation expense and professional fees of $0.5 million. 

Selling and marketing expenses for the 2016 second quarter were $2.3 million, a decrease of $0.4 million, or 14%, compared to $2.7 million in the second quarter of 2015. Other expenses for the second quarter of 2016 were $0.3 million compared to $0.4 million for 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 $4.3 million, an increase of 10% for the second quarter of 2016 compared to $3.9 million for the same period in 2015. The Company utilizes Adjusted Net Income and Adjusted EBITDA as a means to measure its operating performance.  A reconciliation from GAAP operating measures to Adjusted Net Income and Adjusted EBITDA, both non-GAAP measures, can be found in the appendix.  Adjustments during the quarter were for severance related to our sales force management restructure and for costs associated in identifying and investigating strategic alternatives.

Financial Condition

Cash provided by operating activities for the six months ended June 30, 2016 was $1.9 million compared to $3.8 million for the six months ended June 30, 2015. This decrease is mainly due to increases in accounts receivable and decreases in other current liabilities.

Cash used in investing activities was $5.4 million for the six months ended June 30, 2016, compared to cash used of $11.4 million for the six months ended June 30, 2015. The decrease in cash used was due primarily to the $3.8 million payment for the Ciscura acquisition made during the six months ended June 30, 2015. The Company has spent approximately $2.5 million on IT capital projects for the year. There was also a decrease in spending on non-pump assets of $0.1 million and a $0.9 million increase in cash used to purchase medical equipment.

As of June 30, 2016, the Company maintained cash and cash equivalents of $0.8 million and $3.3 million of net availability under the Revolver compared to $0.8 million and $9.9 million, respectively, at December 31, 2015.

Guidance

The Company maintains, for 2016, guidance of high single digit net collected revenue growth.

Conference Call

The Company will conduct a conference call for investors on Wednesday, August 10, 2016 at 11:00 a.m. Eastern Time to discuss second quarter performance and results.  Eric K. Steen, chief executive officer, Jan Skonieczny, chief operating officer, Chris Downs, interim chief financial officer, Trent Smith, chief accounting officer and the Company's outgoing chief financial officer, Jonathan P. Foster 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 43085578. 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 CMS 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, 2015 and in other filings made by the Company from time to time with the Securities and Exchange Commission, including our Form 10-Q for the second quarter of 2016.  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.

CONTACT:

Joe Dorame, Joe Diaz & Robert Blum


Lytham Partners, LLC


602-889-9700

 

FINANCIAL TABLES FOLLOW

 

INFUSYSTEM HOLDINGS, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS




As of


June 30,


December 31,

(in thousands, except share data)

2016


2015


(Unaudited)



ASSETS




Current Assets:




           Cash and cash equivalents

$                    805


$                818

           Accounts receivable, less allowance for doubtful accounts of $4,485 and $4,737 at June 30, 2016 and December 31, 2015, respectively




16,953


14,206

           Inventory

2,096


1,916

           Other current assets

1,207


861

           Deferred income taxes

2,743


2,743





                      Total Current Assets

23,804


20,544

Medical equipment held for sale or rental

1,524


2,277

Medical equipment in rental service, net of accumulated depreciation

29,805


27,837

Property & equipment, net of accumulated depreciation

2,236


2,370

Intangible assets, net

31,855


31,534

Deferred income taxes

10,821


11,502

Other assets

222


251





           Total Assets

$             100,267


$           96,315





LIABILITIES AND STOCKHOLDERS' EQUITY




Current Liabilities:




          Accounts payable

$                 5,346


$             6,586

          Current portion of long-term debt

5,939


5,060

          Other current liabilities

2,560


3,641





                      Total Current Liabilities

13,845


15,287

Long-term debt, net of current portion

33,482


29,750









          Total Liabilities

$               47,327


$           45,037





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 22,821,647 and 22,623,987,respectively, as of June 30, 2016 and 22,739,550 and 22,541,890, respectively, as of December 31, 2015







2


2

Additional paid-in capital

91,681


91,238


-



Retained deficit

(38,743)


(39,962)





Total Stockholders' Equity

52,940


51,278





          Total Liabilities and Stockholders' Equity

$             100,267


$           96,315

 

INFUSYSTEM HOLDINGS, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(UNAUDITED)






Three Months Ended

June 30


Six Months Ended

June 30

(in thousands, except share and per share data)



2016


2015


2016


2015

Net revenues: 








Rentals

$            17,185


$        15,616


$         34,423


$         30,755

Product Sales

1,881


1,554


3,687


3,140

Net revenues

19,066


17,170


38,110


33,895









Cost of revenues:








Cost of revenues — Product, service and supply costs 

4,789


3,656


8,295


6,671

Cost of revenues — Pump depreciation and disposals 

2,191


1,660


4,422


3,281









Gross profit 

12,086


11,854


25,393


23,943









Selling, general and administrative expenses:








Provision for doubtful accounts 

1,067


1,143


2,814


2,337

Amortization of intangibles 

922


713


1,834


1,344

Selling and marketing 

2,324


2,687


5,139


5,424

General and administrative 

6,392


5,994


13,061


11,969









Total selling, general and administrative

10,705


10,537


22,848


21,074









Operating income

1,381


1,317


2,545


2,869

Other income (expense):








Interest expense 

(327)


(387)


(632)


(1,059)

Loss on extinguishment of long term debt

-


-


-


(1,599)

Other income

7


-


27


19









Total other expense

(320)


(387)


(605)


(2,639)









Income before income taxes 

1,061


930


1,940


230

Income tax (expense) benefit

(337)


(147)


(721)


138

Net income

$                 724


$             783


$           1,219


$              368









Net income per share:








Basic 

$                0.03


$            0.03


0.05


0.02

Diluted 

$                0.03


$            0.03


0.05


0.02

Weighted average shares outstanding:








Basic 

22,620,386


22,381,487


22,584,462


22,345,309

Diluted 

23,109,870


22,824,965


23,069,900


22,743,948









 

INFUSYSTEM HOLDINGS, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(UNAUDITED)




Six Months Ended


June 30

(in thousands)

2016


2015

NET CASH PROVIDED BY OPERATING ACTIVITIES 

$      1,869


$      3,787





INVESTING ACTIVITIES




Acquisition of business

-


(3,786)

Purchase of medical equipment and property

(7,187)


(9,474)

Proceeds from sale of medical equipment and property

1,827


1,876

NET CASH USED IN INVESTING ACTIVITIES 

(5,360)


(11,384)





FINANCING ACTIVITIES




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

(29,190)


(43,586)

Cash proceeds from revolving credit facility

32,575


51,546

Debt issuance costs

-


(157)

Common stock repurchased to satisfy statutory withholding on employee 




    stock based compensation plans

(33)


(48)

Cash proceeds from stock plans

126


118

NET CASH PROVIDED BY FINANCING ACTIVITIES 

3,478


7,873





Net change in cash and cash equivalents 

(13)


276

Cash and cash equivalents, beginning of period 

818


515

Cash and cash equivalents, end of period

$         805


$         791

 


INFUSYSTEM HOLDINGS, INC. AND SUBSIDIARIES
NON-GAAP RECONCILIATION
(UNAUDITED)










NET INCOME TO ADJUSTED EBITDA:











Three Months Ended


Six Months Ended



June 30,


June 30,

(in thousands)


2016


2015


2016


2015










Net income


$             724


$             783


$          1,219


$             368

Adjustments:









  Interest expense


327


387


632


1,059

  Income tax expense (benefit)


337


147


721


(138)

  Depreciation


1,730


1,229


3,373


2,332

  Amortization


922


713


1,834


1,344










EBITDA


$          4,040


$          3,259


$          7,779


$          4,965










Stock compensation


137


330


350


617

Loss on early extinguishment of long term debt


-


-


-


1,599

Severance


75


-


75


202

Strategic alternatives/transition costs


95


351


195


404










EBITDA - Adjusted


$          4,347


$          3,940


$          8,399


$          7,787




























OPERATING INCOME TO ADJUSTED NET INCOME:











Three Months Ended


Six Months Ended



June 30,


June 30,

(in thousands)


2016


2015


2016


2015










Operating income


$            1,381


$           1,317


$            2,545


$           2,869

Adjustments:









  Severenace


75


-


75


202

  Strategic altneratives/transition costs


95


351


195


404

  Interest expense


(327)


(387)


(632)


(1,059)

  Other income


7


-


27


19










Income before income taxes - adjusted


$            1,231


$           1,281


$            2,210


$           2,435










Income tax expense


391


202


822


675










NET INCOME - adjusted


$               840


$           1,079


$            1,388


$           1,760










Net income per share:









                                 Basic


$              0.04


$             0.05


$              0.06


$             0.08

                                 Diluted


$              0.04


$             0.05


$              0.06


$             0.08

Weighted average shares outstanding:









                                 Basic


22,620,386


22,381,487


22,584,462


22,345,309

                                 Diluted


23,109,870


22,824,965


23,069,900


22,743,948

   

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SOURCE InfuSystem Holdings, Inc.