InfuSystem Reports Second Quarter 2025 Financial Results
Record Net Revenues of
Net income of
Adjusted EBITDA (non-GAAP) of
Adjusted EBITDA (non-GAAP) margin expanded by
Year-to-Date Net Operating Cash Flow of
Stock Repurchases totaled
2025 Second Quarter Overview:
-
Net revenues totaled
, an increase of$36.0 million 7% vs. prior year.-
Patient Services net revenue was
, an increase of$21.5 million 6% vs. prior year. -
Device Solutions net revenue was
, an increase of$14.5 million 8% vs. prior year.
-
Patient Services net revenue was
-
Gross profit was
, an increase of$19.9 million 19% vs. prior year. -
Gross margin was
55.2% , an increase of5.7% vs. prior year. -
Net income was
, or$2.6 million per diluted share vs. prior year net income of$0.12 , or$0.7 million per diluted share.$0.03 -
Adjusted earnings before interest, income taxes, depreciation, and amortization (“Adjusted EBITDA”) (non-GAAP) was
, an increase of$8.0 million 32% vs. prior year. -
Adjusted EBITDA (non-GAAP) margin increased
4.3% to22.3% vs.18.0% prior year. -
Net operating cash flow was up
227% to , as of June 30, 2025.$8.8 million -
Stock Repurchases totaled approximately
for the quarter.$3.5 million -
Company liquidity totaled
, as of June 30, 2025.$49.1 million
Management Discussion
Carrie Lachance, Chief Executive Officer of InfuSystem, commented, “We delivered strong second quarter financial results, highlighted by margin expansion, robust cash flow generation and meaningful profitability. Revenue grew
“For the second quarter, Patient Services revenue increased
“Looking ahead, we are focused on expanding margins and improving profitability. Accordingly, we are raising our full year 2025 outlook for Adjusted EBITDA margin to
2025 Second Quarter Financial Review
Net revenues for the quarter ended June 30, 2025 were
Patient Services net revenue of
Device Solutions net revenue of
Gross profit for the second quarter of 2025 of
Patient Services gross profit was
Device Solutions gross profit during the second quarter of 2025 was
Selling and marketing expenses were
General and administrative (“G&A”) expenses for the second quarter of 2025 were
Net income for the second quarter of 2025 was
Adjusted EBITDA, a non-GAAP measure, for the second quarter of 2025 was
Balance sheet, cash flows and liquidity
During the six-month period ended June 30, 2025, operating cash flow increased to
As of June 30, 2025, available liquidity for the Company totaled
Full Year 2025 Guidance
InfuSystem is updating its annual guidance for the full year 2025 with net revenue growth estimated to be in the
The full year 2025 guidance reflects management’s current expectations for operational performance, given the current market conditions. This includes our best estimate of revenue and Adjusted EBITDA. 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, 2024, filed on March 11, 2025. 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 Tuesday, August 5, 2025, at 9:00 a.m. Eastern Time to discuss its second quarter 2025 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 5094847, through August 12, 2025.
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 healthcare 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 last-mile solutions 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
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 ended June 30, 2025 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 any 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
|
|||||||||||||||
|
Three Months Ended June 30, |
|
Six Months Ended June 30, |
||||||||||||
(in thousands, except share and per share data) |
|
2025 |
|
|
|
2024 |
|
|
|
2025 |
|
|
|
2024 |
|
|
|
|
|
|
|
|
|
||||||||
Net revenues |
$ |
36,002 |
|
|
$ |
33,698 |
|
|
$ |
70,718 |
|
|
$ |
65,693 |
|
Cost of revenues |
|
16,128 |
|
|
|
17,030 |
|
|
|
31,677 |
|
|
|
32,551 |
|
Gross profit |
|
19,874 |
|
|
|
16,668 |
|
|
|
39,041 |
|
|
|
33,142 |
|
|
|
|
|
|
|
|
|
||||||||
Selling, general and administrative expenses: |
|
|
|
|
|
|
|
||||||||
Amortization of intangibles |
|
247 |
|
|
|
247 |
|
|
|
495 |
|
|
|
495 |
|
Selling and marketing |
|
2,704 |
|
|
|
3,042 |
|
|
|
5,689 |
|
|
|
6,418 |
|
General and administrative |
|
13,146 |
|
|
|
11,524 |
|
|
|
28,462 |
|
|
|
25,219 |
|
|
|
|
|
|
|
|
|
||||||||
Total selling, general and administrative |
|
16,097 |
|
|
|
14,813 |
|
|
|
34,646 |
|
|
|
32,132 |
|
|
|
|
|
|
|
|
|
||||||||
Operating income |
|
3,777 |
|
|
|
1,855 |
|
|
|
4,395 |
|
|
|
1,010 |
|
Other expense: |
|
|
|
|
|
|
|
||||||||
Interest expense |
|
(373 |
) |
|
|
(484 |
) |
|
|
(709 |
) |
|
|
(940 |
) |
Other income (expense) |
|
42 |
|
|
|
(63 |
) |
|
|
13 |
|
|
|
(60 |
) |
|
|
|
|
|
|
|
|
||||||||
Income before income taxes |
|
3,446 |
|
|
|
1,308 |
|
|
|
3,699 |
|
|
|
10 |
|
Provision for income taxes |
|
(847 |
) |
|
|
(591 |
) |
|
|
(1,367 |
) |
|
|
(405 |
) |
Net income (loss) |
$ |
2,599 |
|
|
$ |
717 |
|
|
$ |
2,332 |
|
|
$ |
(395 |
) |
Net income (loss) per share: |
|
|
|
|
|
|
|
||||||||
Basic |
$ |
0.12 |
|
|
$ |
0.03 |
|
|
$ |
0.11 |
|
|
$ |
(0.02 |
) |
Diluted |
$ |
0.12 |
|
|
$ |
0.03 |
|
|
$ |
0.11 |
|
|
$ |
(0.02 |
) |
Weighted average shares outstanding: |
|
|
|
|
|
|
|
||||||||
Basic |
|
20,806,967 |
|
|
|
21,299,089 |
|
|
|
20,965,114 |
|
|
|
21,262,429 |
|
Diluted |
|
21,056,460 |
|
|
|
21,711,198 |
|
|
|
21,288,370 |
|
|
|
21,262,429 |
|
INFUSYSTEM HOLDINGS, INC. AND SUBSIDIARIES
|
||||||||||||
|
|
Three Months Ended June 30, |
|
Better/ (Worse) |
||||||||
(in thousands) |
|
|
2025 |
|
|
|
2024 |
|
|
|||
|
|
|
|
|
|
|
||||||
Net revenues: |
|
|
|
|
|
|
||||||
Patient Services |
|
$ |
21,518 |
|
|
$ |
20,246 |
|
|
$ |
1,272 |
|
Device Solutions |
|
|
16,255 |
|
|
|
15,194 |
|
|
|
1,061 |
|
Less: elimination of inter-segment revenues (a) |
|
|
(1,771 |
) |
|
|
(1,742 |
) |
|
|
(29 |
) |
Total Device Solutions |
|
|
14,484 |
|
|
|
13,452 |
|
|
|
1,032 |
|
Total |
|
|
36,002 |
|
|
|
33,698 |
|
|
|
2,304 |
|
Gross profit: |
|
|
|
|
|
|
||||||
Patient Services |
|
|
13,803 |
|
|
|
13,444 |
|
|
|
359 |
|
Device Solutions |
|
|
6,071 |
|
|
|
3,224 |
|
|
|
2,847 |
|
Total |
|
$ |
19,874 |
|
|
$ |
16,668 |
|
|
$ |
3,206 |
|
(a) |
Inter-segment allocations are for cleaning and repair services performed on medical equipment. |
|
|
Six Months Ended June 30, |
|
Better/ (Worse) |
||||||||
(in thousands) |
|
|
2025 |
|
|
|
2024 |
|
|
|||
|
|
|
|
|
|
|
||||||
Net revenues: |
|
|
|
|
|
|
||||||
Patient Services |
|
$ |
42,292 |
|
|
$ |
38,837 |
|
|
$ |
3,455 |
|
Device Solutions |
|
|
32,079 |
|
|
|
30,311 |
|
|
|
1,768 |
|
Less: elimination of inter-segment revenues (a) |
|
|
(3,653 |
) |
|
|
(3,455 |
) |
|
|
(198 |
) |
Total Device Solutions |
|
|
28,426 |
|
|
|
26,856 |
|
|
|
1,570 |
|
Total |
|
|
70,718 |
|
|
|
65,693 |
|
|
|
5,025 |
|
Gross profit: |
|
|
|
|
|
|
||||||
Patient Services |
|
|
26,988 |
|
|
|
25,718 |
|
|
|
1,270 |
|
Device Solutions |
|
|
12,053 |
|
|
|
7,424 |
|
|
|
4,629 |
|
Total |
|
$ |
39,041 |
|
|
$ |
33,142 |
|
|
$ |
5,899 |
|
(a) |
Inter-segment allocations are for cleaning and repair services performed on medical equipment. |
INFUSYSTEM HOLDINGS, INC. AND SUBSIDIARIES
|
||||||||||||||||
NET INCOME TO EBITDA, ADJUSTED EBITDA, NET INCOME MARGIN AND ADJUSTED EBITDA MARGIN: |
||||||||||||||||
|
|
Three Months Ended June 30, |
|
Six Months Ended June 30, |
||||||||||||
(in thousands) |
|
|
2025 |
|
|
|
2024 |
|
|
|
2025 |
|
|
|
2024 |
|
|
|
|
|
|
|
|
|
|
||||||||
GAAP net income (loss) |
|
$ |
2,599 |
|
|
$ |
717 |
|
|
$ |
2,332 |
|
|
$ |
(395 |
) |
Adjustments: |
|
|
|
|
|
|
|
|
||||||||
Interest expense |
|
|
373 |
|
|
|
484 |
|
|
|
709 |
|
|
|
940 |
|
Income tax provision |
|
|
847 |
|
|
|
591 |
|
|
|
1,367 |
|
|
|
405 |
|
Depreciation |
|
|
3,094 |
|
|
|
2,786 |
|
|
|
6,166 |
|
|
|
5,438 |
|
Amortization |
|
|
247 |
|
|
|
247 |
|
|
|
495 |
|
|
|
495 |
|
|
|
|
|
|
|
|
|
|
||||||||
Non-GAAP EBITDA |
|
$ |
7,160 |
|
|
$ |
4,825 |
|
|
$ |
11,069 |
|
|
$ |
6,883 |
|
|
|
|
|
|
|
|
|
|
||||||||
Stock compensation costs |
|
|
661 |
|
|
|
998 |
|
|
|
1,769 |
|
|
|
2,055 |
|
Medical equipment reserve and disposals (1) |
|
|
93 |
|
|
|
231 |
|
|
|
315 |
|
|
|
127 |
|
Management reorganization/transition costs (2) |
|
|
27 |
|
|
|
— |
|
|
|
1,055 |
|
|
|
108 |
|
Cooperation Agreement payment and associated legal expenses |
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
649 |
|
Certain other non-recurring costs |
|
|
85 |
|
|
|
20 |
|
|
|
141 |
|
|
|
109 |
|
|
|
|
|
|
|
|
|
|
||||||||
Non-GAAP Adjusted EBITDA |
|
$ |
8,026 |
|
|
$ |
6,074 |
|
|
$ |
14,349 |
|
|
$ |
9,931 |
|
|
|
|
|
|
|
|
|
|
||||||||
GAAP Net Revenues |
|
$ |
36,002 |
|
|
$ |
33,698 |
|
|
$ |
70,718 |
|
|
$ |
65,693 |
|
Net Income (Loss) Margin (3) |
|
|
7.2 |
% |
|
|
2.1 |
% |
|
|
3.3 |
% |
|
|
(0.6 |
)% |
Non-GAAP Adjusted EBITDA Margin (4) |
|
|
22.3 |
% |
|
|
18.0 |
% |
|
|
20.3 |
% |
|
|
15.1 |
% |
Business Application (“ERP”) Upgrade Investment (5) |
|
$ |
632 |
|
|
$ |
51 |
|
|
$ |
1,098 |
|
|
$ |
51 |
|
(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) |
Includes severance compensation for the outgoing CEO totaling |
(3) |
Net Income (Loss) Margin is defined as GAAP Net Income as a percentage of GAAP Net Revenues. |
(4) |
Non-GAAP Adjusted EBITDA Margin is defined as Non-GAAP Adjusted EBITDA as a percentage of GAAP Net Revenues. |
(5) |
Represents expenses associated with a project to upgrade the Company’s information technology and business applications including a replacement of our main enterprise resource planning (“ERP”) application. The project was launched during the second quarter of 2024 and is expected to be completed during the first quarter of 2026. Amounts are included in GAAP net income and have not been added back in the measurement of Non-GAAP Adjusted EBITDA. |
INFUSYSTEM HOLDINGS, INC. AND SUBSIDIARIES
|
||||||||
|
|
As of |
||||||
(in thousands, except par value and share data) |
|
June 30, 2025 |
|
December 31, 2024 |
||||
|
|
|
|
|
||||
ASSETS |
|
|
|
|
||||
Current assets: |
|
|
|
|
||||
Cash and cash equivalents |
|
$ |
720 |
|
|
$ |
527 |
|
Accounts receivable, net |
|
|
24,481 |
|
|
|
21,155 |
|
Inventories, net |
|
|
5,668 |
|
|
|
6,528 |
|
Other current assets |
|
|
3,931 |
|
|
|
3,955 |
|
|
|
|
|
|
||||
Total current assets |
|
|
34,800 |
|
|
|
32,165 |
|
Medical equipment for sale or rental |
|
|
2,314 |
|
|
|
3,157 |
|
Medical equipment in rental service, net of accumulated depreciation |
|
|
36,862 |
|
|
|
39,175 |
|
Property & equipment, net of accumulated depreciation |
|
|
3,808 |
|
|
|
4,030 |
|
Goodwill |
|
|
3,710 |
|
|
|
3,710 |
|
Intangible assets, net |
|
|
7,150 |
|
|
|
6,456 |
|
Operating lease right of use assets |
|
|
4,868 |
|
|
|
5,374 |
|
Deferred income taxes |
|
|
5,956 |
|
|
|
7,188 |
|
Derivative financial instruments |
|
|
949 |
|
|
|
1,481 |
|
Other assets |
|
|
432 |
|
|
|
878 |
|
|
|
|
|
|
||||
Total assets |
|
$ |
100,849 |
|
|
$ |
103,614 |
|
|
|
|
|
|
||||
LIABILITIES AND STOCKHOLDERS’ EQUITY |
|
|
|
|
||||
Current liabilities: |
|
|
|
|
||||
Accounts payable |
|
$ |
9,318 |
|
|
$ |
9,848 |
|
Other current liabilities |
|
|
6,543 |
|
|
|
7,813 |
|
|
|
|
|
|
||||
Total current liabilities |
|
|
15,861 |
|
|
|
17,661 |
|
Long-term debt |
|
|
26,347 |
|
|
|
23,864 |
|
Operating lease liabilities, net of current portion |
|
|
4,107 |
|
|
|
4,560 |
|
|
|
|
|
|
||||
Total liabilities |
|
|
46,315 |
|
|
|
46,085 |
|
|
|
|
|
|
||||
Stockholders’ equity: |
|
|
|
|
||||
Preferred stock, |
|
|
— |
|
|
|
— |
|
Common stock, |
|
|
2 |
|
|
|
2 |
|
Additional paid-in capital |
|
|
115,338 |
|
|
|
113,868 |
|
Accumulated other comprehensive income |
|
|
717 |
|
|
|
1,119 |
|
Retained deficit |
|
|
(61,523 |
) |
|
|
(57,460 |
) |
|
|
|
|
|
||||
Total stockholders’ equity |
|
|
54,534 |
|
|
|
57,529 |
|
|
|
|
|
|
||||
Total liabilities and stockholders’ equity |
|
$ |
100,849 |
|
|
$ |
103,614 |
|
INFUSYSTEM HOLDINGS, INC. AND SUBSIDIARIES
|
||||||||
|
|
Six Months Ended June 30, |
||||||
(in thousands) |
|
|
2025 |
|
|
|
2024 |
|
|
|
|
|
|
||||
OPERATING ACTIVITIES |
|
|
|
|
||||
Net income (loss) |
|
$ |
2,332 |
|
|
$ |
(395 |
) |
Adjustments to reconcile net income (loss) to net cash provided by operating activities: |
|
|
|
|
||||
Provision for doubtful accounts |
|
|
39 |
|
|
|
(194 |
) |
Depreciation |
|
|
6,166 |
|
|
|
5,438 |
|
Loss on disposal of and reserve adjustments for medical equipment |
|
|
380 |
|
|
|
316 |
|
Gain on sale of medical equipment |
|
|
(1,723 |
) |
|
|
(1,036 |
) |
Amortization of intangible assets |
|
|
495 |
|
|
|
495 |
|
Amortization of deferred debt issuance costs |
|
|
39 |
|
|
|
39 |
|
Stock-based compensation |
|
|
1,769 |
|
|
|
2,055 |
|
Deferred income taxes |
|
|
1,363 |
|
|
|
405 |
|
Changes in assets - (increase)/decrease: |
|
|
|
|
||||
Accounts receivable |
|
|
(2,089 |
) |
|
|
(1,203 |
) |
Inventories |
|
|
863 |
|
|
|
(437 |
) |
Other current assets |
|
|
24 |
|
|
|
(446 |
) |
Other assets |
|
|
1,106 |
|
|
|
914 |
|
Changes in liabilities - (decrease)/increase: |
|
|
|
|
||||
Accounts payable and other liabilities |
|
|
(1,975 |
) |
|
|
(3,265 |
) |
NET CASH PROVIDED BY OPERATING ACTIVITIES |
|
|
8,789 |
|
|
|
2,686 |
|
|
|
|
|
|
||||
INVESTING ACTIVITIES |
|
|
|
|
||||
Acquisition of business |
|
|
(1,412 |
) |
|
|
— |
|
Purchase of medical equipment |
|
|
(4,314 |
) |
|
|
(8,796 |
) |
Purchase of property and equipment |
|
|
(348 |
) |
|
|
(519 |
) |
Proceeds from sale of medical equipment, property and equipment |
|
|
1,728 |
|
|
|
2,201 |
|
NET CASH USED IN INVESTING ACTIVITIES |
|
|
(4,346 |
) |
|
|
(7,114 |
) |
|
|
|
|
|
||||
FINANCING ACTIVITIES |
|
|
|
|
||||
Principal payments on long-term debt |
|
|
(30,261 |
) |
|
|
(26,744 |
) |
Cash proceeds from long-term debt |
|
|
32,717 |
|
|
|
31,769 |
|
Debt issuance costs |
|
|
(12 |
) |
|
|
— |
|
Common stock repurchased as part of share repurchase program |
|
|
(6,395 |
) |
|
|
(283 |
) |
Common stock repurchased to satisfy statutory withholding on employee stock-based compensation plans |
|
|
(458 |
) |
|
|
(624 |
) |
Cash proceeds from exercise of options and ESPP |
|
|
159 |
|
|
|
225 |
|
NET CASH (USED IN) PROVIDED BY FINANCING ACTIVITIES |
|
|
(4,250 |
) |
|
|
4,343 |
|
|
|
|
|
|
||||
Net change in cash and cash equivalents |
|
|
193 |
|
|
|
(85 |
) |
Cash and cash equivalents, beginning of period |
|
|
527 |
|
|
|
231 |
|
Cash and cash equivalents, end of period |
|
$ |
720 |
|
|
$ |
146 |
|
View source version on businesswire.com: https://www.businesswire.com/news/home/20250805817849/en/
Joe Dorame, Joe Diaz & Robert Blum
Lytham Partners, LLC
602-889-9700
Source: InfuSystem Holdings, Inc.