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InfuSystem Holdings Reports 14.5% Revenue Increase and Approximately $3.6 Million of Adjusted EBITDA for the Third Quarter of 2008

MADISON HEIGHTS, Mich., Nov. 5 /PRNewswire-FirstCall/ --InfuSystem Holdings, Inc. (OTC Bulletin Board: INHI; INHIW; INHIU), the leading provider of ambulatory infusion pumps and associated clinical services, today announced financial results and provided a business update for the third quarter ended September 30, 2008.

Mr. Steve Watkins, chief executive officer, commented, "We are pleased to report a solid 14.5% increase in revenue for the third quarter of 2008, compared to the results of InfuSystem, Inc. for the same period last year, while under its prior ownership. Since our acquisition of InfuSystem, Inc. during the fourth quarter of 2007, we have generated very strong cash flow. During the third quarter alone, we achieved $3.6 million of adjusted EBITDA and now have approximately $10.8 million of cash and cash equivalents as of September 30, 2008."

"During the third quarter, we signed agreements with 9 new managed care organizations. Our increasing number of contracts and covered lives is further evidence of our overall market penetration and acceptance. We are the only nationwide provider of ambulatory infusion pumps with contracts in place with most national and regional insurance providers. We see this as a significant competitive advantage, since physicians prefer to work with a single provider that can accept insurance from most or all of their patients. Other competitive advantages include: our vast pump selection; our nationwide sales force; and most importantly, our 24-hour staffed nurse hotline for patient questions and assistance. Given these strengths, we continue to explore acquisitions and strategic partnerships that should enable us to expand our product and service offering in order to leverage our deep penetration into oncologist practices across the U.S."

Mr. Watkins concluded, "We are also continuing to make headway on a number of operational initiatives designed to boost revenue and enhance efficiency within the organization. These initiatives include upgraded computer systems and software to: support our sales initiatives; improve inter-departmental communication; and streamline billing. In response to our customers' requests, we have also implemented an on-line ordering system whereby oncology practices can order pumps directly through our website. This simplifies the ordering process for our customers while providing operational benefits to our company."

Financial Results

Revenue for the third quarter ended September 30, 2008 was $9.0 million, versus $0 for the same period in 2007, which reflects the revenues recognized by InfuSystem Holdings, Inc. following the acquisition of InfuSystem, Inc. from I-Flow Corporation.

Operating income for the third quarter of 2008 was $1.6 million versus an operating loss of ($699,000) for the same period in 2007. The increase in operating income for the third quarter of 2008 reflects revenue and operating expenses recorded for InfuSystem, Inc. following the acquisition.

The net income for the third quarter of 2008 was $5.7 million, or $0.30 per diluted share, compared to net loss of ($505,000) or $(0.03) per diluted share, for the same period in 2007. The net income for the third quarter of 2008 included a $5.4 million gain on derivative financial instruments, which is predominantly attributable to the decrease in the publicly traded value of the Company's warrants during the quarter, compared to a ($675,000) loss for the third quarter of 2007.

Adjusted EBITDA for the third quarter ended September 30, 2008 was $3.6 million, as compared to an Adjusted EBITDA loss of approximately ($435,000) for the same period of 2007. The Company defines Adjusted EBITDA as earnings before interest, taxes, depreciation and amortization, and excludes gain (loss) on derivative financial instruments, and stock-based compensation. Adjusted EBITDA is not a measure of performance calculated in accordance with accounting principles generally accepted in the United States ("GAAP"), and should not be considered in isolation of, or as a substitute for, earnings as an indicator of operating performance, or cash flows from operating activities as a measure of liquidity. The Company believes the presentation of Adjusted EBITDA is relevant and useful by enhancing the readers' ability to understand the Company's operating performance. The Company's management utilizes Adjusted EBITDA as a means to measure performance. The Company's measurements of Adjusted EBITDA may not be comparable to similarly titled measures reported by other companies. The tables below reconcile Adjusted EBITDA, a non-GAAP measure, to net income for the three and nine months ended September 30, 2008 and 2007.

        Reconciliation from Net Income to Adjusted EBITDA:
        (in thousands, except per share data)

                                      Three Months Ended September 30
                                                          I-Flow Predecessor
                                        2008        2007         2007
        Net Income                     $5,704       $(505)      $1,308
        Adjustments:
          Interest expense                937          18            -
          Interest income                 (11)     (1,210)           -
          Income tax expense              399         323          936
          Depreciation -- Pumps           978           -        1,032
          Depreciation -- Other            47           -           39
          Amortization                    456           -            -
        EBITDA                         $8,511     $(1,374)      $3,315
        Adjustments:
          (Gain) loss on derivatives   (5,381)        675            -
          Stock based compensation        479         264          159
        Adj. EBITDA                    $3,609       $(435)      $3,474

        Adj. EBITDA EPS - basic          0.20       (0.02)         N/A
        Adj. EBITDA EPS - diluted        0.19       (0.02)         N/A



        Reconciliation from Net Income to Adjusted EBITDA:
        (in thousands, except per share data)

                                         Nine Months Ended September 30
                                                          I-Flow Predecessor
                                        2008        2007         2007
        Net Income                     $8,700       $(928)      $3,604
        Adjustments:
          Interest expense              2,828          33         (237)
          Interest income                 (14)     (3,534)           -
          Income tax expense              399         752        2,460
          Depreciation -- Pumps         2,908           -        2,307
          Depreciation -- Other           133           -          125
          Amortization                  1,370           -            -
        EBITDA                        $16,325     $(3,677)      $8,259
        Adjustments:
          (Gain) loss on derivatives   (8,665)        675            -
          Stock based compensation      1,166       1,490          305
        Adj. EBITDA                    $8,826     $(1,512)      $8,564

        Adj. EBITDA EPS - basic          0.50       (0.08)         N/A
        Adj. EBITDA EPS - diluted        0.47       (0.08)         N/A

About InfuSystem Holdings, Inc.

InfuSystem is the leading provider of ambulatory infusion pumps and associated clinical services for oncology practices and their patients in the U.S. These pumps allow for the gradual delivery of a drug over a period of days in the privacy of one's home, compared to bolus infusion chemotherapy treatments that are given in a single high dose over a short period of time. Improved efficacy of the drugs, patient comfort, reimbursement to doctors for appropriate services and continuity of care all play a role in the growing trend toward this form of treatment. InfuSystem's pumps are primarily used for colorectal cancer, but they have been approved for other forms of cancer, thereby greatly enhancing the market opportunity for InfuSystem.

Forward-Looking Statements

Except for the historical information contained herein, the matters discussed in this press release are forward-looking statements that involve risks and uncertainties that could cause actual results to differ materially from those predicted by such forward-looking statements. These risks and uncertainties include general economic conditions, as well as other risks detailed from time to time in InfuSystem's publicly filed documents.

(Tables follow)

    InfuSystem Holdings, Inc.
    CONSOLIDATED BALANCE SHEETS


                                                September 30,  December 31,
        (in thousands, except share data)           2008           2007
                                                (Unaudited)
        ASSETS
        Current Assets:
          Cash and cash equivalents                10,795          3,960
          Accounts receivable, less allowance
           for doubtful accounts of $1,935 and
           $1,638 at September 30, 2008 and
           December 31, 2007, respectively;
           September 30, 2008 and December 31, 2007
           include $40 and $103 due from I-Flow,
           respectively                             4,132          6,304
          Inventory supplies                          397            364
          Prepaid expenses and other current assets   394          1,263
          Deferred income taxes                         4              4
            Total Current Assets                   15,722         11,895
        Property & equipment, net                  11,232         13,504
        Deferred debt issuance costs, net           1,424          1,918
        Deferred Income Taxes                           -              -
        Goodwill                                   56,580         56,544
        Intangible assets, net                     31,195         32,565
          Total Assets                            116,153        116,426
        LIABILITIES AND STOCKHOLDERS' EQUITY
        Current Liabilities:
          Accounts payable                          1,213          1,076
          Other current liabilities                   776          1,886
          Derivative liabilities                    3,742         12,407
          Current portion of long-term debt;
           September 30, 2008 and December 31,
           2007 include $3,270 and $2,044 payable
           to I-Flow, respectively                  3,348          2,044
            Total Current Liabilities               9,079         17,413
        Long-term debt, net of current portion;
         September 30, 2008 and December 31, 2007
         include $27,798 and $30,250 payable to
         I-Flow, respectively                      28,159         30,250
        Deferred income taxes                         403              4
            Total Liabilities                      37,641         47,667
        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 18,426,421 and
         18,315,430, respectively; outstanding
         17,192,377 and 16,824,295, respectively        2              2
        Additional paid-in capital                  80,490         79,437
        Retained deficit                            (1,980)       (10,680)
        Total Stockholders' Equity                  78,512         68,759
          Total Liabilities and Stockholders'
           Equity                                  116,153        116,426



    InfuSystem Holdings, Inc.
    CONSOLIDATED STATEMENTS OF OPERATIONS
    (Unaudited)


                                         Three Months Ended September 30,

                                                                   I-Flow
        (in thousands, except                                   Predecessor
         per share data)                  2008         2007         2007

        Net revenues                     $8,958          $-        $7,822
        Operating expenses:
          Cost of Revenues -- Product
           and supply costs               1,340           -         1,159
          Cost of Revenues -- Pump
           depreciation                     978           -         1,032
          Provision for doubtful
           accounts                         702           -           619
          Amortization of intangibles       456           -             -
          Selling and marketing           1,131           -         1,036
          General and administrative      2,703         699         1,732
            Total Operating Expenses      7,310         699         5,578

        Other income (expense):
          Gain (loss) on derivatives      5,381        (675)            -
          Interest income                    11       1,210             -
          Interest expense                 (937)        (18)            -
            Total other income            4,455         517             -

        Income (loss) before income taxes 6,103        (182)        2,244
        Income tax expense                 (399)       (323)         (936)
          Net income (loss)               5,704        (505)        1,308

        Net income (loss) per share:
            Basic                          0.31       (0.03)          N/A
            Diluted                        0.30       (0.03)          N/A

        Weighted average shares outstanding:
            Basic                    18,442,957* 18,625,252           N/A
            Diluted                  18,794,182  18,625,252           N/A


                                          Nine Months Ended September 30,

                                                                   I-Flow
        (in thousands, except                                   Predecessor
         per share data)                  2008        2007          2007

        Net revenues                    $26,323          $-       $23,528

        Operating expenses:
          Cost of Revenues -- Product
           and supply costs               4,182           -         3,746
          Cost of Revenues -- Pump
           depreciation                   2,908           -         2,307
          Provision for doubtful accounts 2,477           -         3,278
          Amortization of intangibles     1,370           -             -
          Selling and marketing           3,401           -         3,030
          General and administrative      8,737       3,002         5,340
            Total Operating Expenses     23,075       3,002        17,701

        Other income (expense):
          Gain (loss) on derivatives      8,665        (675)            -
          Interest income                    14       3,534             -
          Interest expense               (2,828)        (33)          237
            Total other income            5,851       2,826           237

        Income (loss) before income taxes 9,099        (176)        6,064
        Income tax expense                 (399)       (752)       (2,460)
           Net income (loss)              8,700        (928)        3,604

        Net income (loss) per share:
            Basic                          0.49       (0.05)          N/A
            Diluted                        0.47       (0.05)          N/A
        Weighted average shares
         outstanding:
            Basic                    17,757,075* 18,625,252           N/A
            Diluted                  18,581,789  18,625,252           N/A

        * Includes, from April 25, 2008, the 1,234,044 shares referenced in Notes 9 and 10 to our Consolidated Financial Statements included in this Quarterly Report on Form 10-Q.



    InfuSystem Holdings, Inc.
    CONSOLIDATED STATEMENTS OF CASH FLOWS
    (Unaudited)


                                           Nine Months Ended September 30,

                                                                  I-Flow
                                                               Predecessor
         (in thousands)                    2008        2007        2007

        OPERATING ACTIVITIES
        Net Income (Loss)                 8,700        (928)       3,604

        Items included in net income
          not requiring cash:
          (Gain) loss on derivative
           liabilities                    (8,665)        675           -
          Provision for doubtful
           accounts                        2,477           -       3,278
          Depreciation                     3,041           -       2,432
          Amortization of intangible
           assets                          1,370           -           -
          Amortization of deferred
           debt issuance costs               494           -           -
          Loss on disposal of assets         385           -         241
          Interest Income on Investments
           Held in Trust                       -      (3,528)          -
          Withdrawal of interest earned
           on investments held in trust        -         422           -
          Stock-based compensation         1,166       1,490         305
          Deferred Income Taxes              399           -        (517)
        Changes in current assets and
         liabilities:
          Decrease (increase) in accounts
           receivable                       (305)          -      (1,636)
          Decrease (increase) in prepaid
           expenses and other current
           assets                            836         439        (129)
          (Decrease) increase in accounts
           payable and other current
           liabilities                      (628)        768        (953)
        NET CASH PROVIDED BY (USED IN)
         OPERATING ACTIVITIES              9,270        (662)      6,625

        INVESTING ACTIVITIES
          Payment of deferred
           acquisition costs                (105)       (252)          -
          Capital expenditures              (951)          -      (2,664)
          Proceeds from sale of property       -           -         231
        NET CASH USED IN INVESTING
         ACTIVITIES                       (1,056)       (252)     (2,433)

        FINANCING ACTIVITIES
          Net capital distributions to
           parent                              -           -      (5,147)
          Principal payments on term loan (1,226)          -           -
          Common stock repurchased to
           satisfy minimum statutory
           withholding on stock-based
           compensation                     (113)          -           -
          Principal payments on capital
           lease obligation                  (40)          -           -
          Proceeds from issuance of
           warrants                            -         514           -
        NET CASH (USED IN) PROVIDED BY
         FINANCING ACTIVITIES             (1,379)        514      (5,147)
        Net change in cash and cash
         equivalents                       6,835        (400)       (955)
        Cash and cash equivalents,
         beginning of period               3,960         427       1,956
        Cash and cash equivalents,
         end of period                    10,795          27       1,001

        SUPPLEMENTAL DISCLOSURES
        Cash paid for interest
         (including swap payments/
         proceeds, and excluding
         capitalized interest)            $2,334          $4          $-
        Cash paid for income taxes          $478        $695        $186
        NON-CASH TRANSACTIONS
        Additions to property                $80          $-        $241
        Property acquired with a
         capital lease                      $480          $-          $-
        Issuance of vested restricted
         shares (number of shares)           150           -           -

SOURCE InfuSystem Holdings, Inc.

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