Item 1.

Financial Statements

 

 

INFUSYSTEM HOLDINGS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS

(UNAUDITED)

 

 

See accompanying notes to unaudited condensed consolidated financial statements.

 

 

 

INFUSYSTEM HOLDINGS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(UNAUDITED)

 

 

See accompanying notes to unaudited condensed consolidated financial statements.

 

 

 

 

INFUSYSTEM HOLDINGS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(UNAUDITED)

 

 

See accompanying notes to unaudited condensed consolidated financial statements.

 

 

 

INFUSYSTEM HOLDINGS, INC. AND SUBSIDIARIES

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

 

 

Item 2.     Management’s Discussion and Analysis of Financial Condition and Results of Operations

 

The terms “InfuSystem”, the “Company”, “we”, “our” and “us” used herein refer to InfuSystem Holdings, Inc. and its subsidiaries.

 

Cautionary Statement Regarding Forward-Looking Statements

 

Certain statements contained in this quarterly report on Form 10-Q 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 (“CMS”) competitive bidding and fee schedule reductions, 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, the Company’s ability to implement information technology improvements and to respond to technological changes, the ability of the Company to successfully integrate acquired businesses, dependency on key personnel, dependency on banking relations and the ability to comply with credit facility 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/A for the year ended December 31, 2017 and in other filings made by the Company from time to time with the Securities and Exchange Commission (“SEC”). Our annual report on Form 10-K/A 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 Form 10-Q speak only as of the date of this report. 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, except as required by law.

 

Overview

 

We are a leading provider of infusion pumps and related products and services for patients in the home, oncology clinics, ambulatory surgery centers and other sites of care from four locations in the United States and Canada. We provide our products and services to hospitals, oncology practices and facilities and other alternate site health care providers. Headquartered in Madison Heights, Michigan, we deliver local, field-based customer support and also operate pump service and repair Centers of Excellence in Michigan, Kansas, California, Massachusetts and Ontario, Canada. InfuSystem, Inc., a wholly owned subsidiary of the Company, is accredited by the Community Health Accreditation Program while First Biomedical, Inc., a wholly owned subsidiary of the Company, is ISO certified.

 

Our core service is to supply electronic ambulatory infusion pumps and associated disposable supply kits to oncology clinics, infusion clinics and hospital outpatient chemotherapy clinics to be utilized in the treatment of a variety of cancers including colorectal cancer and other disease states. Colorectal cancer is the third most prevalent form of cancer in the United States, according to the American Cancer Society, and the standard of care for the treatment of colorectal cancer relies upon continuous chemotherapy infusions delivered via ambulatory infusion pumps.

 

In addition, we sell or rent new and pre-owned pole mounted and ambulatory infusion pumps to, and provide biomedical recertification, maintenance and repair services for, oncology practices as well as other alternate site settings including home care and home infusion providers, skilled nursing facilities, pain centers and others. We also provide these products and services to customers in the small-hospital market.

 

We purchase new and pre-owned pole mounted and ambulatory infusion pumps from a variety of sources on a non-exclusive basis. We repair, refurbish and provide biomedical certification for the devices as needed. The pumps are then available for sale, rental or to be used within our ambulatory infusion pump management service.

 

We view our payor environment as changing. Management is intent on extending its considerable breadth of payor contracts as patients move into different insurance coverages, including Medicaid and Insurance Marketplace products. In some cases, this may slightly reduce our aggregate billed revenues payment rate but result in an overall increase in collected revenues, effectively lessening bad debt expense on a micro level, but due to the mix of all payors may not have an impact on overall bad debt expense. Consequently, we are increasingly focused on net collected revenues less bad debt.

 

 

In the midst of changes in the healthcare arena, we believe that we will support our overall business strategy discussed above by: (i) focusing on supporting recurring revenues by increasing our pump fleet; (ii) improving liquidity and strengthening the balance sheet by keeping debt levels comparable to our operations; (iii) improving internal operational efficiencies; (iv) increasing our product and services offerings; (v) enhancing our technology offerings to the patients and providers of care; and (vi) investigating synergistic acquisitions.

 

Recent Developments

 

Management Changes

 

Trent Smith, the Company’s former Executive Vice President, Chief Accounting Officer and Controller, resigned from the Company, effective June 15, 2018.

 

Amendment to Credit Agreement

 

Subsequent to June 30, 2018, the Company entered into an amendment to its credit agreement as described below under "Liquidity and Capital Resources."

 

Stock Purchase Agreements

 

Subsequent to June 30, 2018, the Company entered into two separate purchase agreements, as described below under “Liquidity and Capital Resources, to repurchase 2.8 million shares of its common stock for an aggregate payment of approximately $8.8 million from certain shareholders. As of the date of this filing, the Company had repurchased approximately 2.7 million of these shares for an aggregate payment of approximately $8.4 million.

 

Results of Operations for the Three Months Ended June 30, 2018 compared to the Three Months Ended June 30, 2017

 

Net Revenues

 

Our net revenues for the quarter ended June 30, 2018 were $16.4 million, a decrease of $0.5 million, or 3%, compared to $16.9 million for the quarter ended June 30, 2017. Net revenues for the quarter ended June 30, 2018 were impacted by a $1.4 million change in recording bad debt as part of net revenue from rentals related to the implementation of Accounting Standards Codification (“ASC”) Topic 606: Revenue from Contracts with Customers (“ASC 606”) on a modified retrospective approach effective January 1, 2018. Absent the implementation of ASC 606, total net revenues for the quarter ended June 30, 2018 would have been $17.8 million, an increase of $0.9 million, or 5%, compared to $16.9 million in the same prior year period. The majority of the increase for the quarter was attributable to net revenues from rentals.

 

During the quarter ended June 30, 2018, net revenues from rentals decreased $0.7 million, or 5%, compared to the same prior year period. Absent the implementation of ASC 606, net revenues from rentals for the quarter ended June 30, 2018 would have increased $0.7 million, or 5%, compared to the same prior year period. This increase was primarily attributable to the Company’s ongoing program to expand its number of third-party payors under contract, thereby increasing our net reimbursement rate, and the Company’s efforts to reduce claims rejected by third-party payors. Net revenues from product sales for the quarter ended June 30, 2018 were $2.4 million, an increase of $0.2 million, or 9%, compared to the same prior year period. The increase in product sales was primarily the result of increased disposable sales of $0.1 million and accessory sales of $0.1 million.

 

Gross Profit

 

Gross profit for the quarter ended June 30, 2018 was $9.6 million, a decrease of $0.8 million, or 8%, compared to the quarter ended June 30, 2017. As a percentage of revenues, gross profit for the quarter ended June 30, 2018 was 58%, down from the same prior year period of 61%. Gross profit for the quarter ended June 30, 2018 was impacted by a $1.4 million change in recording bad debt as part of net revenue from rentals related to the implementation of ASC 606. Absent the implementation of ASC 606, gross profit for the quarter ended June 30, 2018 would have been $10.9 million, an increase of $0.6 million, or 6%, compared to $10.3 million in the same prior year period. Absent the implementation of ASC 606, gross profit, as a percentage of revenues, for the quarter ended June 30, 2018 would have been 62%, up from the same prior year period of 61%. For the quarter ended June 30, 2018, the increase in gross profit absent the ASC 606 implementation was primarily driven by the increase in net revenues, with the profitability helped by lower incremental increases in service expense, disposables sold expense, and pump depreciation, sales and disposals.

 

 

Provision for Doubtful Accounts

 

Due to the implementation of ASC 606, the Company did not record any provision for doubtful accounts (“Bad Debt”) for the quarter ended June 30, 2018 compared to Bad Debt of $1.3 million for the quarter ended June 30, 2017. Absent the implementation of ASC 606, Bad Debt for the quarter ended June 30, 2018 would have been $1.4 million, an increase of $0.1 million, or 5%, compared to the same prior year period. This increase would have been in line with the increase in net revenue.

 

Amortization of Intangible Assets

 

Amortization of intangible assets for the quarter ended June 30, 2018 was $1.2 million, a decrease of $0.2 million compared to the same prior year period, attributable to the impairment of certain internally developed, internal-use software assets that was recorded in the fourth quarter of 2017; therefore, the related amortization of those projects no longer existed during 2018.

 

Selling and Marketing Expenses

 

During the quarter ended June 30, 2018, selling and marketing expenses were $2.3 million, an increase of less than $0.1 million, or 1%, compared to the same prior year period, slightly less than the growth in net revenue.

 

General and Administrative Expenses

 

During the quarter ended June 30, 2018, general and administrative expenses were $6.3 million, a decrease of $0.2 million, or 2%, from $6.4 million for the quarter ended June 30, 2017. The decrease in general and administrative expenses versus the comparable prior year period was primarily due to decreases in capital lease retirement charges of $0.3 million and outside services expense of $0.3 million, partially offset by an increase in employee compensation related expenses of $0.3 million and legal fees and shareholder costs of $0.1 million. The increase in employee compensation expenses was primarily attributable to a $0.5 million net increase in incentive bonus accrual, $0.2 million of salaries and related expenses and $0.1 million of stock appreciation rights and stock compensation expense. These increases were partially offset by a $0.5 million decrease in severance costs.

 

Other Income and Expenses

 

During the quarters ended June 30, 2018 and 2017, we recorded other expense of $0.3 million and $0.4 million, respectively. The decrease included a less than $0.1 million decrease in interest expense primarily due to repayments of long-term debt in previous quarters.

 

Income Taxes

 

During the quarter ended June 30, 2018, the Company recorded an expense provision for income taxes of less than $0.1 million. The income tax provision relates principally to the Company’s state and local taxes and foreign operations in Canada. During the quarter ended June 30, 2017, the Company recorded a benefit from income taxes of $0.4 million.

 

 

Results of Operations for the Six Months Ended June 30, 2018 compared to the Six Months Ended June 30, 2017

 

Net Revenues

 

Our net revenues for the six months ended June 30, 2018 were $32.9 million, a decrease of $1.7 million, or 5%, compared to $34.6 million for the same prior year period. Net revenues for the six months ended June 30, 2018 were impacted by a $3.3 million change in recording bad debt as part of net revenue from rentals related to the implementation of ASC 606. Absent the implementation of ASC 606, total net revenues for the six months ended June 30, 2018 would have been $36.2 million, an increase of $1.6 million, or 5%, compared to $34.6 million in the same prior year period. This increase was primarily driven by an increase in net revenues from rentals (absent implementation of ASC 606) for the six months ended June 30, 2018.

 

During the six months ended June 30, 2018, net revenues from rentals decreased $1.4 million, or 5%, compared to the same prior year period. Absent the implementation of ASC 606, net revenues from rentals for the six months ended June 30, 2018 would have increased $1.9 million, or 6%, compared to the same prior year period. This increase was primarily attributable to the Company’s ongoing program to expand its number of third-party payors under contract, thereby increasing our net reimbursement rate, and the Company’s efforts to reduce claims rejected by third-party payors. Net revenues from product sales for the six months ended June 30, 2018 were $4.4 million, a decrease of $0.3 million, or 6%, compared to the same period of 2017. This decrease was primarily the result of a decrease in pump sales of $0.5 million which was offset by an increase in disposable sales of $0.2 million.

 

Gross Profit

 

Gross profit for the six months ended June 30, 2018 was $19.6 million, a decrease of $1.4 million, or 6%, compared to the same prior year period. As a percentage of revenues, gross profit for the six months ended June 30, 2018 was 60%, down from 61% for the same prior year period. Gross profit for the six months ended June 30, 2018 was impacted by a $3.3 million change in recording bad debt as part of net revenue from rentals related to the implementation of ASC 606. Absent the implementation of ASC 606, gross profit for the six months ended June 30, 2018 would have been $23.0 million, an increase of $2.0 million, or 9%, compared to $21.0 million in the same prior year period. This increase was driven mainly by the increase in net revenues absent the implementation of ASC 606, as well as an improvement in profitability over the prior year. Absent the implementation of ASC 606, gross profit, as a percentage of revenues, for the six months ended June 30, 2018 would have been 63%, up from 61% in the same prior year period. Profitability was helped by lower incremental costs for pumps sold expense, product and supply costs, disposables sold expense, and pump rental expense.

 

Provision for Doubtful Accounts

 

Due to the implementation of ASC 606, the Company did not record any Bad Debt for the six months ended June 30, 2018 compared to $3.2 million for the same prior year period. Absent the implementation of ASC 606, Bad Debt for the six months ended June 30, 2018 would have been $3.2 million, unchanged from the same prior year period.

 

Amortization of Intangible Assets

 

Amortization of intangible assets for the six months ended June 30, 2018 was $2.4 million, a decrease of $0.4 million compared to the same prior year period. This decrease is attributable to the impairment of some internally developed, internal-use software assets that was recorded in the fourth quarter of 2017; therefore, the related amortization of those projects no longer existed during 2018.

 

Selling and Marketing Expenses

 

During the six months ended June 30, 2018, selling and marketing expenses were $4.6 million, a decrease of $0.6 million, compared to $5.2 million for the same prior year period. The decrease was largely attributable to a decrease in salaries and related expenses of $0.6 million. Selling and marketing expenses during these periods consisted of sales personnel salaries, commissions and associated fringe benefit and payroll-related items, marketing, share-based compensation, travel and entertainment and other miscellaneous expenses.

 

General and Administrative Expenses

 

During the six months ended June 30, 2018, general and administrative expenses were $12.3 million, a decrease of $0.6 million, or 5%, from $12.9 million for the same prior year period. The decrease in general and administrative expenses versus the comparable prior year period was primarily due to decreases in outside services expense of $0.6 million and capital lease retirement charges of $0.3 million, partially offset by an increase in employee compensation related expenses of $0.3 million. The increase in employee compensation related expenses was primarily attributable to a $0.6 million net increase in the incentive bonus accrual, $0.1 million of salaries and related expenses and $0.1 million of stock appreciation rights and stock compensation expense. These increases were partially offset by a $0.5 million decrease in severance expenses.

 

Other Income and Expenses

 

During the six months ended June 30, 2018 and 2017, we recorded other expense of $0.6 million and $0.8 million, respectively. The decrease included a $0.1 million decrease in interest expense primarily due to repayments of long-term debt.

 

 

Income Taxes

 

During the six months ended June 30, 2018, the Company recorded an expense provision for income taxes of $0.1 million.  The income tax provision relates principally to the Company’s state and local taxes and foreign operations in Canada. During the six months ended June 30, 2017, the Company recorded a benefit from income taxes of $1.2 million, due mainly to the temporary timing differences of expenses recorded compared to when they will be deductible.

 

 The Company’s realization of its deferred tax assets is dependent upon many factors, including, but not limited to, the Company’s ability to generate sufficient taxable income. Management assesses the available positive and negative evidence to estimate if sufficient future taxable income will be generated to use the existing deferred tax assets. The Company’s management has determined that it is more likely than not that the Company will not recognize the benefits of its federal and state deferred tax assets. Accordingly, the Company had a full valuation allowance for all deferred tax assets at June 30, 2018 and December 31, 2017.

 

In December 2017, the Tax Cuts and Jobs Act (the “2017 Tax Act”) was enacted. The 2017 Tax Act includes many changes to existing U.S. tax laws that impact the Company, most notably a reduction of the U.S. corporate income tax rate from 35% to 21% for tax years beginning after December 31, 2017. The 2017 Tax Act also provides for a one-time transition tax on certain foreign earnings and the acceleration of depreciation for certain assets placed into service after September 27, 2017 as well as prospective changes beginning in 2018, including repeal of the domestic manufacturing deduction, acceleration of tax revenue recognition, capitalization of research and development expenditures, additional limitations on executive compensation and limitations on the deductibility of interest.

 

The Company recognized the income tax effects of the 2017 Tax Act in its 2017 financial statements in accordance with Staff Accounting Bulletin No. 118, which provides SEC staff guidance for the application of ASC Topic 740 - Income Taxes (“ASC 740”), in the reporting period in which the 2017 Tax Act was signed into law. As such, the Company’s financial results reflect the income tax effects of the 2017 Tax Act for which the accounting under ASC 740 is complete and provisional amounts for those specific income tax effects of the 2017 Tax Act for which the accounting under ASC 740 is not yet complete, but a reasonable estimate could be determined. The ultimate impact of the 2017 Tax Act on our financial statements and related disclosures for 2018 and beyond may differ from our current provisional amounts, possibly materially, due to, among other things, changes in interpretations and assumptions we have made, guidance that may be issued and other actions we may take as a result of the 2017 Tax Act that differ from those presently contemplated.

 

As of June 30, 2018, the Company had not yet completed its accounting for all of the tax effects of the enactment of the 2017 Tax Act; however, the Company has made a reasonable estimate of the effects on its existing deferred tax balances. The Company will continue to refine its calculations as additional analysis is completed. The Company expects that any additional changes will be offset by a corresponding increase or decrease in the Company’s valuation allowance.

 

Liquidity and Capital Resources

 

Overview:

 

We finance our operations and capital expenditures with internally generated cash from operations. During the six months ended June 30, 2018, we generated positive cash flow that we used, with cash-on-hand at December 31, 2017, to primarily reduce our long-term debt by $3.7 million, repurchase shares of our common stock for $1.2 million and fund net capital expenditures of $1.0 million. As of June 30, 2018, we had cash and cash equivalents of $2.4 million and $9.2 million of availability on our revolving credit facility compared to $3.5 million of cash and cash equivalents and $9.2 million of availability on our revolving credit facility at December 31, 2017. Our liquidity and borrowing plans are established to align with our financial and strategic planning processes and ensure we have the necessary funding to meet our operating commitments, which primarily include the purchase of pumps, inventory, payroll and general expenses. We also take into consideration our overall capital allocation strategy which includes investment for future growth, share repurchases and potential acquisitions. We believe we have adequate sources of liquidity and funding available for at least the next year, however, there are a number of factors that may negatively impact our available sources of funds. The amount of cash generated from operations will be dependent upon factors such as the successful execution of our business plan and general economic conditions.

 

 

  Long-Term Debt Activities:

 

As of June 30, 2018, our term loan under the credit facility had a balance of $25.1 million, a reduction of $3.4 million from December 31, 2017. The net availability under the revolving credit line under the credit facility is based upon our eligible accounts receivable and inventory and is computed as follows (in thousands):

 

		June 30,				December 31,
		2018				2017
Revolver:
Gross availability		$	9,996			$	10,000
Outstanding draws			-				-
Letter of credit			(750	)			(750	)
Landlord reserves			(68	)			(45	)
Net availability		$	9,178			$	9,205

 

 

As of June 30, 2018, interest on the credit facility is payable at our option as a (i) Eurodollar Loan, which bears interest at a per annum rate equal to the applicable 30-day London Interbank Offered Rate (“LIBOR”) plus an applicable margin ranging from 2.00% to 3.00% or (ii) CB Floating Rate (“CBFR”) Loan, which bears interest at a per annum rate equal to the greater of (a) the lender’s prime rate or (b) LIBOR plus 2.50%, in each case, plus a margin ranging from -1.00% to 0.25%. The actual rate at June 30, 2018 was 4.59% (LIBOR of 2.09% plus 2.50%).

 

As of June 30, 2018, the Company was in compliance with all debt-related covenants under the credit facility.

 

On July 31, 2018, we entered into a fourth amendment (the “Amendment”) to our credit agreement entered into on March 23, 2015 (the “Credit Agreement”) to allow for, among other things, a loan to allow us to repurchase up to approximately 2.8 million shares of capital stock from an individual shareholder, his affiliates, and a second shareholder, in an aggregate amount not to exceed $8.6 million (“Term Loan C”); and allow for capital expenditure financing for our purchases of medical equipment in an aggregate amount not to exceed $6.4 million (the “Equipment Line”). There are no principal payments due on the Equipment Line until December 31, 2019 at which time it will convert to an additional term loan. The amendment also made changes to certain covenants, specifically, to exclude borrowings used to fund the stock repurchases referenced above from the definition of fixed charges, as defined by the Credit Agreement, and to reduce the ratio of earnings before depreciation, income taxes and amortization to fixed charges from 1.25:1.0 to 1.15:1.0. In addition, the Amendment eliminates the Net Worth covenant and the excess cash flow provisions while modifying the quarterly principal payment amounts. Term Loan C matures on December 6, 2021 and the Equipment Line matures on December 31, 2024.

 

 

Share Repurchase Program

 

On March 12, 2018, our Board of Directors approved a stock repurchase program authorizing the Company to repurchase up to one million shares of the Company’s outstanding common stock (the “Share Repurchase Program”). Repurchases under the repurchase program will be subject to market conditions, the periodic capital needs of the Company’s operating activities, and the continued satisfaction of all covenants under the Company’s existing Credit Agreement. As of June 30, 2018, we had availability of $9.2 million under our credit facility, of which $1.3 million could be used to fund stock repurchases (prior to the Amendment), subject to the restrictions and limitations of our Credit Agreement. The repurchase program does not obligate the Company to repurchase shares and may be suspended, terminated, or modified at any time. Repurchases under the program may take place in the open market or in privately negotiated transactions and may be made under a Rule 10b5-1 plan.

 

The Company has repurchased approximately 0.4 million shares under the Share Repurchase Program through June 30, 2018 in addition to the approximately 2.0 million shares repurchased under the First Stock Purchase Agreement (as defined below) and approximately 0.7 million shares repurchased under the Second Stock Purchase Agreement (as defined below). This total of approximately 3.1 million shares represents a 14% reduction in the shares outstanding at December 31, 2017.

 

Stock Purchase and Settlement Agreement and Stock Purchase Agreement

 

On July 31, 2018, the Company and an individual shareholder and his affiliates (the “Sellers”) entered into a stock purchase and settlement agreement (the “First Stock Purchase Agreement”) for the purchase by the Company of the approximately 2.2 million shares of the Company's common stock cumulatively owned by the Sellers for $3.10 per share, equaling approximately $6.7 million in total. The First Stock Purchase Agreement contains customary representations and warranties, an agreement by the Sellers not to purchase any shares of the Company's common stock for three years following closing, a mutual non-disparagement agreement and a mutual release of claims between the Company and the Sellers. The closing of the stock purchases under the First Stock Purchase Agreement is currently expected to occur in full during the third quarter of 2018 with respect to approximately 2.1 million shares, and the Sellers sold approximately 36,000 of the remaining shares to third parties on the open market. The Company funded the purchase price for the shares with the proceeds from the Term Loan C described above.

 

On July 31, 2018, the Company and a shareholder entered into a stock purchase agreement (the “Second Stock Purchase Agreement”) for the purchase by the Company of approximately 0.7 million shares of the Company's common stock owned by a shareholder for $3.10 per share, equaling approximately $2.1 million in total. The Second Stock Purchase Agreement contains customary representations and warranties, and the closing of the stock purchases under the stock purchase agreement occurred during the third quarter of 2018.  The Company funded the purchase price for the shares with the proceeds from the Term Loan C described above and cash-on-hand.

    

 

Cash Flows:

 

Operating Cash Flow.  Net cash provided by operating activities for the six months ended June 30, 2018 was $4.8 million compared to net cash provided by operating activities of $1.2 million for the six months ended June 30, 2017. This increase was primarily attributable to the cash flow effect of the operating improvement resulting in a reduced net loss for the first half of 2018 compared to the first half of 2017 and the impact of non-cash transactions, including deferred income taxes.

 

Investing Cash Flow.  Net cash used in investing activities was $1.0 million for the six months ended June 30, 2018 compared to cash provided by investing activities of $0.7 million for the six months ended June 30, 2017. The decrease was due to a $0.7 million decrease in cash proceeds from the sales of medical equipment and a $1.2 million increase in cash used to purchase medical equipment, which was partially offset by a decrease in cash used to purchase property, plant and equipment of $0.2 million.

 

Financing Cash Flow.  Net cash used in financing activities for the six months ended June 30, 2018 was $4.9 million compared to net cash used in financing activities of $5.3 million for the six months ended June 30, 2017. The decrease in net cash used was primarily attributable to our decision to pay down our term loan debt in the first half of 2018 compared with our cash proceeds from borrowings under our revolving credit facility in the first half of 2017 and the decision to pay down a majority of our capital lease obligations during the first half of 2017.

 

 

 

Critical Accounting Policies and Estimates

 

The unaudited condensed consolidated financial statements are prepared in conformity with U.S. Generally Accepted Accounting Principles, which require the use of estimates, judgments and assumptions that affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities at the date of the financial statements, and the reported amounts of revenues and expenses in the periods presented. We believe that the accounting estimates employed are appropriate and resulting balances are reasonable; however, due to inherent uncertainties in making estimates, actual results could differ from the original estimates, requiring adjustments to these balances in future periods. The critical accounting estimates that affect the unaudited condensed consolidated financial statements and the judgments and assumptions used are consistent with those described in the notes to the audited consolidated financial statements in our annual report on Form 10-K/A for the year ended December 31, 2017, with the exception of our adoption of ASC 606. See Note 2 to the accompanying unaudited condensed consolidated financial statements for further details.

 

 

Item 3.

Quantitative and Qualitative Disclosures About Market Risk

 

InfuSystem is a smaller reporting company as defined by Rule 12b-2 of the Exchange Act and is not required to provide the information required under this item.

 

 

Item 4.

Controls and Procedures

 

Evaluation of Disclosure Controls and Procedures and Changes in Internal Control over Financial Reporting

 

We maintain a set of disclosure controls and procedures designed to ensure that material information required to be disclosed in our filings under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms and that material information is accumulated and communicated to our management, including our Chief Executive Officer (“CEO”) and Chief Financial Officer (“CFO”), as appropriate, to allow timely decisions regarding required disclosures.  Our CEO and CFO have evaluated these disclosure controls and procedures as of the end of the period covered by this quarterly report on Form 10-Q and have determined that such disclosure controls and procedures were effective.

 

Our new Chief Financial Officer is assessing, and will continue to assess, the Company’s disclosure controls and procedures and internal controls over financial reporting.

 

There has been no change in our internal control over financial reporting during our most recent calendar quarter that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

 

PART II—OTHER INFORMATION

 

Item 1. Legal Proceedings

 

From time to time in the ordinary course of our business, we may be involved in legal proceedings, the outcomes of which may not be determinable. The results of litigation are inherently unpredictable. Any claims against us, whether meritorious or not, could be time consuming, result in costly litigation, require significant amounts of management time and result in diversion of significant resources. We are not able to estimate an aggregate amount or range of reasonably possible losses for those legal matters for which losses are not probable and estimable, primarily for the following reasons: (i) many of the relevant legal proceedings are in preliminary stages and until such proceedings develop further, there is often uncertainty regarding the relevant facts and circumstances at issue and potential liability; and (ii) many of these proceedings involve matters of which the outcomes are inherently difficult to predict. We have insurance policies covering potential losses where such coverage is cost effective.

 

On January 29, 2018, we received notice that the U.S. District Court for the Central District of California (the “Court”) (Case No. 2:16-cv-08295-ODW) issued an order dismissing, with prejudice, a putative class-active lawsuit against the Company. The dismissal relates to an action brought on November 8, 2016 by purported shareholders of the Company against the Company and two individual defendants: Eric Steen, the Company’s former Chief Executive Officer, President and Director; and Jonathan Foster, the Company’s former Chief Financial Officer. The complaint asserted claims against all defendants under the antifraud provisions of the federal securities laws and against Messrs. Steen and Foster as control persons. On June 19, 2017, the Company and all defendants filed a Motion to Dismiss the amended complaint. On December 15, 2017, the Court dismissed the plaintiffs’ first amendment to the class action compliant (“FAC”), with leave to amend. On December 20, 2017, the parties stipulated, and the Court extended, the plaintiffs’ time to amend the FAC up to January 19, 2018. As of January 19, 2018, the plaintiffs never filed an amended complaint and the Court dismissed the lawsuit with prejudice on January 29, 2018. On February 28, 2018, the plaintiffs filed a notice of appeal, on the motion to dismiss, to the 9th Circuit Court of Appeals. On June 4, 2018, the Company and the plaintiffs entered into a confidential settlement agreement resolving claims made in the litigation.

 

We are not at this time involved in any legal proceedings that we believe could have a material effect on our business, financial condition, results of operations or cash flows.

 

Item 1A. Risk Factors

 

For information regarding factors that could affect our results of operations, financial condition and liquidity, refer to the section entitled “Risk Factors” in Part I, Item 1A in our Annual Report on Form 10-K/A for the year ended December 31, 2017.

 

 

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds

 

The table below provides information with respect to common stock purchases by the Company during the six months ended June 30, 2018:

 

Period		Total Number of Shares Purchased as Part of Publicly Announced Plans or Programs (a)				Average Price Paid per Share				Approximate Dollar Value of Shares That May Yet Be Purchased Under the Plans or Programs (a)
March 12, 2018 - March 31, 2018			32,264			$	2.57			$	2,417,012
April 1, 2018 - April 30, 2018			39,878				2.74				2,307,857
May 1, 2018 - May 31, 2018			23,400				2.91				2,239,717
June 1, 2018 - June 30, 2018			285,000				3.13				1,348,717
Total			380,542			$	3.03

 

(a)

On March 12, 2018, our Board of Directors authorized a share repurchase program that allows the Company to repurchase up to the lesser of 1,000,000 shares or $2,500,000 of our common stock through December 31, 2018. The repurchases are to be effectuated in the open market or in privately negotiated transactions and may be made under a Rule 10b5-1 plan. During the six months ended June 30, 2018, we repurchased 380,542 shares for a total consideration of $1,151,283 under the program. At June 30, 2018, $1,348,717 remains available for repurchase under the program.

 

Item 3. Defaults Upon Senior Securities

 

None.

 

Item 4. Mine Safety Disclosures

 

Not applicable.

 

Item 5. Other Information

 

None.

 

 

Item 6.     Exhibits

 

Exhibits
3.1	Amended and Restated Bylaws of InfuSystem Holdings, Inc. (adopted on July 6, 2018) (incorporated by reference to Exhibit 3.1 to the Company's Current Report on Form 8-K (File No. 1-35020) filed on July 9, 2018)
10.1*	Equity Settlement Agreement by and between InfuSystem Holdings, Inc. and Jan Skonieczny, effective June 5, 2018
10.2*	Equity Settlement Agreement by and between InfuSystem Holdings, Inc. and Trent Smith, effective June 5, 2018
10.3	Fourth Amendment to the Credit Agreement, dated as of July 31, 2018, among InfuSystem Holdings, Inc., and its direct and indirect subsidiaries, with JPMorgan Chase Bank, N.A., as Lender (incorporated by reference to Exhibit 10.1 to the Company’s Current Report on Form 8-K (File No. 1-35020) filed on August 2, 2018)
10.4	Stock Purchase and Settlement Agreement, dated as of July 31, 2018, among InfuSystem Holdings, Inc., Ryan J. Morris and Meson Capital, L.P. (incorporated by reference to Exhibit 10.2 to the Company's Current Report on Form 8-K (File No. 1-35020) filed on August 2, 2018)
10.5	InfuSystem Holdings, Inc. 2014 Equity Plan (as amended through July 19, 2018) (incorporated by reference to Exhibit 10.1 to the Company's Current Report on Form 8-K (File No. 1-35020) filed on July 23, 2018)
31.1*	Certification of Chief Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
31.2*	Certification of Chief Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
32.1*	Certification of the Chief Executive Officer pursuant to 18 U.S.C. 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002**
32.2*	Certification of the Chief Financial Officer pursuant to 18 U.S.C. 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002**

 

101.INS*	XBRL Instance Document
101.SCH*	XBRL Taxonomy Extension Schema Document
101.CAL*	XBRL Taxonomy Extension Calculation Linkbase Document
101.DEF*	XBRL Taxonomy Extension Definition Linkbase Document
101.LAB*	XBRL Taxonomy Extension Label Linkbase Document
101.PRE*	XBRL Taxonomy Extension Presentation Linkbase Document
*	Filed herewith
**	Pursuant to Item 601(b)(32) of Regulation S-K, this Exhibit is furnished rather than filed with the Form 10-Q.

 

 

SIGNATURES

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

 

 

	INFUSYSTEM HOLDINGS, INC.
Date: August 14, 2018	/s/ Richard DiIorio
	Richard DiIorio
	Chief Executive Officer, President and Director
	(Principal Executive Officer)
Date: August 14, 2018	/s/ Gregory Schulte
	Gregory Schulte
	Chief Financial Officer
	(Principal Financial Officer)

     

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