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InvestorPresentationNOVEMBER15,2021l(NYSEAmerican:INFU)
EnablingContinuityofCareforPatients,FromtheClinictoTheirHome
Forward-LookingStatements/Non-GAAPMeasures
Forward-LookingStatements
Certainstatementscontainedinthispresentationareforward-lookingstatementswithinthemeaningofSection27AoftheSecuritiesActof1933,asamended,andSection21EoftheSecuritiesExchangeActof1934,asamended,suchasstatementsrelatingtofutureactions,businessplans,objectivesandprospects,oursharerepurchaseprogramandcapitalallocationstrategy,futureoperatingorfinancialperformanceandguidance.Thewords“believe,”“may,”“will,”“estimate,”“continue,”“anticipate,”“intend,”“should,”“plan,”“expect,”“strategy,”“future,”“likely,”variationsofsuchwords,andothersimilarexpressions,astheyrelatetotheCompany,areintendedtoidentifyforward-lookingstatements.Forward-lookingstatementsaresubjecttofactors,risksanduncertaintiesthatcouldcauseactualresultstodiffermaterially,including,butnotlimitedto,theuncertainimpactoftheCOVID-19pandemic,ourdependenceonestimatesofcollectiblerevenue,potentiallitigation,changesinthird-partyreimbursementprocesses,changesinlaw,contributionsfromacquiredbusinessesornewbusinesslines,productsorservicesandotherriskfactorsdisclosedintheCompany’smostrecentannualreportonForm10-Kand,totheextentapplicable,quarterlyreportsonForm10-Q.Allforward-lookingstatementsmadeinthispresentationspeakonlyasofthedatehereof.InfuSystemdoesnotundertakeanyobligationtoupdateanyforward-lookingstatementstoreflectfutureeventsorcircumstances,exceptasrequiredbylaw.
Non-GAAPMeasures
ThispresentationcontainsinformationpreparedinconformitywithGAAPaswellasnon-GAAPfinancialinformation.TheCompanybelievesthatthenon-GAAPfinancialmeasurespresentedinthispresentationprovideusefulinformationtotheCompany’smanagement,investorsandotherinterestedpartiesabouttheCompany’soperatingperformancebecausetheyallowthemtounderstandandcomparetheCompany’soperatingresultsduringthecurrentperiodstotheprioryearperiodsinamoreconsistentmanner.Thisnon-GAAPinformationshouldbeconsideredbythereaderinadditionto,butnotinsteadof,thefinancialstatementspreparedinaccordancewithGAAP,andsimilarlytitlednon-GAAPmeasuresmaybecalculateddifferentlybyothercompanies.TheCompanycalculatesthosenon-GAAPmeasuresbyadjustingfornonrecurringornon-coreitemsthatarenotpartofthenormalcourseofbusinessandthattheCompany’smanagementdoesnotbelievewillhavesimilarcomparableyear-over-yearitems.AreconciliationofthosemeasurestothemostdirectlycomparableGAAPmeasuresisprovidedinAppendixAofthispresentation.
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InvestmentHighlights EnterpriseValue*$372M
MarketCap*
$341MSharesOut20.6M
2020Revenue$97.4M,Up20%y/y
2021RevenueGuidance$107M–$110M
Providingbest-in-classdurablemedicalequipmentandpatientservicesfacilitatingclinic-to-homecare
$10BU.S.andCanadaHomeDMEmarket;growthdrivenbymedicalinnovation,anagingpopulation,needtomanagehealthcarecostsandincreasedpatientcomfort
Gainingmarketsharebydelivering“thelast-milesolution”forhealthcareproviders,DMEmanufacturers,patientsandhealthplans
Double-digitgrowththroughtwoprovenbusinessplatforms:DurableMedicalEquipment(DME)andIntegratedTherapyServices(ITS)
StrategytocontinueleveragingDMEandITSplatformsbyenteringnewmultibillion-dollartherapymarkets
*Market data as of November 10, 2021
3
*Source:U.S.News&WorldReport,BestHospitals,July2021
Focus,ScaleandExperience
4
Aleadingproviderofequipmentandserviceswitha100K+devicefleetinthe
U.S.andCanada
35-yearhistory,perfectedmodelinOncologyandnowexpandingintomultipletherapies
SevenmajorserviceareasintheU.S.andCanadanearly400employees
Nationalscale,serving15outof20tophospitalsnationwide*
Third-partypayercontractscoveringnearly95%oftheU.S.population,providingsolutions
to6,500+sitesofcare
Infrastructureandservicesaredeviceagnosticandscalabletosupportmultipletherapies
HighROIoncapitalinvestments;wepurchaseequipmentonlywhennewbusinessisbeing
onboarded,oursalesforceishighlyscalableandwehavenoR&Dexpense
TwoProvenBusinessPlatformsGrowthDrivenbyMarketShareGainsandNewTherapyOpportunities
DME$36.3M(37%)
SALESBYSEGMENT
Total2020Revenue:
$97.4million
ITS$61.1M(63%)
INTEGRATEDTHERAPYSERVICES(ITS)Facilitateoutpatientcareforpatientsrequiringtherapyutilizingdurablemedicalequipment
DURABLEMEDICALEQUIPMENT(DME)SUPPORTSERVICESEquipmentandconsumablesales/leasetohospitals,clinicsandhomeinfusionproviders
5
Well-Diversified&StrategicPayerRelationshipsPercentageofCashCollectedbyPayer2020
Uninsured:0.3%
6,500+DirectPayHospitalandAlternateSiteCustomers
Hospital/AlternateSiteDirectPay:47.7%
Medicaid:1.3%
CommercialPayer:50.7%NoSinglePayerGreaterThan11.0%
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MedicalDevice
Sale/LeasetoHospitals&Clinics
SourceDevices
SupplyConsumablestoHospitals&Clinics
DeviceRepair&Maintenance
DMEPlatformTraditionalMedicalDistribution,Lower-Margin,High-TurnModel
•PumprentalsandVARsales(newdevices)Broker/tradersales(useddevices)•Biomedicalserviceandrepair
Directpayermodel:INFUispaiddirectlybythehospital/clinic/homecareprovider
DirectPayerModel
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ClinicalSupport/CaseManagement
DeviceLogistics
MedicalDevice
RevenueCycleManagement
DeviceRepair&Maintenance
ITSPlatformUniqueandScalable,High-Margin,High-ServiceModel
SupplymedicalequipmentandproprietaryconsumablesforoutpatientcareHospital,clinicianandpatientcustomerserviceThird-partypayermodel:INFUispaidbythepatient’smedicalinsuranceprovider
Third-PartyPayerModel
8
CompetitiveAdvantagesSignificantBarrierstoEntryBasedonUniqueFocus,NationalScaleandEstablishedPayerNetwork
PatientWellness
PatientSafetyInfuSystemOnlineResourceistheonlypatientresourcefacilitatingtwo-way
patientandclinicalteamcommunicationtomaintainpeaceofmind.
ScalabilityOver6,500customers–completecoverageoftheU.S.andCanadaincludingsevenservicefacilities.
ClinicalCareInfuSystem24/7NursingTeamprovides
continuouspatientsupporttominimizeriskandimproveoutcomes.Ourworkflow
solutionsforcliniciansencouragebestpracticestandards.
PayerContractsParticipatingin-networkproviderwithover750healthinsuranceplanscovering95%oftheU.S.population.Quality&Compliance
ISO9001certifiedandISO13485certifiedatselectsites–seebelow.*CHAPAccredited.
BiomedicalServicesWorld-classbiomedicalservicesgroupprovidingon-siteanddepotpreventativemaintenance,repairandwarrantyserviceandphysicalinventorymanagement.
CentralizedBillingSolutionDedicatedrevenuecyclemanagementteamofexperts.
“Thepatientisatthecenterofeverythingwedo.”
*
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GrowthStrategyAddingNewHigh-MarginTherapySegments&BiomedicalServices
Oncology
Evaluation Go-to-MarketStrategy
Launch Growth/Traction Established
Highlyscalableinfrastructure
Currentlyevaluatingmultipletherapiesthroughpartnershipandacquisitionwithmultibillion-dollarTAM
Leveragerecognizedcorecompetenciestogainandsustaintherapyleadership
$97.4million2020revenue
Over$900millioncurrentrealizableopportunities
Potentialfuturetherapysegments
PainManagement
NegativePressureWoundTherapy
FutureTherapies
BiomedicalServices
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LymphedemaTherapy
HighlyScalableExistingInfrastructure
OfficesandLogistics
• FullCoverageoftheU.S.andCanada(MI,KS,CA,MA,TX,Ontario)
SalesandMarketing
• Territorieswithoverlappingcoverageandincentivefornewtherapies
• Staffingefficienciestoservicemultipletherapies
RevenueCycleTeam/CaseManagement
• Automatedsystemsandgreatlyimprovedproductivity
• Existingpayerrelationshipsareakeycompetitiveadvantage
35YearsofExperience,Know-HowandReputationforExcellence
• Criticalmasswithfocusonbest-in-classservices
• Device-andtherapy-agnosticlogistics,service,billingmodel
• Devicemanufacturerrelationshipsofferfutureopportunities
Oncology
PainManagement
NPWT
Lymphedema
FutureTherapies
FoundationBuiltInOncology:LeveragedItMultipleTimes(Pain,NPWT,Lymphedema)
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Opportunity:OncologyHomeTreatment•Largecapitalexpenseforclinicsinadditiontomaintenanceandnightlytriage•Reducedstaffavailabletohelppatientswithinfusionpumpquestionsandbilling
Solution:OutpatientTreatment•Infusiondevicesfleet,inventoriedandreadyfordistribution•Patientmaintainsqualityoflife(work,events,family,restintheirownhome)•Clinicsmaintaincontrolofpatientcareandmedication•Increasedpatientsatisfaction
Delivery:InfuSystemITS•Oncologymarketleaderwithover2,100sitesofcare•Changedparadigmofcareforpatients,providersandpayers•Mitigatesrisk,managementandmaintenanceofinfusionpumps•Reducesclinicianandstaffworkloadtoallowgreaterfocusonpatientcare•Managesmedicalbillingandreimbursementprocess•Casemanagersprovidepumpeducation,billingassistanceandadditional24/7care
ITSModel:PlatformProveninOncologyInfuSystemITSValueProposition
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ThirdQuarterFinancialResults
NetRevenue
NetIncome
AEBITDA
OpCashFlow
20212020
20212020
20212020
20212020
$26.6M
$25.1M
$5.5M
$7.6M
$5.8M
$8.4M
(1)SeeAppendixA.
$(0.4)M
$2.9M
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(1)
NineMonthsEndedFinancialResults
NetRevenue
NetIncome
AEBITDA
OpCashFlow
20212020
20212020
20212020
20212020
$75.9M
$72.7M
$17.5M
$20.1M
$14.6M
$12.7M
(1)SeeAppendixA.
$1.0M
$6.7M
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(1)
FullYearFinancialResults
NetRevenue
NetIncome
AEBITDA
OpCashFlow
20202019
20202019
20202019
20202019
$97.4M
$81.1M
$17.3M
$1.4M
$26.4M
$18.4M
$20.3M
$13.9M
(1)SeeAppendixA.
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(1)
2017A 2018A 2019A 2020A 2021E$0
$20
$40
$60
$80
$100
$120
$
$5
$10
$15
$20
$25
$30
Notes:1. 2017consolidatedrevenueshavebeenadjustedtoreflecttheeffectoftheadoptionofASC606in2018.2. SeeAppendixA.
Revenue($Millions)
FinancialTrend&Current2021Guidance
AnnualNetRevenueAnnualAEBITDA Q3YTDNetRevenueQ3YTDAEBITDA
AEBITD
A($M
illions)
16
NetRevenues(1)&AEBITDA(2)
$65.5 $67.1
$81.1
$97.4 $107.0–$110.0
$26.4 $27.0–$28.0
$18.4
$13.8
$11.6
$20.1
$17.5
$72.7$75.9
FinancialTrend&CurrentTargets
AnnualCashFlowsFromOperationsAnnual%ofProFormaNetRevenue Q3YTDCashFlowsFromOperations
17
2017A 2018A 2019A 2020A 2021E$0.0
$1.5
$3.0
$4.5
$6.0
$7.5
$9.0
$10.5
$12.0
$13.5
$15.0
$16.5
$18.0
$19.5
$21.0
$22.5$24.0
11.0%
12.0%
13.0%
14.0%
15.0%
16.0%
17.0%
18.0%
19.0%
20.0%
21.0%
22.0%
23.0%
24.0%
($Millions)
%ofN
etRevenue
CashFlowsFromOperations
$12.7
$14.6
$11.4
$7.7
$13.9
$20.3$19.0–$22.0
RecentAccomplishments
LaunchedLymphedemaTherapyinITSplatformviajointagreementwithBioCompressionSystems,Inc.—June2021
Raisedannualrevenue,adjustedEBITDAandoperatingcashflowtargets—November2020
Strongexecutiondespiteexternalforcesandconditions;particularlythepandemic—2020
Proactivepatientengagementinitiativelaunchedtoimproverevenuecyclemanagement—Q12020
EnterednegativepressurewoundtherapymarketwithpartnerCardinalHealth—February2020
Acquisitionandintegrationoftwobiomedicalservicescompanies;enablingentryintoacutecareservicemarket—Early2021
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ExecutednewagreementtoexclusivelyprovideInfuBLOCK®PainManagementTherapyservicestoleadingU.S.healthcareprovider—November2021
CorporatePriorities
ContinuesteadygrowthinOncologybusinesswithnewcustomersandtreatments
ExpandPainManagementandNPWTmarketshare
Announcenewcontractswithhealthplansandhealthcaresystems
EnterintonewpartnershipstodevelopadditionalITStherapymarkets
Continuetodriveimprovedoperationalefficienciesandmarginexpansion
BeginonboardingnewcustomersfornewLymphedemaTherapyin2022–2023
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ExecutiveTeamSeasonedIndustryExperience,Including:Pharmaceutical,HealthCare,LifeSciences,MedicalDevice,AutomotiveOEM,PublicAccounting,Military,Retail,ConsumerBrands,DigitalAdvertising,Consulting&High-Tech
JeannineLombardiSheehan–ExecutiveVicePresident&ChiefAdministrativeOfficer
JoinedInfuSystem:2019
TomRuiz–ExecutiveVicePresident&ChiefCommercialOfficerJoinedInfuSystem:2010
BarrySteele–ExecutiveVicePresident&ChiefFinancialOfficerJoinedInfuSystem:2020
RichardDiIorioChiefExecutiveOfficer&Director
JoinedInfuSystem:2004
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CarrieLachance,BSN,RN,CRNI–President&ChiefOperatingOfficerJoinedInfuSystem:2010
Summary
Twoprovenplatformsthatenablethedeliveryofpatientcarefromtheclinicintothehome,drivingdouble-digitrevenue,cashflowgrowthandacceleratingprofit
Marketopportunitiesdrivenbyrisinghealthcarecosts,anagingpopulation,medicalinnovation,patientsatisfactionandotherfactors
Gainingshareinagrowingmarketbyprovidingbest-in-classproducts,talentandpatientservices
Sustainablecompetitiveadvantagesbyservingmultiplestakeholdersonanationalscale
Strategytoaddnewtherapiesutilizingexistingplatformsandleveragingcurrentinfrastructure
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AppendixAGAAPtoNON-GAAPReconciliation
(1)Amountsrepresentanon-cashexpenserecordedasareserveformissingmedicalequipmentandisbeingaddedbackduetoitssimilaritytodepreciation.Amountsforthepriorperiod,whichwerenotpreviouslyincludedinthecalculationofadjustedEBITDA,havebeenincludedforcomparability.
NETINCOME(LOSS)TOADJUSTEDEBITDA: TwelveMonthsEndedDecember31,
ThreeMonthsEndedSeptember30,
NineMonthsEndedSeptember30,
(inthousands) 2017 2018 2019 2020 2020 2021 2020 2021
GAAPnet(loss)income $ (20,707) $ (1,095) $ 1,361 $ 17,332 $ 2,940 $ (448) $ 6,662 $ 1,033
Adjustments:Interestexpense 1,332 1,420 1,904 1,255 283 270 1,018 909Incometax(benefit)provision 15,450 53 163 (9,789) 38 (217) 92 (874)Depreciation 6,963 6,659 7,940 9,740 2,485 2,615 7,267 7,705Assetimpairment 993 — — — — — — —Amortization 5,560 4,649 4,402 4,285 1,075 1,125 3,225 3,264
Non-GAAPEBITDA $ 9,591 $ 11,686 $ 15,770 $ 22,823 $ 6,821 $ 3,345 $ 18,264 $ 12,037
Stockcompensationcosts 682 957 997 2,610 659 1,955 1,222 4,962Medicalequipmentreserve(1) (69) 48 218 178 12 68 64 482ASC842accountingprinciplechange — — 252 — — — — —Officemoveexpenses — — 258 17 — — 17 —Acquisitioncosts — — — — — 7 — 154SOXreadinesscosts — — — — — 68 — 86Restatementcosts 28 — — — — — — —Earlyterminationfeesforcapitalleases 292 98 190 — — — — —Exitedfacilitycosts — 44 — — — — — —Managementreorganization/transitioncosts 737 250 76 521 10 6 471 34Feestointegratebusinessofotherprovider — — 163 — — — — —Contestedproxyandothershareholdercosts 200 251 23 30 — — 30 —Certainothernon-recurringcosts 160 476 491 220 53 46 57 (221)
Non-GAAPAdjustedEBITDA $ 11,621 $ 13,810 $ 18,438 $ 26,399 $ 7,555 $ 5,495 $ 20,125 $ 17,534
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(1)Calculatedasthecashplusborrowingavailabilityunderrevolvingbankloans.
AppendixBSelectBalanceSheetData
(InThousands)December31,
2019December31,
2020September30,
2021
CashandCashEquivalents $ 2,647 $ 9,648 $ 165
AvailableLiquidity(1) $ 12,497 $ 20,436 $ 43,561
WorkingCapital,LessCash&CurrentDebt $ 2,893 $ 6,549 $ 7,552
MedicalEquipment,Net $ 33,225 $ 35,611 $ 36,431
TotalAssets $ 79,224 $ 96,991 $ 94,786
TotalDebt $ 38,377 $ 38,801 $ 30,895
TotalLiabilities $ 56,890 $ 56,239 $ 48,331
TotalStockholders’Equity $ 22,334 $ 40,752 $ 46,455
OutstandingShares 19,882 20,298 20,607
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