Viemed Healthcare Announces Third Quarter 2021 Financial Results


LAFAYETTE, La., Nov. 01, 2021 (GLOBE NEWSWIRE) -- Viemed Healthcare, Inc. (the “Company” or “Viemed”) (NASDAQ:VMD and TSX: VMD.TO), a home medical equipment supplier and the nation’s largest independent provider of ventilation that provides post-acute respiratory care services, today reported its financial results for the three and nine months ended September 30, 2021.

Operational highlights (all dollar amounts are USD):

  • Total net revenues for the current quarter were $29.3 million and included $1.5 million of net revenues for contact and vaccine tracing services and product sales related to the COVID-19 pandemic. Net revenues attributable to the Company's core business for the quarter ended September 30, 2021 were $27.8 million, a new Company record, and an increase of $2.9 million, or 12%, over core business revenues reported for the comparable quarter ended September 30, 2020. Net revenues attributable to the core business were up approximately 6% from the second quarter of 2021.

  • Net income for the quarter ended September 30, 2021 totaled $1.8 million, compared to $2.8 million for the quarter ended September 30, 2020. Net income for the nine months ended September 30, 2021 totaled $5.0 million, compared to $26.5 million for the nine months ended September 30, 2020. In the prior year comparable period, net income included an income tax benefit of $5.3 million and $29.3 million of COVID-19 response sales and services during the height of the COVID-19 pandemic.

  • Adjusted EBITDA for the quarter ended September 30, 2021 totaled $7.4 million and Adjusted EBITDA for the nine months ended September 30, 2021 totaled $19.7 million. A reconciliation of reported non-GAAP financial measures to their most directly comparable U.S. GAAP financial measures can be found in the tables accompanying this press release.

  • The Company had a cash balance of $26.9 million at September 30, 2021 ($31.0 million at December 31, 2020) and an overall working capital balance of $27.2 million at September 30, 2021 ($24.2 million at December 31, 2020). Long-term debt as of September 30, 2021 was $4.3 million ($5.8 million at December 31, 2020).

  • The Company grew its ventilator patient count to 8,200 at September 30, 2021, compared to 8,103 at June 30, 2021.

  • The Company expects to generate net revenues attributable to its core business of approximately $27.8 million to $28.8 million during the fourth quarter of 2021. While the Company's COVID-19 response related business has slowed during the current year, the Company is continuing to pursue additional sales and support revenues and estimates fourth quarter 2021 net revenues of approximately $1.5 million to $1.7 million related to the COVID-19 pandemic. Total net revenues for the fourth quarter of 2021 are estimated to be approximately $29.3 million to $30.5 million.

“We are excited to report another record breaking quarter despite headwinds associated with the Delta variant,” said Casey Hoyt, Viemed's CEO. “The resiliency of our workforce and the strength of our relationships has driven our continued growth during these unprecedented times. The nationwide sales training programs conducted during the previous quarters have concluded and are expected to give our sales force new products to add to our superior service model. As we look forward, we continue to believe that our ability to provide technology enabled healthcare in the home setting will create enormous value and positive patient outcomes.”

Conference Call Details

The Company will host a conference call to discuss second quarter results on Tuesday, November 2, 2021 at 11:00 a.m. ET.

The call-in numbers for participants are:

US Toll Free Dial In: 1-877-407-0784
International Toll Free Dial In: 1-201-689-8560
Meeting ID Number: 13723389
Live Event Call me™ Link (Available 15 minutes prior to start time for participant entry)
https://callme.viavid.com/?callme=true&passcode=13707099&h=true&info=company-email&r=true&B=6

Following the conclusion of the call, an audio recording and transcript of the call can be accessed on the Company's website.

ABOUT VIEMED HEALTHCARE, INC.

Viemed is a provider of in-home medical equipment and post-acute respiratory healthcare services in the United States. Viemed’s service offerings are focused on effective in-home treatment with clinical practitioners providing therapy and counseling to patients in their homes using cutting edge technology. Visit our website at www.viemed.com.

For further information, please contact:

Glen Akselrod
Bristol Capital
905-326-1888
glen@bristolir.com

Todd Zehnder
Chief Operating Officer
Viemed Healthcare, Inc.
337-504-3802
investorinfo@viemed.com

Forward-Looking Statements

Certain statements contained in this press release may constitute “forward-looking statements” within the meaning of the U.S. Private Securities Litigation Reform Act of 1995 or “forward-looking information” as such term is defined in applicable Canadian securities legislation (collectively, “forward-looking statements”). Often, but not always, forward-looking statements can be identified by the use of words such as “plans”, “expects”, “is expected”, “budget”, “potential”, “scheduled”, “estimates”, “forecasts”, “intends”, “anticipates”, “believes”, or “projects”, or the negatives thereof or variations of such words and phrases or statements that certain actions, events or results “will”, “should”, “may”, “could”, “would”, “might” or “will be taken”, “occur” or “be achieved” or the negative of these terms or comparable terminology. All statements other than statements of historical fact, including those that express, or involve discussions as to, expectations, beliefs, plans, objectives, assumptions or future events or performance, including the Company's net revenue guidance for the fourth quarter, are not historical facts and may be forward-looking statements and may involve estimates, assumptions and uncertainties that could cause actual results or outcomes to differ materially from those expressed in the forward-looking statements. Such statements reflect the Company's current views and intentions with respect to future events, and current information available to the Company, and are subject to certain risks, uncertainties and assumptions. Many factors could cause the actual results, performance or achievements that may be expressed or implied by such forward-looking statements to vary from those described herein should one or more of these risks or uncertainties materialize. These factors include, without limitation: the general business, market and economic conditions in the regions in which the Company operates; the impact of the COVID-19 pandemic and the actions taken by governmental authorities, individuals and companies in response to the pandemic on our business, financial condition and results of operations, including on the Company's patient base, revenues, employees, and equipment and supplies; significant capital requirements and operating risks that the Company may be subject to; the ability of the Company to implement business strategies and pursue business opportunities; volatility in the market price of the Company's common shares; the Company’s novel business model; the risk that the clinical application of treatments that demonstrate positive results in a study may not be positively replicated or that such test results may not be predictive of actual treatment results or may not result in the adoption of such treatments by providers; the state of the capital markets; the availability of funds and resources to pursue operations; reductions in reimbursement rates and audits of reimbursement claims by various governmental and private payor entities; dependence on few payors; possible new drug discoveries; dependence on key suppliers and the recall of certain Royal Philips BiPAP and CPAP devices and ventilators that we distribute and sell; granting of permits and licenses in a highly regulated business; competition; low profit market segments; disruptions in or attacks (including cyber-attacks) on the Company's information technology, internet, network access or other voice or data communications systems or services; the evolution of various types of fraud or other criminal behavior to which the Company is exposed; the failure of third parties to comply with their obligations; difficulty integrating newly acquired businesses; the impact of new and changes to, or application of, current laws and regulations; the overall difficult litigation and regulatory environment; increased competition; changes in foreign currency rates; increased funding costs and market volatility due to market illiquidity and competition for funding; critical accounting estimates and changes to accounting standards, policies, and methods used by the Company; the Company’s status as an emerging growth company; and the occurrence of natural and unnatural catastrophic events or health epidemics or concerns, such as the COVID-19 pandemic, and claims resulting from such events or concerns; as well as those risk factors discussed or referred to in the Company’s disclosure documents filed with the U.S. Securities and Exchange Commission (the “SEC”) available on the SEC’s website at www.sec.gov, including the Company’s most recent Annual Report on Form 10-K and Quarterly Report on Form 10-Q, and with the securities regulatory authorities in certain provinces of Canada available at www.sedar.com. Should any factor affect the Company in an unexpected manner, or should assumptions underlying the forward-looking statements prove incorrect, the actual results or events may differ materially from the results or events predicted. Any such forward-looking statements are expressly qualified in their entirety by this cautionary statement. Moreover, the Company does not assume responsibility for the accuracy or completeness of such forward-looking statements. The forward-looking statements included in this press release are made as of the date of this press release and the Company undertakes no obligation to publicly update or revise any forward-looking statements, other than as required by applicable law.

VIEMED HEALTHCARE, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(Expressed in thousands of U.S. Dollars, except share amounts)
(Unaudited)

  At
September 30, 2021
 At
December 31, 2020
ASSETS    
Current assets    
Cash and cash equivalents $26,867   $30,981 
Accounts receivable, net of allowance for doubtful accounts of $7,115 and $9,013 at September 30, 2021 and December 31, 2020, respectively 12,696   12,373 
Inventory, net of inventory reserve of $1,237 and $1,353 at September 30, 2021 and December 31, 2020, respectively 2,622   2,310 
Income tax receivable 1,420    
Prepaid expenses and other assets 3,761   1,511 
Total current assets $47,366   $47,175 
Long-term assets    
Property and equipment, net 59,036   55,056 
Equity investments 1,942   733 
Deferred tax asset 6,281   8,733 
Other long-term assets 861   863 
Total long-term assets $68,120   $65,385 
TOTAL ASSETS $115,486   $112,560 
     
LIABILITIES    
Current liabilities    
Trade payables $4,734   $2,096 
Deferred revenue 3,795   3,409 
Income taxes payable    340 
Accrued liabilities 9,283   12,595 
Current portion of lease liabilities 481   2,741 
Current portion of long-term debt 1,906   1,836 
Total current liabilities $20,199   $23,017 
Long-term liabilities     
Accrued liabilities 730   1,292 
Long-term lease liabilities 834   762 
Long-term debt 4,347   5,796 
Total long-term liabilities $5,911   $7,850 
TOTAL LIABILITIES $26,110   $30,867 
     
Commitments and Contingencies     
     
SHAREHOLDERS' EQUITY    
Common stock - No par value: unlimited authorized; 39,630,446 and 39,185,182 issued and outstanding as of September 30, 2021 and December 31, 2020, respectively 13,957   9,181 
Additional paid-in capital 6,501   7,320 
Accumulated other comprehensive loss (330)  (451)
Retained earnings 69,248   65,643 
TOTAL SHAREHOLDERS' EQUITY $89,376   $81,693 
TOTAL LIABILITIES AND SHAREHOLDERS' EQUITY $115,486   $112,560 

VIEMED HEALTHCARE, INC.
CONDENSED CONSOLIDATED STATEMENTS OF INCOME AND COMPREHENSIVE INCOME
(Expressed in thousands of U.S. Dollars, except outstanding shares and per share amounts)
(Unaudited)

 Three Months Ended
September 30,
 Nine Months Ended
September 30,
 2021  2020  2021 2020
Revenue$29,285   $33,447   $85,100   $100,107  
        
Cost of revenue10,904   13,994   31,352   39,174  
        
Gross profit$18,381   $19,453   $53,748   $60,933  
        
Operating expenses       
Selling, general and administrative13,260   13,550   40,653   40,555  
Research and development576    243   1,498   688  
Stock-based compensation1,302   1,234   3,845   3,581  
Depreciation211   202   618   612  
Loss (gain) on disposal of property and equipment145   203   304   (2,424) 
Other expense (income)(32)  (19)  (85)  (3,593) 
Income from operations$2,919   $4,040   $6,915   $21,514  
        
Non-operating income and expenses       
Income from equity method investments(331)   (21)   (782)  (36) 
Interest expense, net of interest income75   116   249   409  
        
Net income before taxes3,175   3,945   7,448   21,141  
Provision (benefit) for income taxes1,386   1,141   2,409   (5,318) 
        
Net income$1,789   $2,804   $5,039   $26,459  
        
Other comprehensive income (loss)       
Change in unrealized gain/loss on derivative instruments, net of tax21   24   121   (321) 
Other comprehensive income (loss)$21   $24   $121   $(321) 
        
Comprehensive income$1,810   $2,828   $5,160   $26,138  
        
Net income per share       
Basic$0.05   $0.07   $0.13   $0.69  
Diluted$0.04   $0.07   $0.12   $0.66  
        
Weighted average number of common shares outstanding:       
Basic39,607,540   39,107,640   39,442,088   38,603,267  
Diluted40,659,353   41,155,668   40,716,747   40,377,608  

VIEMED HEALTHCARE, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(Expressed in thousands of U.S. Dollars)
(Unaudited)

  Nine Months Ended September 30,
  2021 2020
Cash flows from operating activities    
Net income $5,039   $26,459 
Adjustments for:    
Depreciation 8,192   6,745 
Change in allowance for doubtful accounts 5,250   7,031 
Change in inventory reserve (116)   
Share-based compensation 3,845   3,581 
Distributions of earnings received from equity method investments 172   —  
Income from equity method investments (782)  (36)
Loss (gain) on disposal of property and equipment 304   (2,424)
Deferred income tax expense (benefit) 2,410   (7,593)
Net change in working capital    
Increase in accounts receivable (5,573)  (6,986)
Increase in inventory (196)  (1,402)
Increase in prepaid expenses and other assets (2,259)  (1,771)
Increase in trade payables 2,638   2,739 
Increase in deferred revenue 386   297 
(Decrease) increase in accrued liabilities (3,711)  2,397 
Change in income tax payable/receivable (1,760)  282 
Net cash provided by operating activities $13,839   $29,319 
     
Cash flows from investing activities     
Purchase of property and equipment (13,080)  (8,204)
Investment in equity investments (599)  (30)
Proceeds from sale of property and equipment 496   5,187 
Net cash used in investing activities $(13,183)  $(3,047)
     
Cash flows from financing activities    
Proceeds from exercise of options 112   1,780 
Principal payments on notes payable (113)  (104)
Principal payments on term note (1,255)  (1,199)
Shares redeemed to pay income tax (1,434)   
Repayments of lease liabilities (2,080)  (7,708)
Net cash used in financing activities $(4,770)  $(7,231)
     
Net (decrease) increase in cash and cash equivalents (4,114)  19,041 
Cash and cash equivalents at beginning of year 30,981   13,355 
Cash and cash equivalents at end of period $26,867   $32,396 
     
Supplemental disclosures of cash flow information    
Cash paid during the period for interest $278   $437 
Cash paid during the period for income taxes, net of refunds received $1,760   $1,975 
Supplemental disclosures of non-cash transactions    
Net non-cash changes to finance lease balances $42   $3,002 
Net non-cash changes to operating lease balances $372   $57 

Non-GAAP Financial Measures

This press release refers to “Adjusted EBITDA” which is a non-GAAP financial measure that does not have a standardized meaning prescribed by U.S. GAAP. The Company's presentation of this financial measure may not be comparable to similarly titled measures used by other companies. Adjusted EBITDA is defined as net income (loss) before interest expense, income tax expense (benefit), depreciation and amortization, and stock-based compensation. Management believes Adjusted EBITDA provides helpful information with respect to the Company’s operating performance as viewed by management, including a view of the Company’s business that is not dependent on the impact of the Company’s capitalization structure and items that are not part of the Company’s day-to-day operations. Management uses Adjusted EBITDA (i) to compare the Company’s operating performance on a consistent basis, (ii) to calculate incentive compensation for the Company’s employees, (iii) for planning purposes, including the preparation of the Company’s internal annual operating budget, and (iv) to evaluate the performance and effectiveness of the Company’s operational strategies. Accordingly, management believes that Adjusted EBITDA provides useful information in understanding and evaluating the Company’s operating performance in the same manner as management. The following table is a reconciliation of net income (loss), the most directly comparable U.S. GAAP measure, to Adjusted EBITDA, on a historical basis for the periods indicated:

VIEMED HEALTHCARE, INC.
Reconciliation of Net Income to Non-GAAP Adjusted EBITDA
(Expressed in thousands of U.S. Dollars)
(Unaudited)

For the quarter endedSeptember
30, 2021
June 30,
2021
March 31,
2021
December
31, 2020
September
30, 2020
June 30,
2020
March 31,
2020
December
31, 2019
Net Income$1,789  $1,566  $1,684   $5,071  $2,804  $19,412   $4,243  $2,388  
Add back:        
Depreciation2,867  2,716  2,609   2,835  2,425  2,190   2,130  2,003  
Interest expense75  83  91   100  116  135   158  212  
Stock-based compensation1,302  1,236  1,307   1,301  1,234  1,196   1,151  908  
Income tax expense (benefit)1,386  1,246  (223) 151  1,141  (6,646) 187  58  
Adjusted EBITDA$7,419  $6,847  $5,468   $9,458  $7,720  $16,287   $7,869  $5,569  


  Three Months Ended
September 30, 2021
 Nine Months Ended
September 30, 2021
Net Income $1,789  $5,039 
Add back:    
Depreciation 2,867  8,192 
Interest expense 75  249 
Stock-based compensation 1,302  3,845 
Income tax expense 1,386  2,409 
Adjusted EBITDA $7,419  $19,734 

Use of Non-GAAP Financial Measures

Adjusted EBITDA should be considered in addition to, not as a substitute for, or superior to, financial measures calculated in accordance with U.S. GAAP. It is not a measurement of the Company’s financial performance under U.S. GAAP and should not be considered as an alternative to revenue or net income, as applicable, or any other performance measures derived in accordance with U.S. GAAP and may not be comparable to other similarly titled measures of other businesses. Adjusted EBITDA has limitations as an analytical tool and you should not consider it in isolation or as a substitute for analysis of the Company’s operating results as reported under U.S. GAAP. Adjusted EBITDA does not reflect the impact of certain cash charges resulting from matters the Company considers not to be indicative of ongoing operations; and other companies in the Company’s industry may calculate Adjusted EBITDA differently than we do, limiting its usefulness as a comparative measure.

VIEMED HEALTHCARE, INC.
Key Financial and Operational Information
(Expressed in thousands of U.S. Dollars, except vent patients)
(Unaudited)

For the quarter endedSeptember
30, 2021
June 30,
2021
March 31,
2021
December
31, 2020
September
30, 2020
June 30,
2020
March 31,
2020
December
31, 2019
Financial Information:       
Revenue$29,285 $27,399 $28,416 $31,202 $33,447 $42,854 $23,806 $21,448 
Gross Profit$18,381 $17,625 $17,742 $19,178 $19,453 $25,927 $15,553 $14,243 
Gross Profit %63%64%62%61%58%61%65%66%
Net Income$1,789 $1,566 $1,684 $5,071 $2,804 $19,412 $4,243 $2,388,000 
Cash (As of)$26,867 $31,151 $31,097 $30,981 $32,396 $29,707 $8,409 $13,355 
Total Assets (As of)$115,486 $111,014 $113,001 $112,560 $113,969 $112,178 $86,801 $82,596 
Adjusted EBITDA(1)$7,419 $6,847 $5,468 $9,458 $7,720 $16,287 $7,869 $5,569,000 
Operational Information:       
Vent Patients(2)8,200 8,103  7,733 7,892 7,788 7,705  7,965 7,759 

(1)Refer to "Non-GAAP Financial Measures" section above for definition of Adjusted EBITDA.

(2)Vent Patients represents the number of active ventilator patients on recurring billing service at the end of each calendar quarter.