InfuSystem Holdings, Inc
Business
InfuSystem Holdings, Inc provides last-mile healthcare services enabling clinic-to-home treatments using durable medical equipment for outpatient providers. It supplies and services ambulatory and pole-mounted infusion pumps, disposable consumables, 24/7 nursing support, biomedical maintenance, and revenue-cycle/billing solutions. Operations are organized into two platforms — Patient Services, focused on turnkey clinic-to-home infusion solutions (notably oncology, pain management and wound care), and Device Solutions, offering equipment sales, rentals and biomedical recertification. The company serves hospitals, oncology and infusion clinics, ambulatory surgery centers and other alternate-site providers across the U.S. and Canada.
Summary from filing dated 2025-03-11
Financials
Consolidated Statement of Income
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Net revenues | 143 | 135 | 126 | 110 | 102 | |
| Cost of revenues | 63 | 64 | 63 | 49 | 44 | |
| Gross profit | 80 | 70 | 63 | 61 | 59 | |
| Amortization of intangibles | 900,000 | 1 | 1 | 3 | 4 | |
| Selling and marketing | 10 | 11 | 13 | 12 | 11 | |
| General and administrative | 57 | 51 | 45 | 44 | 41 | |
| Total selling, general and administrative | 68 | 64 | 59 | 59 | 56 | |
| Operating income | 12 | 7 | 4 | 2 | 3 | |
| Interest expense | −1 | −2 | −2 | — | — | |
| Other income (expense) | 2,000 | −55,000 | −67,000 | −122,000 | −186,000 | |
| Income (Loss) before income taxes | 11 | 5 | 2 | 130,000 | 1 | |
| Provision for income taxes | −4 | −3 | −979,000 | −112,000 | 163,000 | |
| Net income | 7 | 2 | 872,000 | 18,000 | 1 | |
| Basic (in dollars per share) | 0.32 | 0.11 | 0.04 | 0 | 0.07 | |
| Diluted (in dollars per share) | 0.31 | 0.11 | 0.04 | 0 | 0.06 | |
| Basic (in shares) | 21 | 21 | 21 | 21 | 21 | |
| Diluted (in shares) | 21 | 22 | 22 | 22 | 22 | |
| Unrealized gain (loss) on hedges | −733,000 | 40,000 | −523,000 | 2 | 355,000 | |
| (Provision for) benefit from income tax on unrealized hedge gain (loss) | 179,000 | −9,000 | 122,000 | −388,000 | −87,000 | |
| Other comprehensive income (loss) | −554,000 | 31,000 | −401,000 | 1 | 268,000 | |
| Net comprehensive income | 6 | 2 | 471,000 | 1 | 2 |
Consolidated Balance Sheet
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Cash and cash equivalents | 3 | 527,000 | 231,000 | 165,000 | 186,000 | |
| Accounts receivable, net | 23 | 21 | 20 | 17 | 15 | |
| Inventories, net | 5 | 7 | 6 | 5 | 4 | |
| Other current assets | 5 | 4 | 4 | 3 | 3 | |
| Total current assets | 36 | 32 | 31 | 25 | 22 | |
| Medical equipment for sale or rental | 5 | 3 | 3 | 3 | 2 | |
| Medical equipment in rental service, net of accumulated depreciation | 34 | 39 | 35 | 39 | 40 | |
| Property & equipment, net of accumulated depreciation | 3 | 4 | 4 | 4 | 5 | |
| Goodwill | 4 | 4 | 4 | 4 | 4 | |
| Intangible assets, net | 7 | 6 | 7 | 8 | 11 | |
| Operating lease right of use assets | 4 | 5 | 7 | 4 | 4 | |
| Deferred income taxes | 5 | 7 | 9 | 10 | 10 | |
| Derivative financial instruments | 748,000 | 1 | 1 | 2 | 355,000 | |
| Other assets | 2 | 878,000 | 2 | 80,000 | 116,000 | |
| Total assets | 101 | 104 | 103 | 99 | 98 | |
| Accounts payable | 11 | 10 | 8 | 8 | 8 | |
| Other current liabilities | 9 | 8 | 8 | 6 | 5 | |
| Total current liabilities | 20 | 18 | 16 | 14 | 13 | |
| Long-term debt, net of current portion | 20 | 24 | 29 | 33 | 33 | |
| Operating lease liabilities, net of current portion | 3 | 5 | 6 | 4 | 4 | |
| Total liabilities | 43 | 46 | 51 | 51 | 49 | |
| Preferred stock, $0.0001 par value: authorized 1,000,000 shares; none issued | 0 | 0 | 0 | 0 | 0 | |
| Common stock, $0.0001 par value: authorized 200,000,000 shares; 20,209,636 shares issued and outstanding as of December 31, 2025 and 21,272,351 shares issued and outstanding as of December 31, 2024 | 2,000 | 2,000 | 2,000 | 2,000 | 2,000 | |
| Additional paid-in capital | 117 | 114 | 110 | 106 | 102 | |
| Accumulated other comprehensive income | 565,000 | 1 | 1 | 1 | 268,000 | |
| Retained deficit | −61 | −57 | −59 | −59 | −54 | |
| Total stockholders equity | 57 | 58 | 52 | 48 | 48 | |
| Total liabilities and stockholders equity | 101 | 104 | 103 | 99 | 98 |
Consolidated Statement of Cash Flows
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Provision for doubtful accounts | 200,000 | −167,000 | −261,000 | 87,000 | 77,000 | |
| Depreciation | 12 | 12 | 12 | 11 | 10 | |
| Loss on disposal of and reserve adjustments for medical equipment | 519,000 | 942,000 | 2 | 2 | 1 | |
| Gain on sale of medical equipment | −3 | −2 | −3 | −2 | −3 | |
| Amortization of deferred debt issuance costs | 81,000 | 78,000 | 120,000 | 73,000 | 151,000 | |
| Stock-based compensation | 4 | 4 | 4 | 4 | 6 | |
| Deferred income taxes | 3 | 2 | 633,000 | 19,000 | −153,000 | |
| Accounts receivable | 263,000 | −701,000 | −2 | −1 | 829,000 | |
| Inventories | 1 | −126,000 | −2 | −882,000 | −864,000 | |
| Other current assets | −903,000 | 202,000 | −1 | −387,000 | −133,000 | |
| Other assets | 114,000 | 2 | −3 | −135,000 | −161,000 | |
| Accounts payable and other liabilities | −708,000 | −676,000 | 2 | 3 | −2 | |
| NET CASH PROVIDED BY OPERATING ACTIVITIES | 24 | 20 | 11 | 18 | 18 | |
| Acquisition of business | −1 | 0 | 0 | 0 | −8 | |
| Purchase of medical equipment | −8 | −17 | −10 | −14 | −16 | |
| Purchase of property and equipment | −560,000 | −1 | −1 | −982,000 | −980,000 | |
| Proceeds from sale of medical equipment, property and equipment | 3 | 5 | 4 | 4 | 3 | |
| NET CASH USED IN INVESTING ACTIVITIES | −7 | −13 | −7 | −11 | −21 | |
| Principal payments on long-term debt | −52 | −56 | −55 | −42 | −82 | |
| Cash proceeds from long-term debt | 48 | 51 | 52 | 42 | 76 | |
| Debt issuance costs | −197,000 | 0 | −229,000 | 0 | −386,000 | |
| Common stock repurchased as part of share repurchase program | −10 | −1 | −153,000 | −5 | −560,000 | |
| Common stock repurchased to satisfy statutory withholding on employee stock-based compensation plans | −1 | −816,000 | −1 | −1 | −1 | |
| Cash proceeds from exercise of options and ESPP | 335,000 | 387,000 | 1 | 1 | 1 | |
| NET CASH USED IN FINANCING ACTIVITIES | −15 | −7 | −4 | −6 | −6 | |
| Net change in cash and cash equivalents | 3 | 296,000 | 66,000 | −21,000 | −9 | |
| Cash paid for interest | 1 | 2 | 2 | 1 | 1 | |
| Cash paid for income taxes | 543,000 | 753,000 | 213,000 | 153,000 | 171,000 | |
| Additions to medical equipment and property | 3 | 1 | 249,000 | 2 | 2 |