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8-K - 8-K - Option Care Health, Inc.v320741_8k.htm

 

 

FOR IMMEDIATE RELEASE

 

BioScrip reports SECOND QUARTER 2012 financial results

 

Elmsford, NY – August 8, 2012 – BioScrip, Inc. (NASDAQ: BIOS) today announced 2012 second quarter financial results. Second quarter revenue, from continuing operations, was $155.9 million and net loss, from continuing operations, was $4.3 million, or $0.07 per diluted share. Consolidated Adjusted EBITDA for the second quarter was $9.0 million.

 

As a result of the sale of the Company’s traditional and specialty pharmacy mail operations and community retail pharmacy stores on May 4, 2012 (the “Pharmacy Services Asset Sale”), the Company’s financial statements reflect the discontinued operations’ results for the three months ended June 30, 2012 and 2011 and assets transferred in the transaction as of June 30, 2012 and December 31, 2011, separate from the continuing operations of the business. The remaining assets and liabilities of the divested business that were not transferred as a part of the Pharmacy Services Asset Sale are included in continuing operations. The Company anticipates the collection, payment or resolution of these balances during the remainder of the year.

 

During the first quarter of 2012, the Company changed its operating and reportable segments from “Infusion/Home Health Services” and “Pharmacy Services” to its new operating and reportable segments: “Infusion Services,” “Home Health Services,” and “PBM Services.” As a result, prior period financial statements and related disclosures have been reclassified to conform to the current year presentation, and we have included the quarterly financial statements for 2011 as part of this release.

 

Second Quarter Highlights

·Revenue from continuing operations increased $24.3 million or 18.5% compared to prior year;
·Gross profit from continuing operations was $53.0 million or 34.0% of revenue, compared to $51.8 million or 39.4% of revenue in the prior year;
·Adjusted EBITDA from continuing operations was $9.0 million, compared to $11.5 million in the prior year and $8.4 million in the first quarter, a 7.5% sequential quarter improvement; and
·The Company completed the Pharmacy Services Asset Sale.

 

1
 

 

Acquisition of InfuScience

On July 31, 2012, BioScrip acquired privately held InfuScience, Inc. (“InfuScience”) for $38.0 million in cash. The purchase price could increase an additional $3.0 million based on the results of operations during the 24 month period following the closing. Headquartered in Gurnee, IL, InfuScience acquires, develops and operates businesses providing alternate site infusion pharmacy services. InfuScience generates approximately $40.0 million in annual revenue and has five infusion centers located in Eagan, Minnesota; Omaha, Nebraska; Chantilly, Virginia; Charleston, South Carolina; and Savannah, Georgia.

 

“The second quarter results demonstrate our progress in executing on our strategic plan,” said Rick Smith, President and Chief Executive Officer of BioScrip. “We were able to close on the divestiture of the non-core pharmacy services assets and redeploy a portion of the proceeds towards the acquisition of InfuScience, while delivering sequential improvement on our Adjusted EBITDA.”

 

Smith continued, “The InfuScience transaction is consistent with our stated goal of building our infusion business through strategic and opportunistic acquisitions, which meet our financial criteria and build our national presence. We are pleased to have the InfuScience team join us and believe their focus on clinical excellence and high-touch service model are consistent with BioScrip’s customer-centric approach.”

 

Results of Operations

 

Second Quarter 2012 versus Second Quarter 2011

 

Revenue from continuing operations for the second quarter of 2012 totaled $155.9 million, compared to $131.6 million for the same period a year ago, an increase of $24.3 million or 18.5%. Infusion Services segment revenue was $111.0 million in the second quarter, compared to revenue of $89.9 million for the same period in 2011, an increase of $21.1 million or 23.5%. This increase was driven primarily by volume growth. Home Health Services segment revenue for the second quarter of 2012 was $16.9 million compared to revenue of $17.7 million in the prior year, a decrease of $0.8 million or 4.6%. This decrease was primarily the result of reimbursement reductions from Medicare and the state of Tennessee TennCare program. PBM Services segment revenue for the second quarter of 2012 was $28.1 million, compared to $24.0 million for the prior year period, an increase of $4.0 million or 16.7%. Revenue in this segment benefitted from the addition of a new Managed Medicare contract in late 2011.

 

Consolidated gross profit for the second quarter of 2012 was $53.0 million, or 34.0% of revenue, compared to $51.8 million, or 39.4% of revenue, for the second quarter of 2011. The gross profit margin was impacted primarily by therapy mix in the Infusion Services segment. As previously anticipated, in connection with the Pharmacy Services Asset Sale, the Company continued to provide certain lower margin services on behalf of key customers during the second quarter. Additionally, there was a substantial decrease in cross referrals of certain therapies from the specialty sales personnel affiliated with the divested business. The Company believes the impact of these factors is short-term in nature.

 

2
 

 

During the second quarter of 2012, BioScrip generated $15.5 million of segment Adjusted EBITDA, or 9.9% of total revenue, compared to $16.9 million, or 12.8% of total revenue in the same period last year. The Infusion Services Segment Adjusted EBITDA was $8.0 million, or 7.2% of segment revenue, compared to $8.3 million, or 9.3% of segment revenue, in the prior year. These results were also affected by the Pharmacy Services Asset Sale as gross profit was impacted by the factors highlighted above and by an increased cost allocation to the Infusion Segment of certain retained corporate resources that are being redirected to grow and support the Infusion business.

 

The Home Health Services Segment Adjusted EBITDA in the second quarter of 2012 was $1.1 million, or 6.4% of segment revenue. This compares to Segment Adjusted EBITDA of $1.8 million, or 10.1% of segment revenue in the comparable prior year period. The PBM Services Segment Adjusted EBITDA was $6.4 million, or 22.7% of segment revenue, for the second quarter of 2012 compared to $6.8 million, or 28.1% of segment revenue, in the prior year.

 

On a consolidated basis, BioScrip reported $9.0 million of Adjusted EBITDA during the second quarter of 2012, or 5.8% of total revenue, compared to $11.5 million, or 8.8% of total revenue, in the same period last year. On a sequential basis, Adjusted EBITDA has increased by $0.6 million, or 7.5%, and Adjusted EBITDA as a percent of revenue from continuing operations has increased 0.4% from 5.4% to 5.8%.

 

Interest expense in the second quarter of 2012 was $6.8 million compared to $6.2 million in the prior year.

 

Income tax expense for continuing operations in the second quarter was $0.4 million compared to income tax benefit of $0.1 million in the second quarter of 2011. Income tax expense in Q2 2012 relates to state taxes and alternative minimum tax.

 

Net loss from continuing operations for the second quarter of 2012 was $4.3 million, or $0.07 per diluted share, compared to a net loss of $1.6 million, or $0.03 per diluted share, in the comparable prior year period.

 

Six Months Ended 2012 versus Six Months Ended 2011

 

Revenue from continuing operations for the six months ended June 30, 2012 totaled $311.5 million, compared to $262.4 million for the same period a year ago, an increase of $49.1 million or 18.7%. Infusion Services segment revenue was $220.0 million for the six months ended June 30, 2010, compared to revenue of $181.6 million for the same period in 2011, an increase of $38.4 million or 21.2%. This increase was driven primarily by volume growth. Home Health Services segment revenue for the six months ended June 30, 2012 was $33.6 million compared to revenue of $34.9 million in the prior year, a decrease of $1.3 million or 3.8%. This decrease was primarily the result of reimbursement reductions from Medicare and the state of Tennessee TennCare program. PBM Services segment revenue for the six months ended June 30, 2012 was $57.9 million, compared to $46.0 million for the prior year period, an increase of $12.0 million or 26.1%. The performance in this segment was impacted by the addition of a new Managed Medicare contract in late 2011.

 

3
 

 

Consolidated gross profit for the six months ended June 30, 2012 was $106.6 million, or 34.2% of revenue, compared to $103.2 million, or 39.3% of revenue, in the comparable prior year period. The gross profit margin was impacted primarily by therapy mix in the Infusion Services segment. As previously anticipated, in connection with the Pharmacy Services Asset Sale, the Company continued to provide certain lower margin services on behalf of key customers during the first half of the year. Additionally, there was a substantial decrease in cross referrals of certain therapies from the specialty sales personnel affiliated with the divested business. The Company believes the impact of these factors is short-term in nature.

 

During the six months ended June 30, 2012, BioScrip generated $30.4 million of segment Adjusted EBITDA, or 9.8% of total revenue, compared to $33.3 million, or 12.7% of total revenue in the same period last year. The Infusion Services Segment Adjusted EBITDA was $15.8 million, or 7.2% of segment revenue, compared to $17.6 million, or 9.7% of segment revenue, in the prior year. These results were also affected by the Pharmacy Services Asset Sale as gross profit was impacted by the factors highlighted above and by an increased cost allocation to the Infusion Segment of certain retained corporate resources that are being redirected to grow and support the Infusion business.

 

The Home Health Services Segment Adjusted EBITDA for the six months ended June 30, 2012 was $2.2 million, or 6.4% of segment revenue. This compares to Segment Adjusted EBITDA of $2.8 million, or 8.0% of segment revenue in the comparable prior year period. The PBM Services Segment Adjusted EBITDA was $12.5 million, or 21.5% of segment revenue, for the six months ended June 30, 2012 compared to $12.9 million, or 28.0% of segment revenue, in the prior year.

 

On a consolidated basis, BioScrip reported $17.4 million of Adjusted EBITDA for the six months ended June 30, 2012, or 5.6% of total revenue, compared to $21.3 million, or 8.1% of total revenue, in the same period last year.

 

Interest expense for the six months ended June 30, 2012 was $13.4 million compared to $12.8 million in the prior year.

 

Income tax benefit for continuing operations for the six months ended June 30, 2012 was $0.1 million compared to income tax benefit of $0.5 million in 2011.

 

Net loss from continuing operations for the six months ended June 30, 2012 was $6.3 million, or $0.11 per diluted share, compared to a net loss of $2.7 million, or $0.05 per diluted share, in the comparable prior year period.

 

4
 

 

2011 Quarterly Financial Data, Restated for Discontinued Operations

 

A summary of quarterly financial information, restated to exclude discontinued operations, for the year ended December 31, 2011 is as follows (in thousands):

 

   First Quarter   Second Quarter   Third Quarter   Fourth Quarter 
Results of Operations:                    
Revenue:                    
Infusion Services  $91,725   $89,853   $90,246   $102,458 
Home Health Services   17,208    17,673    17,548    17,206 
PBM Services   21,904    24,049    26,036    38,600 
Total revenue  $130,837   $131,575   $133,830   $158,264 
                     
Adjusted EBITDA by Segment before corporate overhead:                    
Infusion Services  $9,284   $8,340   $7,557   $9,947 
Home Health Services   1,006    1,787    1,663    1,498 
PBM Services   6,123    6,764    7,961    9,274 
Total Segment Adjusted EBITDA   16,413    16,891    17,181    20,719 
Corporate overhead   (6,650)   (5,362)   (5,443)   (5,853)
Consolidated Adjusted EBITDA   9,763    11,529    11,738    14,866 
Interest expense, net   (6,612)   (6,235)   (6,528)   (6,167)
Income tax benefit (expense)   417    127    1,862    (2,841)
Depreciation   (1,333)   (1,647)   (1,784)   (1,827)
Amortization of intangibles   (819)   (819)   (858)   (880)
Stock-based compensation expense   (1,132)   (1,120)   (1,731)   (484)
Acquisition, integration, severance and other employee costs   -    -    (1,284)   (190)
Restructuring expense   (1,299)   (3,475)   (1,750)   89 
Income (loss) from continuing operations, net of income taxes  $(1,015)  $(1,640)  $(335)  $2,566 

 

 

Liquidity and Capital Resources

For the six months ended June 30, 2012, BioScrip generated $42.8 million in net cash from continuing operating activities compared to $9.5 million generated from operating activities during the first six months of 2011, an increase of $33.3 million. This increase was due to the collection of accounts receivable retained after the Pharmacy Services Asset Sale, net of accounts payable paid related to those businesses. The Company’s cash balance at the end of the second quarter was $138.4 million.

 

The Company’s outstanding debt as of June 30, 2012 was comprised of $30.0 million under its revolving credit facility and $225.0 million of senior unsecured notes. The Company continues to evaluate options to deploy its capital resources, taking into account its cost of capital as well as growth opportunities in support of its strategic plan.

 

Outlook

The Company is increasing its target annualized revenue from $600-$620 million to $620-$650 million, and reiterating its annualized Adjusted EBITDA of $62-65 million in the fourth quarter of 2012. As previously disclosed, the Company anticipates certain short-term factors and additional costs during the third quarter of 2012 will impact near-term financial results.

 

5
 

 

Conference Call

BioScrip will host a conference call to discuss its second quarter 2012 financial results on August 9, 2012 at 9:00 a.m. Eastern Time. Interested parties may participate in the conference call by dialing 800-750-5857 (US), or 212-231-2921 (International), 5-10 minutes prior to the start of the call. A replay of the conference call will be available for two weeks after the call's completion by dialing 800-633-8284 (US) or 402-977-9140 (International) and entering conference call ID number 21600696. An audio webcast and archive will also be available under the “Investor Relations” section of the BioScrip website at www.bioscrip.com for a period of 30 days following the conference call.

 

About BioScrip, Inc.

 

BioScrip, Inc. provides comprehensive infusion and home care solutions. By partnering with patients, physicians, healthcare payors, government agencies and pharmaceutical manufacturers we are able to provide access to infusible medications and management solutions. Our goal is to optimize outcomes for chronic and other complex healthcare conditions and enhance the quality of patient life. BioScrip brings unsurpassed clinical competence in providing high-touch, comprehensive infusion and nursing services to patients in the most convenient ways possible. Through our customer services and treatments we aim to ensure the best possible therapy outcome.

 

Forward Looking Statements – Safe Harbor

 

This press release includes statements that may constitute "forward-looking statements," including projections of certain measures of the Company's results of operations, projections of certain charges and expenses, and other statements regarding the Company's goals, regulatory approvals and strategy.  These statements are made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. You can identify these statements by the fact that they do not relate strictly to historical or current facts.  In some cases, forward-looking statements can be identified by words such as "may," "should," "could," "anticipate," "estimate," "expect," "project," "intend," "plan," "believe," "predict," "potential," "continue"  or comparable terms. Because such statements inherently involve risks and uncertainties, actual future results may differ materially from those expressed or implied by such forward-looking statements. Investors are cautioned that any such forward-looking statements are not guarantees of future performance and involve risks and uncertainties, and that actual results may differ materially from those in the forward-looking statements as a result of various factors. Important factors that could cause  or contribute to such differences include but are not limited to risks associated with: the Company’s ability to grow its Infusion segment organically or through acquisitions and obtain financing in connection therewith; its ability to reduce operating costs while sustaining growth; reductions in federal, state and commercial payor reimbursement for the Company’s products and services; increased government regulation related to the health care and insurance industries; as well as the risks described in the Company's periodic filings with the Securities and Exchange Commission, including the Company’s annual report on Form 10-K for the year ended December 31,  2012.  The Company does not undertake any duty to update these forward-looking statements after the date hereof, even though the Company’s situation may change in the future.  All of the forward-looking statements herein are qualified by these cautionary statements.

 

6
 

 

Reconciliation to Non-GAAP Financial Measures

 

In addition to reporting all financial information required in accordance with generally accepted accounting principles (GAAP), the Company is also reporting EBITDA and Adjusted EBITDA, which are non-GAAP financial measures. EBITDA and Adjusted EBITDA are not measurements of financial performance under GAAP and should not be used in isolation or as a substitute or alternative to net income, operating income or any other performance measure derived in accordance with GAAP, or as a substitute or alternative to cash flow from operating activities or a measure of our liquidity. In addition, the Company's definitions of EBITDA and Adjusted EBITDA may not be comparable to similarly titled non-GAAP financial measures reported by other companies. EBITDA represents net income before net interest expense, income tax expense, depreciation and amortization. Adjusted EBITDA, as defined by the Company, represents net income before net interest expense, income tax expense, depreciation and amortization, stock-based compensation expense, acquisition, integration, severance and other employee costs, and restructuring-related expenses. As part of restructuring, the Company may incur significant charges such as the write down of certain long−lived assets, temporary redundant expenses, retraining expenses, potential cash bonus payments and potential accelerated payments or terminated costs for certain of its contractual obligations. Management believes these non-GAAP financial measures provide additional important insight into the Company’s ongoing operations and meaningful metrics to evidence the Company's continuing profitability trend. For a full reconciliation of EBITDA and Adjusted EBITDA to the most comparable GAAP financial measures, please see the attachments to this earnings release. 

 

Contacts:

Hai Tran

BioScrip, Inc.

952-979-3768

 

Lisa Wilson

In-Site Communications, Inc.

212-759-3929

 

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Schedule 1

BIOSCRIP, INC

 

CONSOLIDATED BALANCE SHEETS

(in thousands, except for share amounts)

 

   June 30,   December 31, 
   2012   2011 
   (unaudited)     
ASSETS          
Current assets          
Cash and cash equivalents  $138,423   $- 
Receivables, less allowance for doubtful accounts of $22,719 and $22,728 at June 30, 2012 and December 31, 2011, respectively   146,469    225,412 
Inventory   21,242    17,997 
Prepaid expenses and other current assets   5,725    10,184 
Current assets from discontinued operations   -    38,876 
Total current assets   311,859    292,469 
Property and equipment, net   20,857    26,951 
Goodwill   312,387    312,387 
Intangible assets, net   18,058    19,622 
Deferred financing costs   3,353    3,992 
Investments in and advances to unconsolidated affiliate   6,949    - 
Other non-current assets   1,455    1,552 
Non-current assets from discontinued operations   -    20,129 
Total assets  $674,918   $677,102 
LIABILITIES AND STOCKHOLDERS' EQUITY          
Current liabilities          
Current portion of long-term debt  $31,230   $66,161 
Accounts payable   28,842    79,155 
Claims payable   10,906    11,766 
Amounts due to plan sponsors   25,681    25,219 
Accrued interest   5,845    5,825 
Accrued expenses and other current liabilities   36,493    32,648 
Total current liabilities   138,997    220,774 
Long-term debt, net of current portion   226,216    227,298 
Deferred taxes   9,008    10,295 
Other non-current liabilities   5,798    3,456 
Total liabilities   380,019    461,823 
Stockholders' equity          
Preferred stock, $.0001 par value; 5,000,000 shares authorized; no shares issued or outstanding   -    - 
Common stock, $.0001 par value; 125,000,000 shares authorized; shares issued: 59,115,499 and 57,800,791, respectively; shares outstanding: 56,534,396 and 55,109,038, respectively   6    6 
Treasury stock, shares at cost: 2,582,520 and 2,638,421, respectively   (10,311)   (10,461)
Additional paid-in capital   385,931    375,525 
Accumulated deficit   (80,727)   (149,791)
Total stockholders' equity   294,899    215,279 
Total liabilities and stockholders' equity  $674,918   $677,102 

 

8
 

 

Schedule 2

BIOSCRIP, INC

 

CONSOLIDATED STATEMENTS OF OPERATIONS

(unaudited and in thousands, except per share amounts)

 

   Three Months Ended   Six Months Ended 
   June 30,   June 30, 
   2012   2011   2012   2011 
Product revenue  $108,557   $87,717   $215,360   $177,499 
Service revenue   47,344    43,858    96,174    84,913 
Total revenue   155,901    131,575    311,534    262,412 
                     
Cost of product revenue   75,120    56,667    147,446    114,276 
Cost of service revenue   27,740    23,078    57,525    44,954 
Total cost of revenue   102,860    79,745    204,971    159,230 
Gross profit   53,041    51,830    106,563    103,182 
% of revenue   34.0%   39.4%   34.2%   39.3%
Operating expenses                    
Selling, general and administrative expenses   44,692    40,430    89,354    81,829 
Bad debt expense   3,772    2,638    7,237    5,293 
Acquisition and integration expenses   636    -    808    - 
Restructuring expense   202    3,475    502    4,774 
Amortization of intangibles   878    819    1,757    1,638 
Total operating expense   50,180    47,362    99,658    93,534 
% of revenue   32.2%   36.0%   32.0%   35.6%
Income from continuing operations   2,861    4,468    6,905    9,648 
Interest expense, net   6,790    6,235    13,359    12,847 
Loss from continuing operations before income taxes   (3,929)   (1,767)   (6,454)   (3,199)
Income tax expense (benefit)   364    (127)   (138)   (544)
Loss from continuing operations, net of income taxes   (4,293)   (1,640)   (6,316)   (2,655)
Income (loss) from discontinued operations, net of income taxes   76,059    (686)   75,379    3,270 
Net income (loss)  $71,766   $(2,326)  $69,063   $615 
                     
Basic weighted average shares   55,746    54,298    55,143    54,216 
Diluted weighted average shares   55,746    54,298    55,143    54,216 
                     
Basic loss per share from continuing operations  $(0.07)  $(0.03)  $(0.11)  $(0.05)
Basic income (loss) per share from discontinued operations   1.36    (0.01)   1.36    0.06 
Basic net income (loss) per share  $1.29   $(0.04)  $1.25   $0.01 
                     
Diluted loss per share from continuing operations  $(0.07)  $(0.03)  $(0.11)  $(0.05)
Diluted income (loss) per share from discontinued operations   1.36    (0.01)   1.36    0.06 
Diluted net income (loss) per share  $1.29   $(0.04)  $1.25   $0.01 

 

9
 

 

Schedule 3

BIOSCRIP, INC

 

CONSOLIDATED STATEMENTS OF CASH FLOWS

(unaudited and in thousands)

 

   Six Months Ended 
   June 30, 
   2012   2011 
Cash flows from operating activities:          
Net income  $69,063   $615 
Less: income from discontinued operations, net of income taxes   75,379    3,270 
Loss from continuing operations, net of income taxes   (6,316)   (2,655)
Adjustments to reconcile loss from continuing operations, net of income taxes to net cash provided by operating activities:          
Depreciation   3,981    2,980 
Amortization of intangibles   1,757    1,638 
Amortization of deferred financing costs   576    503 
Change in deferred income tax   1,404    (167)
Compensation under stock-based compensation plans   2,711    2,252 
Loss on disposal of fixed assets   45    64 
Changes in assets and liabilities:          
Receivables, net of bad debt expense   78,925    (7,905)
Inventory   (3,104)   2,337 
Prepaid expenses and other assets   4,769    (63)
Accounts payable   (50,313)   (803)
Claims payable   (860)   2,161 
Amounts due to plan sponsors   462    4,062 
Accrued expenses and other liabilities   8,797    5,144 
Net cash provided by operating activities from continuing operations   42,834    9,548 
Net cash (used in) provided by operating activities from discontinued operations   (21,195)   28,950 
Net cash provided by operating activities   21,639    38,498 
Cash flows from investing activities:          
Purchases of property and equipment, net   (3,682)   (4,422)
Cash consideration paid for acquisitions, net of cash acquired   (466)   - 
Cash consideration paid to DS Pharmacy   (2,935)   - 
Cash consideration paid for unconsolidated affiliate, net of cash acquired   (7,100)   - 
Net cash used in investing activities from continuing operations   (14,183)   (4,422)
Net cash provided by (used in) investing activities from discontinued operations   161,499    (1,447)
Net cash provided by (used in) investing activities   147,316    (5,869)
Cash flows from financing activities:          
Borrowings on line of credit   848,633    841,200 
Repayments on line of credit   (882,455)   (874,301)
Repayments of capital leases   (2,211)   (59)
Deferred and other financing costs   -    (22)
Net proceeds from exercise of employee stock compensation plans   5,675    691 
Surrender of stock to satisfy minimum tax withholding   (174)   (138)
Net cash used in financing activities   (30,532)   (32,629)
Net change in cash and cash equivalents   138,423    - 
Cash and cash equivalents - beginning of period   -    - 
Cash and cash equivalents - end of period  $138,423   $- 
DISCLOSURE OF CASH FLOW INFORMATION:          
Cash paid during the period for interest  $13,641   $14,020 
Cash paid during the period for income taxes  $313   $682 
           
DISCLOSURE OF NON-CASH TRANSACTIONS:          
Capital lease obligations incurred to acquire property and equipment  $20   $- 

 

10
 

 

Schedule 4

BIOSCRIP, INC

 

Reconciliation between GAAP and Non-GAAP Measures

(unaudited and in thousands)

 

   Three Months Ended   Six Months Ended 
   June 30,   June 30, 
   2012   2011   2012   2011 
Results of Operations:                    
Revenue:                    
Infusion Services - product revenue  $108,557   $87,717   $215,360   $177,499 
Infusion Services - service revenue   2,416    2,136    4,667    4,079 
Total Infusion Services revenue   110,973    89,853    220,027    181,578 
                     
Home Health Services - service revenue   16,860    17,673    33,571    34,881 
                     
PBM Services - service revenue   28,068    24,049    57,936    45,953 
                     
Total revenue  $155,901   $131,575   $311,534   $262,412 
                     
Adjusted EBITDA by Segment before corporate overhead:                    
Infusion Services  $8,026   $8,340   $15,809   $17,624 
Home Health Services   1,075    1,787    2,155    2,793 
PBM Services   6,364    6,764    12,462    12,887 
Total Segment Adjusted EBITDA   15,465    16,891    30,426    33,304 
                     
Corporate overhead   (6,458)   (5,362)   (13,040)   (12,012)
Consolidated Adjusted EBITDA   9,007    11,529    17,386    21,292 
                     
Interest expense, net   (6,790)   (6,235)   (13,359)   (12,847)
Income tax (expense) benefit   (364)   127    138    544 
Depreciation   (2,050)   (1,647)   (3,981)   (2,980)
Amortization of intangibles   (878)   (819)   (1,757)   (1,638)
Stock-based compensation expense   (1,745)   (1,120)   (2,711)   (2,252)
Acquisition, integration, severance and other employee costs   (1,271)   -    (1,530)   - 
Restructuring expense   (202)   (3,475)   (502)   (4,774)
Loss from continuing operations, net of income taxes  $(4,293)  $(1,640)  $(6,316)  $(2,655)

 

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