UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 6-K
REPORT OF FOREIGN PRIVATE ISSUER PURSUANT TO RULE 13a-16 OR 15d-16 UNDER THE
SECURITIES EXCHANGE ACT OF 1934
For the month of August 2024
Commission File Number: 001-40413
Quipt Home Medical Corp.
(Translation of registrant’s name into English)
1019 Town Drive
Wilder, Kentucky 41076
(Address of principal executive office)
Indicate by check mark whether the registrant files or will file annual reports under cover of Form 20-F or Form 40-F.
Form 20-F ☐ Form 40-F ☒
Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(1): ☐
Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(7): ☐
EXHIBIT INDEX
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.
| Quipt Home Medical Corp. |
| |
Date: August 14, 2024 | /s/ Gregory Crawford |
| Chief Executive Officer |
Exhibit 99.1
Quipt Home Medical Corp.
Condensed Consolidated Interim Financial Statements
2024 Third Quarter
For the three and nine months ended
June 30, 2024 and 2023
(UNAUDITED)
(Expressed in US Dollars)
Quipt Home Medical Corp.
CONDENSED CONSOLIDATED INTERIM STATEMENTS OF FINANCIAL POSITION
(UNAUDITED)
(Expressed in thousands of US Dollars, except per share amounts)
| | | | As at | | As at | ||
| | | | June 30, | | September 30, | ||
|
| Notes |
| 2024 |
| 2023 | ||
ASSETS |
|
|
| |
|
| |
|
Current Assets |
|
|
| |
|
| |
|
Cash | | | | $ | 14,403 | | $ | 17,209 |
Accounts receivable, net |
| 4 | |
| 31,411 | |
| 25,978 |
Inventory |
| 5 | |
| 22,601 | |
| 18,414 |
Prepaid and other current assets | | | |
| 5,827 | |
| 3,832 |
Total current assets | | | |
| 74,242 | |
| 65,433 |
Long-term assets |
|
| |
|
| |
|
|
Property, equipment, and right of use assets, net |
| 6 | |
| 52,071 | |
| 53,405 |
Goodwill |
| 7 | |
| 52,303 | |
| 52,825 |
Intangible assets, net |
| 7 | |
| 69,470 | |
| 74,040 |
Other assets |
| | |
| 1,698 | |
| 1,705 |
Total long-term assets | | | |
| 175,542 | |
| 181,975 |
TOTAL ASSETS | | | | $ | 249,784 | | $ | 247,408 |
| | | | | | | | |
LIABILITIES | |
| |
|
| |
|
|
Current Liabilities |
|
| |
|
| |
|
|
Accounts payable | | | | $ | 32,629 | | $ | 24,736 |
Accrued liabilities | | | |
| 3,902 | |
| 7,282 |
Current portion of equipment loans |
| 9 | |
| 13,335 | |
| 14,114 |
Current portion of lease liabilities |
| 9 | |
| 5,899 | |
| 5,122 |
Current portion of senior credit facility | | 9 | |
| 6,195 | |
| 3,352 |
Deferred revenue |
| 8 | |
| 4,216 | |
| 4,511 |
Purchase price payable |
| 3 | |
| 644 | |
| 1,457 |
Total current liabilities | | | |
| 66,820 | |
| 60,574 |
Long-term Liabilities |
| | |
|
| |
|
|
Equipment loans |
| 9 | |
| 96 | |
| 233 |
Lease liabilities |
| 9 | |
| 13,544 | |
| 14,028 |
Senior credit facility | | 9 | |
| 58,948 | |
| 61,114 |
Derivative liability - interest rate swap | | 9 | | | 170 | | | — |
Deferred income taxes |
| | | | 405 | | | 344 |
TOTAL LIABILITIES | | | |
| 139,983 | |
| 136,293 |
| | | | | | | | |
SHAREHOLDERS' EQUITY |
|
| |
|
| |
|
|
Capital stock |
| 10 | |
| 250,241 | | | 247,530 |
Contributed surplus | | | |
| 27,191 | | | 27,393 |
Accumulated deficit | | | |
| (167,461) | | | (163,808) |
Accumulated other comprehensive loss | | 9 | | | (170) | | | — |
TOTAL SHAREHOLDERS' EQUITY | | | |
| 109,801 | |
| 111,115 |
TOTAL LIABILITIES AND SHAREHOLDERS' EQUITY | | | | $ | 249,784 | | $ | 247,408 |
The accompanying notes are an integral part of these condensed consolidated interim financial statements.
Page | 1 |
Quipt Home Medical Corp.
CONDENSED CONSOLIDATED INTERIM STATEMENTS OF INCOME (LOSS) AND
(UNAUDITED)
(Expressed in thousands of US Dollars, except per share amounts)
|
| Three Months |
| Three Months |
| Nine Months |
| Nine Months | ||||
| | Ended June 30, | | Ended June 30, | | Ended June 30, | | Ended June 30, | ||||
| | 2024 | | 2023 | | 2024 | | 2023 | ||||
Revenue | | | | | | | | | | | | |
Rentals of medical equipment |
| $ | 26,739 | | $ | 25,707 | | $ | 81,506 | | $ | 68,648 |
Sales of medical equipment and supplies |
|
| 37,228 | |
| 34,577 | |
| 111,779 | |
| 90,571 |
Total revenue |
|
| 63,967 | |
| 60,284 | |
| 193,285 | |
| 159,219 |
Cost of inventory sold |
|
| 16,694 | | | 16,630 | | | 51,260 | | | 41,613 |
Operating expenses |
|
| 30,593 | | | 27,385 | | | 91,096 | | | 74,533 |
Bad debt expense | | | 3,208 | | | 2,425 | | | 8,702 | | | 7,190 |
Depreciation |
|
| 10,943 | | | 10,208 | | | 32,208 | | | 24,328 |
Amortization of intangible assets |
|
| 1,519 | | | 1,490 | | | 4,570 | | | 3,746 |
Stock-based compensation |
|
| 483 | | | 2,034 | | | 2,154 | | | 3,911 |
Acquisition-related costs |
|
| 188 | | | (25) | | | 393 | | | 1,132 |
Loss (gain) on disposal of property and equipment |
|
| (51) | | | (33) | | | (51) | | | (88) |
Operating income |
|
| 390 | |
| 170 | |
| 2,953 | |
| 2,854 |
Financing expenses |
|
|
| |
|
| |
|
| |
|
|
Interest expense, net |
|
| 1,892 | | | 1,969 | | | 5,735 | | | 4,704 |
Loss (gain) on foreign currency transactions |
|
| 128 | | | (442) | | | 145 | | | (430) |
Loss on extinguishment of debt | | | — | | | — | | | — | | | 30 |
Share of loss in equity method investment |
|
| 71 | | | — | | | 243 | | | — |
Loss before income taxes |
|
| (1,701) | |
| (1,357) | |
| (3,170) | |
| (1,450) |
Provision (benefit) for income taxes |
|
| — | | | (323) | | | 483 | | | 10 |
Net loss |
| $ | (1,701) | | $ | (1,034) | | $ | (3,653) | | $ | (1,460) |
| | | | | | | | | | | | |
Other comprehensive income (loss) | | | | | | | | | | | | |
Change in fair value of derivative liability - interest rate swap | | | 105 | | | — | | | (170) | | | — |
Comprehensive loss | | $ | (1,596) | | $ | (1,034) | | $ | (3,823) | | $ | (1,460) |
| | | | | | | | | | | | |
Net loss per share |
|
|
| |
|
| |
|
| |
|
|
Basic loss per share |
| $ | (0.04) | | $ | (0.03) | | $ | (0.09) | | $ | (0.04) |
Diluted loss per share |
| $ | (0.04) | | $ | (0.03) | | $ | (0.09) | | $ | (0.04) |
Weighted average number of common shares outstanding: | |
|
| |
|
| |
|
| |
|
|
Basic |
|
| 42,623 | | | 40,584 | | | 42,303 | | | 37,434 |
Diluted |
|
| 42,623 | | | 40,584 | | | 42,303 | | | 37,434 |
The accompanying notes are an integral part of these condensed consolidated interim financial statements.
Page | 2 |
Quipt Home Medical Corp.
CONDENSED CONSOLIDATED INTERIM STATEMENTS OF CHANGES IN SHAREHOLDERS’
EQUITY (UNAUDITED)
(Expressed in thousands of US Dollars, except per share amounts)
|
| |
| Number of |
| | |
| | |
| | |
| Accumulated |
| Total | ||
| | | | Shares | | Capital | | Contributed | | Accumulated | | Other Comprehensive | | shareholders' | |||||
| | Notes | | (000’s) | | stock | | surplus | | Deficit | | Loss | | equity | |||||
Balance September 30, 2022 |
|
|
| 35,605 | | $ | 214,254 | | $ | 26,317 | | $ | (161,024) | | $ | — | | $ | 79,547 |
Net loss |
|
|
| — | | | — | | | — | | | (1,460) | | | — | |
| (1,460) |
Acquisition of Great Elm | | | | 432 | | | 2,060 | | | — | | | — | | | — | | | 2,060 |
Issuance of shares, net of issuance costs | | 10 | | 5,409 | | | 27,866 | | | — | | | — | | | — | | | 27,866 |
Settlement of restricted stock units | | 10 | | 526 | | | 2,791 | | | (4,129) | | | — | | | — | | | (1,338) |
Exercise of options | | 10 | | 101 | | | 473 | | | (75) | | | — | | | — | | | 398 |
Stock-based compensation |
| 10 |
| — | | | — | | | 3,911 | | | — | | | — | |
| 3,911 |
Balance June 30, 2023 |
|
|
| 42,073 | | $ | 247,444 | | $ | 26,024 | | $ | (162,484) | | $ | — | | $ | 110,984 |
| | | | | | | | | | | | | | | | | | | |
Balance September 30, 2023 |
|
|
| 42,102 | | $ | 247,530 | | $ | 27,393 | | $ | (163,808) | | $ | — | | $ | 111,115 |
Net loss |
|
|
| — | | | — | | | — | | | (3,653) | | | — | |
| (3,653) |
Change in fair value of derivative liability - interest rate swap | | 9 | | — | | | — | | | — | | | — | | | (170) | | | (170) |
Settlement of restricted stock units | | | | 469 | | | 1,591 | | | (1,804) | | | — | | | — | | | (213) |
Exercise of options | | 10 | | 519 | | | 1,120 | | | (552) | | | — | | | — | | | 568 |
Stock-based compensation |
| 10 |
| — | | | — | | | 2,154 | | | — | | | — | |
| 2,154 |
Balance June 30, 2024 | | |
| 43,090 | | $ | 250,241 | | $ | 27,191 | | $ | (167,461) | | $ | (170) | | $ | 109,801 |
The accompanying notes are an integral part of these condensed consolidated interim financial statements.
Page | 3 |
Quipt Home Medical Corp.
CONDENSED CONSOLIDATED INTERIM STATEMENTS OF CASH FLOWS (UNAUDITED)
(Expressed in thousands of US Dollars, except per share amounts)
|
| |
| Nine months |
| Nine months | ||
| | | | ended June 30, | | ended June 30, | ||
| | Notes | | 2024 | | 2023 | ||
Operating activities | | | | | | | | |
Net loss | | | | $ | (3,653) | | | (1,460) |
Adjustments to reconcile net loss to net cash provided by operating activities: | | | |
| | |
| |
Depreciation and amortization |
| | |
| 36,778 | |
| 28,074 |
Amortization of financing costs and accretion of purchase price payable |
| 3, 9 | |
| 417 | |
| 447 |
Interest expense, net of amortization and accretion |
| | |
| 5,318 | |
| 4,257 |
Cash paid for interest | | | | | (5,546) | | | (3,808) |
Loss (gain) on foreign currency transactions | | | |
| 145 | |
| (430) |
Share of loss in equity method investment | | | | | 243 | |
| — |
Loss on extinguishment of debt | | | | | — | | | 30 |
Gain on disposal of property and equipment | | | |
| (51) | |
| (88) |
Stock-based compensation |
| 10 | |
| 2,154 | |
| 3,911 |
Adjustment to purchase price payable | | | | | (29) | | | (95) |
Provision for income taxes | | | | | 483 | | | 10 |
Cash paid for income taxes | | | | | (1,140) | | | (515) |
Change in working capital: | | | |
| | | | |
Net increase in accounts receivable | | | |
| (5,433) | | | (1,902) |
Net increase in inventory | | | |
| (4,186) | | | (2,469) |
Net increase in prepaid and other current assets | | | |
| (2,022) | | | (1,578) |
Net increase (decrease) in deferred revenue | | | |
| (295) | | | 393 |
Net increase in accounts payables and accrued liabilities | | | |
| 5,459 | | | 2,535 |
Net cash flow provided by operating activities | | | |
| 28,642 | |
| 27,312 |
Investing activities |
|
| |
|
| |
|
|
Purchase of property and equipment |
| 6 | |
| (6,852) | | | (4,959) |
Cash proceeds from sale of property and equipment | | | |
| 112 | | | 84 |
Cash paid for equity method investment |
| 3 | |
| (210) | | | — |
Cash paid for acquisitions |
| | |
| — | | | (71,869) |
Net cash flow provided by (used in) investing activities | | | |
| (6,950) | |
| (76,744) |
Financing activities |
|
| |
|
| |
|
|
Repayments of loans |
| 9 | |
| (20,327) | | | (12,651) |
Repayments of leases | | 9 | | | (4,377) | | | (3,200) |
Repayments of senior credit facility | | | | | (2,588) | | | (8,788) |
Issuance costs related to credit facility | | | | | (10) | | | (467) |
Issuance of debt under senior credit facility | | | | | 2,888 | | | 64,000 |
Issuance of shares, net of issuance costs | | | | | — | | | 27,866 |
Settlement of restricted stock units | | | | | (213) | | | (1,338) |
Proceeds from exercise of options | | | | | 568 | | | 398 |
Payments of purchase price payable |
| 3 | |
| (294) | | | (4,889) |
Net cash flow provided by (used in) financing activities | | | |
| (24,353) | |
| 60,931 |
Effect of exchange rate changes on cash held in foreign currencies | | | |
| (145) | |
| 430 |
Net increase (decrease) in cash | | | |
| (2,806) | |
| 11,929 |
Cash, beginning of period | | | |
| 17,209 | |
| 8,516 |
Cash, end of period | | | | $ | 14,403 | | $ | 20,445 |
The accompanying notes are an integral part of these condensed consolidated interim financial statements.
Page | 4 |
Quipt Home Medical Corp.
NOTES TO THE CONDENSED CONSOLIDATED INTERIM FINANCIAL STATEMENTS
FOR THE THREE AND NINE MONTHS (UNAUDITED) June 30, 2024 and 2023
(Tabular dollar amounts expressed in thousands of US Dollars, except per share amounts)
1. |
Reporting entity
Quipt Home Medical Corp. (“Quipt” or the “Company”) was incorporated under the Business Corporations Act (Alberta) on March 5, 1993. On December 30, 2013, the Company continued into British Columbia, Canada. The address of the registered office is 1133 Melville St Suite 2700, Vancouver, British Columbia, V6E 4E5. The head office is located at 1019 Town Drive, Wilder, Kentucky, United States. The Company is a participating Medicare provider that provides i) nebulizers, oxygen concentrators, and CPAP (continuous positive airway pressure) and BiPAP (bi level positive air pressure) units; ii) traditional and non-traditional durable medical equipment and services; and iii) non-invasive ventilation equipment, supplies and services.
Basis of measurement
These consolidated financial statements have been prepared on a going concern basis that assumes that the Company will continue its operations for the foreseeable future and be able to realize its assets and discharge its liabilities and commitments in the normal course of operations.
2. | Summary of significant accounting policies |
Statement of compliance
These unaudited condensed consolidated interim financial statements have been prepared in accordance with International Accounting Standard (IAS) 34, “Interim Financial Reporting”, using accounting policies consistent with International Financial Reporting Standards (IFRS) as issued by the International Accounting Standards Board. These condensed consolidated interim financial statements do not include all the disclosures required in annual consolidated financial statements and should be read in conjunction with the Company’s audited consolidated financial statements for the year ended September 30, 2023.
The Company has followed the same basis of presentation, accounting policies and method of computation for these condensed consolidated interim financial statements as disclosed in the annual audited consolidated financial statements for the year ended September 30, 2023.
The unaudited consolidated financial statements were approved and authorized for issuance by the Board of Directors on August 14, 2024.
3. | Acquisitions of business and purchasing accounting |
Investment in DMEScripts, LLC
In July 2023, the Company, through QHM Investments I, LLC, acquired an 8.3% stake in DMEScripts, LLC for $1,500,000. DMEScripts, LLC is an independent e-prescribe company in the US that automates the medical equipment ordering process. This technology is dedicated to improving the patient, prescriber, and provider experience by eliminating inefficiencies and reducing paperwork. During the nine months ended June 30, 2024, additional investments of $210,000 were made, which increased the Company’s ownership to 8.6%.
Page | 5 |
Quipt Home Medical Corp.
NOTES TO THE CONDENSED CONSOLIDATED INTERIM FINANCIAL STATEMENTS
FOR THE THREE AND NINE MONTHS (UNAUDITED) June 30, 2024 and 2023
(Tabular dollar amounts expressed in thousands of US Dollars, except per share amounts)
Purchase Price Payable
The purchase price payable included on the statements of financial position consists of amounts related to prior period business acquisitions. Below is the movement in purchase price payable for the nine months ended June 30, 2024 and 2023, respectively:
| | Amount | |
Balance September 30, 2022 | | $ | 5,778 |
Adjustments on prior acquisitions | | | (639) |
Accretion of interest | |
| 109 |
Payments | |
| (4,889) |
Balance June 30, 2023 | | $ | 359 |
| | | |
Balance September 30, 2023 | | $ | 1,457 |
Adjustments on prior acquisitions | | | (551) |
Accretion of interest | |
| 32 |
Payments | |
| (294) |
Balance June 30, 2024 | | $ | 644 |
4. | Accounts Receivable |
Accounts receivable represent amounts due from insurance companies and patients. As of June 30, 2024, the Company has approximately 11% of the Company’s receivables due from Medicare:
|
| As at |
| As at | ||
| | June 30, 2024 | | September 30, 2023 | ||
Gross receivable | | $ | 42,390 | | $ | 35,374 |
Reserve for expected credit losses | |
| (10,979) | |
| (9,396) |
Total | | $ | 31,411 | | $ | 25,978 |
5. | Inventory |
Inventory was comprised of the following as at June 30, 2024 and September 30, 2023:
| | As at June 30, | | As at September 30, | ||
| | 2024 | | 2023 | ||
Serialized | | $ | 9,236 | | $ | 6,733 |
Non-serialized | |
| 13,648 | |
| 11,895 |
Reserve for slow-moving | |
| (283) | |
| (214) |
Total Inventory | | $ | 22,601 | | $ | 18,414 |
The expense for slow-moving inventory is included within cost of inventory sold in the condensed consolidated statement of income (loss) and comprehensive income (loss).
6. | Property and equipment and right of use assets |
The property and equipment and right of use assets was comprised of the following:
Page | 6 |
Quipt Home Medical Corp.
NOTES TO THE CONDENSED CONSOLIDATED INTERIM FINANCIAL STATEMENTS
FOR THE THREE AND NINE MONTHS (UNAUDITED) June 30, 2024 and 2023
(Tabular dollar amounts expressed in thousands of US Dollars, except per share amounts)
|
| | |
|
| |
| | As at | | | As at | |
| | June 30, 2024 | | September 31, 2023 | ||
Property and equipment, net | | $ | 32,645 | | $ | 33,648 |
Right of use assets, net | |
| 19,426 | |
| 19,757 |
Total | | $ | 52,071 | | $ | 53,405 |
Rental equipment transferred from inventory during the nine months ended June 30, 2024 and 2023 was $24,467,000 and $20,187,000 respectively. For the nine months ended June 30, 2024 and 2023, the Company obtained equipment loans (Note 9) of $19,411,000 and $15,839,000, respectively, with the balance of $5,056,000 and $4,348,000 paid in cash, respectively.
7. | Goodwill and Intangible Assets |
The following is the activity in goodwill and intangible assets for the nine months ended June 30, 2024 and 2023:
|
| | |
| | |
| | |
| | |
| | |
| Sub-total |
| | | |
| | | | | | | | | | | | | | | | | intangibles | | | | |
| | | | | Customer | | | | Non-compete | | Customer | | with finite | | | | |||||
Cost | | Goodwill | | relationships | | Brand | | Agreements | | Contracts | | lives | | Total | |||||||
Balance September 30, 2022 | | $ | 28,208 | | | 34,898 | | | 5,461 | | | 1,187 | | | 3,851 | | $ | 45,397 | | $ | 73,605 |
Acquisitions | | | 23,186 | | | 42,000 | | | 5,820 | | | — | | | — | | | 47,820 | | | 71,006 |
Adjustments to prior year acquisitions | | | (544) | | | — | | | — | | | — | | | — | | | — | | | (544) |
Balance June 30, 2023 | | $ | 50,850 | | $ | 76,898 | | $ | 11,281 | | $ | 1,187 | | $ | 3,851 | | $ | 93,217 | | $ | 144,067 |
| | | | | | | | | | | | | | | | | | | | | |
Balance September 30, 2023 | | $ | 52,825 | | $ | 79,088 | | $ | 11,581 | | $ | 710 | | $ | 3,851 | | $ | 95,230 | | $ | 148,055 |
Adjustments to prior year acquisitions | | | (522) | | | — | | | — | | | — | | | — | | | — | | | (522) |
Balance June 30, 2024 | | $ | 52,303 | | $ | 79,088 | | $ | 11,581 | | $ | 710 | | $ | 3,851 | | $ | 95,230 | | $ | 147,533 |
|
| | |
| | |
| | |
| | |
| | |
| Sub-total |
| | | |
| | | | | | | | | | | | | | | | | intangibles | | | | |
| | | | | Customer | | | | Non-compete | | Customer | | with finite | | | | |||||
Accumulation amortization | | Goodwill | | relationships | | Brand | | Agreements | | Contracts | | lives | | Total | |||||||
Balance September 30, 2022 | | $ | — | | $ | 10,345 | | $ | 1,589 | | $ | 725 | | $ | 3,851 | | $ | 16,510 | | $ | 16,510 |
Amortization | |
| — | | | 2,985 | | | 659 | | | 102 | | | — | | | 3,746 | |
| 3,746 |
Balance June 30, 2023 | | $ | — | | $ | 13,330 | | $ | 2,248 | | $ | 827 | | $ | 3,851 | | $ | 20,256 | | $ | 20,256 |
| | | | | | | | | | | | | | | | | | | | | |
Balance September 30, 2023 | | $ | — | | $ | 14,487 | | $ | 2,523 | | $ | 329 | | $ | 3,851 | | $ | 21,190 | | $ | 21,190 |
Amortization | |
| — | | | 3,634 | | | 829 | | | 107 | | | — | | | 4,570 | |
| 4,570 |
Balance June 30, 2024 | | $ | — | | $ | 18,121 | | $ | 3,352 | | $ | 436 | | $ | 3,851 | | $ | 25,760 | | $ | 25,760 |
Page | 7 |
Quipt Home Medical Corp.
NOTES TO THE CONDENSED CONSOLIDATED INTERIM FINANCIAL STATEMENTS
FOR THE THREE AND NINE MONTHS (UNAUDITED) June 30, 2024 and 2023
(Tabular dollar amounts expressed in thousands of US Dollars, except per share amounts)
|
| | |
| | |
| | |
| | |
| | |
| Sub-total |
| | | |
| | | | | | | | | | | | | | | | | intangibles | | | | |
| | | | | Customer | | | | Non-compete | | Customer | | with finite | | | | |||||
Net carrying amount | | Goodwill | | relationships | | Brand | | Agreements | | Contracts | | lives | | Total | |||||||
Balance September 30, 2022 | | $ | 28,208 | | $ | 24,553 | | $ | 3,872 | | $ | 462 | | $ | — | | $ | 28,887 | | $ | 57,095 |
Balance June 30, 2023 | | $ | 50,850 | | $ | 63,568 | | $ | 9,033 | | $ | 360 | | $ | — | | $ | 72,961 | | $ | 123,811 |
Balance September 30, 2023 | | $ | 52,825 | | $ | 64,601 | | $ | 9,058 | | $ | 381 | | $ | — | | $ | 74,040 | | $ | 126,865 |
Balance June 30, 2024 | | $ | 52,303 | | $ | 60,967 | | $ | 8,229 | | $ | 274 | | $ | — | | $ | 69,470 | | $ | 121,773 |
8. | Deferred Revenue |
Activity for deferred revenue for the nine months ended June 30, 2024 and 2023 is as follows:
|
| For the nine |
| For the nine | ||
| | months ended | | months ended | ||
| | June 30, 2024 | | June 30, 2023 | ||
Beginning Balance | | $ | 4,511 | | $ | 3,036 |
Acquisitions | | | — | | | 1,022 |
Net change | |
| (295) | |
| 393 |
Ending Balance | | $ | 4,216 | | $ | 4,451 |
9. | Long-term Debt |
Senior Credit Facility
In September 2022, the Company entered into a five-year, $110,000,000 senior credit facility (“Facility”) with a group of US banks. The Facility consists of a.) a delayed-draw term loan facility of $85,000,000, of which $64,000,000 was drawn on January 3, 2023, to partially fund the acquisition of Great Elm, b.) a term loan of $5,000,000 that was drawn at closing, and c.) a $20,000,000 revolving credit facility. The Facility is secured by substantially all assets of the Company and is subject to certain financial covenants.
A summary of the balances related to the Facility as of June 30, 2024 and September 30, 2023 is as follows:
|
| As of |
| As of |
| ||
| | June 30, 2024 |
| September 30, 2023 |
| ||
Delayed-draw term loan | | $ | 59,200 | | $ | 61,600 | |
Term loan | |
| 4,563 | |
| 4,750 | |
Revolving credit facility | | | 2,888 | | | — | |
Total principal | | | 66,651 | | | 66,350 | |
Deferred financing costs | | | (1,508) | | | (1,884) | |
Net carrying value | | $ | 65,143 | | $ | 64,466 | |
| | | | | | | |
Current portion | |
| 6,195 | | | 3,352 | |
Long-term portion | |
| 58,948 | | | 61,114 | |
Net carrying value | | $ | 65,143 | | $ | 64,466 | |
The delayed-draw term loan is repayable in quarterly installments of $800,000, with the balance due at maturity. The term loan is repayable in quarterly installments of $62,500, with the balance due at maturity. The revolving credit facility has a
Page | 8 |
Quipt Home Medical Corp.
NOTES TO THE CONDENSED CONSOLIDATED INTERIM FINANCIAL STATEMENTS
FOR THE THREE AND NINE MONTHS (UNAUDITED) June 30, 2024 and 2023
(Tabular dollar amounts expressed in thousands of US Dollars, except per share amounts)
balance of $2,888,000 as of June 30, 2024, and had average balances of $2,740,000 and $1,040,000 for the three and nine months ended June 30, 2024, respectively. It is classified as a current liability as it is expected to be repaid during the next twelve months.
The delayed-draw term loan and the term loan is bearing interest at 8.1% as of June 30, 2024. The rate is based on a secured overnight financing rate (“SOFR”), with a floor of 0.5%, plus a spread of 2.1% to 2.85% (2.65% as of June 30, 2024) based on the Company’s leverage ratio and will reprice within three months. The revolving credit facility is bearing interest at 8.4% as of June 30,2024 and will reprice within three months. The Facility also has fees for unused availability.
To manage the risks of the cash flows related to interest expense, the Company entered into an interest rate swap, effective November 30, 2023, on $34,000,000 of the Facility. The swap carries a fixed SOFR of 4.4% (resulting in a combined 7.0% rate) and is settled quarterly until its September 2027 maturity date.
The Company entered into the arrangement with an intent to apply hedge accounting, in accordance with the criteria outlined in International Financial Reporting Standards (IFRS) 9, "Financial Instruments.” The Company determined that the swap qualified as a cash flow hedge and is highly effective, and as such, the changes in fair value of the instrument are recorded in accumulated other comprehensive loss in the condensed consolidated interim statements of financial position. As of June 30, 2024, the fair value of the interest rate swap liability was $170,000. This liability is recorded in derivative liability – interest rate swap in the condensed consolidated statements of financial position.
For the three and nine months ended June 30, 2024, the change in fair value of the interest rate swap was a gain of $105,000 and loss of $170,000, respectively, recorded in other comprehensive income (loss) in the condensed consolidated interim statements of income (loss) and comprehensive income (loss). The fair value of the interest rate swap is determined based on the market conditions and the terms of the interest rate swap agreement using the discounted cash flow methodology. Any difference between the Facility’s SOFR rate and the swap’s rate is recorded as interest expense. For the three and nine months ended June 30, 2024, reductions of $84,000 and $201,000 to interest expense were recorded in the condensed consolidated interim statements of income (loss) and comprehensive income (loss).
Interest expense on the Facility, including the impact of the interest rate swap agreement, was $1,297,000 and $1,380,000 for the three months ended June 30, 2024 and 2023, respectively. Interest expense on the Facility was $3,997,000 and $3,000,000 for the nine months ended June 30, 2024 and 2023, respectively. The fair value of the Facility approximates the carrying value as of June 30, 2024 and September 30, 2023.
The Company has cumulatively incurred $2,370,000 in financing costs to obtain the Facility, which is reflected as a reduction of the outstanding balance and will be amortized as interest expense using the effective interest method over the life of the Facility. During the three months ended June 30, 2024 and 2023, $128,000 and $114,000 of amortization of deferred financing costs was recorded, respectively. During the nine months ended June 30, 2024 and 2023, $385,000 and $338,000 of amortization of deferred financing costs was recorded, respectively.
Equipment Loans
The Company is offered financing arrangements from the Company’s suppliers and the suppliers’ designated financial institutions, under which payments for certain invoices or products can be financed and paid over an extended period. The financial institution pays the supplier when the original invoice becomes due, and the Company pays the third-party financial institution over a period of time. In most cases, the supplier accepts a discounted amount from the financial institution and the Company repays the financial institution the face amount of the invoice with no stated interest, in twelve equal monthly installments. The Company used an incremental borrowing rate of 7.0% - 8.0% to impute interest on these
Page | 9 |
Quipt Home Medical Corp.
NOTES TO THE CONDENSED CONSOLIDATED INTERIM FINANCIAL STATEMENTS
FOR THE THREE AND NINE MONTHS (UNAUDITED) June 30, 2024 and 2023
(Tabular dollar amounts expressed in thousands of US Dollars, except per share amounts)
arrangements. There are no covenants with the loans and the carrying value of the equipment that is pledged as security against the loans is approximately $13,400,000 and $8,700,000 as of June 30, 2024 and September 30, 2023, respectively.
Following is the activity in equipment loans for the nine months ended June 30, 2024 and 2023:
|
| Nine months ended |
| Nine months ended | ||
| | June 30, 2024 | | June 30, 2023 | ||
Beginning Balance | | $ | 14,347 | | $ | 5,707 |
Additions: | |
| | |
| |
Acquisitions | | | — | | | 4,259 |
Operations | | | 19,411 | | | 15,839 |
Repayments | |
| (20,327) | | | (12,501) |
Ending Balance | |
| 13,431 | |
| 13,304 |
Current portion | |
| 13,335 | |
| 13,198 |
Long-term portion | | $ | 96 | | $ | 106 |
Leases Liabilities
The Company enters into leases for real estate and vehicles. Real estate leases are valued at the net present value of the future lease payments at incremental borrowing rates ranging from 5.9% to 8.8%. Vehicle leases are recorded at rate implicit in the lease based on the current value and the estimated residual value of the vehicle, equating to rates ranging from 3.0% to 11.5%.
Following is the activity in lease liabilities for the nine months ended June 30, 2024 and 2023:
|
| | |
| Real |
| | | |
| | Vehicles | | estate | | Total | |||
Balance September 30, 2022 | | $ | 1,993 | | $ | 8,506 | | $ | 10,499 |
Additions: | | | | | | | | | |
Acquisitions | | | 365 | | | 2,436 | | | 2,801 |
Operations | | | 908 | | | 7,258 | |
| 8,166 |
Repayments | | | (586) | | | (2,614) | |
| (3,200) |
Balance June 30, 2023 | | $ | 2,680 | | $ | 15,586 | | $ | 18,266 |
| | | | | | | | | |
Balance September 30, 2023 | | $ | 2,914 | | $ | 16,236 | | $ | 19,150 |
Additions: | |
| | | | | | | |
Operations | | | 1,760 | | | 3,049 | |
| 4,809 |
Non-cash adjustments | | | — | | | (139) | | | (139) |
Repayments | |
| (1,139) | | | (3,238) | |
| (4,377) |
Balance June 30, 2024 | | $ | 3,535 | | $ | 15,908 | | $ | 19,443 |
Page | 10 |
Quipt Home Medical Corp.
NOTES TO THE CONDENSED CONSOLIDATED INTERIM FINANCIAL STATEMENTS
FOR THE THREE AND NINE MONTHS (UNAUDITED) June 30, 2024 and 2023
(Tabular dollar amounts expressed in thousands of US Dollars, except per share amounts)
Future payments pursuant to lease liabilities are as follows:
|
| As at |
| As at | ||
| | June 30, 2024 | | September 30, 2023 | ||
Less than 1 year | | $ | 7,050 | | $ | 6,422 |
Between 1 and 5 years | |
| 14,959 | |
| 15,280 |
More than five years | |
| 544 | |
| 760 |
Gross lease payments | |
| 22,553 | |
| 22,462 |
Less: finance charges | |
| (3,110) | |
| (3,312) |
Net lease liabilities | | | 19,443 | | | 19,150 |
Current portion | | | 5,899 | | | 5,122 |
Long-term portion | | $ | 13,544 | | $ | 14,028 |
10. | Share capital |
The Company considers its capital to be shareholders’ equity, which is comprised of capital stock, contributed surplus, accumulated deficit, and accumulated other comprehensive income (loss) in the amount of $109,801,000 and $111,115,000 as of June 30, 2024 and September 30, 2023, respectively.
In May 2024, the Toronto Stock Exchange (“TSX”) accepted the Company’s notice of intention to implement a normal course issuer bid (“NCIB”). Under the NCIB, the Company may purchase for cancellation up to 3,626,845 common shares of the Company, or up to $5,000,000, and will terminate upon the earliest of (i) April 30, 2025, (ii) the Company purchasing the maximum number of common shares or dollars, or (iii) the Company terminating the NCIB. Purchases under the NCIB will be made through open market purchases at market price, as well as by other means as may be permitted under applicable securities laws. Any Common Shares that are purchased under the NCIB will be cancelled upon their purchase by the Company. No Common Shares have been purchased under the NCIB.
Issued share capital
The Company has only one class of common stock outstanding. Common shares are classified as equity, and costs related to the issuance of common shares are recognized as a reduction of equity.
Stock options and grants
The Company has a stock option plan, which it uses for grants to directors, officers, employees, and consultants. Options granted under the plan are non-assignable and may be granted for a term not exceeding ten years. Stock options having varying vesting periods and the unvested options outstanding as of June 30, 2024 will vest through February 2026.
Page | 11 |
Quipt Home Medical Corp.
NOTES TO THE CONDENSED CONSOLIDATED INTERIM FINANCIAL STATEMENTS
FOR THE THREE AND NINE MONTHS (UNAUDITED) June 30, 2024 and 2023
(Tabular dollar amounts expressed in thousands of US Dollars, except per share amounts)
A summary of stock options is provided below:
|
| |
| Weighted | |
| | Number of options (000’s) | | average exercise price | |
Balance September 30, 2022 | | 3,751 | | C$ | 4.24 |
Issued | | 435 | | | 8.30 |
Exercised | | (101) | | | 5.29 |
Expired | | (42) | | | 6.96 |
Forfeited | | (49) | | | 7.15 |
Balance June 30, 2023 | | 3,994 | | C$ | 4.49 |
| | | | | |
Balance September 30, 2023 |
| 3,957 | | C$ | 4.49 |
Exercised | | (519) | | | 1.50 |
Expired |
| (15) | | | 7.76 |
Forfeited |
| (3) | | | 8.48 |
Balance June 30, 2024 |
| 3,420 | | C$ | 4.92 |
At June 30, 2024, the Company had 3,134,000 vested stock options with a weighted average exercise price of C$4.63.
Restricted stock units
From May 2021 through February 2023, a total of 1,866,090 restricted stock units were granted to officers and directors. Each unit represents the right to receive one common share, and vests over a period of two years from the grant date at the rate of one-eighth every three months commencing three months after the grant date. During the year ended September 30, 2022, 105,000 units were forfeited. During the nine months ended June 30, 2024 and 2023, 515,063 and 726,653 units were settled. The number of shares issued was less than the number of units settled due to the officers’ election to receive a reduced number of shares to satisfy their tax withholding obligations. These tax withholdings resulted in a cash outflow of $213,000 for the nine months ended June 30, 2024, and $1,338,000 for the nine months ended June 30, 2023. As of June 30, 2024, a total of 519,375 restricted stock units were outstanding, of which 207,750 had vested.
The fair value of the restricted stock units on the date of grant are discounted to reflect the difference between the vesting dates and the expected issuance dates, to be expensed over the respective vesting periods with an increase to contributed surplus.
Stock-based compensation
The Company accounts for stock-based compensation using the fair value method as prescribed by IFRS 2. Under this method, the fair value of stock options and restricted stock units at the date of grant is expensed over the vesting period and the offsetting credit is recorded as an increase in contributed surplus. An estimate of the number of awards that are expected to be forfeited is also made at the time of grant and revised periodically if actual forfeitures differ from those estimates.
Page | 12 |
Quipt Home Medical Corp.
NOTES TO THE CONDENSED CONSOLIDATED INTERIM FINANCIAL STATEMENTS
FOR THE THREE AND NINE MONTHS (UNAUDITED) June 30, 2024 and 2023
(Tabular dollar amounts expressed in thousands of US Dollars, except per share amounts)
For the three and nine months ended June 30, 2024 and 2023, the Company recorded stock-based compensation expense as follows:
|
| Three Months |
| Three Months |
| Nine months |
| Nine months | ||||
| | Ended June 30, | | Ended June 30, | | Ended June 30, | | Ended June 30, | ||||
| | 2024 | | 2023 | | 2024 | | 2023 | ||||
Restricted stock units | | $ | 322 | | $ | 1,412 | | $ | 1,423 | | $ | 2,468 |
Stock options | | | 161 | | | 622 | | | 731 | | | 1,443 |
Stock-based compensation expense | | $ | 483 | | $ | 2,034 | | $ | 2,154 | | $ | 3,911 |
11. | Commitments and contingencies |
Commitments
The Company leases certain facilities with terms of less than a year that are classified as operating leases. Future payments pursuant to these leases are $81,000 as of June 30, 2024, which are all due in less than one year.
Contingencies
From time to time, the Company is involved in various legal proceedings arising from the ordinary course of business, including governmental investigations or other actions or lawsuits stemming from a failure to comply with laws or regulations. The Company has received a civil investigative demand from the Department of Justice (“DOJ”) through the U.S. Attorney’s Office for the Northern District of Georgia pursuant to the False Claims Act regarding an investigation concerning whether the Company may have caused the submission of false claims to government healthcare programs for CPAP equipment. The Company is cooperating with the investigation. The DOJ has not indicated to the Company whether it believes the Company engaged in any wrongdoing. In April 2024, the Company received a subpoena from the U.S. Securities and Exchange Commission (the “SEC”) to provide certain documents related to the Company and the DOJ investigation, CID, and financial reporting and disclosure matters (“SEC Subpoena”). According to the SEC, the investigation pursuant to which the SEC Subpoena was issued does not mean that the SEC has concluded that anyone has violated the law, nor does the investigation mean that the SEC has a negative opinion of any person, entity, or security. The Company, through its external legal counsel, has been in contact with the SEC and is cooperating with the SEC as it relates to the SEC Subpoena. Additional governmental agencies could conduct independent investigations relating to this investigation or separate unrelated matters. No assurance can be given as to the timing or outcome of the DOJ’s or SEC’s investigations.
Page | 13 |
Quipt Home Medical Corp.
NOTES TO THE CONDENSED CONSOLIDATED INTERIM FINANCIAL STATEMENTS
FOR THE THREE AND NINE MONTHS (UNAUDITED) June 30, 2024 and 2023
(Tabular dollar amounts expressed in thousands of US Dollars, except per share amounts)
12. Operating expenses
|
| Three months |
| Three months |
| Nine months |
| Nine months | ||||
| | ended June 30, | | ended June 30, | | ended June 30, | | ended June 30, | ||||
| | 2024 | | 2023 | | 2024 | | 2023 | ||||
Payroll and employee benefits | | $ | 19,547 | | $ | 18,160 | | $ | 58,724 | | $ | 49,115 |
Facilities | |
| 1,441 | | | 1,222 | | | 4,199 | | | 3,674 |
Billing | |
| 2,734 | | | 2,444 | | | 8,138 | | | 6,644 |
Professional fees | |
| 1,496 | | | 881 | | | 4,482 | | | 2,631 |
Outbound freight | |
| 1,383 | | | 1,185 | | | 4,115 | | | 3,000 |
Vehicle fuel and maintenance | | | 1,233 | | | 1,066 | | | 3,515 | | | 2,889 |
Bank and credit card fees | | | 560 | | | 520 | | | 1,540 | | | 1,226 |
Technology | | | 409 | | | 357 | | | 1,157 | | | 1,006 |
Insurance | | | 384 | | | 408 | | | 1,160 | | | 1,248 |
All other | |
| 1,406 | | | 1,142 | | | 4,066 | | | 3,100 |
Total operating expenses | | $ | 30,593 | | $ | 27,385 | | $ | 91,096 | | $ | 74,533 |
13. Income taxes
The Company follows the asset and liability method of accounting for income taxes. Under this method, current income taxes are recognized for the estimated income taxes payable for the current period. The Company computes its estimated income tax assets and liabilities under the discrete method, which treats the nine months ended June 30, 2024 and 2023 as if it were an annual period. The Company has no federal income taxes payable due to net operating losses. Despite a loss before income taxes, the Company has state income taxes currently payable due to separate legal entity tax filings and the lack of loss carryforwards available in all states.
Deferred income tax assets and liabilities are recognized for temporary differences between the tax and accounting basis of assets and liabilities as well as for the benefit of losses available to be carried forward to future years, and are measured using the current enacted tax rates expected to apply when the differences reverse. A deferred tax asset is recognized only to the extent that the recoverability is considered probable through offset from the reversal of deferred tax liabilities from the same taxation authority.
The provision for income taxes was as follows for the periods indicated:
|
| Three months |
| Three months |
| Nine months |
| Nine months | ||||
| | ended June 30, | | ended June 30, | | ended June 30, | | ended June 30, | ||||
| | 2024 | | 2023 | | 2024 | | 2023 | ||||
Current payable - state | | $ | — | | $ | (323) | | $ | 421 | | $ | 10 |
Deferred: | | | | | | | | | | | | |
Federal | | | — | | | — | | | 26 | | | — |
State | | | — | | | — | | | 36 | | | — |
Subtotal deferred | | | — | | | — | | | 62 | | | — |
Provision for income taxes | | $ | — | | $ | (323) | | $ | 483 | | $ | 10 |
14. | Income (loss) per share |
Income (loss) per common share is calculated using the weighted average number of common shares outstanding during the period. Diluted loss per share amounts are calculated giving effect to the potential dilution that would occur from the
Page | 14 |
Quipt Home Medical Corp.
NOTES TO THE CONDENSED CONSOLIDATED INTERIM FINANCIAL STATEMENTS
FOR THE THREE AND NINE MONTHS (UNAUDITED) June 30, 2024 and 2023
(Tabular dollar amounts expressed in thousands of US Dollars, except per share amounts)
incremental shares issued if in-the-money securities or other contracts to issue common shares were exercised or converted to common shares by assuming the proceeds received from the exercise of stock options are used to purchase common shares at the prevailing market price. For periods with a net loss, the potential dilutive shares were excluded because their effect is anti-dilutive.
The following reflects the earnings and share data used in the basic and diluted income (loss) per share computations:
|
| Three months |
| Three months |
| Nine months |
| Nine months | ||||
| | ended June 30, | | ended June 30, | | ended June 30, | | ended June 30, | ||||
| | 2024 | | 2023 | | 2024 | | 2023 | ||||
Net loss | | $ | (1,701) | | $ | (1,034) | | $ | (3,653) | | $ | (1,460) |
Basic weighted average number of shares | |
| 42,623 | |
| 40,584 | |
| 42,303 | |
| 37,434 |
Diluted weighted average number of shares | |
| 42,623 | |
| 40,584 | |
| 42,303 | |
| 37,434 |
Basic loss per share | | $ | (0.04) | | $ | (0.03) | | $ | (0.09) | | $ | (0.04) |
Diluted loss per share | | $ | (0.04) | | $ | (0.03) | | $ | (0.09) | | $ | (0.04) |
The effect of instruments exercisable or convertible to common shares for the nine months ended June 30, 2024 were excluded from the calculation of diluted loss per share because their effect is anti-dilutive.
15. | Related party transactions |
The Company has six leases for office, warehouse, and retail space with a rental company affiliated with the Company’s Chief Executive Officer, the majority of which were entered into in 2015, five of which were renewed on October 1, 2022. The leases have a combined area of 74,520 square feet. Lease payments under these leases were approximately $66,000 and $65,000 per month for the nine months ended June 30, 2024 and 2023, respectively, with increases on October 1 of each year equal to the greater of (i) the Consumer Price Index for All Urban Consumers (CPI-U), and (ii) 3%. One lease expires in June 2026 and the remaining five leases expire on September 30, 2029.
Expense for Board of Directors’ fees were $68,000 and $69,000 for the three months ended June 30, 2024 and 2023, respectively. Expense for Board of Directors’ fees were $203,000 and $226,000 for the nine months ended June 30, 2024 and 2023, respectively. Stock-based compensation for the Board of Directors was $180,000 and $672,000 for the three months ended June 30, 2024 and 2023, respectively. Stock-based compensation for the Board of Directors was $723,000 and $1,476,000 for the nine months ended June 30, 2024 and 2023, respectively.
Key management personnel also participate in the Company’s share option program (see Note 10). The Company recorded compensation to key management personnel as follows:
|
| Three months |
| Three months |
| Nine months |
| Nine months | ||||
| | ended June 30, | | ended June 30, | | ended June 30, | | ended June 30, | ||||
| | 2024 | | 2023 | | 2024 | | 2023 | ||||
Salaries and benefits | | $ | 342 | | $ | 299 | | $ | 964 | | $ | 846 |
Stock-based compensation | |
| 147 | |
| 676 | |
| 663 | |
| 1,669 |
Total | | $ | 489 | | $ | 975 | | $ | 1,627 | | $ | 2,515 |
Page | 15 |
Exhibit 99.2
3rd Quarter 2024 | |
Management’s Discussion and Analysis For the Three and Nine Months Ended June 30, 2024 | Quipt Home Medical Corp.
|
MANAGEMENT’S DISCUSSION AND ANALYSIS
June 30, 2024 and 2023
(Tabular dollar amounts expressed in thousands, except per share amounts)
The following Management’s Discussion and Analysis (“MD&A”) of the financial condition and results of operations of Quipt Home Medical Corp. and its subsidiaries (“Quipt” or the “Company”), prepared as of August 14, 2024 and should be read in conjunction with the unaudited condensed consolidated financial statements for the three and nine months ended June 30, 2024, including the notes therein. These unaudited condensed consolidated interim financial statements have been prepared in accordance with International Accounting Standard (“IAS”) 34, “Interim Financial Reporting”, using accounting policies consistent with International Financial Reporting Standards (“IFRS”) as issued by the International Accounting Standards Board (“IASB”). Unless otherwise specified, all financial data is presented in United States (“US”) dollars. The words “we”, “our”, “us”, “Company”, and “Quipt” refer to Quipt Home Medical Corp., its subsidiaries, and/or the management and employees of the Company.
Additional information on the Company is available for review on SEDAR at www.sedarplus.ca. Such information is not considered a part of this MD&A.
Page 2 | |
Page 4 | Third Quarter 2024 Highlights, Selected Quarterly Information, and About Our Business |
Page 5 | |
Page 11 | |
Page 18 Page 20 Page 21 | Accounting and Disclosure Matters |
Page 22 |
Page | 1
MANAGEMENT’S DISCUSSION AND ANALYSIS
June 30, 2024 and 2023
(Tabular dollar amounts expressed in thousands, except per share amounts)
CAUTION REGARDING FORWARD-LOOKING STATEMENTS
This MD&A contains certain “forward-looking information” within the meaning of Canadian securities legislation and “forward-looking statements” within the meaning of applicable securities legislation, including the U.S. Private Securities Litigation Reform Act of 1995 (collectively, “forward-looking statements”). Forward-looking statements are neither historical facts nor assurances of future performance. Instead, they are based upon the current beliefs, expectations, and assumptions regarding the future of its business, future plans and strategies, and other future conditions of the Company. Forward-looking statements can be identified by the words such as “expect”, “likely”, “may”, “will”,, “would”, “could”, “should”, “continue”, “contemplate”, “intend”, or “anticipate”, “believe”, “envision”, “estimate”, “expect”, “plan”, “predict”, “project”, “target”, “potential”, “proposed”, “estimate” and other similar words, including negative and grammatical variations thereof, or statements that certain events or conditions “may” or “will” happen, or by discussions of strategy. Forward-looking statements include estimates, plans, expectations, opinions, forecasts, projections, targets, guidance, or other statements that are not statements of fact. Such forward-looking statements are made as of the date of this MD&A.
Forward-looking statements in this MD&A therein include, but are not limited to, statements with respect to: operating results; profitability; financial condition and resources; anticipated needs for working capital; liquidity; capital resources; capital expenditures; milestones; licensing milestones; information with respect to future growth and growth strategies; anticipated trends in the industry in with the Company operates; the Company’s future financing plans; timelines; currency fluctuations; government regulation; unanticipated expenses; commercial disputes or claims; legal proceedings and litigation, including as it relates to the CID (defined below); limitations on insurance coverage; availability and expectations regarding cash flow to fund capital requirements; the product offerings of the Company; the competitive conditions of the industry; the competitive and business strategies of the Company; statements relating to the business and future activities of, and developments related to, the Company, including such things as future business strategy, competitive strengths, goals, expansion and growth of the Company’s business, operations and plans; and other events or conditions that may occur in the future.
Forward-looking statements are based on the reasonable assumptions, estimates, analysis and opinions of the Company’s management made in light of its experience and its perception of trends, current conditions and expected developments, as well as other factors that management believes to be relevant and reasonable in the circumstances at the date that such statements are made, but which may prove to be incorrect. The Company believes that the assumptions and expectations reflected in such forward-looking statements are reasonable. The material factors and assumptions used to develop the forward-looking statements contained in this MD&A, include, without limitation: the Company’s ability to successfully execute its growth strategies and business plan; the ability to successfully identify strategic acquisitions; the Company’s ability to realize anticipated benefits, synergies or generate revenue, profits or value from its recent acquisitions into existing operations; management’s perceptions of historical trends, current conditions and expected future developments; the ability of the Company to take market share from competitors; the Company’s ability to attract and retain skilled staff; market conditions and competition; the products, services and technology offered by the Company’s competitors; the Company’s ability to generate cash flow from operations; the Company’s ability to keep pace with changing regulatory requirements; ongoing ability to conduct business in the regulatory environments in which the Company operates and may operate in the future; that the Company’s ability to maintain strong business relationships with its suppliers, service provides and other third parties will be maintained; the Company’s ability to fulfill prescriptions for services and products; the anticipated growth of the niche market of home equipment and monitoring; the anticipated increase in demand for various medical products and equipment; demand and interest in the Company’s products and services; the ability to deploy up front capital to purchase monitoring and treatment equipment; anticipated and unanticipated costs; the timely receipt of any required regulatory authorizations, approvals, consents, permits and/or licenses; the general economic, financial market, regulatory and political conditions in which the Company operates and the absence of material adverse changes in the Company’s industry, regulatory environment or the global economy; and other considerations that management believes to be appropriate in the circumstances.
Page | 2
MANAGEMENT’S DISCUSSION AND ANALYSIS
June 30, 2024 and 2023
(Tabular dollar amounts expressed in thousands, except per share amounts)
Forward-looking statements speak only as at the date they are made and are based on information currently available and on the then current expectations. Readers are cautioned that forward-looking statements are not based on historical facts but instead are based on reasonable assumptions and estimates of management of the Company at the time they were provided or made and involve known and unknown risks, uncertainties and other factors which may cause the actual results, performance or achievements of the Company, as applicable, to be materially different from any future results, performance or achievements expressed or implied by such forward-looking statements, including, but not limited to, known and unknown risks, uncertainties, assumptions and other factors, including those listed under “Risk Factors”, which include: credit risks, market risks (including those related to equity, commodity, foreign exchange and interest rate markets), liquidity risks, operational risks (including those related to technology and infrastructure), and risks relating to reputation, insurance, strategy, regulatory matters, legal matters, environmental matters and capital adequacy. Examples of such risk factors include: the Company may be subject to significant capital requirements and operating risks; changes in law, the ability to implement business strategies, growth strategies and pursue business opportunities; state of the capital markets; the availability of funds and resources to pursue operations; decline of reimbursement rates; dependence on few payors; possible new drug discoveries; a novel business model; dependence on key suppliers; granting of permits and licenses in a highly regulated business; competition; difficulty integrating newly acquired businesses; low profit market segments; disruptions in or attacks (including cyber-attacks) on 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; the failure of third parties to comply with their obligations; the impact of new and changes to, or application of, current laws and regulations; the overall difficult litigation environment, including in the US; increased competition; changes in foreign currency rates; loss of foreign private issuer status; risks relating to the deterioration of global economic conditions; 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; and the occurrence of natural and unnatural catastrophic events and claims resulting from such events, as well as other general economic, market and business conditions, amongst others, as well as those risk factors described under the heading “Risk Factors” and elsewhere in this MD&A and therein and as described from time to time in documents filed by the Company with Canadian securities regulatory authorities including, without limitation, the Company’s audited annual financial statements and the Company’s Annual Information Form (“AIF”). Although the Company has attempted to identify important factors that could cause actual actions, events or results to differ materially from those described in forward-looking statements, there may be other factors that cause actions, events or results not to be as anticipated, estimated or intended. The Company provides no assurance that forward-looking statements will prove to be accurate, as actual results and future events could differ materially from those anticipated in such statements.
Readers are cautioned that the above list of cautionary statements is not exhaustive. A number of factors could cause actual events, performance or results to differ materially from what is projected in forward-looking statements. The purpose of forward-looking statements is to provide the reader with a description of management’s expectations, and such forward-looking statements may not be appropriate for any other purpose. You should not place undue reliance on forward-looking statements contained in this MD&A. Although the Company believes that the expectations reflected in such forward-looking statements are reasonable, it can give no assurance that such expectations will prove to have been correct. The Company undertakes no obligation to update or revise any forward-looking statements, whether as a result of new information, future events or otherwise, except as required by applicable law. The forward-looking statements contained in this MD&A are expressly qualified in their entirety by this cautionary statement.
Page | 3
MANAGEMENT’S DISCUSSION AND ANALYSIS
June 30, 2024 and 2023
(Tabular dollar amounts expressed in thousands, except per share amounts)
THIRD QUARTER 2024 HIGHLIGHTS
● | Increased revenues for the nine months ended June 30, 2024 to $193.3 million, an increase of 21.4% from the nine months ended June 30, 2023. |
● | Increased the number of deliveries to 641,786 for the nine months ended June 30, 2024, an increase of 17.3% from the nine months ended June 30, 2023. |
● | Increased the number of respiratory resupply deliveries to 359,311 for the nine months ended June 30, 2024, an increase of 26.4% from the nine months ended June 30, 2023. |
● | Generated Adjusted EBITDA (defined below) of $44.5 million for the nine months ended June 30, 2024, a 23.7% increase from the nine months ended June 30, 2023. This represents 23.0% of revenue for the nine months ended June 30, 2024, an increase from 22.6% for the nine months ended June 30, 2023. Adjusted EBITDA is a non-IFRS measure and is reconciled to net income (loss) on pages 7. |
SELECTED QUARTERLY INFORMATION
|
| For the three |
| For the three |
| For the nine |
| For the nine | ||||
| | months | | months | | months | | months | ||||
| | ended June 30, | | ended June 30, | | ended June 30, | | ended June 30, | ||||
| | 2024 | | 2023 | | 2024 | | 2023 | ||||
Number of patients serviced (1) |
| | 153,223 | | | 140,515 | | | 270,087 | | | 239,146 |
Number of equipment set-ups or deliveries |
| | 216,137 | | | 202,587 | | | 641,786 | | | 547,038 |
Respiratory resupply set-ups or deliveries |
| | 120,118 | | | 108,391 | | | 359,311 | | | 284,359 |
Adjusted EBITDA (2) |
| $ | 14,246 | | $ | 13,877 |
| $ | 44,483 | | $ | 35,971 |
Net cash flow provided by operating activities | | $ | 11,522 | | $ | 12,496 | | $ | 28,642 | | $ | 27,312 |
Total revenue | | $ | 63,967 | | $ | 60,284 | | $ | 193,285 | | $ | 159,219 |
Net loss | | $ | (1,701) | | $ | (1,034) | | $ | (3,653) | | $ | (1,460) |
Basic loss per share | | $ | (0.04) | | $ | (0.03) | | $ | (0.09) | | $ | (0.04) |
Diluted earnings per share | | $ | (0.04) | | $ | (0.03) | | $ | (0.09) | | $ | (0.04) |
Total assets | | | | | | | | $ | 249,784 | | $ | 225,543 |
Total long-term liabilities | | | | | | | | $ | 73,163 | | $ | 75,571 |
Shareholders' equity |
| | | | | |
| $ | 109,801 | | $ | 81,802 |
(1) | The nine-month periods do not equal the sum of the three respective three-month periods due to some patients being serviced in multiple three-month periods. |
(2) | Non-IFRS measure. Refer to page 6 and 7 for a description of Adjusted earnings before interest, taxes, depreciation, and amortization (“Adjusted EBITDA”). |
Reporting entity
The Company’s shares are traded on the Toronto Stock Exchange (“TSX”) in Canada and on NASDAQ in the U.S., both under the symbol QIPT.
Loss of Foreign Private Issuer Status
As a result of more than 50% of the Company’s outstanding voting securities being held directly or indirectly by residents of the United States as of March 31, 2024 and otherwise not qualifying for foreign private issuer status under the Securities
Page | 4
MANAGEMENT’S DISCUSSION AND ANALYSIS
June 30, 2024 and 2023
(Tabular dollar amounts expressed in thousands, except per share amounts)
and Exchange Act of 1934, as amended (the “Exchange Act”), the Company will cease to be a foreign private issuer, as defined in Rule 3b-4 under the Exchange Act, as of October 1, 2024. Accordingly, effective October 1, 2024, the Company will be required to commence reporting on forms required by the Exchange Act of United States domestic companies, such as periodic reports on Forms 10-K and 10-Q and current reports of Form 8-K. In addition, the Company will become subject to US proxy rules. In addition, any securities issued by the Company will become subject to certain rules and restrictions under the Securities Act of 1933, as amended (the “Securities Act”). As disclosed in the risk factors discussed or referred to in the Company’s disclosure documents filed with Securities and Exchange Commission and available at www.sec.gov, and with the securities regulatory authorities in certain provinces of Canada and available at [http://www.sedarplus.ca,]www.sedarplus.ca, compliance with the additional disclosure rules, compliance and timing requirements under the Securities Act, Exchange Act, and other applicable rules and regulations will likely result in increased expenses and will require the Company’s management to devote substantial time and resources to comply with new regulatory requirements. The impact on becoming a domestic issuer disclosing in GAAP as opposed to IFRS, commencing with the annual financial statements for the year ended September 30, 2024, if any, is currently being evaluated by the Company with third party advisors.
Quipt’s business objective
The growth in the number of elderly patients in the U.S. healthcare market is creating pressure to provide more efficient delivery systems. Healthcare providers, such as hospitals, physicians, and pharmacies, are seeking partners that can offer a range of products and services that improve outcomes, reduce hospital readmissions, and help control costs. Quipt fills this need by delivering a growing number of specialized products and services to achieve these goals. Quipt seeks to provide an ever-expanding line of products and services over larger geographic regions within the U.S. using several growth strategies. With over 100 offices, Quipt employs more than 1,200 personnel in the U.S.
Future outlook
Quipt expects to generate operating income and positive Adjusted EBITDA. Our top priority continues to be the generation of operating income, positive cash flow, and growth in Adjusted EBITDA in fiscal year 2024 and beyond. As we continue to expand in our existing markets, we plan to leverage our business platforms to enter new markets. As we continue to grow and achieve scale, the increasing cash generated from operations will be used to market our products and services and to gain market share. Our continued business integration and rationalization, and our acquisitions, have given us a focus and path towards profitability at each business unit.
Going forward, we seek to find ways to continue to grow our customer base and penetrate these markets, while continuing to streamline our operational platform and generate positive cash flow and operating profits. We intend to continue improving our operational efficiencies and call center management as they are key execution points to maintaining our healthy gross margin while growing revenues by cross selling services to existing and acquired patients.
The nine months ended June 30, 2024 presented us with a range of challenges that we absorbed in the period, which negatively impacted our financial performance and prevented us from achieving our target of 8 to 10% annualized organic growth. The end of the Medicare 75/25 relief as of January 1, 2024, which had been providing rate relief for certain geographies, was discontinued. Although this change is still under legislative review, and could return, its immediate cessation was a negative impact on the three months and nine months ended June 30, 2024. Moreover, in certain regions, we also experienced the withdrawal of Medicare Advantage members due to a capitated agreement engaged with other
Page | 5
MANAGEMENT’S DISCUSSION AND ANALYSIS
June 30, 2024 and 2023
(Tabular dollar amounts expressed in thousands, except per share amounts)
providers in the industry. We estimate the revenue impact of these items to be approximately $1,500,000 and $3,200,000 for the three and nine months ended June 30, 2024, respectively.
The Company uses Change Healthcare, a subsidiary of UnitedHealth Group, to submit patient claims to certain non-Medicare payors for payment. UnitedHealth Group announced that on February 21, 2024, Change Healthcare’s information technology systems were impacted by a cybersecurity incident. This incident significantly impacted the healthcare industry and hindered the ability to process and bill claims in the back half of the quarter, creating a reduction in our cash flow. We believe that the vast majority of claims have now been submitted, but there are still some that remain. While cash collections increased during the three months ended June 30, 2024, we do not believe that we have fully collected the revenues from the backlog of submitted claims, estimated to be approximately $4,000,000. Additionally, collections of claims not impacted by Change Healthcare were slowed by the diversion of normal collection efforts to address this issue.
Accounting policies and estimates
The unaudited condensed consolidated interim financial statements for the three and nine months ended June 30, 2024 have been prepared in accordance with IAS 34, “Interim Financial Reporting” issued by the governing body of the International Accounting Standards Board (IASB). The preparation of consolidated financial statements in conformity with IFRS requires management to make estimates and assumptions. These estimates and assumptions affect the reported amounts of assets and liabilities, disclosures of contingent assets and liabilities, and the reported amounts of revenues and expenses for the period of consolidated financial statements.
Non-IFRS measures
Throughout this MD&A, references are made to several measures which are believed to be meaningful in the assessment of the Company’s performance. These metrics are non-standard measures under IFRS and may not be identical to similar measures reported by other companies. Readers are cautioned that the disclosure of these items is meant to add to, and not replace, the discussion of financial results as determined in accordance with IFRS. The primary purpose of these non-IFRS measures is to provide supplemental information that may prove useful to investors who wish to consider the impact of certain non-cash or uncontrollable items on the Company’s operating performance. Management uses both IFRS and non-IFRS measures when planning, monitoring, and evaluating the Company’s performance.
Adjusted EBITDA
In calculating Adjusted EBITDA, certain items are excluded from net loss, including depreciation and amortization, net interest expense, provision (benefit) for income taxes, stock-based compensation, professional fees related to a civil investigative matter, acquisition-related costs, and loss on foreign currency transactions. Set forth below are descriptions of the significant financial items that have been excluded from net income or loss to calculate Adjusted EBITDA and the material limitations associated with using these non-IFRS financial measures as compared to net income or loss.
● | Depreciation and amortization expense may be useful for investors to consider because they generally represent the wear and tear on our property and equipment used in our operations and amortization of intangibles valued in acquisitions. However, we do not believe these charges necessarily reflect the current and ongoing cash charges related to our operating costs. |
● | The amount of interest expense we incur or interest income we generate may be useful for investors to consider and may result in current cash inflows or outflows. However, we do not consider the amount of net interest expense to be a representative component of the day-to-day operating performance of our business. |
Page | 6
MANAGEMENT’S DISCUSSION AND ANALYSIS
June 30, 2024 and 2023
(Tabular dollar amounts expressed in thousands, except per share amounts)
● | The provision (benefit) for income taxes may be useful for investors to consider because it generally represents the taxes which may be payable for the period and may reduce the amount of funds otherwise available for use. However, we do not consider the amount of income tax expense to be a representative component of the day-to-day operating performance of our business. |
● | Stock-based compensation may be useful for investors to consider because it is an estimate of the non-cash component of compensation received by the Company’s directors, officers, employees, and consultants. Stock-based compensation is being excluded from the Company’s operating expenses because the decisions which gave rise to these expenses were not made to increase revenue in a particular period but were made for the Company’s long-term benefit over multiple periods. While strategic decisions, such as those to issue stock-based awards, are made to further the Company’s long-term strategic objectives and impact the Company’s earnings under IFRS, these items affect multiple periods, and management is not able to change or affect these items within any period. |
● | We consider the professional fees related to the CID to be an unusual event, as we have not had such an investigation previously, and therefore not a representative component of the day-to-day operating performance of our business. |
● | Acquisition-related costs may be useful for the investors to consider because they are professional fees directly related to completing the various acquisitions. While the costs are expected to be recurring if the Company continues to make acquisitions, they are incurred prior to the inclusion of such acquisitions in the consolidated operations of the Company. |
● | Loss (gain) on foreign currency transactions may be useful for the investors to consider and may result in current cash inflows or outflows. However, we do not consider the amount of net interest expense to be a representative component of the day-to-day operating performance of our business. |
The following table shows our non-IFRS measure, Adjusted EBITDA, reconciled to our net income (loss) for the following periods:
| Three |
| Three |
| Nine |
| Nine | ||||
| months | | months | | months | | months | ||||
| ended June | | ended June | | ended June | | ended June | ||||
| 30, 2024 | | 30, 2023 | | 30, 2024 | | 30, 2023 | ||||
Net loss | $ | (1,701) | | $ | (1,034) | | $ | (3,653) | | $ | (1,460) |
Add back: |
| | |
| | |
| | |
| |
Depreciation and amortization |
| 12,462 | |
| 11,698 | |
| 36,778 | |
| 28,074 |
Interest expense, net |
| 1,892 | |
| 1,969 | |
| 5,735 | |
| 4,704 |
Provision (benefit) for income taxes |
| — | |
| (323) | |
| 483 | |
| 10 |
Stock-based compensation |
| 483 | |
| 2,034 | |
| 2,154 | |
| 3,911 |
Professional fees related to CID | | 723 | | | — | | | 2,205 | | | — |
Acquisition-related costs |
| 188 | |
| (25) | |
| 393 | |
| 1,132 |
Share of loss in equity method investment | | 71 | | | — | | | 243 | | | — |
Loss on extinguishment of debt | | — | | | — | | | — | | | 30 |
Loss (gain) on foreign currency transactions |
| 128 | |
| (442) | |
| 145 | |
| (430) |
Adjusted EBITDA | $ | 14,246 | | $ | 13,877 | | $ | 44,483 | | $ | 35,971 |
Page | 7
MANAGEMENT’S DISCUSSION AND ANALYSIS
June 30, 2024 and 2023
(Tabular dollar amounts expressed in thousands, except per share amounts)
The following is a summary of the Company’s unaudited operating results for the following periods:
|
| Three months |
| Three months |
| Nine months |
| Nine months |
| ||||
| | ended June 30, | | ended June 30, | | ended June 30, | | ended June 30, | | ||||
|
| 2024 |
| 2023 |
| 2024 |
| 2023 |
| ||||
Revenue | | $ | 63,967 | | $ | 60,284 | | $ | 193,285 | | $ | 159,219 | |
Cost of inventory sold | |
| 16,694 | |
| 16,630 | |
| 51,260 | |
| 41,613 | |
Operating expenses | |
| 30,593 | |
| 27,385 | |
| 91,096 | |
| 74,533 | |
Bad debt expense | | | 3,208 | | | 2,425 | | | 8,702 | | | 7,190 | |
Depreciation | |
| 10,943 | |
| 10,208 | |
| 32,208 | |
| 24,328 | |
Amortization of intangible assets | |
| 1,519 | |
| 1,490 | |
| 4,570 | |
| 3,746 | |
Stock-based compensation | |
| 483 | |
| 2,034 | |
| 2,154 | |
| 3,911 | |
Acquisition-related costs | |
| 188 | |
| (25) | |
| 393 | |
| 1,132 | |
Loss (gain) on disposal of property and equipment | |
| (51) | |
| (33) | |
| (51) | |
| (88) | |
Interest expense, net | |
| 1,892 | |
| 1,969 | |
| 5,735 | |
| 4,704 | |
Loss on extinguishment of debt | | | — | | | — | | | — | | | 30 | |
Loss (gain) on foreign currency transactions | |
| 128 | |
| (442) | |
| 145 | |
| (430) | |
Share of loss in equity method investment | | | 71 | | | — | | | 243 | | | — | |
Provision (benefit) for income taxes | |
| — | |
| (323) | |
| 483 | |
| 10 | |
Net loss | | $ | (1,701) | | $ | (1,034) | | $ | (3,653) | | $ | (1,460) | |
Net loss per share | |
|
| |
|
| |
|
| |
|
| |
Basic loss per share | | $ | (0.04) | | $ | (0.03) | | $ | (0.09) | | $ | (0.04) | |
Diluted loss per share | | $ | (0.04) | | $ | (0.03) | | $ | (0.09) | | $ | (0.04) | |
The following is a summary of the Company’s unaudited cash flows for the following periods:
| Three months |
| Three months |
| Nine months |
| Nine months | ||||
| ended June 30, | | ended June 30, | | ended June 30, | | ended June 30, | ||||
| 2024 | | 2023 | | 2024 | | 2023 | ||||
Net cash flow provided by operating activities | $ | 11,522 | | $ | 12,496 | | $ | 28,642 | | $ | 27,312 |
Net cash flow provided by (used in) investing activities |
| (4,125) | | | 856 | |
| (6,950) | | | (76,744) |
Net cash flow provided by (used in) financing activities |
| (7,415) | | | 4,415 | |
| (24,353) | | | 60,931 |
Effect of exchange rate changes on cash held in foreign currencies | | (183) | | | 591 | | | (145) | | | 430 |
Net increase (decrease) in cash | $ | (201) | | $ | 18,358 | | $ | (2,806) | | $ | 11,929 |
Free Cash Flow
The Company also utilizes Free Cash Flow, a non-IFRS measure. The Company defines Free Cash Flow as Adjusted EBITDA, less capital expenditures (both in cash and those financed through equipment loans), and repayments of leases. The Company believes Free Cash Flow is a useful supplemental financial measure for it and investors in assessing the Company’s ability to pay interest, repay the Facility (defined below), and pursue business opportunities and investments, including making acquisitions. Free Cash Flow is not a measure of the Company’s liquidity under IFRS and should not be considered as an alternative to net cash flows from operating activities. Because Free Cash Flow is not a measurement determined in accordance with IFRS, and is susceptible to varying calculations, it may not be comparable to other similarly
Page | 8
MANAGEMENT’S DISCUSSION AND ANALYSIS
June 30, 2024 and 2023
(Tabular dollar amounts expressed in thousands, except per share amounts)
titled measures presented by other companies. Free Cash Flow should not be considered in isolation, or as a substitute for an analysis of the Company’s results as reported.
The following table shows our non-IFRS measure, Free Cash Flow, reconciled to Adjusted EBITDA for the following periods:
| Three months |
| Three months |
| Nine months |
| Nine months | ||||
| ended June 30, | | ended June 30, |
| ended June 30, | | ended June 30, | ||||
| 2024 | | 2023 |
| 2024 | | 2023 | ||||
Adjusted EBITDA | $ | 14,246 | | $ | 13,877 | | $ | 44,483 | | $ | 35,971 |
Purchase of property and equipment |
| (4,096) | | | (22) | |
| (6,852) | | | (4,959) |
Additions to equipment loans |
| (7,204) | | | (7,829) | |
| (19,411) | | | (20,098) |
Repayments of leases | | (1,480) | | | (1,247) | | | (4,377) | | | (3,200) |
Free Cash Flow | $ | 1,466 | | $ | 4,779 | | $ | 13,843 | | $ | 7,714 |
Revenue
For the three months ended June 30, 2024, revenue totaled $63,967,000, an increase of $3,683,000, or 6.1%, from the three months ended June 30, 2023. The acquisition the Company made in September 2023 contributed approximately $2,000,000 and organic growth contributed approximately $1,700,000, or 3%, as volume increases were partially offset by the decline in revenue rates resulting from the end of the Medicare 75/25 relief. Sales of medical equipment and supplies remained relatively stable at 58.2% of total revenues for the three months ended June 30, 2024 compared to 57.4% of total revenues for the three months ended June 30, 2023.
For the nine months ended June 30, 2024, revenue totaled $193,285,000, an increase of $34,066,000, or 21.4%, from the nine months ended June 30, 2023. This increase is primarily due to approximately $26,000,000 from the two acquisitions that the Company has made since December 2022, the most notable of which was Great Elm Healthcare, LLC (“Great Elm”) on January 3, 2023. Organic growth contributed the balance of the increase of approximately $8,100,000, or 5%, as volume increases were partially offset by the decline in revenue rates resulting from the end of the Medicare 75/25 relief. Sales of medical equipment and supplies remained relatively stable at 57.8% of total revenues for the nine months ended June 30, 2024 from 56.9% of total revenues for the nine months ended June 30, 2023.
Inventory sold
For the three months ended June 30, 2024, inventory sold was flat at $16,694,000 as compared to $16,630,000 for the three months ended June 30, 2023. As a percent, cost of inventory sold decreased to 26.1% of revenue for the three months ended June 30, 2024 from 27.6% for the three months ended June 30, 2023, due to the non-recurring expense from the fair value of acquired inventory exceeding the historical cost related to the Great Elm acquisition in the three months ended June 30, 2023.
For the nine months ended June 30, 2024, inventory sold totaled $51,260,000 as compared to $41,613,000 for the nine months ended June 30, 2023. The increase in dollars was due to the growth in revenue. As a percentage, cost of inventory sold increased slightly to 26.5% of revenue for the nine months ended June 30, 2024 from 26.1% for the nine months ended June 30, 2023, due to the decline in revenue rates from the end of the Medicare 75/25 relief.
Operating expenses
For the three months ended June 30, 2024, operating expenses were $30,593,000, an increase of $3,208,000 from the three months ended June 30, 2023. Acquisitions accounted for approximately $900,000 of the increase, and $723,000 of
Page | 9
MANAGEMENT’S DISCUSSION AND ANALYSIS
June 30, 2024 and 2023
(Tabular dollar amounts expressed in thousands, except per share amounts)
professional fees related to the CID. Remaining increases were incurred to support the organic revenue growth, with payroll being the largest component.
For the nine months ended June 30, 2024, operating expenses were $91,096,000, an increase of $16,563,000 from the nine months ended June 30, 2023. Acquisitions accounted for approximately $10,200,000 of the increase, and $2,205,000 of professional fees related to the CID. Remaining increases were incurred to support the organic revenue growth, with payroll being the largest component.
Bad debt expense
Bad debt expense increased by $783,000 to $3,208,000 for the three months ended June 30, 2024. This increase is due to the direct and indirect effects of the Change Healthcare cybersecurity incident resulting in a diversion from normal collection efforts.
Bad debt expense increased by $1,512,000 to $8,702,000 for the nine months ended June 30, 2024. This increase is due to the increase in revenues. As a percentage of revenue, bad debt expense for both nine month periods were the same at 4.5% due to the impact of the two acquisitions and improved collections from the Company’s focus on the billing and collection process, offset by the direct and indirect effects of the Change Healthcare cybersecurity incident resulting in a diversion from normal collection efforts.
Depreciation expense
Depreciation expense increased by $735,000 to $10,943,000 for the three months ended June 30, 2024. This increase is primarily due to the acquisition the Company made in September, 2023.
Depreciation expense increased by $7,880,000 to $32,208,000 for the nine months ended June 30, 2024. This increase is due to approximately $4,300,000 from the two acquisitions the Company has made since December 2022 and higher additions to rental equipment during the year ended September 30, 2023.
Stock-based compensation
Stock-based compensation decreased to $483,000 for the three months ended June 30, 2024 from $2,034,000 for the three months ended June 30, 2023, due to a portion of stock-based awards granted in February 2023 becoming vested during the year ended September 30, 2023 and the three months ended June 30, 2024, with no new awards issued.
Stock-based compensation decreased to $2,154,000 for the nine months ended June 30, 2024 from $3,911,000 for the nine months ended June 30, 2023, due to a portion of the stock-based awards granted in February 2023 becoming vested during the year ended September 30, 2023 and the nine months ended June 30, 2024, with no new awards issued.
Loss (gain) on foreign currency transactions
For the three months ended June 30, 2024, a foreign currency loss of $128,000 was recognized compared to a gain of $442,000 for the three months ended June 30, 2023due to the fluctuations in the Canadian dollar foreign currency rate on the Company’s Canadian dollar cash balance.
For the nine months ended June 30, 2024, a foreign currency loss of $145,000 was recognized compared to a gain of $430,000 for the nine months ended June 30, 2023, due to the fluctuations in the Canadian dollar foreign currency rate on the Company’s Canadian dollar cash balance.
Page | 10
MANAGEMENT’S DISCUSSION AND ANALYSIS
June 30, 2024 and 2023
(Tabular dollar amounts expressed in thousands, except per share amounts)
Interest expense, net
Interest expense, net for the three months ended June 30, 2024 decreased slightly to $1,892,000 from $1,969,000 for the three months ended June 30, 2023. This decrease is due to repayments on the Facility subsequent to June 30, 2023, and the favorable impact of an interest rate swap agreement.
Interest expense, net for the nine months ended June 30, 2024 increased to $5,735,000 from $4,704,000 for the nine months ended June 30, 2023. This increase is due to higher borrowings on the Facility as a result of the acquisition of Great Elm.
Share of loss in equity method investment
Equity in earnings of investment resulted in a loss of $71,000 and $243,000 for the three and nine months ended June 30, 2024. This represents the Company’s pro rata percentage of the net loss of DMEScripts, LLC, which was acquired in July 2023.
Provision for income taxes
The provision for income taxes was $0 for the three months ended June 30, 2024 compared to a benefit of $323,000 for the three months ended June 30, 2023, due to the mix and timing of states generating taxable income.
The provision for income taxes increased to $483,000 for the nine months ended June 30, 2024 from $10,000 for the nine months ended June 30, 2023, due to the mix and timing of states generating taxable income.
Net loss
Net loss for the three months ended June 30, 2024 increased to $1,701,000 from $1,034,000 for the three months ended June 30, 2023 for the reasons discussed above.
Net loss for the nine months ended June 30, 2024 increased to $3,653,000 from $1,460,000 for the nine months ended June 30, 2023 for the reasons discussed above.
| | As at | | As at | ||
| | June 30, 2024 | | September 30, 2023 | ||
Cash | | $ | 14,403 | | $ | 17,209 |
Accounts receivable, inventory, and prepaid assets | |
| 59,839 | |
| 48,224 |
Property and equipment | |
| 52,071 | |
| 53,405 |
Other assets | |
| 123,471 | |
| 128,570 |
Total assets | | $ | 249,784 | | $ | 247,408 |
Accounts payable and other current liabilities | | $ | 66,820 | | $ | 60,574 |
Long-term debt and other long-term liabilities | |
| 73,163 | |
| 75,719 |
Total liabilities | |
| 139,983 | |
| 136,293 |
Shareholders’ equity | |
| 109,801 | |
| 111,115 |
Total liabilities and shareholders’ equity | | $ | 249,784 | | $ | 247,408 |
Liquidity
The Company’s primary source of liquidity is cash flow from operations and its line of credit availability under the Facility.
Page | 11
MANAGEMENT’S DISCUSSION AND ANALYSIS
June 30, 2024 and 2023
(Tabular dollar amounts expressed in thousands, except per share amounts)
Cash flows from operations could be negatively impacted by decreased demand for the Company’s products, which may result from factors such as adverse economic conditions, changes in public and consumer preferences, the loss of confidence by the Company’s principal customers in the Company and its product lines, or by increased costs associated with inventory and distribution of products. The Company expects that cash, future operating cash flows, and the amounts available to be drawn against the credit facilities will enable the Company to finance its capital investment program and fund its ongoing business requirements over the next twelve months, including working capital and financial obligations.
As of June 30, 2024, the Company had sufficient liquidity in the form of cash on hand of $14,403,000 and line of credit availability of $17,112,000. The Company’s approach in managing liquidity is to ensure, to the extent possible, that it will have enough liquidity to meet its liabilities when due. The Company will do so by continuously monitoring actual and expected cash flows and monitoring financial market conditions for signs of weakness.
Capital Resources
The Company considers its capital to be shareholders’ equity, which is comprised of share capital, contributed surplus, accumulated deficit, and accumulated other comprehensive income (loss). The Company’s shareholders’ equity totaled $109,801,000 at June 30, 2024, along with long-term debt, which totaled $73,163,000 at June 30, 2024.
The Company’s primary capital needs are related to the purchase of property and equipment, including those purchases financed by equipment loans, and acquisitions. The Company generally does not have any significant seasonal working capital fluctuations; however, during the nine months ended June 30, 2024, the Change Healthcare cybersecurity incident created a reduction in our cash flow.
The Company expects that cash on hand, future operating cash flows, and the amount available under its Facility, are sufficient to finance capital expenditures and ongoing business requirements over the next 12 months. However, in order to manage its capital allocation, the Company may purchase shares for cancellation under its Normal Course Issuer Bid (the "NCIB") program announced on May 2, 2024, issue new shares or issue or repay borrowings to ensure sufficient liquidity is available to support its financial obligations, and to execute its operating and strategic plan. The Company may also adjust its capital structure in light of changes in economic conditions, utilize short-term funding sources to manage its seasonal working capital requirements and long-term funding sources to manage the long-term capital investments of the business.
The Company raises capital, as necessary, to meet its needs and take advantage of perceived opportunities and, therefore, does not have a numeric target for its capital structure. Funds are primarily obtained through the issuance of equity and debt instruments. On April 25, 2023, the Company closed an equity offering of C$42,460,650, or $31,169,000, through the issuance of 5,409,000 common shares at $7.85 per share. The offering was completed by way of a bought deal public offering through a syndicate of underwriters by way of a prospectus supplement to the Company’s short form base shelf prospectus dated November 11, 2021, which included a U.S. private offering to Qualified Institutional Buyers (as defined in Rule 144A under the United States Securities Act of 1933, as amended, and a concurrent brokered private placement in the Province of Quebec. The underwriters received a cash commission of C$2,123,032, or $1,558.000, representing 5.0% of the aggregate gross proceeds of the offering.
On May 2, 2024, TSX accepted the Company’s notice of intention to implement a NCIB. Under the NCIB, the Company may purchase for cancellation up to 3,626,845 common shares of the Company, or up to $5,000,000 and will terminate upon the earliest of (i) April 30, 2025, (ii) the Company purchasing the maximum of common shares or dollars, or (iii) the Company terminating the NCIB. Purchases under the NCIB will be made through open market purchases at market price, as well as by other means as may be permitted under applicable securities laws. Any Common Shares that are purchased under the NCIB will be cancelled upon their purchase by the Company.
Page | 12
MANAGEMENT’S DISCUSSION AND ANALYSIS
June 30, 2024 and 2023
(Tabular dollar amounts expressed in thousands, except per share amounts)
The Company filed a short form base shelf prospectus dated May 8, 2024, pursuant to which, for a period of 25 months thereafter, the Company (and shareholders of the Company) may sell up to an aggregate of $300,000,000 of subordinate voting shares, preferred shares, debt securities, subscription receipts, warrants, or any combination thereof as a unit. This filing provides the Company with the flexibility to access debt and equity markets on a timely basis. The Company's previous base shelf prospectus dated November 11, 2021 in the amount of $200,000,000, expired on December 13, 2023.
The Company maintains all capital that is surplus to its immediate operational needs in cash with major U.S. and Canadian financial institutions.
Use of Proceeds
The following table provides information about the Company’s recent debt and equity financings and the actual use of proceeds from those financings compared to the intended use of proceeds from the offerings, as well as an explanation of variances and the impact of such variances on the ability of the Company to achieve its business objectives and milestones, as applicable.
Page | 13
MANAGEMENT’S DISCUSSION AND ANALYSIS
June 30, 2024 and 2023
(Tabular dollar amounts expressed in thousands, except per share amounts)
Date of Financing | Type of Financing | Gross Proceeds | Initial Intended Use of Net Proceeds | Actual Use of Net Proceeds to Date | Explanation of Variance and Impact on Business Objectives |
September 16, 2022 | Facility consisting of a delayed-draw term loan facility of $85.0 million, a term loan of $5.0 million, and a $20.0 million revolving credit facility | $7.0 million, consisting of $5.0 million term loan and a $2.0 million draw on the revolving credit facility. | The net proceeds were expected to be used for debt repayment, working capital, and general corporate requirements. | After financing costs of $1.8 million, the net proceeds of $5.2 million were used to repay debt of $5.0 million and $0.2 million was used for working capital. | Proceeds have been used as intended. |
January 3, 2023 | A draw on the Facility described above | $71.0 million, consisting of a $64.0 million draw on the delayed-draw term loan facility, and a $7.0 million draw on the revolving credit facility. | The net proceeds were expected to be used for acquisitions, working capital, and general corporate requirements. | The proceeds were fully used to acquire Great Elm. | Proceeds have been used as intended. |
April 25, 2023 | Public and private offering | C$42.5 million ($31.2 million) | The net proceeds were expected to be used for debt repayment, acquisitions, working capital, and general corporate requirements. | After $3.3 million of issuance costs, the net proceeds of $27.9 million was used to: | Proceeds have been used as intended. |
Page | 14
MANAGEMENT’S DISCUSSION AND ANALYSIS
June 30, 2024 and 2023
(Tabular dollar amounts expressed in thousands, except per share amounts)
The Company had the following equity instruments outstanding at June 30, 2024 and September 30, 2023:
|
| As at |
| As at |
| | June 30, 2024 | | September 30, 2023 |
| | (000’s) | | (000’s) |
Common shares |
| 43,090 | | 42,102 |
Options |
| 3,420 | | 3,957 |
Restricted stock units |
| 1,034 | | 1,034 |
The common shares, options, and restricted stock units as of August 14, 2024 are the same as June 30, 2024 in the table above. No subsequent activity has occurred.
Financing
Historically and currently, the Company has financed its operations primarily from cash flow from operations, equipment loans, leases, credit facilities, and through the issuance of common shares.
Senior Credit Facility
In September 2022, the Company entered into a five-year credit facility (the "Facility") with a borrowing capacity of $110,000,000 which matures in September 2027. The Facility consists of (a) a delayed-draw term loan facility of $85,000,000, of which $64,000,000 was drawn on January 3, 2023, to partially fund the acquisition of Great Elm, (b) a term loan of $5,000,000 that was drawn at closing, and (c) a $20,000,000 revolving credit facility. The Facility is secured by substantially all assets of the Company and is subject to certain financial covenants.
A summary of the balances related to the Facility as of June 30, 2024 is as follows:
|
| As of |
| As of |
| ||
| | June 30, 2024 |
| September 30, 2023 |
| ||
Delayed-draw term loan | | $ | 59,200 | | $ | 61,600 | |
Term loan | |
| 4,563 | |
| 4,750 | |
Revolving credit facility | | | 2,888 | | | — | |
Total principal | | | 66,651 | | | 66,350 | |
Deferred financing costs | | | (1,508) | | | (1,884) | |
Net carrying value | | $ | 65,143 | | $ | 64,466 | |
| | | | | | | |
Current portion | |
| 6,195 | | | 3,352 | |
Long-term portion | |
| 58,948 | | | 61,114 | |
Net carrying value | | $ | 65,143 | | $ | 64,466 | |
The delayed-draw term loan is repayable in quarterly installments of $800,000, with the balance due at maturity. The term loan is repayable in quarterly installments of $62,500, with the balance due at maturity. The revolving credit facility has a balance of $2,888,000 as of June 30, 2024, and had average balances of $2,740,000 and $1,040,000 for the three and nine months ended June 30, 2024, respectively. It is classified as a current liability as it is expected to be repaid during the next twelve months.
The delayed-draw term loan and the term loan are bearing interest at 8.1% as of June 30, 2024. The rate is based on a secured overnight financing rate (“SOFR”), with a floor of 0.5%, plus a spread of 2.1% to 2.85% (2.65% as of June 30, 2024) based on the Company’s leverage ratio and will reprice within three months. The revolving credit facility is bearing interest at 8.4% as of June 30,2024 and will reprice within three months. The Facility also has fees for unused availability.
Page | 15
MANAGEMENT’S DISCUSSION AND ANALYSIS
June 30, 2024 and 2023
(Tabular dollar amounts expressed in thousands, except per share amounts)
To manage the risks of the cash flows related to interest expense, the Company entered into an interest rate swap, effective November 30, 2023, on $34,000,000 of the Facility. The swap carries a fixed SOFR of 4.4% (resulting in a combined 7.0% rate) and is settled quarterly until its September 2027 maturity date.
The Company entered into the arrangement with an intent to apply hedge accounting, in accordance with the criteria outlined in International Financial Reporting Standards (IFRS) 9, "Financial Instruments.” The Company determined that the swap qualified as a cash flow hedge and is highly effective, and as such, the changes in fair value of the instrument are recorded in accumulated other comprehensive income (loss) in the condensed consolidated interim statements of financial position. As of June 30, 2024, the fair value of the interest rate swap liability was $170,000. This liability is recorded in derivative liability – interest rate swap in the condensed consolidated statements of financial position.
For the three and nine months ended June 30, 2024, the change in fair value of the interest rate swap was a gain of $105,000 and loss of $170,000, respectively, recorded in other comprehensive income (loss) in the condensed consolidated interim statements of income (loss) and comprehensive income (loss). The fair value of the interest rate swap is determined based on the market conditions and the terms of the interest rate swap agreement using the discounted cash flow methodology. Any difference between the Facility’s SOFR rate and the swap’s rate is recorded as interest expense. For the three and nine months ended June 30, 2024, reductions of $84,000 and $201,000 to interest expense were recorded in the condensed consolidated interim statements of income (loss) and comprehensive income (loss).
Interest expense on the Facility, including the impact of the interest rate swap agreement, was $1,297,000 and $1,380,000 for the three months ended June 30, 2024 and 2023, respectively. Interest expense on the Facility was $3,997,000 and $3,000,000 for the nine months ended June 30, 2024 and 2023, respectively. The fair value of the Facility approximates the carrying value as of June 30, 2024 and September 30, 2023.
The Company has cumulatively incurred $2,370,000 in financing costs to obtain the Facility, which is reflected as a reduction of the outstanding balance and will be amortized as interest expense using the effective interest method over the life of the Facility. During the three months ended June 30, 2024 and 2023, $128,000 and $114,000 of amortization of deferred financing costs was recorded, respectively. During the nine months ended June 30, 2024 and 2023, $385,000 and $338,000 of amortization of deferred financing costs was recorded, respectively.
Equipment Loans
The Company is offered financing arrangements from the Company’s suppliers and the suppliers’ designated financial institutions, under which payments for certain invoices or products can be financed and paid over an extended period. The financial institution pays the supplier when the original invoice becomes due, and the Company pays the third-party financial institution over a period of time. In most cases, the supplier accepts a discounted amount from the financial institution and the Company repays the financial institution the face amount of the invoice with no stated interest, in twelve equal monthly installments. The Company used an incremental borrowing rate of 7.0% to 8.0% to impute interest on these arrangements. Future payments on these liabilities as of June 30, 2024 are as follows:
Less than 1 year |
| $ | 13,335 |
Between 1 and 5 years | |
| 96 |
Total | | $ | 13,431 |
Lease Liabilities
The Company enters into leases for real estate and vehicles. Real estate leases are valued at the net present value of the future lease payments at a range from 5.9% to 8.8% incremental borrowing rates. Vehicle leases are recorded at the rate
Page | 16
MANAGEMENT’S DISCUSSION AND ANALYSIS
June 30, 2024 and 2023
(Tabular dollar amounts expressed in thousands, except per share amounts)
implicit in the lease based on the current value and the estimated residual value of the vehicle, equating to rates ranging from 3.0% to 11.5%. Future payments on these liabilities are as follows:
Less than 1 year |
| $ | 7,050 |
Between 1 and 5 years | |
| 14,959 |
More than 5 years | |
| 544 |
Total | |
| 22,553 |
Less: finance charges | |
| (3,110) |
Lease liabilities | |
| 19,443 |
Current portion | |
| 5,899 |
Long-term portion | | $ | 13,544 |
Contingencies
From time to time, the Company is involved in various legal proceedings arising from the ordinary course of business, including governmental investigations or other actions or lawsuits alleging potential failures to comply with laws or regulations. As disclosed in the Company’s news release dated February 14, 2024, it received a civil investigative demand (“CID”) from the Department of Justice (“DOJ”) through the U.S. Attorney’s Office for the Northern District of Georgia pursuant to the False Claims Act regarding an investigation concerning whether the Company may have caused the submission of false claims to government healthcare programs for CPAP equipment. The Company is cooperating with the investigation. The DOJ has not indicated to the Company whether it believes the Company engaged in any wrongdoing. In April 2024, the Company received a subpoena from the U.S. Securities and Exchange Commission (the “SEC”) to provide certain documents related to the Company and the DOJ investigation, CID and financial reporting and disclosure matters (“SEC Subpoena”). According to the SEC, the investigation pursuant to which the SEC Subpoena was issued does not mean that the SEC has concluded that anyone has violated the law, nor does the investigation mean that the SEC has a negative opinion of any person, entity or security. The Company, through its external legal counsel, has been in contact with the SEC and is cooperating with the SEC as it relates to the SEC Subpoena. Additional governmental agencies could conduct independent investigations relating to this investigation or separate unrelated matters. No assurance can be given as to the timing or outcome of the DOJ’s or SEC’s investigations. See “Risk Factors”.
Quarterly operating results
The following table provides selected historical information and other data, which should be read in conjunction with the financial statements of the Company:
|
| Quarter ended |
| Quarter ended |
| Quarter ended |
| Quarter ended | ||||
| | Jun. 30, 2024 | | Mar. 31, 2024 | | Dec. 31, 2023 | | Sep. 30, 2023 | ||||
Revenue | | $ | 63,967 | | $ | 63,954 | | $ | 65,363 | | $ | 62,523 |
Net loss | |
| (1,701) | |
| (1,365) | |
| (586) | |
| (1,326) |
Net loss per share - basic | |
| (0.04) | |
| (0.03) | |
| (0.01) | |
| (0.03) |
Net loss per share - diluted | | | (0.04) | | | (0.03) | | | (0.01) | | | (0.03) |
Total assets | | $ | 249,784 | | $ | 248,614 | | $ | 243,893 | | $ | 247,408 |
|
| Quarter ended |
| Quarter ended |
| Quarter ended |
| Quarter ended | ||||
| | Jun. 30, 2023 | | Mar. 31, 2023 | | Dec. 31, 2022 | | Sep. 30, 2022 | ||||
Revenue | | $ | 60,284 | | $ | 58,120 | | $ | 40,815 | | $ | 40,092 |
Net income (loss) | |
| (1,034) | |
| (749) | |
| 325 | |
| 1,770 |
Net income (loss) per share - basic | |
| (0.03) | |
| (0.02) | |
| 0.01 | |
| 0.05 |
Net income (loss) per share - diluted | | | (0.03) | | | (0.02) | | | 0.01 | | | 0.05 |
Total assets | | $ | 242,385 | | $ | 225,543 | | $ | 131,725 | | $ | 132,214 |
Page | 17
MANAGEMENT’S DISCUSSION AND ANALYSIS
June 30, 2024 and 2023
(Tabular dollar amounts expressed in thousands, except per share amounts)
Results of operations for the healthcare services market in which the Company operates show little seasonality from quarter to quarter. The sum of the quarterly net income (loss) per share may not tie to the corresponding year-to-date amounts due to rounding.
The increase in revenues for the three months ended March 31, 2023 and December 31, 2023, as compared to the previous quarter, is primarily due to the Company’s acquisitions. The net losses beginning in the quarter ended June 30, 2023 is due primarily to stock-based compensation for grants in February 2023, and, for the quarters ended June 30, 2024, March 31, 2024 and December 31, 2023, the professional fees related to the CID. The quarter ended September 30, 2022 was favorably impacted by a non-recurring benefit for income taxes related to acquisitions.
Related party transactions
The Company has six leases for office, warehouse, and retail space with a rental company affiliated with the Company’s Chief Executive Officer, the majority of which were entered into in 2015. The leases have a combined area of 74,520 square feet. Lease payments under these leases were approximately $66,000 and $65,000 per month for the nine months ended June 30, 2024 and 2023, respectively, with increases on October 1 of each year equal to the greater of (i) the Consumer Price Index for All Urban Consumers (“CPI-U”), and (ii) 3%. One lease expires in June 2026 and the remaining five leases expire on September 30, 2029.
Off balance sheet arrangements
The Company has no material undisclosed off-balance sheet arrangements that have or are reasonably likely to have, a material current or future effect on its results of operations or financial condition.
ACCOUNTING AND DISCLOSURE MATTERS
Financial reporting controls
Internal control over financial reporting
Changes in internal control over financial reporting.
During the nine months ended June 30, 2024, the Company continued to enhance and develop the design, execution, assessment, and documentation of its internal control over financial reporting and disclosure controls to remediate the material weakness identified and reported as of September 30, 2023. There have been no other changes in our internal control over financial reporting (as described in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) during the nine months ended June 30, 2024, that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
Critical accounting estimates
The preparation of financial statements in conformity with IFRS requires management to make certain estimates, judgments, and assumptions that affect the reported amounts of assets and liabilities, related disclosures and the reported amounts of revenues and expenses during the periods covered by the financial statements. The Company’s management reviews these estimates, judgments, and assumptions on an ongoing basis, based on experience and other factors, including expectations of future events that are believed to be reasonable under the circumstances. Revisions to estimates are adjusted prospectively in the period in which the estimates are revised.
Page | 18
MANAGEMENT’S DISCUSSION AND ANALYSIS
June 30, 2024 and 2023
(Tabular dollar amounts expressed in thousands, except per share amounts)
Estimates where management has made subjective judgments and where there is significant risk of material adjustments to assets and liabilities in future accounting periods include fair value measurements for financial instruments and share-based transactions, useful lives and impairment of non-financial assets (property and equipment and intangible assets), provision for expected credit losses, fair value measurements for assets and liabilities acquired in business acquisitions, and calculation of deferred taxes.
The Company has identified the following accounting policies under which significant judgments, estimates and assumptions are made, where actual results may differ from these estimates under different assumptions and conditions, which may materially affect financial results or the financial position in future periods.
Revenue recognition
Revenues are billed to, and collections are received from both third-party insurers, the largest of which is Medicare, and patients. Because of continuing changes in the health care industry and third-party reimbursement, the consideration receivable from these insurance companies is variable as these billings can be challenged by the payor. Therefore, the amount billed by the Company is reduced by an estimate of the amount that the Company believes is an allowable charge to be ultimately allowed by the insurance contract. The above estimate involves significant judgment including an analysis of past collections and historical modification rates. Management regularly reviews the actual claims approved by the insurance companies, adjusting estimated revenue as required.
Valuation of accounts receivable
The measurement of expected credit losses considers information about past events and current conditions. Forward looking macro-economic factors are incorporated into the risk parameters, such as unemployment rates, inflation, and interest rates. Significant judgments are made in order to incorporate forward-looking information into the estimation of reserves and may result in changes to the provision from period to period which may significantly affect our results of operations.
The Company estimates that a certain portion of receivables from customers may not be collected and maintains a reserve for expected credit losses. The Company evaluates the net realizable value of accounts receivable as of the date of the consolidated statements of financial position. Specifically, the Company considers historical realization data, including current and historical cash collections, accounts receivable aging trends, other operating trends, and relevant business conditions. If circumstances related to certain customers change or actual results differ from expectations, our estimate of the recoverability of receivables could fluctuate from that provided for in our consolidated financial statements. A change in estimate could impact bad debt expense and accounts receivable.
Lease liabilities
Estimate of lease term
When the Company recognizes a lease, it assesses the lease term based on the conditions of the lease and determines whether it will extend the lease at the end of the lease contract or exercise an early termination option. As it is not reasonably certain that the extension or early termination options will be exercised, the Company determined that the term of its leases are the lesser of the original lease term or the life of the leased asset. This significant estimate could affect future results if the Company extends the lease or exercises an early termination option.
Page | 19
MANAGEMENT’S DISCUSSION AND ANALYSIS
June 30, 2024 and 2023
(Tabular dollar amounts expressed in thousands, except per share amounts)
Incremental borrowing rate
When the Company recognizes a lease, the future lease payments are discounted using the Company’s incremental borrowing rate. This significant estimate impacts the carrying amount of the lease liabilities and the interest expense recorded on the consolidated statement of loss and comprehensive loss.
Critical accounting judgments
The following are the critical judgments, apart from those involving estimations, that have been made in the process of applying the Company’s accounting policies and that have the most significant effect on the amounts recognized in the consolidated financial statements.
Functional currency
The consolidated financial statements of the Company are presented in U.S. dollars, which is the Company’s functional currency. Management uses its judgement to determine that the primary economic environment in which the Company derives its revenue and expenses incurred to generate those revenues is the US. Management has exercised judgment in selecting the functional currency of each of the entities that it consolidates based on the primary economic environment in which the entity operates and in reference to the various indicators including the currency that primarily influences or determines the selling prices of goods and services and the cost of production, including labor, material and other costs and the currency whose competitive forces and regulations mainly determine selling prices.
Business combinations
In accordance with IFRS 3 – Business Combination (“IFRS 3”), a transaction is recorded as a business combination if the significant assets, liabilities, or activities in addition to property and related mortgage debt assumed constitute a business. A business is defined as an integrated set of activities and assets, capable of being conducted and managed for the purpose of providing a return, lower costs, or other economic benefits. Where there are no such integrated activities, the transaction is treated as an asset acquisition. The estimation of the fair value of the assets and liabilities acquired in an acquisition is subject to judgement concerning estimating market values and predicting future events. These values are uncertain and can materially impact the carrying value of the acquired assets, acquired liabilities, and the amount allocated to goodwill. These estimates and assumptions may change in the future due to uncertain competitive and economic market conditions or changes in business strategies.
The process of determining these fair values requires the Company to make estimates and assumptions of a long-term nature regarding discount rates, projected revenues, royalty rates and margins derived from experience, actual operating results, and budgets. These estimates and assumptions may change in the future due to uncertain competitive and economic market conditions or changes in business strategies.
Page | 20
MANAGEMENT’S DISCUSSION AND ANALYSIS
June 30, 2024 and 2023
(Tabular dollar amounts expressed in thousands, except per share amounts)
The following table summarizes the Company’s contractual commitments and obligations as of June 30, 2024 (in thousands), which are primarily for debt (the Facility and equipment loans), leases, and other obligations, including accounts payable. The leases have been entered into with terms of between one and ten years, including optional extensions.
|
| |
| Less than |
| 1-3 |
| 4-5 |
| After 5 |
| |||||
| | Total | | 1 year | | Years | | Years | | Years | | |||||
Debt | | $ | 80,419 | | $ | 19,994 | | $ | 112 | | $ | 60,313 | | $ | — | |
Finance lease obligations | | | 22,552 | | | 7,049 | | | 12,693 | | | 2,266 | | | 544 | |
Operating leases | | | 81 | | | 81 | | | — | | | — | | | — | |
Other obligations | | | 32,629 | | | 32,629 | | | — | | | — | | | — | |
Total contractual obligations | | $ | 135,681 | | $ | 59,753 | | $ | 12,805 | | $ | 62,579 | | $ | 544 | |
FINANCIAL INSTRUMENTS AND RISK MANAGEMENT
Financial instrument risk exposure
The Company’s activities expose it to a variety of financial risks: market risk (including price risk, currency risk and interest rate risk), and credit risk. These risks arise from the normal course of operations and all transactions are undertaken to support the Company’s ability to continue as a going concern. Risk management is carried out by management under policies approved by the Board of Directors. Management identifies and evaluates the financial risks in cooperation with the Company’s operating units. The Company’s overall risk management program seeks to minimize potential adverse effects on the Company’s financial performance.
Credit risk
Credit risk is the risk that one party to a financial instrument will fail to discharge an obligation and cause the other party to incur a financial loss. Financial instruments that potentially subject the Company to credit risk are primarily cash and accounts receivable. Each subsidiary places its cash with one major financial institution. At times, the cash in the financial institution is temporarily in excess of the amount insured by the Federal Deposit Insurance Corporation. Substantially all accounts receivables are due under fee-for-service contracts from third party payors, such as insurance companies and government-sponsored healthcare programs, directly from patients or for rebates due from manufacturers. Receivables generally are collected within industry norms for third-party payors and from manufacturers. The Company continuously monitors collections from its clients and maintains a reserve for credit losses based upon any specific payor collection issues that are identified and historical experience.
The Company recorded bad debt expense of $3,208,000 and $2,425,000 for the three months ended June 30, 2024, and 2023, respectively. The Company recorded bad debt expense of $8,702,000 and $7,190,000 for the nine months ended June 30, 2024, and 2023, respectively. As of June 30, 2024, the Company has 11% of its accounts receivable from Medicare. As this is a federal health insurance program in the US, there is nominal credit risk associated with these balances.
Currency risk
Currency risk is the risk that the Company will be subject to foreign currency fluctuations in satisfying obligations denominated in foreign currencies. All of the Company’s sales and inventory sold and most of the Company’s operating expenses are in U.S. dollars. The Company’s common shares are denominated in Canadian dollars. Cash is maintained in both U.S. dollars and Canadian dollars. Consequently, the Company is exposed to foreign currency exchange fluctuations.
The Company’s objective in managing its foreign currency risk is to minimize its net exposures to foreign currency cash flows by generally holding most of its cash in U.S. dollars. However, at times, including over the last twelve months, the
Page | 21
MANAGEMENT’S DISCUSSION AND ANALYSIS
June 30, 2024 and 2023
(Tabular dollar amounts expressed in thousands, except per share amounts)
Company may hold significant cash in Canadian dollars. During the nine months ended June 30, 2024, the Company recognized a foreign currency loss of approximately $145,000 due to unfavorable movements in the exchange rate. The Company monitors foreign currency exposures and from time to time could authorize the use of derivative financial instruments such as forward foreign exchange contracts to economically hedge a portion of foreign currency fluctuations.
Based on the above net exposure at the nine months ended June 30, 2024, depreciation, or appreciation of the U.S. dollar against the Canadian dollar could result in a significant effect on net income or loss. The Company has not employed any foreign currency hedging programs.
Interest rate risk
Interest rate risk is the risk that the future cash flows of a financial instrument will fluctuate because of changes in market interest rates. The Company’s Facility, which has an outstanding principal balance of $65,143,000 as of June 30, 2024, bears interest at variable rates that will re-price within three months. The Company has entered into an interest rate swap agreement that fixes the interest rate on $34,000,000 of principal balance of the Facility (see pages 14 - 15).
We have disclosed the risk factors affecting our business, financial condition, and operating results in the section entitled “Risk Factors” in our Annual Report for the year ended September 30, 2023. There have been no material changes from the risk factors previously disclosed. |
Page | 22
Exhibit 99.3
FORM 52-109F2
CERTIFICATION OF INTERIM FILINGS
FULL CERTIFICATE
I, Gregory Crawford, as Chief Executive Officer of Quipt Home Medical Corp., certify the following:
1. Review: I have reviewed the interim financial report and interim MD&A (together, the “interim filings”) of Quipt Home Medical Corp. (the “issuer”) for the interim period ended June 30, 2024.
2. No misrepresentations: Based on my knowledge, having exercised reasonable diligence, the interim filings do not contain any untrue statement of a material fact or omit to state a material fact required to be stated or that is necessary to make a statement not misleading in light of the circumstances under which it was made, with respect to the period covered by the interim filings.
3. Fair presentation: Based on my knowledge, having exercised reasonable diligence, the interim financial report together with the other financial information included in the interim filings fairly present in all material respects the financial condition, financial performance and cash flows of the issuer, as of the date of and for the periods presented in the interim filings.
4. Responsibility: The issuer’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (DC&P) and internal control over financial reporting (ICFR), as those terms are defined in National Instrument 52-109 Certification of Disclosure in Issuers’ Annual and Interim Filings, for the issuer.
5. Design: Subject to the limitations, if any, described in paragraphs 5.2 and 5.3, the issuer’s other certifying officer(s) and I have, as at the end of the period covered by the interim filings
(a) designed DC&P, or caused it to be designed under our supervision, to provide reasonable assurance that
(i) | material information relating to the issuer is made known to us by others, particularly during the period in which the interim filings are being prepared; and |
(ii) | information required to be disclosed by the issuer in its annual filings, interim filings or other reports filed or submitted by it under securities legislation is recorded, processed, summarized and reported within the time periods specified in securities legislation; and |
(b) | designed ICFR, or caused it to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with the issuer’s generally accepted accounting principles. |
5.1 Internal Control – Integrated Framework (COSO 2013 Framework) published by the Committee of Sponsoring Organizations of the Treadway Commission.
5.2 N/A
5.3 Limitation on scope of design: The issuer has disclosed in its interim MD&A
(a) | the fact that the issuer’s other certifying officer(s) and I have limited the scope of our design of DC&P and ICFR to exclude controls, policies and procedures of |
(iii)a business that the issuer acquired not more than 365 days before the last day of the period covered by the interim filings; and
(b) | summary financial information about the proportionately consolidated entity, special purpose entity or business that the issuer acquired that has been proportionately consolidated or consolidated in the issuer’s financial statements. |
6. Reporting changes in ICFR: The issuer has disclosed in its interim MD&A any change in the issuer’s ICFR that occurred during the period beginning on October 1, 2023 and ended on June 30, 2024 that has materially affected, or is reasonably likely to materially affect, the issuer’s ICFR.
Date: August 14, 2024
/s/Gregory Crawford
Gregory Crawford
Chief Executive Officer
Exhibit 99.4
FORM 52-109F2
CERTIFICATION OF INTERIM FILINGS
FULL CERTIFICATE
I, Hardik Mehta, as Chief Financial Officer of Quipt Home Medical Corp., certify the following:
1. Review: I have reviewed the interim financial report and interim MD&A (together, the “interim filings”) of Quipt Home Medical Corp. (the “issuer”) for the interim period ended June 30, 2024.
2. No misrepresentations: Based on my knowledge, having exercised reasonable diligence, the interim filings do not contain any untrue statement of a material fact or omit to state a material fact required to be stated or that is necessary to make a statement not misleading in light of the circumstances under which it was made, with respect to the period covered by the interim filings.
3. Fair presentation: Based on my knowledge, having exercised reasonable diligence, the interim financial report together with the other financial information included in the interim filings fairly present in all material respects the financial condition, financial performance and cash flows of the issuer, as of the date of and for the periods presented in the interim filings.
4. Responsibility: The issuer’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (DC&P) and internal control over financial reporting (ICFR), as those terms are defined in National Instrument 52-109 Certification of Disclosure in Issuers’ Annual and Interim Filings, for the issuer.
5. Design: Subject to the limitations, if any, described in paragraphs 5.2 and 5.3, the issuer’s other certifying officer(s) and I have, as at the end of the period covered by the interim filings
(a) designed DC&P, or caused it to be designed under our supervision, to provide reasonable assurance that
(i) | material information relating to the issuer is made known to us by others, particularly during the period in which the interim filings are being prepared; and |
(ii) | information required to be disclosed by the issuer in its annual filings, interim filings or other reports filed or submitted by it under securities legislation is recorded, processed, summarized and reported within the time periods specified in securities legislation; and |
(b) | designed ICFR, or caused it to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with the issuer’s generally accepted accounting principles. |
5.1 Internal Control – Integrated Framework (COSO 2013 Framework) published by the Committee of Sponsoring Organizations of the Treadway Commission.
5.2 N/A
5.3 Limitation on scope of design: The issuer has disclosed in its interim MD&A
(a) | the fact that the issuer’s other certifying officer(s) and I have limited the scope of our design of DC&P and ICFR to exclude controls, policies and procedures of |
(iii) | a business that the issuer acquired not more than 365 days before the last day of the period covered by the interim filings; and |
(b) | summary financial information about the proportionately consolidated entity, special purpose entity or business that the issuer acquired that has been proportionately consolidated or consolidated in the issuer’s financial statements. |
6. Reporting changes in ICFR: The issuer has disclosed in its interim MD&A any change in the issuer’s ICFR that occurred during the period beginning on October 1, 2023 and ended on June 30, 2024 that has materially affected, or is reasonably likely to materially affect, the issuer’s ICFR.
Dated: August 14, 2024
/s/Hardik Mehta |
|
Hardik Mehta | |
Chief Financial Officer | |
Exhibit 99.5
QUIPT HOME MEDICAL REPORTS THIRD QUARTER FISCAL 2024 FINANCIAL RESULTS
Cincinnati, Ohio – August 14, 2024 – Quipt Home Medical Corp. (the “Company”) (NASDAQ: QIPT; TSX: QIPT), a U.S.-based home medical equipment provider, focused on end-to-end respiratory care, today announced its third quarter fiscal 2024 financial results and operational highlights. These results pertain to the three and nine months ended June 30, 2024, and are reported in United States dollars ("$", "dollars" and "US$") and have been rounded to the nearest hundred thousand.
Quipt will host its Earnings Conference Call on Thursday, August 15, 2024, at 10:00 a.m. (ET). The dial-in number is 1 (844) 763 8274 or 1 (647) 484 8814. The live audio webcast can be found on the investor section of the Company’s website through the following link: www.quipthomemedical.com.
Financial Highlights:
• | Revenue for Q3 2024 was $64.0 million compared to $60.3 million for Q3 2023, representing a 6.1% increase in revenue year-over-year. Organic growth contributed approximately $1.7 million, or 3% year-over-year. |
o | The Company saw improved sequential revenue performance as compared to the sequential 2.1% revenue decline experienced in Q2 2024, with flat sequential organic revenue growth seen in Q3 2024. For the nine months ended June 30, 2024, the Company has absorbed the revenue impact from the expiration of the Medicare 75/251 blended rate as of January 1, 2024. The Medicare 75/25 blended rate had been providing rate relief in certain geographies. Additionally, the Company faced the impact of the Change Healthcare cyber-attack2 as it related to eligibility determination for patients. Moreover, in certain regions, the Company experienced the withdrawal of Medicare Advantage members due to the capitated agreement engaged on with other providers in the industry3. |
• | Revenues for the nine months ended June 30, 2024, increased to $193.3 million, representing an increase of 21.4% from the same period in 2023. Organic growth contributed approximately $8.1 million or 5%. |
• | Recurring Revenue4 for Q3 2024 continued to be strong, representing 82% of total revenue, driven by overall growth in new equipment set-ups. |
• | Adjusted EBITDA4 for Q3 2024 was $14.2 million, or 22.3% of revenues, compared to Adjusted EBITDA for Q3 2023 of $13.9 million or 23.0% of revenues, representing a 2.7% increase year-over-year. |
• | Adjusted EBITDA was $44.5 million for the nine months ended June 30, 2024, a 23.7% increase from the same period in 2023. This represents 23.0% of revenue for the nine months ended June 30, 2024, an increase from 22.6% of revenue for the same period in 2023. |
• | Net income (loss) for Q3 2024 was $(1.7) million, or ($0.04) per diluted share, as compared to $(1.0) million, or $(0.03) per diluted share for the same period in 2023. |
• | Cash flow from operations was $28.6 million for the nine months ended June 30, 2024, compared to $27.3 million for the same period in 2023. |
• | For Q3 2024, as a percentage of revenue, bad debt expense increased to 5.0% from 4.0% in Q3 2023 due to the direct and indirect effects of the Change Healthcare cybersecurity incident resulting in a diversion from normal collection efforts. |
1https://www.vgm.com/services/government-relations/understanding-the-7525-blended-rate-and-why-we-need-legislative-action-/#:~:text=Origins%20of%20the%2075/25%20Blended%20Rate&text=This%20legislative%20action%20was%20designed,up%20to%20the%20CARES%20Act
2 https://www.unitedhealthgroup.com/ns/changehealthcare.html
3 https://press.humana.com/news/news-details/2023/Humana-to-Partner-with-Two-National-Durable-Medical-Equipment-Organizations/default.aspx#gsc.tab=0
4 Non-IFRS financial measure or ratio. See “Non-IFRS Financial Measures”.
• | The Company reported cash on hand of $14.4 million as of June 30, 2024, compared to $14.6 million as of March 31, 2024. The Company has seen daily cash collections normalize in the wake of the Change Healthcare cyber-attack and continues to diligently work through the remaining backlog of claims. |
• | The Company had total credit availability of $38.1 million as of June 30, 2024, with $17.1 million available on its revolving credit facility and $21 million available pursuant to its delayed-draw term loan facility. |
• | The Company maintains a conservative balance sheet with a Net Debt to Adjusted EBITDA Leverage Ratio4 of 1.5x. |
Operational Highlights:
• | The Company served 270,087 unique patients in the nine months ended June 30, 2024 compared to 239,146 in the nine months ended 2023, an increase of 12.9%. |
• | Compared to 547,038 unique set-ups/deliveries in the nine months ended June 30, 2023, the Company completed 641,786 unique set-ups/deliveries in the nine months ended June 30, 2024, an increase of 17.3%. This includes 120,118 respiratory resupply set-ups/deliveries in Q3 2024, compared to 108,391 in Q3 2023, an increase of 10.8%, which the Company credits to its continued use of technology and centralized intake processes. |
• | The Company continues to experience steady demand trends and referral patterns for respiratory equipment, including CPAPs, BiPAPs, oxygen concentrators, ventilators, as well as the CPAP resupply and other supplies business. |
• | The Company has approximately 350,000 unique active patients that were served at least once in the last twelve months, approximately 45,000 referring physicians, and approximately 135 locations. |
Management Commentary:
“We are very proud of the progress made during the fiscal third quarter in mitigating the ongoing challenges we faced. Strength in our sleep resupply program and overall volume growth across our product mix helped us improve on our sequential revenue performance as compared to fiscal Q2. In real time, we are building momentum towards a return to historical organic growth levels. The operational team worked diligently to produce a consistent Adjusted EBITDA Margin4 of 22.3%, and we are expecting to see consistent margin performance for the remainder of the calendar year. As we continue to experience steady growth in our resupply program, and favorable referral patterns in real time, as well as working to navigate past the Change Healthcare cyber-attack, our robust balance sheet positions us exceptionally well to allocate capital flexibly. Given the improving acquisition environment, we are focused on identifying synergistic acquisition candidates that meet our stringent criteria and utilizing our Normal Course Issuer Bid (NCIB) opportunistically. Moreover, the recent acquisition of a larger peer in our industry underscores the significant valuation gap we have in the marketplace compared to our fundamentals. Furthermore, we anticipate a potential dislocation in the marketplace based on historical developments when large M&A takes place, and, if applicable, we are confident in our ability to pick up market share. On a go-forward basis, we will remain extremely disciplined, continuing to execute our strategic growth initiatives to drive organic growth, and economically build scale in attractive markets. This strategic approach not only strengthens our market position, but also highlights our commitment to creating long-term value for our shareholders,” said CEO and Chairman Gregory Crawford.
“Our focus on driving long-term organic growth, through our growing sales force, cross-selling of product categories and driving market penetration in continuum markets, positions us well for opportunities. With our disciplined approach to capital management, we are well-positioned to capitalize on synergistic acquisition opportunities and enhance our go-to-market strategy. Our performance demonstrates our ability to navigate the challenges faced in the first half of the year and leverage our strengths to deliver consistent results. As we move forward, we remain committed to investing in areas that drive sustainable growth and reinforce our market leadership focused on clinical respiratory care within the durable medical equipment ecosystem. Our operations are structured to allow us to effectively add revenue without the need to
materially increase our cost structure which will be key in driving margin improvement as we execute on our strategy for expansion, and we are very confident in our ability to drive future growth.” said CFO Hardik Mehta
The Company's full financial statements and related management's discussion and analysis for the three and nine months ended June 30, 2024 are available under the Company's profile on SEDAR+ (www.sedarplus.com) and posted on the Company's web site at https://quipthomemedical.com/financials.
ABOUT QUIPT HOME MEDICAL CORP.
The Company provides in-home monitoring and disease management services including end-to-end respiratory solutions for patients in the United States healthcare market. It seeks to continue to expand its offerings to include the management of several chronic disease states focusing on patients with heart or pulmonary disease, sleep disorders, reduced mobility, and other chronic health conditions. The primary business objective of the Company is to create shareholder value by offering a broader range of services to patients in need of in-home monitoring and chronic disease management. The Company’s organic growth strategy is to increase annual revenue per patient by offering multiple services to the same patient, consolidating the patient’s services, and making life easier for the patient.
Forward-Looking Statements
Certain statements contained in this press release constitute "forward-looking information" as such term is defined in applicable Canadian securities legislation. The words "may", "would", "could", "should", "potential", "will", "seek", "intend", "plan", "anticipate", "believe", "estimate", "expect", "outlook", and similar expressions as they relate to the Company, including: the Company anticipating a return to historical organic growth levels; the Company expecting to see consistent margin performance for the remainder of the calendar year; the Company potentially completing acquisitions; the Company utilizing its NCIB; the Company anticipating a potential dislocation in the marketplace based on historical developments and being confident in its ability to pick up market share; the Company adding revenue without the need to materially increase our cost structure; and the Company driving future growth; are intended to identify forward-looking information. All statements other than statements of historical fact may be forward-looking information. 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, including: the Company successfully identifying, negotiating and completing additional acquisitions; operating and other financial metrics maintaining their current trajectories, the Company not being impacted by any further external and unique events like the Medicare 75/25 rate cut and the Change Healthcare cybersecurity incident for the remainder of the calendar year; and the Company not being subject to a material change to it cost structure. Many factors could cause the actual results, performance or achievements that may be expressed or implied by such forward-looking information to vary from those described herein should one or more of these risks or uncertainties materialize. Examples of such risk factors include, without limitation: risks related to credit, market (including equity, commodity, foreign exchange and interest rate), liquidity, operational (including technology and infrastructure), reputational, insurance, strategic, regulatory, legal, environmental, and capital adequacy; the general business and economic conditions in the regions in which the Company operates; the ability of the Company to execute on key priorities, including the successful completion of acquisitions, business retention, and strategic plans and to attract, develop and retain key executives; difficulty integrating newly acquired businesses; the ability to implement business strategies and pursue business opportunities; 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 to the Company or its affiliates; the impact of new and changes to, or application of, current laws and regulations; decline of reimbursement rates; dependence on few payors; possible new drug discoveries; a novel business model; dependence on key suppliers; granting of permits and licenses in a highly regulated business; legal proceedings and litigation, including as it relates to the civil investigative demand (“CID”) received from the Department of Justice and related subpoena from the U.S. Securities and Exchange Commission; increased competition; changes in foreign currency rates; increased funding costs and market volatility due to market illiquidity and competition for funding; the availability of funds and resources to pursue operations; critical accounting estimates and changes to accounting standards, policies, and methods used by the Company; the occurrence of natural and unnatural catastrophic events and claims resulting from such events; and risks related to COVID-19 including various recommendations, orders and measures of governmental authorities to try to limit the pandemic, including travel restrictions, border closures, non-essential business closures, quarantines, self-isolations,
shelters-in-place and social distancing, disruptions to markets, economic activity, financing, supply chains and sales channels, and a deterioration of general economic conditions including a possible national or global recession; as well as those risk factors discussed or referred to in the Company’s disclosure documents filed with United States Securities and Exchange Commission and available at www.sec.gov, and with the securities regulatory authorities in certain provinces of Canada and available at www.sedarplus.com. Should any factor affect the Company in an unexpected manner, or should assumptions underlying the forward-looking information prove incorrect, the actual results or events may differ materially from the results or events predicted. Any such forward-looking information is expressly qualified in its entirety by this cautionary statement. Moreover, the Company does not assume responsibility for the accuracy or completeness of such forward-looking information. The forward-looking information included in this press release is made as of the date of this press release and the Company undertakes no obligation to publicly update or revise any forward-looking information, other than as required by applicable law.
There can be no assurance that any of the acquisitions by the Company will be completed and no definitive agreements have been executed. Completion of any transaction will be subject to applicable director, shareholder, and regulatory approvals.
Non-IFRS Measures
This press release refers to “Recurring Revenue”, “Adjusted EBITDA”, “Adjusted EBITDA Margin” and “Net Debt to Adjusted EBITDA Leverage Ratio”, which are non-IFRS financial measures that do not have standardized meanings prescribed by IFRS. The Company’s presentation of these financial measures may not be comparable to similarly titled measures used by other companies. These financial measures are intended to provide additional information to investors concerning the Company’s performance.
Recurring Revenue for Q3 is calculated as rentals of medical equipment of $26.7 million plus sales of respiratory resupplies of $25.8 million for a total of $52.5 million, divided by total revenues of $64.0 million, or 82%.
Adjusted EBITDA is calculated as net income (loss), and adding back depreciation and amortization, interest expense, net, provision (benefit) for income taxes, stock-based compensation, professional fees related to civil investigative demand, acquisition-related costs, share of loss of equity method investment, and loss (gain) on foreign currency transactions. The following table shows our non-IFRS measure, Adjusted EBITDA, reconciled to our net income (loss) for the following indicated periods (in $millions):
| Three |
| Three |
| Nine |
| Nine | ||||
| months | | months | | months | | months | ||||
| ended June | | ended June | | ended June | | ended June | ||||
| 30, 2024 | | 30, 2023 | | 30, 2024 | | 30, 2023 | ||||
Net loss | $ | (1.7) | | $ | (1.0) | | $ | (3.7) | | $ | (1.5) |
Add back: |
| | |
| | |
| | |
| |
Depreciation and amortization |
| 12.4 | |
| 11.7 | |
| 36.8 | |
| 28.1 |
Interest expense, net |
| 1.9 | |
| 2.0 | |
| 5.7 | |
| 4.7 |
Provision (benefit) for income taxes |
| — | |
| (0.3) | |
| 0.5 | |
| 0.0 |
Stock-based compensation |
| 0.5 | |
| 2.0 | |
| 2.2 | |
| 3.9 |
Professional fees related to CID | | 0.7 | | | — | | | 2.2 | | | — |
Acquisition-related costs |
| 0.2 | |
| (0.0) | |
| 0.4 | |
| 1.2 |
Share of loss in equity method investment | | 0.1 | | | — | | | 0.2 | | | — |
Loss (gain) on foreign currency transactions |
| 0.1 | |
| (0.5) | |
| 0.2 | |
| (0.4) |
Adjusted EBITDA | $ | 14.2 | | $ | 13.9 | | $ | 44.5 | | $ | 36.0 |
Adjusted EBITDA Margin for Q3 2024 is calculated as Adjusted EBITDA of $14.2 million divided by revenue of $64.0 million, or 22.3%.
Net Debt to Adjusted EBITDA Leverage Ratio is calculated as Net Debt, divided by (Adjusted EBITDA for Q3 times four), and is reconciled as follows (in $millions):
|
| As of and for | |
| | the three months | |
| | ended June 30, | |
| | 2024 | |
Senior credit facility, principal | | $ | 66.7 |
Equipment loans | |
| 13.4 |
Lease liabilities | |
| 19.4 |
Cash | |
| (14.4) |
Net Debt | | | 85.1 |
Adjusted EBITDA for Q3 times four | | $ | 57.0 |
Net Debt to Adjusted EBITDA Leverage Ratio | | | 1.5x |
For further information please visit our website at www.Quipthomemedical.com, or contact:
Cole Stevens
VP of Corporate Development Quipt Home Medical Corp.
859-300-6455
cole.stevens@myquipt.com
Gregory Crawford
Chief Executive Officer
Quipt Home Medical Corp.
859-300-6455
investorinfo@myquipt.com
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