Protech Home Medical Corp. (“
Protech” or the
“
Company”) (TSXV:PTQ; OTCQX:PTQQF), a U.S. based
leader in the home medical equipment industry, focused on
end-to-end respiratory care, today announced its fourth quarter and
audited full year fiscal 2020 financial results and operational
highlights for the period ended September 30, 2020. After a delay
in receiving the auditors opinion, the financial statements of the
Company for fiscal years ended September 30, 2020 and 2019 and
accompanying Management Discussion & Analysis (MD&A) have
now been filed and are now available at www.sedar.com.
Financial
Highlights:
- Revenue for Q4 2020 was $25.0
million compared to $19.5 million for Q4 2019, representing a 28%
increase in revenue year-over-year. Compared to Q3 2020, the
Company experienced strong organic growth of 3%, excluding new
acquisitions, in the fourth quarter, however the reported Canadian
dollar revenue amount was slightly offset by a weakening of the
U.S. dollar relative to the Canadian dollar. Additionally, from
previously issued guidance $1.6 million revenue was reclassified as
other income, as per the Company’s auditor’s request.
- Revenue for fiscal 2020 was $97.8
million compared to $81.0 million in fiscal 2019, a 21% increase
year-over-year.
- Adjusted EBITDA for Q4 2020 was
$5.9 million (23.7% margin), compared to $3.5 million (18.0%
margin) for Q4 2019, representing a 69% increase
year-over-year.
- Adjusted EBITDA for fiscal 2020 was
$20.8 million, compared to $14.8 million for fiscal 2019, an
increase of 41%.
- Cash flow from operations was $17.6
million for the twelve months ended September 30, 2020 compared to
$11.1 million for the twelve months ended September 30, 2019.
- As at September 30, 2020, the
Company had cash on hand of $39.0 million, compared to $12.9
million as at September 30, 2019.
Operational
Highlights:
- The Company’s customer base
increased 20% year-over-year from 76,146 unique patients served in
fiscal 2019 to 91,650 unique patients in fiscal 2020.
- The Company’s customer base
increased 35% year-over-year from 32,797 unique patients served in
the three months ended September 30, 2020 to 44,185 unique patients
in the three months ended September 30, 2020
- Through the Company’s continued use
of technology and centralized intake processes, respiratory
resupply set-ups and/or deliveries increased to 19,613 for the
three months ended September 30, 2020, compared to 12,727 for the
same period ended September 30, 2019, an increase of 54%.
- Increased the number of equipment
set-ups to 68,909 in the quarter ended September 30, 2020 from
53,386 in the quarter ended September 30, 2019, an increase of
29%.
- During the second half of 2020, the
Company’s sleep business regained momentum as stay-at-home orders
were lifted across the states it operates in and the Company is
confident that this vertical will surpass historical levels in
2021.
- Strong demand has continued into Q1
2021 for respiratory equipment, such as Ventilators and Oxygen
Concentrators, as well as CPAP resupply and other supplies
business.
Subsequent Events to the twelve months
ended September 30, 2020:
- On September 23, 2020, the Company
acquired all of the issued and outstanding equity securities of
Sleepwell, LLC (“Sleepwell”), a leader in sleep
services in the State of Georgia with $13.0 million in revenue,
adjusted EBITDA of $3.25 million, net income of $2.5 million and no
debt.-- Entered new market in Dayton, Ohio, increased active
patient count by over 15,000, and provided strong re-supply model
in which the Company plans to grow substantially. Protech derives
$25 million from its re-supply subscription model and anticipates
that growing to over $30 million with the full integration of
Sleepwell, which is well underway.
- On
October 28, 2020, the CMS (Centers for Medicare and Medicaid
Services) cancelled the 2021 Competitive Bidding Program for 13
Product Categories that was expected to begin on January 1, 2021.--
The cancellation of this program provided Protech with a clear
margin outlook across its product mix and ensures patient base
stability.-- Additionally, the decision helps to ensure that there
are no unnecessary barriers to the quality of care for patients,
such as access to home respiratory products, durable medical
equipment, and other needed supplies.
- On December 9,
2020, the Company announced that Dr. Kevin A. Carter joined the
board of directors of the Company as an independent director.--
Kevin A. Carter, DO, FAASM, is Board Certified in Sleep Medicine by
the American Board of Family Medicine; he is also Board Certified
in Family Medicine.-- Dr. Carter served as Medical Director at the
Martin Army Sleep Medicine Center at Fort Benning, Georgia. Prior
to this appointment, he served as a United States Army Field
Surgeon, with service including deployment in Iraq. Currently,
through the Carter Sleep Center, he offers full-spectrum sleep
medicine evaluations, diagnosis, and treatments.-- Dr. Carter holds
the degree of Fellow by the American Academy of Sleep Medicine, a
recognition that he has met the highest standards in the practice
of sleep medicine.
Management
Commentary:
“2020 was a transformational year for Protech,
with a long list of milestones achieved to help drive sustained
growth into the future,” said CEO and Chairman Greg Crawford. “I am
so proud of our over 400 healthcare professionals for their
tireless efforts during what was an extremely challenging year
given the ongoing global pandemic. The operational excellence we
experienced in 2020 is a direct reflection of the level of
continuity across the entire organization, and I am incredibly
excited for us to further build on our platform in 2021. Our fourth
quarter results showcase the continued momentum across the entire
business as our revenue and Adjusted EBITDA growth continued to be
robust with continued margin expansion. The investments we have
made in technology to remove friction points across the
organization have aided in the robust nature of our results and our
tele-health platform allowed for the interaction between our
frontline workers and patients to continue seamlessly. As a result,
we were able to capture the meaningful tailwinds that continue to
present themselves. We believe this pandemic has underscored the
importance of our mission, which is to be a dynamic clinical
respiratory company, providing the growing number of communities we
serve with exceptional accessibility and patient care.
In 2021, we will not rest on our laurels as
there is still much work to be done to realize on all of our
objectives. We will continue to work every day to ensure the care
we provide is at the highest level possible as that is truly what
drives us and has yielded the results we have had to date. The
foundation which we have built will allow us to continue to execute
on the tremendous opportunity that exists to further our footprint,
unlock operational efficiencies and drive patient satisfaction.
With continued focus, we believe we can continue to lower
operational costs while offering a better patient experience for
the more than 110,000 patients that we care for.
Finally, we are pleased to have announced an LOI
on January 5, 2021 for a Southern based respiratory care company
that would give Protech access to its 11th U.S. state. The target
would add over 10,000 active patients, of which over 5,000 would
enter our subscription-based re-supply program. We look forward to
closing this acquisition in the coming weeks. Moreover, we are
thrilled to have applied to list on NASDAQ and feel this will be a
monumental value creator for new and existing shareholders.
Creating awareness for our Company is crucial and we look forward
to being active on both sides of the border in 2021. I’d like to
once again thank the entire Protech team for their hard work each
and every day as well as our stakeholders for all of their
continued support.”
Chief Financial Officer, Hardik Mehta added, “We
wrapped up 2020 in extraordinary shape, with record-breaking annual
results, an exceptionally strong balance sheet, and a full M&A
pipeline which we expect to make for a very busy 2021. Our run-rate
revenue sits at over $125 million, not including the recent LOI
announced, and we have upwardly revised our 5-year growth
trajectory to reflect the continued success of our operations, and
aggressive M&A plans. We are excited to see our top-line growth
continue to accelerate far faster than the industry, and our
Adjusted EBITDA margin breaching the 22% level. We remain committed
to driving profitability and believe we are making meaningful
progress to this end, which we believe will materialize as we move
through 2021. With a pristine balance sheet, continued margin
expansion and improving cash flows, we are in a position to be very
aggressive with our acquisition strategy and are focused on
accretive respiratory focused companies with $5-$20 million in
revenue and double-digit EBITDA margins that allow us to expand our
geographical reach. We are focused on building long-term
shareholder value, and feel we have a successful organic and
inorganic growth strategy that has us positioned to do so into the
future.”
Nasdaq Listing
Update:
In connection with the Company’s application for
listing on the NASDAQ Capital Market, the Company is also working
with its auditor on a review of fiscal 2020 financial statements
not yet reviewed for inclusion in a Form 40-F Registration
Statement to be filed with the United States Securities and
Exchange Commission.
ABOUT PROTECH 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" and
similar expressions as they relate to the Company, including: the
Company being confident that its sleep business will exceed 2020
levels in 2021; the Company growing its patient count
substantially; the Company growing its re-supply subscription model
to over $30 million; the Company lowering operational costs while
offering a better patient experience; the Company closing
additional acquisitions, including the one announced on January 5,
2021 and the results of the proposed acquisition; and the Company
filing a Form 40-F Registration Statement and the Company
successfully listing on NASDAQ; 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, without limitation: the Company
successfully identifying, negotiating and completing one or more
acquisitions, including conditions precedent for such acquisitions
being satisfied; and current financial trends remaining at or above
current levels in respect of anticipations for Adjusted EBITDA
margin. 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: credit;
market (including equity, commodity, foreign exchange and
interest rate); liquidity; operational (including technology and
infrastructure); reputational; insurance; strategic; regulatory;
legal; environmental; 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; the overall difficult litigation environment,
including in the U.S.; 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 the securities
regulatory authorities in certain provinces of Canada and
available at www.sedar.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.
Unless otherwise specified, all dollar amounts
in this press release are expressed in Canadian dollars.
Non-GAAP Measures
This press release refers to “Adjusted EBITDA”
which is a non-GAAP and non-IFRS financial measure that does not
have a standardized meaning prescribed by GAAP or IFRS. The
Company’s presentation of this financial measure may not be
comparable to similarly titled measures used by other companies.
This financial measure is intended to provide additional
information to investors concerning the Company’s performance.
Adjusted EBITDA is defined as EBITDA excluding stock-based
compensation. Adjusted EBITDA is a Non-IFRS measure the Company
uses as an indicator of financial health and excludes several items
which may be useful in the consideration of the financial condition
of the Company, including interest expense, income taxes,
depreciation, amortization, stock-based compensation, goodwill
impairment and change in fair value of debentures and financial
derivatives. The following table shows our Non-IFRS measure
(Adjusted EBITDA) reconciled to our net income for the indicated
periods:
|
Three Months EndedSept 30, 2020 |
|
Three Months EndedSept 30, 2019 |
|
Fiscal Year EndedSeptember 30, 2020 |
|
Fiscal Year EndedSeptember 30, 2019 |
|
Net income (loss) |
(2,164 |
) |
4,440 |
|
(5,605 |
) |
(9,141 |
) |
Add back: |
|
|
|
|
Depreciation and
amortization |
4,925 |
|
4,270 |
|
19,565 |
|
13,969 |
|
Interest expense (net of
interest income) |
605 |
|
251 |
|
2,481 |
|
1,839 |
|
Accretion Expense |
|
153 |
|
7 |
|
671 |
|
Transaction costs – issuance
of securities |
284 |
|
1,758 |
|
284 |
|
1,758 |
|
Change in fair value of
financial liabilities |
2,046 |
|
(996 |
) |
3,546 |
|
(1,129 |
) |
Loss on early extinguishment
of debenture |
- |
|
- |
|
- |
|
1,106 |
|
Provision for income
taxes |
79 |
|
135 |
|
172 |
|
269 |
|
EBITDA |
5,775 |
|
9,971 |
|
20,450 |
|
9,342 |
|
Stock-based compensation |
23 |
|
726 |
|
230 |
|
2,063 |
|
Fraud related expenses |
- |
|
(8,172 |
) |
- |
|
1,012 |
|
Acquisition Related Cost |
120 |
|
452 |
|
120 |
|
1,853 |
|
Impairment of goodwill |
- |
|
531 |
|
- |
|
531 |
|
Adjusted EBITDA |
5,918 |
|
3,508 |
|
20,800 |
|
14,801 |
|
% of Net
Revenue |
23.7 |
% |
18.0 |
% |
20.9 |
% |
18.3 |
% |
Management uses this non- IFRS measure as a key
metric in the evaluation of the Company’s performance and the
consolidated financial results. The Company believes this non- IFRS
measure is useful to investors in their assessment of the operating
performance and the valuation of the Company. In addition, this
non- IFRS measure addresses questions the Company routinely
receives from analysts and investors and, in order to assure that
all investors have access to similar data, the Company has
determined that it is appropriate to make this data available to
all investors. However, non- IFRS financial measures are not
prepared in accordance with IFRS, and the information is not
necessarily comparable to other companies and should be considered
as a supplement to, not a substitute for, or superior to, the
corresponding measures calculated in accordance with IFRS.
Neither the TSX Venture Exchange nor its
Regulation Services Provider (as that term is defined in the
policies of the TSX Venture Exchange) accepts responsibility for
the adequacy or accuracy of this release.
For further information please visit our website
at www.protechhomemedical.com, or contact:
Cole StevensVP of Corporate Development Protech
Home Medical Corp.859-300-6455cole.stevens@myphm.com
Gregory CrawfordChief Executive OfficerProtech
Home Medical Corp.859-300-6455investorinfo@myphm.com
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