EX-99.2 3 viemed_q12025supplementa.htm EX-99.2 viemed_q12025supplementa
Financial Supplement NASDAQ: VMD Leading th e Healthcare Industry in Home Respiratory Care May 7, 2025 1 First Quarter 2025


 
Disclaimers Forward Looking Statements Certain statements contained in this Financial Supplement may constitute “forward-looking statements” within the meaning of the U.S. Private Securities Litigation Reform Act of 1995 or “forward-looking information” as such term is defined in applicable Canadian securities legislation (collectively, “forward-looking statements”). Often, but not always, forward-looking statements can be identified by the use of words such as “plans”, “expects”, “is expected”, “budget”, “potential”, “scheduled”, “estimates”, “forecasts”, “intends”, “anticipates”, “believes”, “projects”, or the negatives thereof or variations of such words and phrases or statements that certain actions, events or results “will”, “should”, “may”, “could”, “would”, “might” or “will be taken”, “occur” or “be achieved” or the negative of these terms or comparable terminology. All statements other than statements of historical fact, including those that express, or involve discussions as to, expectations, beliefs, plans, objectives, assumptions or future events or performance, including the Company's net revenue and Adjusted EBITDA guidance for 2025, and the timing of the closing of the acquisition of Lehan Drugs, Inc. and the anticipated synergies and other benefits of the acquisition, are not historical facts and may be forward-looking statements and may involve estimates, assumptions and uncertainties that could cause actual results or outcomes to differ materially from those expressed in the forward-looking statements. Such statements reflect the Company's current views and intentions with respect to future events, and current information available to the Company, and are subject to certain risks, uncertainties and assumptions. Many factors could cause the actual results, performance or achievements that may be expressed or implied by such forward-looking statements to vary from those described herein should one or more of these risks or uncertainties materialize. These factors include, without limitation: the general business, market and economic conditions in the regions in which the we operate; significant capital requirements and operating risks that we may be subject to; our ability to implement business strategies and pursue business opportunities; volatility in the market price of our common shares; the state of the capital markets; the availability of funds and resources to pursue operations; inflation; reductions in reimbursement rates and audits of reimbursement claims by various governmental and private payor entities; dependence on few payors; possible new drug discoveries; dependence on key suppliers; granting of permits and licenses in a highly regulated business; competition; disruptions in or attacks (including cyber-attacks) on our 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 we are exposed; difficulty integrating newly acquired businesses; the impact of new and changes to, or application of, current laws and regulations; the overall difficult litigation and regulatory environment; increased competition; increased funding costs and market volatility due to market illiquidity and competition for funding; critical accounting estimates and changes to accounting standards, policies, and methods used by us; and the occurrence of natural and unnatural catastrophic events or health epidemics or concerns, and claims resulting from such events or concerns, as well as other general economic, market and business conditions; and other factors beyond our control; as well as those risk factors discussed or referred to in the Company’s disclosure documents filed with the U.S. Securities and Exchange Commission (the “SEC”) available on the SEC’s website at www.sec.gov, including the Company’s most recent Annual Report on Form 10-K and Quarterly Report on Form 10-Q, and with the securities regulatory authorities in certain provinces of Canada available at www.sedar.com. Should any factor affect the Company in an unexpected manner, or should assumptions underlying the forward-looking statements prove incorrect, the actual results or events may differ materially from the results or events predicted. Any such forward-looking statements are expressly qualified in their entirety by this cautionary statement. Moreover, the Company does not assume responsibility for the accuracy or completeness of such forward-looking statements. The forward-looking statements included in this Financial Supplement are made as of the date of this Financial Supplement and the Company undertakes no obligation to publicly update or revise any forward-looking statements, other than as required by applicable law. This Financial Supplement contains non-GAAP financial guidance. There is no reliable or reasonably estimable comparable GAAP measure for the Company’s non-GAAP financial guidance because the Company is not able to reliably predict the impact of certain items that typically have one or more of the following characteristics: highly variable, difficult to project, unusual in nature, significant to the results of a particular period or not indicative of future operating results. Similar charges or gains were recognized in prior periods and will likely reoccur in future periods. As a result, reconciliation of the non-GAAP financial guidance to the most directly comparable GAAP measure is not available without unreasonable effort. In addition, the Company believes such a reconciliation would imply a degree of precision and certainty that could be confusing to investors. The variability of the specified items may have a significant and unpredictable impact on the Company’s future GAAP results. Non-GAAP and Other Financial Information This Financial Supplement refers to “Adjusted EBITDA”, which is a financial measure that is not prepared in accordance with generally accepted accounting principles in the United States ("GAAP"). Adjusted EBITDA should be considered in addition to, not as a substitute for, or superior to, financial measures calculated in accordance with U.S. GAAP. Management believes Adjusted EBITDA provides helpful information with respect to the Company’s operating performance as viewed by management, including a view of the Company’s business that is not dependent on the impact of the Company’s capitalization structure and items that are not part of the Company’s day-to-day operations. Management uses Adjusted EBITDA (i) to compare the Company’s operating performance on a consistent basis, (ii) to calculate incentive compensation for the Company’s employees, (iii) for planning purposes, including the preparation of the Company’s internal annual operating budget, and (iv) to evaluate the performance and effectiveness of the Company’s operational strategies. Accordingly, management believes that Adjusted EBITDA provides useful information in understanding and evaluating the Company’s operating performance in the same manner as management. Adjusted EBITDA is not a measurement of the Company’s financial performance under U.S. GAAP and should not be considered as an alternative to revenue or net income, as applicable, or any other performance measures derived in accordance with U.S. GAAP. Adjusted EBITDA has limitations as an analytical tool and you should not consider it in isolation or as a substitute for analysis of the Company’s operating results as reported under U.S. GAAP. Adjusted EBITDA does not reflect the impact of certain cash charges resulting from matters the Company considers not to be indicative of ongoing operations; and other companies in the Company’s industry may calculate Adjusted EBITDA differently than we do, limiting its usefulness as a comparative measure. In calculating Adjusted EBITDA, certain items (mostly non-cash) are excluded from net income including depreciation and amortization of capitalized assets, net interest expense (income), stock based compensation, transaction costs, impairment of assets, and taxes. A reconciliation between GAAP and non-GAAP financial information is provided below. 2 VieMed Healthcare Inc. I Supplemental Presentation


 
Key Themes for Q1 2025 3 We saw marked improvement in each of the businesses in what is historically our toughest quarter. Benefits from the sales restructuring implemented in 2024 were evident in the non-invasive ventilation business while the staffing business continued its strong growth pace. Sleep therapy patients were up 7% sequentially in Q1 2025 while new sleep patient starts were up 40% year over year. Our strong capital position enabled us to pursue a complementary inorganic growth opportunity expected to close in Q3 2025. • Revenue growth of 17% YOY in Q1 • Robust vent patient growth of 13% YOY in Q1 • Q1 2025 revenue was in line with our expectations • Net income increased 69% YOY for Q1 • Adjusted EBITDA increased 26% YOY for Q1 • Balance sheet and liquidity improved year-over-year while funding strong organic growth VieMed Healthcare Inc. I Supplemental Presentation


 
Financial and Operational Highlights 4 (expressed in thousands of U.S. Dollars, except operational information). (1) Refer to "Non-GAAP Reconciliations" in this presentation for definition of Adjusted EBITDA and a reconciliation to its most comparable GAAP measure. (2) Vent Patients represents the number of active ventilator patients on recurring billing service at the end of each calendar quarter. (3) PAP Therapy Patients represents the number of distinct patients billed for PAP therapy services during each calendar quarter. (4) Sleep Resupply Patients represents the number of distinct patients who received supplies through our sleep resupply program during each calendar quarter. For the quarter ended: 3/31/25 12/31/24 9/30/24 6/30/24 3/31/24 12/31/23 9/30/23 6/30/23 Financial Information: Revenue $59,129 $60,695 $58,004 $54,965 $50,593 $50,739 $49,402 $43,311 Gross Profit $33,279 $36,138 $34,371 $32,892 $29,802 $32,111 $30,562 $26,106 Gross Profit % 56% 60% 59% 60% 59% 63% 62% 60% Net Income attributable to Viemed Healthcare, Inc. $2,625 $4,316 $3,878 $1,468 $1,603 $3,477 $2,919 $2,330 Cash and Cash Equivalents (As of) $10,160 $17,540 $11,347 $8,807 $7,309 $12,839 $10,078 $10,224 Total Assets (As of) $178,079 $177,069 $169,526 $163,947 $154,875 $154,895 $149,400 $149,117 Adjusted EBITDA(1) $12,765 $14,242 $13,954 $12,813 $10,098 $12,845 $12,081 $9,810 Operational Information: Vent Patients(2) 11,809 11,795 11,374 10,905 10,450 10,327 10,244 10,005 PAP Therapy Patients(3) 22,899 21,338 19,478 17,349 15,726 14,900 14,788 13,313 Sleep Resupply Patients(4) 22,941 24,478 22,143 20,185 18,904 18,902 18,544 12,572 VieMed Healthcare Inc. I Supplemental Presentation


 
Medicare 41% Medicaid/ MCO 8% Medicare Advantage 21% Commercial 17% Other 13% Ventilation 54% Sleep 16% Oxygen 10% Other 20% Q1 2025 Rental 76% Sales 24% Medicare 43% Medicaid/ MCO 7% Medicare Advantage 20% Commercial 17% Other 13% Ventilation 58% Sleep 14% Oxygen 11% Other 17% Q1 2024 Service, Payor and Revenue Mix 5 SERVICE MIX PAYOR MIX REVENUE MIX VieMed Healthcare Inc. I Supplemental Presentation SERVICE MIX PAYOR MIX Rental 79% Sales 21% REVENUE MIX


 
Revenue Highlights 6 For the quarter ended 3/31/25 12/31/24 9/30/24 6/30/24 3/31/24 12/31/23 9/30/23 6/30/23 Rental Revenue (expressed in thousands of USD): Ventilators, non-invasive & invasive $32,159 $33,173 $31,772 $30,445 $29,187 $29,077 $28,322 $25,712 Other home medical equipment rentals $12,962 $13,047 $12,459 $12,211 $10,934 $11,871 $11,119 $8,419 Sales & Service Revenue (expressed in thousands of USD): Equipment and supply sales $7,519 $8,940 $8,440 $7,378 $6,138 $6,486 $7,742 $6,778 Service revenues $6,489 $5,535 $5,333 $4,931 $4,334 $3,305 $2,219 $2,402 Total revenues $59,129 $60,695 $58,004 $54,965 $50,593 $50,739 $49,402 $43,311 Rental Revenue (% of Total revenue): Ventilators, non-invasive & invasive 54.4% 54.7% 54.8% 55.4% 57.7% 57.3% 57.3% 59.4% Other home medical equipment rentals 21.9% 21.5% 21.5% 22.2% 21.6% 23.4% 22.5% 19.5% Sales & Service Revenue (% of Total revenue): Equipment and supply sales 12.7% 14.7% 14.6% 13.4% 12.1% 12.8% 15.7% 15.6% Service revenues 11.0% 9.1% 9.2% 9.0% 8.6% 6.5% 4.5% 5.5% Total revenues 100% 100% 100% 100% 100% 100% 100% 100% VieMed Healthcare Inc. I Supplemental Presentation


 
Net CAPEX 7 For the quarter ended 3/31/25 12/31/24 9/30/24 6/30/24 3/31/24 12/31/23 9/30/23 6/30/23 Purchase of property and equipment 15,483 11,829 11,002 8,934 6,006 7,932 7,402 6,078 Proceeds from sale of property and equipment (6,953) (2,881) (6,033) (766) (641) (460) (353) (999) Net CAPEX 8,530 8,948 4,969 8,168 5,365 7,472 7,049 5,079 Net Capex % of Net Revenue 14.4% 14.7% 8.6% 14.9% 10.6% 14.7% 14.3% 11.7% VieMed Healthcare Inc. I Supplemental Presentation (expressed in thousands of U.S. Dollars)


 
Liquidity Metrics 8 Positioned for growth • The Company maintains a healthy balance sheet with no net debt as of March 31, 2025, providing significant financial flexibility. • As of March 31, 2025, the Company has $55 million in unfunded commitments available under its existing credit facilities, supporting future growth initiatives. For the period ended 3/31/25 12/31/24 12/31/23 Cash on hand $ 10,160 $ 17,540 $ 12,839 Working Capital $ 13,633 $ 15,554 $ 6,243 Long Term Debt $ 3,530 $ 3,589 $ 6,002 VieMed Healthcare Inc. I Supplemental Presentation (expressed in thousands of U.S. Dollars)


 
2025 Guidance – Commentary 9 • Strength in operational metrics in Q1, which should translate to better financial performance during the year, provides confidence in raising the lower end of guidance for both revenue and Adjusted EBITDA • Guidance increase reflects continued strength in operational performance and will be further updated upon closing of the Lehan’s Medical Equipment acquisition • Expecting continued growth in complex respiratory, sleep and staffing through balance of the year VieMed Healthcare Inc. I Supplemental Presentation


 
2025 Guidance – Commentary 10 Core Metrics • Net revenue of $256 million to $265 million; an increase from $254 million to $265 million • Adjusted EBITDA of $55 million to $58 million (21%-23% of net revenue); an increase from $54 million to $58 million Directional Commentary on Quarterly Cadence • Year-over-year growth expected to be consistent with prior year • Typically see sequential growth through Q2-Q4 • Net Capex in 1H 2025 expected to be similar to 2H 2024 while continuing our ventilator fleet swap; conclusion of ventilator buybacks expected in June with remaining payments from the vendor occurring in early Q3 Detailed Assumptions • Based on status quo; no contribution included from Lehan's Medical Equipment acquisition (expected to close in Q3 2025, subject to customary closing conditions) • Assumes sequential revenue growth in a range of 5% to 9% for the second, third, and fourth quarters VieMed Healthcare Inc. I Supplemental Presentation


 
Non-GAAP Reconciliations 11 (a) Represents non-cash, equity-based compensation expense associated with option and RSU awards. (b) Represents transaction costs and expenses related to acquisition and integration efforts associated with recently announced or completed acquisitions. (c) Represents impairments of the fair value of investment and litigation-related assets. Reconciliation of Net Income to Non-GAAP Adjusted EBITDA For the quarter ended: 3/31/25 12/31/24 9/30/24 6/30/24 3/31/24 12/31/23 9/30/23 6/30/23 Net Income attributable to Viemed Healthcare, Inc. $ 2,625 $ 4,316 $ 3,878 $ 1,468 $ 1,603 $ 3,477 $ 2,919 $ 2,330 Add back: Depreciation & amortization 6,613 6,366 6,408 6,309 6,285 5,918 5,975 5,207 Interest expense (income) 179 147 225 254 150 256 237 (20) Stock-based compensation(a) 2,311 1,521 1,712 1,620 1,432 1,534 1,453 1,471 Transaction costs(b) 85 11 12 221 110 61 177 94 Impairment of assets(c) - - 125 2,173 - - - - Income tax expense 952 1,881 1,594 768 518 1,599 1,320 728 Adjusted EBITDA $ 12,765 $ 14,242 $ 13,954 $ 12,813 $ 10,098 $ 12,845 $ 12,081 $ 9,810 VieMed Healthcare Inc. I Supplemental Presentation (expressed in thousands of U.S. Dollars)