Richard M. Smith
Analyst · Dougherty and Company
Thank you, Lisa. Good morning, everyone. Thank you for joining today's call. In the first quarter, we continued to move forward as a more focused and growing Infusion company. The benefits of the contributing Home Health, Cash Card and PBM businesses. We delivered solid revenue growth in our Infusion business and created significant momentum in our targeted therapies. For the first quarter, total company revenue increased 19% year-over-year, $155.6 million. Driving this was Infusion revenue, which was extremely strong at $109.1 million, up 18.9%. Our other businesses performed in line with expectations with Home Health down slightly and PBM on target. Gross profit for the quarter was $53.5 million or 34.4% of revenue compared to $51.4 million or 39.2% in the prior year. MJ will discuss the financial details shortly. Before we get into our discussion of the results, I want to give a status update of where we stand in executing our plan. In short, I'm very encouraged by what our team is delivering. In early 2011, we outlined our strategic assessment which pinpointed exactly what needed to be addressed at BioScrip and how we would position the company for the future growth and profitability. I'm pleased to report that a little over 1 year later, we remain on track with our plan. We continue to execute by focusing on the market segments in which we have meaningful strength and distinct competitive advantages. There's a real energy here and we are all driving towards the same goal, serving our customers, facilitating growth and improving margins and profitability. Last quarter, we provided an update that included a targeted annualized revenue of $600 million to $620 million and annualized adjusted EBITDA of $62 million to $65 million for the fourth quarter of 2012. I also stated last quarter that there would be certain short-term factors and additional costs that will be incurred and also eliminated during the second and third quarters of 2012 that would impact our results until we arrive at a clean run rate in Q4. We remain on track to achieve these results for the fourth quarter of this year. Earlier this week, we announced that we closed the sale of certain assets to Walgreens. This was the cornerstone of our strategic initiative to reposition the company to focus on the Infusion and Home Health segment. Pharmacy businesses that were transferred to Walgreens represented over 15 years of payor and customer relationships that overlap both Infusion, especially Pharmacy Services. The transferred businesses represented over $1.2 billion in revenue, over 100,000 patients, and millions of records and files. We're pleased to have closed the transaction quickly in just 90 days. During this period, we prepared and successfully transferred leases, licenses, numerous payor agreement and the electronic files of the businesses. The closing of this transaction frees up a substantial part of the organization to focus over the next 2 quarters in the wind down and reorganization of operations and corporate infrastructure that supported both businesses. Some of the corporate infrastructure and operating costs that was supported by the revenue of the transferred businesses, is now included in the Infusion segment as continuing operations. The newly allocated corporate overhead consists of existing managed care and clinical staff that supported the divested Pharmacy businesses. These resources have been redirected to support the existing Infusion business, as well as additional locations we will add when we expand our Infusion footprint. We have also begun to repurpose our Lake Success, New York and Columbus, Ohio locations into Infusion pharmacies. Lake Success was a shared Infusion and speciality pharmacy facility and Columbus will become a de novo location. With the transaction complete, we are now in a position where we can enter the next phase of our plan, accelerating our organic growth and the expansion of markets we serve. Speaking of expansion. We have 6 Infusion pharmacies under letter of intent and 3 de novo pharmacies in the initial stages, while there can be no guarantees of closing on any of the 6, there is expansion activity underway. Now let me turn to some details regarding our Infusion segment. First quarter revenue grew both on a sequential and year-over-year basis. While we typically experience some softness related to a certain level of seasonality in the first quarter in traditional infusion therapy, our core therapy revenue grew approximately 12% over the prior year and is consistent with plan. In addition, chronic infusion revenue grew 25% year-over-year with a contributing drug margin of 43%. On a year-over-year basis, segment revenue growth for Infusion was $17.3 million, an increase of 18.9%. Although revenue was strong, adjusted EBITDA in this segment decreased from $9.3 million for Q1 2011 to $7.8 million for Q1 2012, a $1.5 million change. However, the current period results were unfavorably impacted by certain items related to the divestiture which have an estimated cumulative effect of $2.4 million. These are short-term in nature and will be dealt with over the next 2 quarters. First, as you would expect, our primary objective during this period of transition was maintaining and strengthening customer relationships. As a result, there are transition services we are providing to certain customers that we anticipate could take us through the end of the third quarter. Related revenue has a lower margin and in some cases, a negative margin which impacts overall Infusion segment EBITDA. The second factor impacting the current period relates to comparability of the Infusion segment results on a year-over-year basis. With the divestiture, certain corporate staff in the areas of managed care, clinical and physician sales will now support all efforts on Infusion. Their costs were previously allocated to the Pharmacy Services segment are retained at the corporate cost center. This shift in allocation to Infusion resulted in an additional $850,000 of corporate overhead costs directly charged to Infusion in the current quarter. We anticipate these costs will be directed to support and grow a larger patient base achieved through organic growth and acquisitions. Lastly, there's a substantial decrease in cross referral of IVIG therapy from the specialty sales personnel affiliated with the divested businesses. Activities during the last 90 days were directed to supporting the transition of the divested businesses. We expect to restore the referral activities to normal levels in future quarters. Next. Moving to Home Health. Our expectation for this business is flat to slightly up for the year. While Home Health is a small piece of our consolidated business, we expect we'll be adding Home Health licenses as we expand our Infusion footprint. The third new segment is PBM services which generated $29.9 million in revenue, a 36.4% growth on a year-over-year basis. This growth was driven by new relationships as well as an expanded customer base. Segment adjusted EBITDA was essentially flat to the prior year due to decreased rates on the discount cash card business. The segment generates strong cash flows which the company will continue to use to reinvest in the growth of the Infusion division. Before I turn the call over to MJ, I want to take a few minutes to welcome Hai Tran, who will be starting as our Chief Financial Officer and Treasurer on May 14. We're excited to welcome Hai to the BioScrip team. We're excited for Hai to begin and look forward to leveraging his outstanding experience as a highly accomplished CFO in the healthcare industry. Good morning Hai.