InfuSystem Holdings, Inc (NYSE: INFU)

Sector: Healthcare Industry: Medical Instruments & Supplies CIK: 0001337013
Market Cap 164.02 Mn
P/B 2.96
P/E 29.69
P/S 1.16
ROIC (Qtr) 8.60
Div Yield % 0.00
Rev 1y % (Qtr) 3.31
Total Debt (Qtr) 24.69 Mn
Debt/Equity (Qtr) 0.45

About

InfuSystem Holdings, Inc. (INFU), a Delaware corporation, is a leading national healthcare service provider in the Durable Medical Equipment (DME) industry. The company operates through its subsidiary InfuSystem, Inc., facilitating outpatient care for DME manufacturers and healthcare providers. InfuSystem's services extend to hospitals, oncology practices, ambulatory surgery centers, and other alternate site healthcare providers. InfuSystem's primary business activities involve providing essential products and services to support outpatient care....

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Price action

Investment thesis

Bull case

  • Strong operating cash flow of 25.21M provides robust 1.02x coverage of total debt 24.69M, indicating excellent debt servicing capability and financial flexibility.
  • Strong tangible asset base of 88.09M provides 3.57x coverage of total debt 24.69M, indicating robust asset backing and low credit risk.
  • Operating cash flow of 25.21M provides exceptional 18.01x coverage of interest expenses 1.40M, showing strong debt service capability.
  • Robust free cash flow of 18.76M exceeds capital expenditure of 6.46M by 2.91x, indicating strong organic growth funding capability.
  • Robust tangible asset base of 88.09M provides 5.23x coverage of working capital 16.85M, indicating strong operational backing.

Bear case

  • Operating cash flow of 25.21M barely covers its investment activities of (7.87M), with a coverage ratio of -3.20, indicating heavy reliance on external financing for growth which may not be sustainable in a tighter credit environment.
  • With cash reserves of 955000 against inventory of 5.59M, the 0.17 cash-to-inventory ratio suggests potential liquidity risks if inventory turnover slows, particularly concerning given current supply chain volatilities.
  • Cash reserves of 955000 provide limited coverage of acquisition spending of (1.41M), which is -0.68x, suggesting aggressive expansion might strain liquidity if market conditions deteriorate.
  • High receivables of 24.31M relative to inventory of 5.59M (4.35 ratio) suggests aggressive credit terms or collection difficulties, potentially masking revenue quality issues.
  • Operating earnings of 10.79M show weak coverage of depreciation charges of 13.37M, with a 0.81 ratio indicating high capital intensity and potential reinvestment needs.

Segments Breakdown of Revenue (2024)

Peer comparison

Companies in the Medical Instruments & Supplies
S.No. Ticker Company Market Cap P/E P/S Total Debt (Qtr)
1 ISRG Intuitive Surgical Inc 174.27 Bn 61.02 17.31 0.00 Bn
2 BDX Becton Dickinson & Co 59.72 Bn 37.77 3.14 19.18 Bn
3 RMD Resmed Inc 39.76 Bn 26.76 7.37 0.85 Bn
4 ALC Alcon Inc 38.93 Bn 37.18 3.82 5.24 Bn
5 WST West Pharmaceutical Services Inc 17.69 Bn 133.13 12.54 0.30 Bn
6 HOLX Hologic Inc 16.81 Bn 30.91 4.07 2.52 Bn
7 COO Cooper Companies, Inc. 16.37 Bn 43.67 4.00 2.51 Bn
8 ALGN Align Technology Inc 13.73 Bn 36.29 3.45 0.09 Bn

Industry comparisons

Current Valuation Value Ind Avg Percentile
EV to Assets EV to Assets 1.96 2.75
EV to Cash from Ops. EV/CFO 7.68 39.87
EV to Debt EV to Debt 7.85 27.09
EV to EBIT EV/EBIT 17.96 32.86
EV to EBITDA EV/EBITDA 8.03 19.31
EV to Free Cash Flow [EV/FCF] EV/FCF 10.33 0.88
EV to Market Cap EV to Market Cap 1.18 -4.26
EV to Revenue EV/Rev 1.37 252.61
Price to Book Value [P/B] P/B 2.96 6.13
Price to Earnings [P/E] P/E 29.69 184.03
Dividend Metrics Value Ind Avg Percentile
Dividend Coverage Ratio Dividend Coverage Ratio 0.00 -1.09
Dividend Payout Ratio % Div Payout % (Qtr) 0.00 1.36
Dividend per Basic Share Div per Share (Qtr) 0.00 0.25
FCF Dividend Payout Ratio % FCF Div Payout % (Qtr) 0.00 8.74
Interest Coverage Int. cover (Qtr) 7.71 -117.83
Growth Metrics Value Ind Avg Percentile
Capex Growth (1y) % Capex 1y % (Qtr) 41.39 -53.47
Cash and Equivalents Growth (1y) % Cash & Equiv 1y % (Qtr) 151.32 414.02
Dividend Growth (1y) % Dividend Growth (1y) % 0.00 -1.48
EBIAT Growth (1y) % EBIAT 1y % (Qtr) 176.88 -57.42
EBITDA Growth (1y) % EBITDA 1y % (Qtr) 36.22 -106.89
EBIT Growth (1y) % EBIT 1y % (Qtr) 98.31 -37.00
EBT Growth (1y) % EBT 1y % (Qtr) 166.61 -42.63
EPS Growth (1y) % EPS 1y % (Qtr) 333.33 -15.05
FCF Growth (1y) % FCF 1y % (Qtr) 203.92 56.29
Gross Profit Growth (1y) % Gross Profit 1y % (Qtr) 13.32 67.95
Liquidity Ratios Value Ind Avg Percentile
Asset Utilization Ratio Asset Util Ratio (Qtr) 1.43 0.54
Cash Payout Ratio Cash Payout (Qtr) 0.00 0.03
Cash Ratio Cash Ratio (Qtr) 0.05 2.51
Current Ratio Curr Ratio (Qtr) 1.90 7.80
Debt to Equity Ratio Debt/Equity (Qtr) 0.45 0.55
Interest Cover Ratio Int Coverage (Qtr) 7.71 -117.83
Times Interest Earned Times Interest Earned (Qtr) 7.71 -117.83
Profitability Value Ind Avg Percentile
EBITDA Margin % EBITDA Margin % (Qtr) 17.10 -2,368.59
EBIT Margin % EBIT Margin % (Qtr) 7.65 -2,472.59
EBT Margin % EBT Margin % (Qtr) 6.66 -2,442.52
Gross Margin % Gross Margin % (Qtr) 55.40 30.06
Net Profit Margin % Net Margin % (Qtr) 3.90 -2,438.49