PLANTATION, Fla., May 10, 2023
/PRNewswire/ - Akumin Inc. (NASDAQ: AKU) (TSX: AKU) ("Akumin" or
the "Company"), a national partner of choice for U.S. hospitals,
health systems and physician groups, with comprehensive solutions
addressing outsourced radiology and oncology service-line needs,
announced today its financial results for the quarter ended
March 31, 2023.
First Quarter 2023 Highlights
- Akumin delivered first quarter same-store volume performance on
a consolidated basis as follows:
-
- +4.0% for MRI
- +16.1% for PET/CT
- +7.6% for Oncology Patient Starts
- The Company reported revenue totaling $187.6 million for the first quarter, a
$1.3 million or 1% increase over the
first quarter of last year.
- Net loss was $29.2 million for
the first quarter, an increase in net loss of $2.8 million, compared to the prior year
period.
- Akumin generated $33.1 million of
Adjusted EBITDA* (as defined below) for the first quarter, a
$1.1 million or 4% increase over the
first quarter of last year.
*For a reconciliation of Adjusted EBITDA, which is a non-GAAP
measure, to the most directly comparable GAAP financial measure,
please see "Reconciliation of Non-GAAP Financial Measures".
Summary Consolidated Financial Results (in thousands, except
for per share amounts)
|
3-month period
ended
Mar 31,
2023
|
3-month period
ended
March 31,
2022
|
MRI Scans
|
217
|
214
|
PET-CT Scans
|
36
|
32
|
Oncology Patient
Starts
|
2.610
|
2.544
|
Revenue
|
$187,592
|
$186,263
|
Net Loss
|
($29,190)
|
($26,432)
|
Adjusted EBITDA
(1)
|
$33,141
|
$32,018
|
EPS –Diluted
|
$(0.39)
|
$(0.35)
|
(1) See
"Non-GAAP Measures" below.
|
Commenting on the quarterly results, Riadh
Zine, Chairman and Chief Executive Officer of the Company,
said, "We are pleased that our operating and financial performance
was in line with our budget for the quarter, which is typically the
seasonally weakest period in the fiscal year. Relative to
last year, the first quarter was negatively impacted by a revenue
loss from certain Florida
facilities closed for renovations in the period.
"We experienced a return of organic growth in MRI procedure
volumes, as clinical labor shortages have moderated, and impressive
growth in our PET/CT volumes driven by an expansion of clinical
applications and the development of new tracers. This organic
growth in our radiology segment more than offset the year-over-year
revenue losses we experienced in the quarter.
"Following the completion of a comprehensive review and
repositioning of our oncology business in 2022, our renewed focus
on this segment is now delivering intended results and was in line
with our budget in the first quarter. We continue to believe
oncology will be a strong driver of growth for Akumin going
forward.
"We have continued our integration initiatives in the first
quarter as we seek to realize our next phase of synergies by
rationalizing business processes, consolidating IT systems, and
leveraging our scale to reduce maintenance and service costs.
As previously stated, we expect these initiatives to result in more
than $25 million in additional
run-rate synergies by the end of 2023.
"We are encouraged by our operating and financial performance in
the first quarter and remain confident in our ability to achieve
our financial guidance for 2023", Zine concluded.
Unless otherwise indicated, all amounts are expressed in U.S.
dollars. Certain metrics, including those expressed on an
adjusted or comparable basis, are non-GAAP measures. See
"Non-GAAP Measures" and "Selected Consolidated Financial
Information" of this press release for further details.
Investor Presentation
Akumin would like to invite interested parties to an investor
presentation to be held on Thursday, May 11,
2023 from 8:30 a.m. to 9:30 a.m.
Eastern Time where management will discuss first quarter
results.
Conference call details:
Date:
8:30 a.m.
Eastern Time, Thursday, May 11,
2023
Click to join by phone:
https://akum.in/Q1-2023-Results-Dial-In-Numbers
Access via
webcast:
https://akum.in/Q1-2023-Results-Webcast
North American Toll Free:
888-664-6383
A related presentation will be available from Akumin's website
(www.akumin.com) and at
https://akumin.com/investor-relations/events-presentations/.
Participants are asked to connect at least 10 minutes prior to the
beginning of the call to ensure participation. The webcast
archive will be available for 90 days. A replay of the
presentation will also be available until Thursday, May 18, 2023 by calling 416-764-8677 or
toll-free 1-888-390-0541, using passcode number 639247.
About Akumin
Akumin is a national partner of choice for U.S. hospitals,
health systems and physician groups, with comprehensive solutions
addressing outsourced radiology and oncology service-line needs.
Akumin provides (1) fixed-site outpatient diagnostic imaging
services through a network of 180 owned and/or operated imaging
locations; and (2) outpatient radiology and oncology services and
solutions to approximately 1,100 hospitals and health systems
across 48 states. By combining clinical and operational expertise
with the latest advances in technology and information systems,
Akumin facilitates more efficient and effective diagnosis and
treatment for patients and their providers. Akumin's imaging
procedures include MRI, CT, positron emission tomography (PET and
PET/CT), ultrasound, diagnostic radiology (X-ray), mammography, and
other interventional procedures; cancer care services include a
full suite of radiation therapy and related offerings. For more
information, visit www.akumin.com and
www.alliancehealthcareservices-us.com.
Non-GAAP Measures
This press release refers to certain non-GAAP measures. These
non-GAAP measures are not recognized measures under United States generally accepted accounting
principles ("GAAP") and do not have a standardized meaning
prescribed by GAAP. Although the Company provides guidance
for adjusted EBITDA, it is not able to provide guidance for net
income, the most directly comparable GAAP measure. Certain elements
of the composition of net income, including equity-based
compensation, are not predictable, making it impractical for us to
provide guidance on net income or to reconcile our adjusted EBITDA
guidance to net income without unreasonable efforts. For the same
reasons, the Company is unable to address the probable significance
of the unavailable information regarding net income, which could be
material to future results.
There is unlikely to be comparable or similar measures presented
by other companies. Rather, these non-GAAP measures are provided as
additional information to complement those GAAP measures by
providing further understanding of our results of operations from
management's perspective. Accordingly, these non-GAAP measures
should not be considered in isolation nor as a substitute for
analysis of our financial information reported under GAAP. We use
non-GAAP financial measures, including "EBITDA", "Adjusted EBITDA"
and "Adjusted EBITDA Margin" (each as defined below). These
non-GAAP measures are used to provide investors with supplemental
measures of our operating performance and thus highlight trends in
our core business that may not otherwise be apparent when relying
solely on GAAP measures. We believe the use of these non-GAAP
measures, along with GAAP financial measures, enhances the reader's
understanding of our operating results and is useful to us and to
investors in comparing performance with competitors, estimating
enterprise value, and making investment decisions. We also
believe that securities analysts, investors, and other interested
parties frequently use non-GAAP measures in the evaluation of
issuers. Our management uses non-GAAP measures to facilitate
operating performance comparisons from period to period, to prepare
annual operating budgets and forecasts and to determine components
of management compensation. Reconciliations of non-GAAP measures to
the relevant reported measures can be found in "Reconciliation of
Non-GAAP Financial Measures" and in our Form 10-Q filed
May 10, 2023 available in our public
disclosure at www.sec.gov and www.sedar.com.
We define such non-GAAP measures as follows:
"EBITDA" means net income (loss) before interest expense
(net), income tax expense (benefit), and depreciation and
amortization.
"Adjusted EBITDA" means EBITDA, as further adjusted for
impairment charges, restructuring charges, severance and related
costs, settlements and related costs (recoveries), stock-based
compensation, loss (gain) on sale of accounts receivable, losses
(gains) on disposal of property and equipment, acquisition-related
costs, financial instrument revaluation adjustments, deferred rent
expense, other losses (gains), and one-time adjustments.
"Adjusted EBITDA Margin" means Adjusted EBITDA divided by
the total revenue in the period.
Forward-Looking Information
Certain information in this press release constitutes
forward-looking information or forward-looking statements. In
some cases, but not necessarily in all cases, such statements or
information can be identified by the use of forward-looking
terminology such as "plans", "targets", "expects" or "does not
expect", "is expected", "an opportunity exists", "is positioned",
"estimates", "intends", "assumes", "anticipates" or "does not
anticipate" or "believes", or variations of such words and phrases
or state that certain actions, events or results "may", "could",
"would", "might", "will" or "will be taken", "occur" or "be
achieved". In addition, any statements that refer to expectations,
projections or other characterizations of future events or
circumstances contain forward-looking information. Statements
containing forward-looking information are not historical facts but
instead represent management's expectations, estimates and
projections regarding future events.
Forward-looking information is necessarily based on a number of
opinions, assumptions and estimates that, while considered
reasonable by Akumin as of the date of this press release, are
subject to known and unknown risks, uncertainties, assumptions and
other factors that may cause the actual results, level of activity,
performance or achievements to be materially different from those
expressed or implied by such forward-looking information, including
but not limited to the factors described in greater detail in the
"Risk Factors" section of our Form 10-Q filed May 10, 2023, which is available at
www.sec.gov and www.sedar.com. These factors are not intended
to represent a complete list of the factors that could affect
Akumin; however, these factors should be considered
carefully. There can be no assurance that such estimates and
assumptions will prove to be correct. The forward-looking
statements contained in this press release are made as of the date
of this press release, and Akumin expressly disclaims any
obligation to update or alter statements containing any
forward-looking information, or the factors or assumptions
underlying them, whether as a result of new information, future
events or otherwise, except as required by law.
Selected Consolidated Financial Information
(in
thousands)
|
Three-month
period
ended
March 31,
2023
|
Three-month
period
ended
March 31,
2022
|
$
Change
|
%
Change
|
Revenue
|
$
187,592
|
$
186,263
|
$
1,329
|
1 %
|
|
|
|
|
|
Employee
compensation
|
71,527
|
75,127
|
(3,600)
|
-5 %
|
Third party services
and professional fees
|
30,829
|
29,177
|
1,652
|
6 %
|
Rent and
utilities
|
12,341
|
12,477
|
(136)
|
-1 %
|
Reading
fees
|
11,599
|
11,498
|
101
|
1 %
|
Administrative
|
10,421
|
11,624
|
(1,203)
|
-10 %
|
Medical supplies and
other expenses
|
18,850
|
15,258
|
3,592
|
24 %
|
Depreciation and
amortization
|
22,993
|
24,731
|
(1,738)
|
-7 %
|
Restructuring
charges
|
5,736
|
80
|
5,656
|
n/m
|
Severance and related
costs
|
(49)
|
2,238
|
(2,287)
|
-102 %
|
Settlements,
recoveries and related costs
|
1,448
|
(137)
|
1,585
|
-n/m
|
Stock-based
compensation
|
399
|
1,061
|
(662)
|
-62 %
|
Other operating
income, net
|
(751)
|
(7)
|
(744)
|
n/m
|
Interest
expense
|
30,697
|
28,681
|
2,016
|
7 %
|
Other non-operating
expense (income), net
|
(132)
|
324
|
(456)
|
-141 %
|
Loss before income
taxes
|
(28,316)
|
(25,869)
|
(2,447)
|
9 %
|
Income tax
expense
|
874
|
563
|
311
|
55 %
|
Non-controlling
interests
|
5,958
|
4,379
|
1,579
|
36 %
|
Net loss
attributable to common stockholders
|
$ (35,148)
|
$ (30,811)
|
$ (4,337)
|
14 %
|
Reconciliation of Non-GAAP Financial Measures
(in
thousands)
|
Three-month
period
ended
March 31,
2023
|
Three-month
period
ended
March 31,
2022
|
Net
loss
|
$
(29,190)
|
$
(26,432)
|
Income tax
expense
|
874
|
563
|
Depreciation and
amortization
|
22,993
|
24,731
|
Interest
expense
|
30,697
|
28,681
|
EBITDA
|
25,374
|
27,543
|
Adjustments:
|
|
|
Restructuring
charges
|
5,736
|
80
|
Severance and related
costs
|
(49)
|
2,238
|
Settlements,
recoveries and related costs
|
1,448
|
(137)
|
Stock-based
compensation
|
399
|
1,061
|
Loss on sale of
accounts receivable
|
124
|
-
|
Loss (gain) on
disposal of property and equipment, net
|
(69)
|
202
|
Acquisition-related
costs
|
143
|
382
|
Fair value adjustment
on derivative
|
(43)
|
170
|
Deferred rent
expense(1)
|
185
|
332
|
Other, net
|
(107)
|
147
|
Adjusted
EBITDA
|
$
33,141
|
$
32,018
|
Revenue
|
187,592
|
186,263
|
Adjusted EBITDA
Margin(2)
|
18 %
|
17 %
|
(1) Deferred rent
expense is defined as operating lease cost less operating cash
flows from operating leases and adjusted for any prepayments or
related items.
|
(2) Adjusted
EBITDA Margin is computed by dividing Adjusted EBITDA by the total
revenue in the period.
|
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SOURCE Akumin Inc.