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Viemed Healthcare Inc VMD

Viemed Healthcare, Inc. through its subsidiaries, is a provider of home medical equipment (HME) and post-acute respiratory healthcare services in the United States. The Company’s service offerings are focused on effective in-home treatment with clinical practitioners providing therapy and counselling to patients in their homes using cutting edge technologies. The Company’s products and services include Home Medical Equipment, In-home sleep testing, and Healthcare staffing. Home Medical Equipment provides respiratory and other home medical equipment, including home ventilation, bi-level positive airway pressure (BiPAP) and continuous positive airway pressure (CPAP) devices, percussion vests, and other medical equipment. In-home sleep testing provides in home sleep apnea testing services. Healthcare staffing provides healthcare staffing and recruitment services. The Company provides home medical equipment services through its interest in East Alabama HomeMed, LLC (HomeMed).


NDAQ:VMD - Post by User

Post by LongTerm3on Aug 04, 2022 3:00pm
268 Views
Post# 34871865

Beacon Raised Viemed to $15.75 from $12.50 Canadian.

Beacon Raised Viemed to $15.75 from $12.50 Canadian. Viemed Healthcare (VMD – T) )Key Performance Indicators At All-Time Highs • Viemed reported its Q2/FY22. Headline results were revenue/EBITDA of $33.3m/$6.5m. While revenue was better than management’s guidance, EBITDA missed expectations, primarily due to a hiring spree that will likely pay dividends in the coming quarters. • Despite the lower-than-expected quarterly EBITDA as noted above (more below), in our view, the key performance indicators (KPIs) of the company were at all-time highs with significant momentum behind them, which should indicate that growth will continue. In particular: a) Core Revenue (ex COVID) All-Time High: $31.1 million b) Significant Organic Growth: 26% y/y, 10% q/q. Q3 guidance of 7.2% (29% annualized) c) Record Vent Patients: 8,837, +5% q/q d) Record Revenue Diversification: Non-vent revenue was 31.4% of total revenue. Vent revenue was 80% of total revenues in Q1/FY21 e) Record revenue per active vent patient: $15,350 versus $13,270 last year (+16%). Such rev/active vent patient is specifically due to its non-vent revenue as noted above. • In addition to these positive KPIs, Viemed still has an excellent balance sheet with $21 million in cash even after buying back 1.35 million shares (~3.5% of the company) at an average price of $5.20 (C$6.75). • The one issue in the quarter, which the market is focused on today, is EBITDA margin, which fell to 19.3% from 21.5% last quarter. The drop in EBITDA was entirely due to an increase in its SG&A and specifically to an increase in its fulltime staff. Q2 SG&A was $17m, +10% versus $15.3m in Q1. Of that 10% sequential increase, 8% was due to an increase in the number of employees (715 versus 662) with the remaining 2% due to other inflationary pressures (ie. fuel). • Nevertheless, we believe the EBITDA “miss” will turn out to be a good thing as VMD has increased its infrastructure to support the growth that it is clearly seeing. For example, assuming the projected 25-30% revenue growth continues, we believe corporate hiring and thus SG&A will stabilize. Therefore, we believe we will see in the coming quarters (eg. Q2/FY23), revenue of $43m, adjusted gross margin of ~71% and SG&A of ~$20m, implying a $10m EBITDA quarter or a $40m EBITDA run-rate early in FY23. In other words, through growth in scale in the coming quarters, we believe VMD will return to its historical ~22% margin. • Aside from its robust organic growth story, VMD has hired an M&A team who were previously at LHC Group (who was acquired by United Health, UNH:US, NR) and who led 100 transactions valued at $1.9 billion. Mr. Freeman and Mr. Trahan have started to put together the M&A plan at Viemed. This will be a first for Viemed, who has relied solely on organic growth plan and which has been very successful and which will have doubled the company’s revenue between FY19-FY23e ($80m - $166m). • Given the positive KPIs and outlook, we have raised our FY22 and FY23 forecasts. In particular, we have raised our vent patient forecast as well as our revenue/active vent patient. For FY22, we now model rev/EBITDA of $138m/$30.8m (versus $126.3m/$31.1m) and $166m/$40.6m for FY23 (versus $140.9m/$36m). Note that our model does not include any acquisitions. • We remain bullish of healthcare service companies given the positive macro backdrop (aging population, lessening supply chain issues, positive regulatory environment, CPI re-imbursement increases) as well as their below historically average trading multiples. While shares of VMD were +50% in July, the stock is down 15% today on the weaker than expected EBITDA. It now trades at 7.7x and 5.9x our Fy22 and FY23 forecasts versus an historical range of 8-12x. • Maintain buy and raise target to C$15.75 (was C$12.50) based on 12x our upwardly revised FY23 EBITDA forecast.
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