Hanger Reports Second Quarter 2022 Financial Results

AUSTIN, Texas–(BUSINESS WIRE)–Hanger, Inc. (NYSE: HNGR), a leading provider of orthotic and prosthetic (O&P) patient care services and solutions, today announced its financial results for the second quarter and six months ended June 30, 2022.

Financial Highlights

  • Net revenues were $312.0 million for the three months ended June 30, 2022, compared to $280.8 million for the same period in 2021, reflecting growth of 11.1 percent. Patient Care same clinic revenue growth per day was 6.2 percent during the period.
  • Net income was $10.1 million for the three months ended June 30, 2022, compared to $10.2 million for the same period in 2021. Income from operations was $20.8 million for the quarter compared to $20.1 million for the same period in 2021.
  • Adjusted EBITDA was $35.5 million in the second quarter of 2022, compared to $31.0 million for the same period in 2021, reflecting an increase of $4.5 million, or 14.5 percent.
  • GAAP diluted earnings per share was $0.26 for the second quarter of each of 2022 and 2021. Adjusted diluted earnings per share was $0.35 for the three months ended June 30, 2022, compared to $0.27 for the same period in 2021.

Segment Results for Three Months Ended June 30, 2022

Patient Care Segment

For the three months ended June 30, 2022, Patient Care net revenues were $265.7 million, an increase of $28.9 million, or 12.2 percent, compared to the same period in 2021. For the three month period, acquisitions of O&P clinics that were consummated in 2021 and 2022 contributed $13.7 million of incremental revenue.

Net same clinic revenue on a day-adjusted basis grew 6.2 percent during the second quarter of 2022 compared to the same quarter in the prior year period. Patient Care results benefited from the continued improvement in patient volumes compared to the decreased levels of demand experienced due to the COVID pandemic during the same period in 2021.

During the second quarter, excluding the effect of acquisitions, net revenue from prosthetics grew 8.9 percent and net revenue from orthotics grew 3.0 percent, each compared to the prior year period. Prosthetics comprised 55.1 percent of Patient Care segment net revenue for the quarter, compared to 53.7 percent in the same period of 2021. Income from operations in the Patient Care segment was $40.5 million during the second quarter of 2022, an increase of $0.9 million compared to the $39.6 million reported in the prior year.

Payor disallowances and patient non-payment were 4.4 percent of gross charges during the second quarter of 2022 which compared to 3.4 percent during the second quarter of 2021, resulting in an approximate $2.8 million comparative decrease to revenue, income from operations, and Adjusted EBITDA during the second quarter of 2022.

Adjusted EBITDA for the segment was $47.8 million, which reflected a $2.9 million increase compared to the second quarter of 2021. Adjusted EBITDA margin in the segment totaled 18.0 percent compared to 18.9 percent during the second quarter of 2021.

Products & Services Segment

For the three months ended June 30, 2022, Products & Services net revenues totaled $46.4 million, reflecting an increase of 5.3 percent compared with the same period in 2021. Revenue from the distribution of O&P componentry totaled $36.0 million, reflecting growth of $2.7 million, or 8.1 percent. Therapeutic solutions revenue in the second quarter totaled $10.4 million, a decline of $0.4 million, or 3.5 percent.

Income from operations for the Products & Services segment was $4.5 million in the second quarter of 2022 compared to $3.4 million in the same period of 2021. Adjusted EBITDA for the segment totaled $7.1 million for the second quarter of 2022, a $1.4 million increase compared with the same period of 2021. Adjusted EBITDA margin in the segment increased to 15.3 percent compared to 12.8 percent during the second quarter of 2021.

Corporate & Other

Expenses associated with corporate and other activities increased by $1.3 million to $24.3 million for the quarter ended June 30, 2022 compared to the same period in 2021. Excluding the effects of equity-based compensation, severance expense, depreciation and amortization, and acquisition-related expense, the net cost of corporate and other activities decreased by $0.1 million to $19.4 million in the second quarter of 2022.

Net Income; Interest Expense

Interest expense totaled $7.5 million for the three month period ended June 30, 2022, an increase of $0.4 million from the prior year period on higher interest rates.

For the three month period ended June 30, 2022, net income was $10.1 million compared with $10.2 million for the same period in 2021. GAAP diluted income per share was $0.26 per share in 2022 and 2021, respectively. Adjusted diluted income per share was $0.35 for the three months ended June 30, 2022, compared to $0.27 per share for the same period in 2021.

Net Cash Used In Operating Activities; Liquidity

Cash flows provided by operating activities for the six months ended June 30, 2022 were $30.9 million compared to cash flows used in operating activities of $9.3 million for the same period in 2021. The Company’s days sales outstanding were 44 days as of June 30, 2022.

During the quarter, the Company repaid $35.0 million in principal on its Term Loan B indebtedness. As of June 30, 2022, the Company had liquidity of $154.2 million, comprised of $24.4 million in cash and cash equivalents, and $129.8 million in available borrowing capacity under its revolving credit facility.

Transaction with Patient Square Capital

On July 21, 2022, the Company entered into an Agreement and Plan of Merger (the “Merger Agreement”) with Hero Parent, Inc., a Delaware corporation (“Parent”), and Hero Merger Sub, Inc., a Delaware corporation and a wholly owned subsidiary of Parent (“Merger Sub”). Parent and Merger Sub are indirect subsidiaries of funds managed and advised by Patient Square Capital, a dedicated health care investment firm. The Merger Agreement provides, among other things and subject to the terms and conditions set forth therein, that Merger Sub will be merged with and into the Company, with the Company surviving as a wholly-owned subsidiary of Parent (the “Merger”). At the Effective Time (as defined in the Merger Agreement), by virtue of the Merger, each share of common stock of the Company issued and outstanding immediately prior to the Effective Time will be converted automatically into the right to receive $18.75 per share in cash. After the Merger, Hanger’s common stock will no longer be traded on the New York Stock Exchange and will be deregistered under the Securities Exchange Act of 1934, as amended.

In light of this pending transaction, the Company will not be hosting an earnings call to discuss its results for the quarter and will not be providing or updating previously issued financial guidance.

Additional Notes

A reconciliation of GAAP and non-GAAP financial results is included in the tables provided at the back of this press release. The Company has provided certain supplemental key statistics relating to its results for certain prior periods. These key statistics are non-GAAP measures used by the Company’s management to analyze the Company’s business results that are being provided for informational and analytical context.

Accompanying supplemental information will be posted to the Investor Relations section of Hanger’s web site at investor.hanger.com.

About Hanger, Inc. – Headquartered in Austin, Texas, Hanger, Inc. (NYSE: HNGR) provides comprehensive, outcomes-based orthotic and prosthetic (O&P) services through its Patient Care segment, with approximately 875 Hanger Clinic locations nationwide. Through its Products & Services segment, Hanger distributes branded and private label O&P devices, products and components, and provides rehabilitative solutions. Recognized by Forbes as one of America’s Best Employers for 2022, and rooted in 160 years of clinical excellence and innovation, Hanger is a purpose-driven company with a vision to lead the O&P markets by providing superior patient care, outcomes, services and value, aimed at empowering human potential. For more information on Hanger, visit investor.hanger.com.

This earnings release contains statements that are forward-looking statements within the meaning of the federal securities laws. Forward-looking statements include information concerning our liquidity and our possible or assumed future results of operations, including descriptions of our business strategies. These statements often include words such as “believe,” “expect,” “project,” “potential,” “anticipate,” “intend,” “plan,” “estimate,” “seek,” “will,” “may,” “would,” “should,” “could,” “forecasts” or similar words. These statements are based on certain assumptions that we have made in light of our experience in the industry as well as our perceptions of historical trends, current conditions, expected future developments and other factors we believe are appropriate in these circumstances. We believe these assumptions are reasonable, but you should understand that these statements are not guarantees of performance or results, and our actual results could differ materially from those expressed in the forward-looking statements due to a variety of important factors, both positive and negative, that may be revised or supplemented in subsequent releases or reports. These statements involve risks, estimates, assumptions, and uncertainties that could cause actual results to differ materially from those expressed in these statements and elsewhere in this release. These uncertainties include, but are not limited to, the inability to consummate the Merger within the anticipated time period, or at all, due to any reason, including the failure to obtain required regulatory approvals, satisfy the other conditions to the consummation of the Merger or complete necessary financing arrangements; the risk that the Merger disrupts our current plans and operations or diverts management’s attention from its ongoing business; the effects of the Merger on our business, operating results, and ability to retain and hire key personnel and maintain relationships with customers, suppliers and others with whom we do business; the risk that our stock price may decline significantly if the Merger is not consummated; the nature, cost and outcome of any legal proceedings related to the Merger, the inability to consummate the Merger within the anticipated time period, or at all, due to any reason, including the failure to obtain required regulatory approvals, satisfy the other conditions to the consummation of the Merger or complete necessary financing arrangements; the risk that the Merger disrupts our current plans and operations or diverts management’s attention from its ongoing business; the effects of the Merger on our business, operating results, and ability to retain and hire key personnel and maintain relationships with customers, suppliers and others with whom we do business; the risk that our stock price may decline significantly if the Merger is not consummated; the nature, cost and outcome of any legal proceedings related to the Merger, the financial and business impacts of COVID-19 on our operations and the operations of our customers, suppliers, governmental and private payers and others in the healthcare industry and beyond; labor shortages and increased turnover in our employee base; contractual, inflationary and other general cost increases, including with regard to costs of labor, raw materials and freight; federal laws governing the health care industry; governmental policies affecting O&P operations, including with respect to reimbursement; failure to successfully implement a new enterprise resource planning system or other disruptions to information technology systems; the inability to successfully execute our acquisition strategy, including integration of recently acquired O&P clinics into our existing business; changes in the demand for our O&P products and services, including additional competition in the O&P services market; disruptions to our supply chain; our ability to enter into and derive benefits from managed-care contracts; our ability to successfully attract and retain qualified O&P clinicians; and other risks and uncertainties generally affecting the health care industry. For additional information and risk factors that could affect the Company, see its Form 10-K for the year ended December 31, 2021 and Quarterly Report on Form 10-Q for the three months ended March 31, 2022, each as filed with the Securities and Exchange Commission. The information contained in this press release is made only as of the date hereof, even if subsequently made available by the Company on its website or otherwise.

Additional Information and Where to Find It

This communication relates to the proposed merger (the “Merger”) of Hanger and Merger Sub pursuant to the terms of the Agreement and Plan of Merger, dated as of July 21, 2022, by and among Parent, Merger Sub and Hanger (the “Merger Agreement”). Parent and Merger Sub are indirect subsidiaries of funds managed and advised by Patient Square Capital. A special meeting of the stockholders of Hanger will be announced as promptly as practicable to seek stockholder approval in connection with the proposed Merger. Hanger has filed with the Securities and Exchange Commission (“SEC”) a preliminary proxy statement and other relevant documents in connection with the proposed Merger. Stockholders of Hanger are urged to read the definitive proxy statement and other relevant materials filed with the SEC when they become available because they will contain important information about Hanger, Parent, Merger Sub and the Merger. Stockholders may obtain a free copy of these materials (when they are available) and other documents filed by Hanger with the SEC at the SEC’s website at www.sec.gov, at Hanger’s website at http://corporate.hanger.com or by sending a written request to our Corporate Secretary at our principal executive offices at 10910 Domain Drive, Suite 300, Austin, Texas 78758.

Participants in the Solicitation

Hanger, its directors and certain of its executive officers and employees may be deemed to be participants in soliciting proxies from Hanger’s stockholders in connection with the Merger. Information regarding the persons who may, under the rules of the SEC, be considered to be participants in the solicitation of Hanger’s stockholders in connection with the Merger and any direct or indirect interests they have in the Merger will be set forth in Hanger’s definitive proxy statement for its special stockholder meeting when it is filed with the SEC. Information relating to the foregoing can also be found in Hanger’s Annual Report on Form 10-K for the year ended December 31, 2021 filed with the SEC on February 28, 2022 and Hanger’s definitive proxy statement for its 2022 Annual Meeting of Stockholders (the “Annual Meeting Proxy Statement”) filed with the SEC on April 7, 2022. To the extent that holdings of Hanger’s securities have changed since the amounts set forth in the Annual Meeting Proxy Statement, such changes have been or will be reflected on Statements of Change in Ownership on Form 4 filed with the SEC.

Table 1

Hanger, Inc.

Condensed Consolidated Statements of Operations

(Unaudited – in thousands, except share and per share amounts)

 

 

 

For the Three Months Ended
June 30,

 

For the Six Months Ended
June 30,

 

 

2022

 

2021

 

2022

 

2021

Net revenues

 

$

312,033

 

$

280,819

 

$

573,320

 

$

518,289

Material costs

 

 

98,433

 

 

89,271

 

 

184,025

 

 

164,441

Personnel costs

 

 

110,275

 

 

97,549

 

 

211,950

 

 

187,429

Other operating costs

 

 

38,970

 

 

32,788

 

 

75,138

 

 

64,286

General and administrative expenses

 

 

35,444

 

 

33,110

 

 

67,886

 

 

64,013

Depreciation and amortization

 

 

8,124

 

 

8,007

 

 

16,079

 

 

16,005

Income from operations

 

 

20,787

 

 

20,094

 

 

18,242

 

 

22,115

Interest expense, net

 

 

7,524

 

 

7,152

 

 

14,909

 

 

14,492

Non-service defined benefit plan expense

 

 

160

 

 

167

 

 

320

 

 

334

Income before income taxes

 

 

13,103

 

 

12,775

 

 

3,013

 

 

7,289

Provision for income taxes

 

 

2,986

 

 

2,616

 

 

873

 

 

460

Net income

 

$

10,117

 

$

10,159

 

$

2,140

 

$

6,829

 

 

 

 

 

 

 

 

 

Basic and diluted per common share data:

 

 

 

 

 

 

 

 

Basic earnings per share

 

$

0.26

 

$

0.26

 

$

0.05

 

$

0.18

Weighted average shares used to compute basic income per share

 

 

39,089,865

 

 

38,647,042

 

 

38,946,937

 

 

38,458,733

Diluted earnings per share

 

$

0.26

 

$

0.26

 

$

0.05

 

$

0.17

Weighted average shares used to compute diluted income per share

 

 

39,250,735

 

 

39,208,155

 

 

39,293,775

 

 

39,216,725

Table 2

Hanger, Inc.

Condensed Consolidated Balance Sheets

(Unaudited – in thousands)

 

 

 

As of June 30,

 

As of December 31,

 

 

2022

 

2021

ASSETS

 

 

 

 

Current assets:

 

 

 

 

Cash and cash equivalents

 

$

24,380

 

 

$

61,692

 

Accounts receivable, net

 

 

150,898

 

 

 

152,058

 

Inventories

 

 

88,018

 

 

 

87,462

 

Income taxes receivable

 

 

 

 

 

581

 

Other current assets

 

 

19,614

 

 

 

16,536

 

Total current assets

 

 

282,910

 

 

 

318,329

 

Non-current assets:

 

 

 

 

Property, plant, and equipment, net

 

 

81,015

 

 

 

82,434

 

Goodwill

 

 

377,164

 

 

 

363,554

 

Other intangible assets, net

 

 

25,147

 

 

 

25,892

 

Deferred income taxes

 

 

43,069

 

 

 

45,494

 

Operating lease right-of-use assets

 

 

139,009

 

 

 

144,491

 

Other assets

 

 

18,552

 

 

 

17,945

 

Total assets

 

$

966,866

 

 

$

998,139

 

 

 

 

 

 

TOTAL LIABILITIES AND SHAREHOLDERS’ EQUITY

 

 

Current liabilities:

 

 

 

 

Current portion of long-term debt

 

$

15,636

 

 

$

14,938

 

Accounts payable

 

 

67,651

 

 

 

63,565

 

Accrued expenses and other current liabilities

 

 

56,151

 

 

 

60,399

 

Accrued compensation related costs

 

 

56,795

 

 

 

54,465

 

Current portion of operating lease liabilities

 

 

34,326

 

 

 

33,438

 

Total current liabilities

 

 

230,559

 

 

 

226,805

 

 

 

 

 

 

Long-term liabilities:

 

 

 

 

Long-term debt, less current portion

 

 

465,022

 

 

 

502,307

 

Operating lease liabilities

 

 

117,230

 

 

 

124,016

 

Other liabilities

 

 

28,847

 

 

 

34,840

 

Total liabilities

 

 

841,658

 

 

 

887,968

 

 

 

 

 

 

Shareholders’ equity:

 

 

 

 

Common stock

 

 

393

 

 

 

389

 

Additional paid-in capital

 

 

376,717

 

 

 

373,644

 

Accumulated other comprehensive loss

 

 

(1,330

)

 

 

(11,150

)

Accumulated deficit

 

 

(249,876

)

 

 

(252,016

)

Treasury stock, at cost

 

 

(696

)

 

 

(696

)

Total shareholders’ equity

 

 

125,208

 

 

 

110,171

 

Total liabilities and shareholders’ equity

 

$

966,866

 

 

$

998,139

 

Table 3

Hanger, Inc.

Condensed Consolidated Statements of Cash Flows

(Unaudited – in thousands)

 

 

 

For the Six Months Ended
June 30,

 

 

2022

 

2021

Cash flows provided by (used in) operating activities:

 

 

 

 

Net income

 

$

2,140

 

 

$

6,829

 

Adjustments to reconcile net income to net cash provided by (used in) operating activities:

 

 

 

 

Depreciation and amortization

 

 

16,079

 

 

 

16,005

 

Benefit from doubtful accounts

 

 

(68

)

 

 

(292

)

Share-based compensation expense

 

 

6,504

 

 

 

6,418

 

Deferred income taxes

 

 

(734

)

 

 

232

 

Amortization of debt discounts and issuance costs

 

 

1,044

 

 

 

948

 

Gain on sale and disposal of fixed assets

 

 

(863

)

 

 

(718

)

Changes in operating assets and liabilities, net of acquisitions:

 

 

 

 

Accounts receivable, net

 

 

1,262

 

 

 

5,363

 

Inventories

 

 

309

 

 

 

(5,899

)

Other current assets and other assets

 

 

(2,197

)

 

 

(6,202

)

Income taxes

 

 

584

 

 

 

57

 

Accounts payable

 

 

4,597

 

 

 

(6,577

)

Accrued expenses and other current liabilities

 

 

1,606

 

 

 

(2,765

)

Accrued compensation related costs

 

 

2,284

 

 

 

(21,412

)

Other liabilities

 

 

(1,186

)

 

 

(522

)

Operating lease liabilities, net of amortization of right-of-use assets

 

 

(416

)

 

 

(780

)

Net cash provided by (used in) operating activities

 

 

30,945

 

 

 

(9,315

)

Cash flows used in investing activities:

 

 

 

 

Purchase of property, plant, and equipment

 

 

(10,596

)

 

 

(13,339

)

Acquisitions, net of cash acquired

 

 

(12,490

)

 

 

(35,349

)

Purchase of therapeutic program equipment leased to third parties under operating leases

 

 

(1,358

)

 

 

(870

)

Proceeds from sale of property, plant, and equipment

 

 

1,392

 

 

 

1,332

 

Net cash used in investing activities

 

 

(23,052

)

 

 

(48,226

)

Cash flows used in financing activities:

 

 

 

 

Payment of employee taxes on share-based compensation

 

 

(3,478

)

 

 

(4,560

)

Payment on Seller Notes

 

 

(5,000

)

 

 

(2,265

)

Repayment of term loan

 

 

(36,263

)

 

 

(2,525

)

Payments of financing lease obligations

 

 

(515

)

 

 

(529

)

Payments under vendor financing arrangements

 

 

 

 

 

(1,375

)

Proceeds from the exercise of options

 

 

51

 

 

 

371

 

Net cash used in financing activities

 

 

(45,205

)

 

 

(10,883

)

Decrease in cash and cash equivalents

 

 

(37,312

)

 

 

(68,424

)

Cash and cash equivalents at beginning of period

 

 

61,692

 

 

 

144,602

 

Cash and cash equivalents at end of period

 

$

24,380

 

 

$

76,178

 

Table 4

Hanger, Inc.

Segment Information: Revenue, EBITDA and Adjusted EBITDA

(Unaudited – in thousands)

EBITDA is defined as operating income before depreciation and amortization. Adjusted EBITDA is defined as EBITDA before certain charges, expenses associated with equity-based compensation, severance expenses, certain expenses incurred in connection with our acquisition strategy, including the pending Merger Agreement, proceeds received from grants under the Coronavirus Aid, Relief and Economy Security Act (“CARES Act”) and certain other charges.

We use EBITDA and Adjusted EBITDA as measures to assess the relative level of our indebtedness and our compliance with certain debt covenants which are based on these measures. Additionally, we utilize these measures to assess our operating and financial performance. We believe that these measures enhance a user’s understanding of normal operating income excluding certain charges, depreciation and amortization.

Neither EBITDA or Adjusted EBITDA are measures of financial performance computed in accordance with Generally Accepted Accounting Principles (“GAAP”) and should not be considered in isolation nor as a substitute for operating income, net income, cash flows from operations, or other statement of operations or cash flow data prepared in conformity with GAAP, or as a measure of profitability or liquidity. In addition, the calculation of EBITDA and Adjusted EBITDA is susceptible to varying interpretations and calculations, and the amounts presented may not be comparable to similarly titled measures of other companies. EBITDA and Adjusted EBITDA may not be indicative of historical operating results, and we do not intend these measures to be predictive of future results of operations.

 

 

For the Three Months Ended
June 30,

 

For the Six Months Ended
June 30,

 

 

2022

 

2021

 

2022

 

2021

 

 

 

 

 

 

 

 

 

Net Revenue (a)

 

 

 

 

 

 

 

 

Patient Care

 

$

265,670

 

 

$

236,787

 

 

$

485,488

 

 

$

432,469

 

Products & Services

 

 

46,363

 

 

 

44,032

 

 

 

87,832

 

 

 

85,820

 

Net revenue

 

$

312,033

 

 

$

280,819

 

 

$

573,320

 

 

$

518,289

 

 

 

 

 

 

 

 

 

 

EBITDA (b)

 

 

 

 

 

 

 

 

Patient Care

 

$

45,321

 

 

$

44,427

 

 

$

67,058

 

 

$

68,292

 

Products & Services

 

 

6,707

 

 

 

5,364

 

 

 

11,237

 

 

 

11,975

 

Corporate & Other

 

 

(23,117

)

 

 

(21,690

)

 

 

(43,974

)

 

 

(42,147

)

EBITDA (Non-GAAP)

 

$

28,911

 

 

$

28,101

 

 

$

34,321

 

 

$

38,120

 

 

 

 

 

 

 

 

 

 

Adjusted EBITDA (b)

 

 

 

 

 

 

 

 

Patient Care

 

$

47,791

 

 

$

44,845

 

 

$

70,850

 

 

$

69,793

 

Products & Services

 

 

7,095

 

 

 

5,647

 

 

 

11,950

 

 

 

12,517

 

Corporate & Other

 

 

(19,430

)

 

 

(19,517

)

 

 

(38,426

)

 

 

(37,791

)

Adjusted EBITDA (Non-GAAP)

 

$

35,456

 

 

$

30,975

 

 

$

44,374

 

 

$

44,519

 

 

 

 

 

 

 

 

 

 

(a) Excludes intersegment revenue.

(b) EBITDA and Adjusted EBITDA are “Non-GAAP” measures. Please refer to both Table 6 and Table 7 for a reconciliation of these measures to GAAP net income.

Table 5

Hanger, Inc.

Reconciliation of Net Income an

Contacts

Investor Relations Contact:

Asher Dewhurst

(443) 213-0503

[email protected]

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