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InfuSystem Holdings, Inc. Reports First Quarter Revenue of $17.2 Million and Net Profit of $0.03 per Share

Maintains 2014 Guidance of High Single Digit Revenue Growth

MADISON HEIGHTS, MI--(Marketwired - May 05, 2014) - InfuSystem Holdings, Inc. (NYSE MKT: INFU) ("InfuSystem" or the "Company"), a leading national provider of infusion pumps and related services for the healthcare industry in the United States, today reported that net income in the first quarter was $0.6 million, equal to $0.03 per diluted share, compared to $0.1 million, or $0.00 per diluted share, in the prior year period. Gross profit for the three months ending March 31, 2014, was $12.1 million, a 16% increase compared to the same prior year period.

Revenues in the first quarter of 2014 were $17.2 million, up $2.5 million, or 17%, from $14.7 million in the first quarter of 2013. During the period, net revenues from rentals increased 10% while net revenues from product sales increased 90% over the same period in 2013. During the first quarter of 2014, an opportunistic product sale of a particular pump at a low gross margin, resulted in $0.9 million in additional revenue, without which revenues from product sales would have increased 19% and total revenues would have increased 11% over the prior year period. The remaining increase in revenues was primarily related to the addition of larger customers and increased penetration into existing customer accounts, both in sales and rentals.

"First quarter results reflect solid across-the-board performance," stated Eric K. Steen, Chief Executive Officer. "Organic growth of pump rentals and infusion product sales are generating the cash necessary to enable investments in new IT systems that are expected to further accelerate current business gains. At the same time, we continue to gain meaningful traction in the pain management area. This is in large part fueled by recent investments in sales and marketing efforts," he added. 

Mr. Steen also commented on current Executive Chairman Ryan Morris, who will be assuming the role of Non-Executive Chairman following the Company's May 8 Annual Meeting of Stockholders. "Ryan was the inspiration and impetus for the transformational change that has taken place at InfuSystem since his successful activist-led team gained control a little more than two years ago. His efforts are reflected in today's far-stronger organization and significantly higher shareholder valuation. I look forward to his continuing contributions."

Selling, General and Administrative expenses ("SG&A") increased to $7.6 million from $7.4 million, up approximately 2%, when compared to the first quarter of 2013. During the period, $0.2 million in severance was paid as part of the Company's strategic efforts to reshape the management team. Furthermore, compared to the prior year, the Company increased its spending in information technology, product expansion and cash versus stock compensation while reducing other SG&A expenses.

Other expenses were consistent for the three months ended March 31, 2014 compared to the similar period in 2013; excluding the one-time cash receipt of $0.3 million related to a mutual insurance policy received in the prior year period.

"We are very pleased with these strong results to date," said Jonathan P. Foster, Chief Financial Officer. "They meaningfully support our efforts to reduce the overall cost of existing long-term debt. We anticipate announcing additional advances during the course of this year."

Operating Results
Gross profit for the three months ended March 31, 2014 was $12.1 million, an increase of 16%, compared to the same period in the prior year. It represented 70% of revenues in the current period compared to 71% in the prior year. Without the aforementioned opportunistic pump sale, gross profit for the current period would have been 74%.

During the first quarter of 2014, we reassessed the estimated useful life of certain property and equipment. As a result, the estimated useful life of our medical equipment was changed from five to seven years due to the determination that we were using these assets longer than originally anticipated. A major factor in this change was the servicing of such equipment by our Kansas facility, which was acquired in 2010. As a result, disposal of such equipment has decreased significantly since that acquisition.

The change in the estimated useful lives of our medical equipment was accounted for as a change in accounting estimate, on a prospective basis, effective January 1, 2014. The change in estimated useful lives resulted in $0.5 million in less depreciation expense for the quarter ended March 31, 2014 than otherwise would have been recorded. As a result, cost of revenues in the current period is $0.5 million less than the same prior year period.

Selling and marketing expenses were $2.7 million compared to $2.4 million for the three months ended March 31, 2013. The increase in selling and marketing expenses was mainly attributed to increased commissions based on higher revenue for the comparable periods.

During the three months ended March 31, 2014, general and administrative ("G&A") expenses were $4.9 million compared to $5.0 million for the same prior year period. This maintaining of previous G&A spending levels is due to an increase during the current period in severance costs of $0.2 million, information technology ("IT") costs of $0.1 million, product services of $0.1 million and cash versus stock compensation of $0.1 million offset by a decrease in other G&A expenses by $0.1 million. In the prior year period, the Company experienced certain expenses of $0.3 million associated with a CEO search, the final Severance Payment made to the former CEO, and a one-time payment to an exiting Board member. G&A expenses have decreased from 34% to 28% of revenues for the first quarter of 2014 compared to the same period in the prior year.

Adjusted EBITDA was $3.3 million for the first quarter of 2014 compared to $3.7 million in 2013, which included $0.3 million for a one-time cash receipt related to a mutual insurance policy. The Company utilizes Adjusted EBITDA as a means to measure its operating performance. A reconciliation from Adjusted EBITDA, a non-GAAP measure, to net income can be found in the appendix.

"We are very pleased with maintaining strong EBITDA while investing in IT and new product services," said Jonathan P. Foster, Chief Financial Officer. He continued, "Total debt in the period increased slightly due to our $1.3 million investment in medical equipment in service within the current period, which was needed to support our rental revenue growth."

Financial Condition
Net cash used in operations for the three months ended March 31, 2014 was $0.6 million compared to cash generated of $1.6 million for the prior year period. The decrease in cash is primarily due to increases in accounts receivable in 2014. The cash flow effect from this change in accounts receivable is a decrease of $0.8 million more than the decrease in the same quarter last year. Additionally, operating cash flow decreased due to a significant decrease of $1.8 million in accounts payable and other current liabilities.

As of March 31, 2014, we had cash and cash equivalents of $0.5 million and $6.2 million of availability on the Credit Facility compared to $1.1 million and $5.9 million, respectively, at December 31, 2013.

The Company maintained 2014 Guidance of high single digit revenue growth.

Conference Call
The Company will conduct a conference call for investors on Monday, May 5, 2014 at 9:00 a.m. Eastern Daylight Time to discuss first quarter performance and results. Eric K. Steen, Chief Executive Officer, and Jonathan P. Foster, Chief Financial Officer, will discuss the Company's financial performance and answer questions from the financial community. To participate in this call, please dial in toll-free (800) 447-0521 and use the confirmation number 37157235.

Non-GAAP Measures
This press release contains information prepared in conformity with GAAP as well as non-GAAP information. It is management's intent to provide non-GAAP financial information to enhance understanding of its consolidated financial information as prepared in accordance with GAAP. This non-GAAP information should be considered by the reader in addition to, but not instead of, the financial statements prepared in accordance with GAAP. Each non-GAAP financial measure and the corresponding GAAP financial measure are presented so as to not imply that more emphasis should be placed on the non-GAAP measure. The non-GAAP financial information presented may be determined or calculated differently by other companies. Additional information about non-GAAP financial measures and a reconciliation of those measures to the most directly comparable GAAP measures are included later in this release.

About InfuSystem Holdings, Inc.
InfuSystem Holdings, Inc. is a leading provider of infusion pumps and related services to hospitals, oncology practices and other alternate site healthcare providers. Headquartered in Madison Heights, Michigan, the Company delivers local, field-based customer support and also operates Centers of Excellence in Michigan, Kansas, California, Texas and Ontario, Canada. The Company's stock is traded on the NYSE MKT under the symbol INFU.

Forward-Looking Statements
This press release contains "forward-looking statements" within the meaning of the safe harbor provisions of the U.S. Private Securities Litigation Reform Act of 1995, Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. Forward-looking statements can be identified by words such as: "anticipate," "continue," "intend," "plan," "goal," "seek," "believe," "project," "estimate," "expect," "strategy," "future," "likely," "may," "should," "will" and similar references to future periods. Forward-looking statements are neither historical facts nor assurances of future performance. Instead, they are based only on the Company's current beliefs, expectations and assumptions regarding the future of its business, future plans and strategies, projections, anticipated events and trends, the economy and other future conditions. Because forward-looking statements relate to the future, they are subject to inherent uncertainties, risks and changes in circumstances that are difficult to predict and many of which are outside of the Company's control. Actual results and financial condition may differ materially from those indicated in the forward-looking statements. Therefore, you should not rely on any of these forward-looking statements. Important factors that could cause the Company's actual results and financial condition to differ materially from those indicated in the forward-looking statements include, among others, the Company's expectations regarding financial condition or results of operations in future periods; the Company's expectations regarding potential legislative and regulatory changes impacting, among other things, the level of reimbursement received from the Medicare and state Medicaid programs including CMS competitive bidding; the Company's expectations regarding the size and growth of the market for its products and services; the Company's ability to execute its business strategies to grow its business, including its ability to introduce new products and services; the Company's ability to hire and retain key employees; the Company's ability to remain in compliance with its credit facility; the Company's dependence on its Medicare Supplier Number; changes in third-party reimbursement processes and rates; availability of chemotherapy drugs used in the Company's infusion pump systems; physicians' acceptance of infusion pump therapy over alternative therapies; the Company's dependence on a limited number of third party payors; the Company's ability to maintain relationships with health care professionals and organizations; the adequacy of the Company's allowance for doubtful accounts; the Company's ability to comply with changing health care regulations; sequestration; natural disasters affecting the Company, its customers or its suppliers; industry competition; the Company's ability to implement information technology improvements and to respond to technological changes; dependence upon the Company's suppliers; and such other factors as discussed in Part I, Item 1A. Risk Factors of the Company's Annual Report on Form 10-K for the year ended December 31, 2013. Any forward-looking statement contained in this press release is based only on information currently available to the Company and speaks only as of the date on which it is made. The Company undertakes no obligation to publicly update any forward-looking statement, whether written or oral, that may be made from time to time, whether as a result of new information, future developments or otherwise.

Additional information about InfuSystem Holdings, Inc. is available at


                INFUSYSTEM HOLDINGS, INC. AND SUBSIDIARIES                  
                   CONDENSED CONSOLIDATED BALANCE SHEETS                    
                                                   March 31,   December 31, 
(in thousands, except share data)                    2014          2013     
                                                 ------------  ------------ 
Current Assets:                                                             
  Cash and cash equivalents                      $        496  $      1,138 
  Accounts receivable, less allowance for                                   
   doubtful accounts of $5,875 and $4,774 at                                
   March 31, 2014 and December 31, 2013,                                    
   respectively                                        12,099        10,697 
  Inventory                                             1,398         1,234 
  Other current assets                                    714           518 
  Deferred income taxes                                 2,296         2,296 
                                                 ------------  ------------ 
    Total Current Assets                               17,003        15,883 
Medical equipment held for sale or rental               2,955         3,664 
Medical equipment in rental service, net of                                 
 accumulated depreciation                              15,405        14,438 
Property & equipment, net of accumulated                                    
 depreciation                                             915           872 
Deferred debt issuance costs, net                       1,661         1,817 
Intangible assets, net                                 24,075        24,182 
Deferred income taxes                                  15,998        16,300 
Other assets                                              238           217 
                                                 ------------  ------------ 
  Total Assets                                   $     78,250  $     77,373 
                                                 ============  ============ 
LIABILITIES AND STOCKHOLDERS' EQUITY                                        
Current Liabilities:                                                        
  Accounts payable                               $      5,153  $      4,736 
  Current portion of long-term debt                     5,305         5,118 
  Other current liabilities                             2,479         3,187 
                                                 ------------  ------------ 
    Total Current Liabilities                          12,937        13,041 
Long-term debt, net of current portion                 21,864        21,609 
                                                 ------------  ------------ 
  Total Liabilities                              $     34,801  $     34,650 
                                                 ------------  ------------ 
Stockholders' Equity                                                        
Preferred stock, $.0001 par value: authorized                               
 1,000,000 shares; none issued                              -             - 
Common stock, $.0001 par value: authorized                                  
 200,000,000 shares; issued and outstanding                                 
 22,195,958 and 21,998,268, respectively, as of                             
 March 31, 2014 and 22,158,041 and 21,960,351,                              
 respectively, as of December 31, 2013                      2             2 
Additional paid-in capital                             89,925        89,783 
Retained deficit                                      (46,478)      (47,062)
                                                 ------------  ------------ 
Total Stockholders' Equity                             43,449        42,723 
                                                 ------------  ------------ 
  Total Liabilities and Stockholders' Equity     $     78,250  $     77,373 
                                                 ============  ============ 
                INFUSYSTEM HOLDINGS, INC. AND SUBSIDIARIES                  
                                                     Three Months Ended     
                                                          March 31,         
(in thousands, except share and per share data)      2014          2013     
                                                 ------------  ------------ 
Net revenues:                                                               
  Rentals                                        $     14,850  $     13,445 
  Product sales                                         2,392         1,256 
                                                 ------------  ------------ 
    Net revenues                                       17,242        14,701 
Cost of revenues:                                                           
  Cost of revenues - Product, service and supply                            
   costs                                                2,890         2,579 
  Cost of revenues - Pump depreciation and loss                             
   on disposal                                          2,276         1,699 
                                                 ------------  ------------ 
Gross profit                                           12,076        10,423 
                                                 ------------  ------------ 
Selling, general and administrative expenses:                               
  Provision for doubtful accounts                       2,107         1,660 
  Amortization of intangibles                             629           672 
  Selling and marketing                                 2,655         2,408 
  General and administrative                            4,909         5,031 
                                                 ------------  ------------ 
    Total selling, general and administrative:         10,300         9,771 
                                                 ------------  ------------ 
Operating income                                        1,776           652 
Other income (expense):                                                     
  Interest expense                                       (827)         (874)
  Other income                                            (17)          312 
                                                 ------------  ------------ 
    Total other expense                                  (844)         (562)
                                                 ------------  ------------ 
Income before income taxes                                932            90 
Income tax expense                                       (349)          (39)
                                                 ------------  ------------ 
Net income                                       $        583  $         51 
                                                 ============  ============ 
Net income per share:                                                       
      Basic                                      $       0.03  $       0.00 
      Diluted                                    $       0.03  $       0.00 
Weighted average shares outstanding:                                        
      Basic                                        21,972,739    21,802,515 
      Diluted                                      22,456,143    22,238,160 
                INFUSYSTEM HOLDINGS, INC. AND SUBSIDIARIES                  
                                                     Three Months Ended     
                                                          March 31,         
(in thousands)                                       2014          2013     
                                                 ------------  ------------ 
NET CASH (USED IN) PROVIDED BY OPERATING                                    
 ACTIVITIES                                      $       (636) $      1,632 
                                                 ------------  ------------ 
INVESTING ACTIVITIES                                                        
  Purchases of medical equipment and property          (1,127)       (1,777)
  Proceeds from sale of medical equipment and                               
   property                                             1,252         1,093 
                                                 ------------  ------------ 
NET CASH PROVIDED BY (USED IN) INVESTING                                    
 ACTIVITIES                                               125          (684)
                                                 ------------  ------------ 
FINANCING ACTIVITIES                                                        
  Principal payments on term loans and capital                              
   lease obligations                                  (14,394)       (2,802)
  Cash proceeds from bank loans and revolving                               
   credit facility                                     14,263             - 
                                                 ------------  ------------ 
NET CASH USED IN FINANCING ACTIVITIES                    (131)       (2,802)
                                                 ------------  ------------ 
Net change in cash and cash equivalents                  (642)       (1,854)
Cash and cash equivalents, beginning of period          1,138         2,326 
                                                 ------------  ------------ 
Cash and cash equivalents, end of period         $        496  $        472 
                                                 ============  ============ 
                 INFUSYSTEM HOLDINGS, INC. AND SUBSIDIARIES                 
                            GAAP RECONCILIATION                             
                                                         Three Months Ended 
                                                              March 31,     
(in thousands)                                             2014      2013   
                                                         --------- ---------
Net income (loss)                                        $     583 $      51
  Interest Expense                                             827       874
  Income Tax Benefit                                           349        39
  Depreciation                                                 798     1,302
  Amortization                                                 629       672
                                                         --------- ---------
EBITDA                                                   $   3,186 $   2,938 
Stock compensation                                             142       458
Transition costs                                                 -       272
                                                         --------- ---------
EBITDA - Adjusted                                        $   3,328 $   3,668 
                                                         ========= =========

Rob Swadosh
The Dilenschneider Group

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