Quipt Home Medical Corp.

As we carried out our strategic growth plan and future vision, fiscal 2022 has been another active and successful year for Quip, which included 37% year-over-year revenue growth and continued strong margin stability. For us, it goes without saying that offering a full range of end-to-end respiratory solutions is essential to maintaining our success and a significant growth factor in our key markets. Our objective to grow from a regional to a national at-home respiratory care provider is well underway and as we enter 2023, we are very enthusiastic about all of our progress. Above all, our primary goal continues to be to provide the best possible treatment to over 200,000 patients that currently make up our patient ecosystem. As we move towards a post-pandemic environment, We have placed a renewed emphasis on growing our sales team, and we are making meaningful progress with this initiative. During the peak of the pandemic, our sales activities were restricted by access restrictions in healthcare settings. We can now interact with our main sales touchpoints more actively, which we anticipate will fuel organic growth in the future. To that end, we are concentrated on regions with a high prevalence of COPD, focusing on hospitals with high readmission rates with the aim of obtaining patients sooner in their illness stage, which is a key factor to our overall growth plans. With a focus on our record-breaking fourth quarter and full year physical 2022 performance, on this call, I will update you on the regulatory landscape, which continues to be the best in over a decade. and the current supply chain environment and our core business, which continues to be strong. We are operating in an extremely bullish regulatory environment, which was most recently evident by the Medicare fee schedule adjustments resulting in a significant CPI increase for DME providers for calendar 2023 of 6.4 to 9.1%. The percentage depends on whether products serviced are competitive bidding program items or in former competitive bidding areas. This CPI adjustment is extremely meaningful for us in 2023, as we have seen margins stabilize and believe peak inflation has already run through our business to date. As a result, we believe that the CPI increase will have a materially favorable effect on our net income in calendar 2023. Moreover, starting in 2023, CMS has eased restrictions for home oxygen therapy by discontinuing the longstanding requirement for patients to obtain certificates of medical necessities, relieving the administrative burden for healthcare providers and providing better accessibility to patients. Additionally, access has been opened for patients who visit the emergency room setting and patients diagnosed with either chronic or acute respiratory conditions will now have coverage for home oxygen therapy. These changes are all excellent for our company. Finally, the underlying positive regulatory environment is anchored by the decision CMS has made to cancel the 2021 competitive bidding program for 13 product categories. The cancellation of this program has provided us with a clear margin outlook across our product mix and ensured our patient stability for the foreseeable future. We are glad to see these ongoing favorable regulatory improvements because the need for the home medical industry has never been greater. Turning to the supply chain environment, we expect to see major improvement in calendar 2023 with the expectation that exiting calendar Q1 We will be back to pre-pandemic supply levels. We saw steady and timely inventory allocations of sleep devices through fiscal Q4 and in real time in fiscal Q1 and continue to drive patient setups. This real-time development is anticipated to be a powerful tailwind and to significantly contribute to our organic growth in the upcoming year. Looking at the financial performance for our business, our team of operators once again delivered exceptional results, in particular, the robust margin profile maintained during this period of high inflation. In fiscal Q4, we saw revenue of $40.1 million, putting us on a run rate of over $160 million and bringing our total to $139.9 million for fiscal 2022. Once again, a 37% increase over fiscal 2021. We saw healthy operating cash flow, consistent bad debt expense, and our adjusted EBITDA margin was very strong at 20.9 for fiscal 2022 and 21% for fiscal Q4. This performance exemplifies our ability to aggressively scale and increase revenue through strategic acquisitions without compromising our billing capabilities and overall margin profiles. The infrastructure we currently have in place offers us the freedom to add locations to our platform as well as successfully integrate assets that have been purchased. Our strong team is focused on our continued growth and enables us to seize opportunities across all of our product categories and markets. We have once again had robust growth throughout the year focusing on the effective use of technology streamlining workflow procedures to increase operating effectiveness and expanding our comprehensive resupply program all of which continue to produce reliable results we have several opportunities to increase our geographic presence into appealing areas during 2023 thanks to our financial flexibility operational resilience, and the best regulatory environment we've experienced in well over a decade. In summary, QIPT has had an extraordinary year, reaching nearly $140 million in revenue, achieving over $29 million in adjusted EBITDAs, growing to 94 locations in 19 states, and surpassing 200,000 active patients, all while maintaining our impressive operating margins as we prepare for another year ahead We continue to be excited about what we have achieved to date and what the future holds, all while continuing to be laser focused on increasing shareholder value. With that commentary, I'd like to hand the call over to Hardik to discuss our fourth quarter and full year fiscal 2022 financial results. Thanks, Greg.

Here are some key highlights. Through the company's continued use of technology and centralized intake processes, Respiratory resupply setups and or deliveries increased to 231,495 for the year ended September 30, 2022, compared to 158,072 for the year ended September 30, 2021, an increase of 46.4%. The company's customer base increased 23% year-over-year to 173,203 unique patients served in fiscal year 2022 from 140,996 unique patients in fiscal year 2021. Compared to 364,367 unique setups deliveries in fiscal year 2021, the company completed 516,328 unique setups or deliveries in fiscal year 2022, an increase of 41.7%. Revenue for fiscal year 2022 was 139.9 million compared to 102.4 million for fiscal year 2021, representing a 36.7% increase in revenue year over year. Recurring revenue as of fiscal year 2022 continues to be strong and exceeds 77% of total revenue. Adjusted EBITDA for fiscal year 2022 was 29.2 million at 20.9% margin compared to adjusted EBITDA for fiscal year 2021 of 21.4 million, representing a 36.5% increase year over year. Net income for fiscal year 2022 was 4.8 million or positive 13 cents for fully diluted share compared to net income for fiscal year 2021 of a loss of 6.2 million or negative 20 cents for fully diluted share. Revenue for Q4 2022 was 40.1 million compared to 29.1 million for Q4 2021, representing a 37.8% increase in revenue year over year. Adjusted EBITDA for Q4 2022 was 8.4 million at 21% margin compared to 5.5 million for Q4 2021, representing a 54% increase. Adjusted EBITDA margin continues to be strong and in the midst of inflationary operating environment. Cash flow from continuing operations was 26.3 million for the year ended September 30, 2022, compared to $17.8 million for the year ended September 30, 2021. For fiscal year 2022, bad debt expense was at 8.7%. This exemplifies our ability to scale and add more revenue through add-on acquisitions without compromising our billing capabilities. Operating expense for the year ending September 2022 was 46.6% compared to 43.8%. the corresponding period in 2021. The company reported 8.5 million of cash on hand and total credit availability of 96.5 million as of September 30, 2022, with 11.5 million available towards the line of credit and 85 million available on DDTL. Current assets total more than 41.5 million compared to 41.7 million in net short-term liabilities. We take pride in the ongoing execution that is evident in the strength of our fourth quarter and full year fiscal 2022 performance. For our fiscal fourth quarter and fiscal full year, we have revenue of $40.1 million and $139.9 million, respectively. Full year adjusted EBITDA margins were also very strong at 20.9%. Given the present inflationary environments and the acquisitions made in fiscal 2022 that created a short-term lag to margin, we are very pleased with the margin stability and expect margins to improve further as calendar 2023 progresses. Additionally, we believe that the recent CPI adjustment announced will have a meaningful positive impact on our net income in calendar 2023. Through fiscal 2022, we have significantly improved our organizational capabilities, which includes adding fantastic new team members across key areas of the business. The ongoing operating results are very encouraging, and we believe we have created a strategy that regularly and successfully promotes growth. Our recurring revenue base has stayed tremendously robust at 77%, of our overall revenue base, which gives us additional security and consistency as it relates to our financial reporting. The scale we are gaining, combined with the powerful tailwinds, such as an increase in the number of Americans with various chronic illness and aging U.S. population, and the need for healthcare to be provided and monitored in the home, continues to enable us to produce consistently solid financial results. From an M&A perspective, during calendar 2022, we successfully completed five acquisitions, and in the fiscal fourth quarter, added Hometown Medical, which greatly enhanced our presence in the attractive state of Mississippi. The five acquisitions in calendar 2022 added over 45,000 active patients, $35 million in revenue, and over $7 million in additional adjusted EBITDA once integration is completed, which are all currently on schedule. On September 19th, we announced the closing of $110 million in senior secured credit facilities with CIT Bank, a division of First Citizens Bank and Trust Company. The senior secured credit facilities are comprised of a term loan facility in an aggregate principal amount of $5 million, a delayed draw term loan facility in an aggregate principal amount of $85 million, and a revolving credit facility in an aggregate principal amount of $20 million. The senior credit shows as another validation of our business strategy. In spite of rising inflation and supply chain constraints, our operational resilience has allowed us to maintain strength in our cash flow, margins, and revenue base. As we approach 2023 with ample financial resources, we are well positioned to continue to implement our growth and acquisition strategy and increase shareholder value. As we work towards our long-term objective of becoming a national provider of home healthcare in the United States, we continue to adhere to our strict criteria along with our integration processes, which has been the catalyst of our consistent revenue growth of over 35% displayed on an annual basis. As a healthcare organization with a concentration on respiratory treatment, we feel well insulated from any potential economic challenges given the nature of our business and sector. As Greg mentioned, our current acquisition pipeline and enhanced balance sheet provides us significant opportunity, and we anticipate being active as we move into 2023. Thank you, and with that update, I'll turn the call back to Greg.

Thanks, Hardik. QIPT is actively expanding across the country, completing hundreds of thousands of deliveries to more than 200,000 active patients with over 21,000 referring physicians across 19 states. In terms of revenue, we estimate QIPT is presently the fifth largest HME supplier in the United States. This gives us the scale and opportunity to find ways to grow our patient base and penetrate attractive markets. while continuing to streamline our operational platform. By carrying out the crucial elements of our growth strategy, such as making attractive acquisitions, investing in future organic growth development, and expanding our healthcare network across the nation, we anticipate continued momentum going into 2023. A major milestone achieved was the nationwide insurance contract from UnitedHealthcare, the biggest healthcare insurer in the country. As we continue on our aggressive growth strategy, this arrangement with UnitedHealth has greatly increased patient accessibility. With regard to securing additional national insurance contracts in early 2023, we have a high degree of confidence and we will keep collaborating with sizable commercial payers to help them comprehend the advantages of our robust patient-centric strategy for both patients and payers. We have the opportunity to take a land and expand approach to future growth thanks to our valued commercial insurance contracts and robust physician referral network and sizable patient base we have amassed. As we can see from the existing landscape, a substantial effort is being made to ensure that a patient is treated in a home care setting wherever possible. As a result, we will continue to focus on ascertaining the best ways to develop our connection with referral sources, which will continue to benefit our organization. Whether it is through the continuous usage of our automated ordering systems, revenue cycle management, or through our automated subscription-based resupply program, we continue to invest in technology to increase our operating efficiencies. These efforts help the business create long-term value and enable us to keep raising productivity levels. Furthermore, investments in our scalable connected healthcare platform fuel cash generation, targeted margin expansion, accretive acquisitions, and organic sales growth. Additionally, this helps promote compliance, enhances results, and increases patient engagement. Additionally, we may encourage early treatments, lower hospital stays, and track the effectiveness of treatment plans, all of which are advantageous to payers. I would now like to review with you the three components of our core growth strategy as we move into 2023. First, through our initiatives for organic growth, we are completely focused on increasing market share in a way that is both profitable and economically sound. This includes growing our sales team, which is how QIP reaches important touch points like hospitals, doctor's offices, and rehabilitation facilities. extending patient accessibility by signing additional national insurance contracts with significant payers in the U.S., expanding into synergistic product categories, providing numerous cross-selling opportunities across our existing and future patient population, considering opening brand-new locations to supplement the current infrastructure in all of our markets. Second, we will look to continue to deploy technology across the business to enhance operating results, This includes our robust respiratory resupply platform, which keeps us on the forefront of the market in terms of technology implementation and offers us excellent revenue synergies on the acquisition front. Strategic acquisitions make up a third element of our growth plan. We are searching for turnkey respiratory businesses that can easily be incorporated into our scalable platform. We are concentrating on economically building scale with the strategic objective of diversifying our payer base and growing our geographic reach into both new and existing states. We have the financial flexibility to execute on our acquisition pipeline, which should provide us with ample opportunities to continue to grow revenue, EBITDA, our patient base, and overall geographic reach. We expect to be active in 2023. Thanks to the reintroduction of in-person investor road shows and conferences, The company has been active in the capital markets front in 2022. This has been the first opportunity for U.S. investors to interact in person since the NASDAQ listing in May of 2021. Our amazing story has only just begun to be told, and we see many opportunities to broaden the caliber and geographic diversity of our shareholder base. We have already seen our institutional shareholder base increase as well as our overall U.S. ownership throughout 2022. As a healthcare organization with a concentration on respiratory treatment, we feel well insulated from any potential economic challenges given the nature of our business and sector. As we move into 2023, we will continue participating in important conferences and taking part in investor roadshows. As a fiscal Q4, we set at over $160 million in run rate revenue and over $33 million in run rate adjusted EBITDA. We are very confident in our aggressive growth trajectory as we move into 2023 and look forward to updating investors on our successful progress. When I consider how our business has developed, I am incredibly proud of the entire team for their perseverance and commitment to going above and beyond. The outcomes are the direct results of those efforts. We are continuing to strategically position the company for continuous strong growth and given the industry's bullish landscape, we must continue to be proactive in seizing the numerous possibilities that are currently available to us. We have all the tools necessary to carry out our aggressive expansion strategy thanks to our operational excellence and our pristine balance sheets, which includes are $110 million in senior credit facilities. We are extremely optimistic about what the future holds for QIPPED and our more than 200,000 patients we care for. Once again, I would like to take the moment to thank the entire QIPPED team for its tireless efforts and its stakeholders for all of their continued support.