Strategic Performance and Operational Drivers
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Reported GAAP revenue decline of $1 million primarily due to the strategic restructuring of the GE Healthcare biomedical services contract, which reduced revenue by $1.6 million but improved overall earnings by lowering direct contract expenses.
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Achieved 1.7% pro forma revenue growth when adjusting for the GE contract impact, supported by a 6.4% increase in Patient Services revenue.
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Wound Care revenue surged nearly 112% to $2.1 million, driven by the expansion of the compression device product line and the addition of a second supplier for adjustable compression wraps.
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Successfully launched the new Enterprise Resource Planning (ERP) system on March 1, 2026, marking a 20-month milestone to integrate disparate legacy workflows into a common platform.
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Device Solutions revenue decreased by 17%, with 70% of the drop attributed to the GE restructuring and the remainder impacted by a large customer rental buyout that elevated prior-year equipment sales.
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Management successfully replaced a portion of lost GE revenue through non-GE biomedical services, which grew by $340,000 and contributed to a 7% increase in device services gross margin.
Outlook and Strategic Assumptions
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Maintained pro forma annual revenue growth guidance of 6% to 8% for 2026, assuming the $7.1 million annual revenue reduction from the GE contract restructuring.
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Anticipate adjusted EBITDA margins to remain in the low to mid-20% range, inclusive of ongoing IT system upgrade costs.
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Expect ERP project expenses to begin tapering down after the second quarter of 2026 as the company moves from the go-live phase to stabilization and enhancement.
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Oncology RCM platform migration is scheduled for the second half of 2026, intentionally staggered to follow the ERP implementation to manage internal resource capacity.
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Projected capital expenditures for 2026 are expected to remain moderate and similar to 2025 levels as revenue growth shifts toward less capital-intensive sources like Wound Care.
Operational Risks and Structural Changes
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The first month of the ERP go-live was not entirely seamless, with management currently addressing initial bugs and process adjustments to stabilize the system.
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Experienced a significant increase in health care benefit costs, which rose by $374,000 during the quarter, representing a sharper increase than in prior years.
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The Chemo Mouthpiece (CMP) initiative was excluded from 2026 guidance after failing to receive the expected coding approval from CMS in early 2026.
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Gross margin was negatively impacted by approximately 2.5% due to cost inflation related to higher employee wage rates and health care expenses.
Q&A Session Highlights
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ERP implementation status and impact on working capital
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Management confirmed that while initial glitches occurred, they do not anticipate disruptions to billings, collections, or overall cash flow.
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Cost savings from the new system are expected to be more clearly articulated by year-end, with actual financial payback anticipated to begin in 2027.
Strategic shift and success in the lymphedema market
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Current success in the compression space is attributed to improved partnerships that provide cleaner referrals and necessary billing paperwork, which were missing in previous failed attempts.
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The Lymphedema Patient Treatment Act is providing a favorable regulatory tailwind for the compression device market.
Oncology customer ramp-up and contract volume timing
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New oncology accounts typically take a few months to fully transition as existing patients must often finish therapy cycles on their original devices before switching to InfuSystem equipment.
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The large customer signed in late 2025 is now largely onboarded and contributing to current volumes.
