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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
(Mark One)
| | | | | |
x | Quarterly Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 for the quarterly period ended March 31, 2024 |
or
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o | Transition Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 for the transition period from to |
Commission File Number: 001-40361
AGILITI, INC.
(Exact name of registrant as specified in its charter)
| | | | | | | | |
Delaware | 11095 Viking Drive | 83-1608463 |
(State or other jurisdiction of | Eden Prairie, Minnesota 55344 | (I.R.S. Employer |
incorporation or organization) | (Address of principal executive offices, including zip code) | Identification No.) |
(952) 893-3200
(Registrant’s telephone number, including area code)
Securities registered pursuant to Section 12(b) of the Act:
| | | | | | | | |
Title of each class | Trading Symbol | Name of each exchange on which registered |
Common Stock, par value $0.0001 | AGTI | The New York Stock Exchange |
Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes x No o
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes x No o
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
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| Large accelerated filer | o | Accelerated filer | x |
| Non-accelerated filer | o | Smaller reporting company | o |
| | | Emerging growth company | o |
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. o
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes o No x
Number of shares of common stock outstanding as of May 2, 2024: 136,293,374
Agiliti, Inc. and Subsidiaries
Table of Contents
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ITEM 5. | Other Information | |
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PART I - FINANCIAL INFORMATION
Item 1. Consolidated Financial Statements — Unaudited.
Agiliti, Inc. and Subsidiaries
Consolidated Balance Sheets
(in thousands, except share and per share information)
(unaudited)
| | | | | | | | | | | | | | |
| | March 31, 2024 | | December 31, 2023 |
Assets | | | | |
Current assets: | | | | |
Cash and cash equivalents | | $ | 5,373 | | | $ | 20,037 | |
Accounts receivable, less allowance for credit losses of $4,295 as of March 31, 2024 and $6,236 as of December 31, 2023 | | 246,344 | | | 215,684 | |
Inventories | | 86,006 | | | 74,484 | |
Prepaid expenses | | 17,327 | | | 20,231 | |
Other current assets | | 8,334 | | | 7,307 | |
Total current assets | | 363,384 | | | 337,743 | |
Property and equipment, net | | 295,693 | | | 292,684 | |
Goodwill | | 1,239,432 | | | 1,239,432 | |
Operating lease right-of-use assets | | 76,804 | | | 78,157 | |
Other intangibles, net | | 411,810 | | | 430,002 | |
Other | | 21,149 | | | 20,926 | |
Total assets | | $ | 2,408,272 | | | $ | 2,398,944 | |
Liabilities and Equity | | | | |
Current liabilities: | | | | |
Current portion of long-term debt | | $ | 26,281 | | | $ | 18,468 | |
Current portion of operating lease liability | | 25,362 | | | 25,603 | |
Current portion of obligation under tax receivable agreement | | 1,862 | | | 12,796 | |
Accounts payable | | 67,709 | | | 58,518 | |
Accrued compensation | | 37,699 | | | 28,866 | |
Accrued interest | | 21,363 | | | 21,451 | |
Other current liabilities | | 35,902 | | | 30,906 | |
Total current liabilities | | 216,178 | | | 196,608 | |
Long-term debt, less current portion | | 1,059,377 | | | 1,061,062 | |
Obligation under tax receivable agreement, pension and other long-term liabilities | | 9,723 | | | 10,467 | |
Operating lease liability, less current portion | | 62,819 | | | 63,765 | |
Deferred income taxes, net | | 120,142 | | | 126,219 | |
Commitments and contingencies (Note 8) | | | | |
Equity: | | | | |
Common stock, $0.0001 par value; 500,000,000 shares authorized; 136,081,290 and 135,368,025 shares issued; 136,081,290 and 135,352,336 shares outstanding as of March 31, 2024 and December 31, 2023, respectively | | 14 | | | 14 | |
Treasury stock, at cost; — and 54,256 shares as of March 31, 2024 and December 31, 2023, respectively | | — | | | (419) | |
Additional paid-in capital | | 975,492 | | | 972,156 | |
Accumulated deficit | | (40,306) | | | (33,699) | |
Accumulated other comprehensive income | | 4,531 | | | 2,505 | |
Total Agiliti, Inc. and Subsidiaries equity | | 939,731 | | | 940,557 | |
Noncontrolling interest | | 302 | | | 266 | |
Total equity | | 940,033 | | | 940,823 | |
Total liabilities and equity | | $ | 2,408,272 | | | $ | 2,398,944 | |
The accompanying notes are an integral part of the unaudited consolidated financial statements.
Agiliti, Inc. and Subsidiaries
Consolidated Statements of Operations
(in thousands, except share and per share information)
(unaudited)
| | | | | | | | | | | | | | |
| | Three Months Ended March 31, |
| | 2024 | | 2023 |
Revenue | | $ | 302,751 | | | $ | 299,904 | |
Cost of revenue | | 203,542 | | | 190,530 | |
Gross margin | | 99,209 | | | 109,374 | |
Selling, general and administrative expense | | 84,025 | | | 88,837 | |
Operating income | | 15,184 | | | 20,537 | |
Interest expense | | 22,918 | | | 15,831 | |
Income (loss) before income taxes and noncontrolling interest | | (7,734) | | | 4,706 | |
Income tax (benefit) expense | | (1,218) | | | 1,656 | |
Consolidated net income (loss) | | (6,516) | | | 3,050 | |
Net income attributable to noncontrolling interest | | 91 | | | 37 | |
Net income (loss) attributable to Agiliti, Inc. and Subsidiaries | | $ | (6,607) | | | $ | 3,013 | |
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Basic income (loss) per share | | $ | (0.05) | | | $ | 0.02 | |
Diluted income (loss) per share | | $ | (0.05) | | | $ | 0.02 | |
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Weighted-average common shares outstanding: | | | | |
Basic | | 135,664,208 | | | 133,850,124 | |
Diluted | | 135,664,208 | | | 139,293,662 | |
The accompanying notes are an integral part of the unaudited consolidated financial statements.
Agiliti, Inc. and Subsidiaries
Consolidated Statements of Comprehensive (Loss) Income
(in thousands)
(unaudited)
| | | | | | | | | | | | | | |
| | Three Months Ended March 31, |
| | 2024 | | 2023 |
Consolidated net income (loss) | | $ | (6,516) | | $ | 3,050 |
Other comprehensive income (loss): | | | | |
(Loss) on minimum pension liability, net of tax of $5 and $12 | | (15) | | (35) |
Gain (loss) on cash flow hedge, net of tax benefit (expense) of $(695) and $1,375 | | 2,041 | | (3,967) |
Total other comprehensive (loss) income | | 2,026 | | (4,002) |
Comprehensive (loss) | | (4,490) | | (952) |
Comprehensive income attributable to noncontrolling interest | | 91 | | 37 |
Comprehensive (loss) attributable to Agiliti, Inc. and Subsidiaries | | $ | (4,581) | | $ | (989) |
The accompanying notes are an integral part of the unaudited consolidated financial statements.
Agiliti, Inc. and Subsidiaries
Consolidated Statements of Equity
(in thousands)
(unaudited)
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | Common Stock | | Treasury Stock | | Additional Paid-in Capital | | Accumulated Deficit | | Accumulated Other Comprehensive Income (Loss) | | Total Agiliti, Inc. and Subsidiaries | | Noncontrolling Interests | | Total Equity (Deficit) |
Balance as of December 31, 2023 | | $ | 14 | | $ | (419) | | $ | 972,156 | | $ | (33,699) | | | $ | 2,505 | | $ | 940,557 | | $ | 266 | | $ | 940,823 |
Net income (loss) | | — | | — | | — | | (6,607) | | — | | (6,607) | | 91 | | (6,516) |
Other comprehensive income | | — | | — | | — | | — | | 2,026 | | 2,026 | | — | | 2,026 |
Reissuance of treasury stock | | — | | 419 | | (419) | | — | | — | | — | | — | | — |
Share-based compensation expense | | — | | — | | 4,513 | | — | | — | | 4,513 | | — | | 4,513 |
Stock options exercised | | — | | — | | 1,150 | | — | | — | | 1,150 | | — | | 1,150 |
Shares forfeited for taxes | | — | | — | | | (1,908) | | | — | | | — | | | (1,908) | | | — | | (1,908) | |
Cash distributions to noncontrolling interests | | — | | — | | — | | — | | — | | — | | (55) | | | (55) | |
Balance as of March 31, 2024 | | $ | 14 | | $ | — | | $ | 975,492 | | $ | (40,306) | | $ | 4,531 | | $ | 939,731 | | $ | 302 | | $ | 940,033 |
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Balance as of December 31, 2022 | | $ | 13 | | $ | — | | $ | 953,046 | | $ | (14,274) | | | $ | 7,343 | | | $ | 946,128 | | $ | 197 | | $ | 946,325 |
Net income | | — | | — | | — | | 3,013 | | — | | 3,013 | | 37 | | 3,050 |
Other comprehensive (loss) | | — | | — | | — | | — | | (4,002) | | (4,002) | | — | | (4,002) |
Share-based compensation expense | | — | | — | | 6,727 | | — | | — | | 6,727 | | — | | 6,727 |
Stock options exercised | | — | | — | | 469 | | — | | — | | 469 | | — | | 469 |
Shares forfeited for taxes | | — | | — | | (5,314) | | — | | — | | (5,314) | | — | | (5,314) |
Cash distributions to noncontrolling interests | | — | | — | | — | | — | | — | | — | | (57) | | | (57) | |
Balance as of March 31, 2023 | | $ | 13 | | $ | — | | $ | 954,928 | | $ | (11,261) | | $ | 3,341 | | $ | 947,021 | | $ | 177 | | $ | 947,198 |
The accompanying notes are an integral part of the unaudited consolidated financial statements.
Agiliti, Inc. and Subsidiaries
Consolidated Statements of Cash Flows
(in thousands)
(unaudited)
| | | | | | | | | | | | | | |
| | Three Months Ended March 31, |
| | 2024 | | 2023 |
Cash flows from operating activities: | | | | |
Consolidated net income (loss) | | $ | (6,516) | | | $ | 3,050 | |
Adjustments to reconcile net income to net cash provided by operating activities: | | | | |
Depreciation | | 20,980 | | | 19,620 | |
Amortization | | 20,675 | | | 23,473 | |
Remeasurement of tax receivable agreement | | 267 | | | — | |
Provision for credit losses (gains) | | (1,371) | | | 404 | |
Provision for inventory obsolescence | | 945 | | | 789 | |
Non-cash share-based compensation expense | | 4,238 | | | 6,889 | |
Gain on sales and disposals of equipment | | (279) | | | (751) | |
Deferred income taxes | | (6,767) | | | (4,229) | |
Changes in operating assets and liabilities: | | | | |
Accounts receivable | | (28,877) | | | (15,497) | |
Inventories | | (12,467) | | | (4,399) | |
Other operating assets | | 5,431 | | | 3,930 | |
Accounts payable | | 7,386 | | | 7,935 | |
Accrued and other operating liabilities | | 10,117 | | | 13,682 | |
Net cash provided by operating activities | | 13,762 | | | 54,896 | |
Cash flows from investing activities: | | | | |
Medical equipment purchases | | (11,870) | | | (12,128) | |
Property and office equipment purchases | | (6,674) | | | (6,734) | |
Proceeds from disposition of property and equipment | | 806 | | | 1,033 | |
Intangible asset purchases | | (27) | | | — | |
Net cash used in investing activities | | (17,765) | | | (17,829) | |
Cash flows from financing activities: | | | | |
Proceeds under debt arrangements | | 70,000 | | | 87,000 | |
Payments under debt arrangements | | (65,688) | | | (82,849) | |
Payments of principal under finance lease liability | | (2,351) | | | (2,297) | |
Payments of deferred financing costs | | (871) | | | — | |
Payments under tax receivable agreement | | (10,938) | | | (24,822) | |
Distributions to noncontrolling interests | | (55) | | | (57) | |
Proceeds from exercise of stock options | | 1,150 | | | 469 | |
Dividend and equity distribution payment | | — | | | (321) | |
Shares forfeited for taxes | | (1,908) | | | (5,314) | |
Net cash used in financing activities | | (10,661) | | | (28,191) | |
Net change in cash and cash equivalents | | (14,664) | | | 8,876 | |
Cash and cash equivalents at the beginning of period | | 20,037 | | | 5,577 | |
Cash and cash equivalents at the end of period | | $ | 5,373 | | | $ | 14,453 | |
| | | | |
Supplemental cash flow information: | | | | |
Interest paid | | $ | 22,050 | | | $ | 14,622 | |
Income taxes paid | | 88 | | | 39 | |
The accompanying notes are an integral part of the unaudited consolidated financial statements.
Agiliti, Inc. and Subsidiaries
CONDENSED NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(Unaudited)
1. Basis of Presentation
Description of Business
Agiliti, Inc. and its consolidated subsidiaries (Federal Street Acquisition Corp (“FSAC”), Agiliti Holdco, Inc. and Agiliti Health, Inc. and subsidiaries (the “Company” or “Agiliti”)) is a nationwide provider of healthcare technology management and service solutions to the United States healthcare industry. Agiliti, Inc. owns 100% of FSAC. FSAC owns 100% of Agiliti Holdco, Inc. Agiliti Holdco, Inc. owns 100% of Agiliti Health, Inc. Agiliti Health, Inc. owns 100% of Agiliti Surgical, Inc., Agiliti Imaging, Inc., Agiliti Surgical Equipment Repair, Inc., Sizewise Rentals, LLC, and Agiliti Financing, LLC. Agiliti Financing, LLC owns 100% of Agiliti Receivables LLC. Agiliti Health, Inc. and subsidiaries are the only entities with operations. All other entities have no material assets, liabilities, cash flows or operations other than their investment and ownership of Agiliti Health, Inc. and subsidiaries.
The Merger Agreement
On February 26, 2024, the Company, entered into an Agreement and Plan of Merger (the “Merger Agreement”) by and among the Company, Apex Intermediate Holdco, Inc., a Delaware corporation (“Parent”), and Apex Merger Sub, Inc., a Delaware corporation and a direct wholly owned subsidiary of Parent (“Merger Sub”), pursuant to which, subject to the satisfaction or waiver of certain conditions and on the terms set forth therein, Merger Sub will merge (the “Merger”) with and into the Company, with the Company continuing as the surviving corporation (the “Surviving Corporation”). Parent and Merger Sub are affiliates of THL Agiliti LLC, an affiliate of Thomas H. Lee Partners, L.P. (“THL”) and the holder of a majority of the outstanding capital stock of the Company (the “Significant Company Stockholder”). Capitalized terms used herein but not otherwise defined have the meaning set forth in the Merger Agreement.
Merger Consideration
Pursuant to the Merger Agreement, at the effective time of the Merger (the “Effective Time”), each share of common stock, $0.0001 par value per share, of the Company (the “Shares” and each a “Share”) issued and outstanding immediately prior to the Effective Time (other than (i) Shares owned directly or indirectly by the Significant Company Stockholder, Parent or Merger Sub or any of their respective Subsidiaries (each such Share referred to in clause (i), a “Significant Company Stockholder Share” and, collectively, the “Significant Company Stockholder Shares”), (ii) the Rollover Shares (defined below) and (iii) Shares owned by the Company as treasury stock (each such Share referred to in clause (iii), an “Excluded Share” and, collectively, the “Excluded Shares”) and (iv) Shares that are owned by stockholders who have perfected and not withdrawn a demand for appraisal rights in accordance with Section 262 of the DGCL (“Dissenting Stockholders”)), shall be converted into the right to receive $10.00 per Share in cash, without interest thereon (the “Merger Consideration”).
Refer to the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on February 26, 2024 for additional information regarding the Company’s entry into the Merger Agreement.
Basis of Presentation
The interim consolidated financial statements have been prepared by the Company without audit. Certain disclosures normally included in consolidated financial statements prepared in accordance with accounting principles generally accepted in the United States of America (“GAAP”) have been condensed or omitted. As such, the information included in this Quarterly Report on Form 10-Q should be read in conjunction with the audited consolidated financial statements and the related notes thereto in the Company’s Annual report on Form 10-K for the year ended December 31, 2023 filed with the Securities and Exchange Commission (“SEC”) on March 6, 2024 (“2023 Form 10-K Report”).
The interim consolidated financial statements presented herein as of March 31, 2024, reflect, in the opinion of management, all adjustments necessary for a fair presentation of the financial position, results of operations, comprehensive income, equity and cash flows for the periods presented. These adjustments are all of a normal, recurring nature. The results of operations for any interim period are not necessarily indicative of results for the full year.
The Company is required to make estimates and assumptions about future events in preparing consolidated financial statements in conformity with GAAP. These estimates and assumptions affect the amounts of assets, liabilities, revenue
and expenses at the date of the unaudited consolidated financial statements. While the Company believes that the past estimates and assumptions have been materially accurate, its current estimates are subject to change if different assumptions are utilized to predict the outcome of future events. The Company evaluates its estimates and judgments on an ongoing basis and predicate those estimates and judgments on historical experience and on various other factors that it believes to be reasonable under the circumstances. The Company makes adjustments to its assumptions and judgments when facts and circumstances dictate. Since future events and their effects cannot be determined with absolute certainty, actual results may differ from the estimates used in preparing the accompanying unaudited consolidated financial statements.
A description of the Company's significant accounting policies is included in the audited consolidated financial statements. There have been no material changes to these policies for the three months ended March 31, 2024.
2. Recent Accounting Pronouncements
Standards Not Yet Adopted
In November 2023, the FASB issued ASU No. 2023-07, Segment Reporting (ASC 280): Improvements to Reportable Segment Disclosures ("ASU 2023-07"). The ASU requires that an entity disclose significant segment expenses impacting profit and loss that are regularly provided to the chief operating decision maker. The update is required to be applied retrospectively to prior periods presented, based on the significant segment expense categories identified and disclosed in the period of adoption. The amendments in this ASU are required to be adopted for fiscal years beginning after December 15, 2023, and interim periods within fiscal years beginning after December 15, 2024. Early adoption is permitted. The Company is currently evaluating the impact of this standard on the consolidated financial statements and related disclosures.
In December 2023, the FASB issued ASU No. 2023-09, Income Taxes (ASC 740): Improvements to Income Tax Disclosures ("ASU 2023-09"). ASU 2023-09 is intended to enhance the transparency and decision usefulness of income tax disclosures. The amendments in ASU 2023-09 address investor requests for enhanced income tax information primarily through changes to the rate reconciliation and income taxes paid information. Early adoption is permitted. A public entity should apply the amendments in ASU 2023-09 prospectively to all annual periods beginning after December 15, 2024. The Company is currently evaluating the impact of this standard on the consolidated financial statements and related disclosures.
3. Revenue Recognition
Revenue is recognized upon transfer of control of promised products or services to customers in an amount that reflects the consideration the Company expects to receive in exchange for those products or services. Many of the Company’s customers have multiple contracts and have revenue reported in multiple service lines. The Company’s contracts may include a base level of services provided for a stated period of time, optional services provided upon request, or products. Each of these products and services are generally capable of being distinct and are accounted for as separate performance obligations.
The price for each performance obligation is stated in the customer contract and is based upon a price that would be charged to a customer if the product or service were sold on a standalone basis (the list price). Any discount from the list price provided to a customer for a product or service is allocated among the performance obligations based upon their individual standalone selling prices.
Service revenue is typically recognized over time as the services are provided. When services are provided for a stated period of time, revenue is generally recognized ratably over the period services are provided. In certain circumstances, optional services may be provided on a time and materials basis. In these circumstances, revenue is recognized in an amount that corresponds to the actual time and expense incurred. Product revenue is recognized when the Company transfers control of a good, which occurs at a point in time.
Revenue is recognized net of allowances for estimated rebates and group purchasing organization ("GPO") fees, which are established at the time of sale. Adjustments are made to these allowances at each reporting period. Taxes assessed by a governmental authority that are both imposed on and concurrent with a specific revenue-producing transaction and that are collected by the Company from a customer, are excluded from revenue.
The following table presents disaggregated revenue by service solution:
| | | | | | | | | | | | | | |
| | Three Months Ended March 31, |
(in thousands) | | 2024 | | 2023 |
Equipment Solutions | | $ | 116,692 | | | $ | 120,866 | |
Clinical Engineering | | 125,164 | | | 113,475 | |
Onsite Managed Services | | 60,895 | | | 65,563 | |
Total revenue | | $ | 302,751 | | | $ | 299,904 | |
The Company capitalizes contract costs incurred in obtaining new contracts. The contract asset included in other long-term assets in the consolidated balance sheets as of March 31, 2024 and December 31, 2023 was $14.1 million and $14.8 million, respectively. Capitalized costs are amortized over the expected life of the related contracts, which is estimated to be five years.
Amortization is computed on a straight-line basis, which coincides with the predominant expected life of the underlying contracts. Amortization costs are reflected in cost of revenue and selling, general, and administrative expenses. The amount of amortization included in cost of revenue was $0.4 million and $0.3 million for the three months ended March 31, 2024 and 2023, respectively. The amount of amortization included in selling, general and administrative expense was $1.3 million and $1.2 million for the three months ended March 31, 2024 and 2023, respectively.
There was no impairment loss in relation to the costs capitalized during the three months ended March 31, 2024 and 2023.
4. Fair Value Measurements
A description of the inputs used in the valuation of assets and liabilities is summarized as follows:
Level 1 — Inputs represent unadjusted quoted prices for identical assets or liabilities exchanged in active markets.
Level 2 — Inputs include directly or indirectly observable inputs other than Level 1 inputs such as quoted prices for similar assets or liabilities exchanged in active or inactive markets; quoted prices for identical assets or liabilities exchanged in inactive markets; other inputs that are considered in fair value determinations of the assets or liabilities, such as interest rates and yield curves that are observable at commonly quoted intervals, volatilities, prepayment speeds, loss severities, credit risks and default rates; and inputs that are derived principally from or corroborated by observable market data by correlation or other means.
Level 3 — Inputs include unobservable inputs used in the measurement of assets and liabilities. Management is required to use its own assumptions regarding unobservable inputs because there is little, if any, market activity in the assets or liabilities or related observable inputs that can be corroborated at the measurement date. Measurements of non-exchange traded derivative contract assets and liabilities are primarily based on valuation models, discounted cash flow models or other valuation techniques that are believed to be used by market participants. Unobservable inputs require management to make certain projections and assumptions about the information that would be used by market participants in pricing assets or liabilities.
Financial assets and liabilities measured at fair value on a recurring basis as of March 31, 2024 and December 31, 2023 are summarized in the following tables by type of inputs applicable to the fair value measurements:
| | | | | | | | | | | | | | | | | | | | | | | | | | |
| | Fair Value as of March 31, 2024 |
(in thousands) | | Level 1 | | Level 2 | | Level 3 | | Total |
Assets: | | | | | | | | |
Deferred compensation assets | | $ | 3,629 | | | $ | — | | | $ | — | | | $ | 3,629 | |
Interest rate swap | | — | | | 4,664 | | | — | | | 4,664 | |
Liabilities: | | | | | | | | |
Obligation under tax receivable agreement | | $ | — | | | $ | — | | | $ | 4,896 | | | $ | 4,896 | |
Deferred compensation liabilities | | 3,629 | | | — | | | — | | | 3,629 | |
| | | | | | | | | | | | | | | | | | | | | | | | | | |
| | Fair Value as of December 31, 2023 |
(in thousands) | | Level 1 | | Level 2 | | Level 3 | | Total |
Assets: | | | | | | | | |
Deferred compensation assets | | $ | 3,390 | | | $ | — | | | $ | — | | | $ | 3,390 | |
Interest rate swap | | — | | | 3,140 | | | — | | | 3,140 | |
Liabilities: | | | | | | | | |
Obligation under tax receivable agreement | | $ | — | | | $ | — | | | $ | 15,549 | | | $ | 15,549 | |
Interest rate swap | | — | | | 1,212 | | | — | | | 1,212 | |
Deferred compensation liabilities | | 3,390 | | | — | | | — | | | 3,390 | |
The deferred compensation assets are held in mutual funds. The fair value of the deferred compensation assets and liabilities is based on the quoted market prices for the mutual funds and thus represents a Level 1 fair value measurement.
On April 17, 2023, the Company entered into an interest rate swap agreement to manage interest rate exposure. For additional information on the interest swap agreement, see "Note 6 – Long-Term Debt". The carrying value of interest rate swap contract is at fair value, which is determined based on current interest rate and forward interest rates as of the balance sheet date and is classified within Level 2.
On January 4, 2019, the Company entered into a tax receivable agreement (“TRA”) with its former owners. The fair value of the liability was estimated using a discounted cash flow analysis given that the fair value of the liability is expected to approximate the maximum obligation under the TRA. The assumptions used in preparing the discounted cash flow analyses include estimates of interest rates and the timing and amount of incremental cash flows. Given that the information utilized in determining the obligation was not observable in the market, the measurement of the liability represents a Level 3 fair value measurement. The value of the obligation may decrease in-line with decreases in the Company's estimated taxable income. The Company made $0.3 million of remeasurement adjustments during the three months ended March 31, 2024 and no remeasurement adjustments during the three months ended March 31, 2023. The Company made payments of $10.9 million and $24.8 million under the TRA during the three months ended March 31, 2024 and 2023, respectively.
A reconciliation of the beginning and ending balance for the Level 3 measurement are as follows:
| | | | | | | | |
(in thousands) | | |
Balance as of December 31, 2023 | | $ | 15,549 | |
Additions | | 19 | |
Payments | | (10,939) | |
Remeasurement adjustment (1) | | 267 | |
Balance as of March 31, 2024 | | $ | 4,896 | |
____________________ | | |
(1)Remeasurement adjustments are recognized in selling, general and administrative expense in the consolidated statement of operations.
Fair Value of Other Financial Instruments
The fair value of the Company's outstanding First Lien Term Loan (as defined in "Note 6 – Long-Term Debt") as of March 31, 2024 and December 31, 2023 is based on the quoted market price for the same or similar issues of debt, which represents a Level 2 fair value measurement, is approximately:
| | | | | | | | | | | | | | | | | | | | | | | | | | |
| | March 31, 2024 | | December 31, 2023 |
(in thousands) | | Carrying Value | | Fair Value | | Carrying Value | | Fair Value |
First Lien Term Loan (1) | | $ | 1,054,070 | | | $ | 1,062,940 | | | $ | 1,056,253 | | | $ | 1,070,973 | |
____________________ | | | | | | | | |
| | | | | |
(1) | The carrying value of the First Lien Term Loan is net of unamortized deferred financing costs of $7.0 million and $7.3 million and unamortized debt discount of $8.5 million and $8.8 million as of March 31, 2024 and December 31, 2023, respectively. |
5. Selected Financial Statement Information
Inventories
The Company's inventories consist of the following:
| | | | | | | | | | | | | | |
(in thousands) | | March 31, 2024 | | December 31, 2023 |
Raw materials | | $ | 12,461 | | | $ | 13,376 | |
Work-in-process | | 494 | | | 400 | |
Finished goods | | 73,051 | | | 60,708 | |
Total inventories | | $ | 86,006 | | | $ | 74,484 | |
Property and Equipment
The Company separates its property and equipment into two categories - medical equipment and property and office equipment. Depreciation of medical equipment is provided on the straight-line method over the equipment’s estimated useful life, generally five to ten years. The cost and accumulated depreciation of medical equipment retired or sold is eliminated from their respective accounts and the resulting gain or loss is recorded in cost of revenue in the period the asset is retired or sold. Property and office equipment includes leasehold improvements, vehicles, computer software and hardware, and office equipment. Depreciation of property and office equipment is provided on the straight-line method over the lesser of the remaining useful life or lease term for leasehold improvements and three to ten years for office equipment. The cost and accumulated depreciation or amortization of property and equipment retired or sold is eliminated from their respective accounts and the resulting gain or loss is recorded in selling, general and administrative expense in the period the asset is retired or sold.
The Company's property and equipment consists of the following:
| | | | | | | | | | | | | | |
(in thousands) | | March 31, 2024 | | December 31, 2023 |
Medical equipment | | $ | 461,293 | | | $ | 450,564 | |
Less: Accumulated depreciation | | (293,678) | | | (285,139) | |
Medical equipment, net | | 167,615 | | | 165,425 | |
Leasehold improvements | | 61,784 | | | 59,422 | |
Office equipment and vehicles | | 207,932 | | | 200,560 | |
| | 269,716 | | | 259,982 | |
Less: Accumulated depreciation | | (141,638) | | | (132,723) | |
Property and office equipment, net | | 128,078 | | | 127,259 | |
Total property and equipment, net | | $ | 295,693 | | | $ | 292,684 | |
Depreciation expense recognized during the three months ended March 31, 2024 and 2023 was $21.0 million and $19.6 million, respectively.
There were no impairment charges on property and equipment during the three months ended March 31, 2024 and 2023.
Goodwill and Other Intangible Assets
There were no additions to goodwill during the three months ended March 31, 2024. There were no impairment losses recorded on goodwill during the three months ended March 31, 2024 and 2023.
The Company's other intangible assets are amortized over their estimated economic lives of two to fifteen years. The straight-line method of amortization generally reflects an appropriate allocation of the cost of the intangible assets to earnings in proportion to the amount of economic benefits obtained by the Company in each reporting period. However, for certain of its customer relationships, the Company uses the sum-of-the-years-digits amortization method to more appropriately allocate the cost to earnings in proportion to the estimated amount of economic benefit obtained.
The Company's other intangible assets consist of the following:
| | | | | | | | | | | | | | | | | | | | |
| | March 31, 2024 |
(in thousands) | | Cost | | Accumulated Amortization | | Net |
Finite-life intangibles | | | | | | |
Customer relationship | | $ | 780,806 | | | $ | (371,283) | | | $ | 409,523 | |
Non-compete agreements | | 1,225 | | | (402) | | | 823 | |
Trade names | | 2,406 | | | (1,263) | | | 1,143 | |
Patents | | 337 | | | (16) | | | $ | 321 | |
Total other intangible assets | | $ | 784,774 | | | $ | (372,964) | | | $ | 411,810 | |
| | | | | | | | | | | | | | | | | | | | |
| | December 31, 2023 |
(in thousands) | | Cost | | Accumulated Amortization | | Net |
Finite-life intangibles | | | | | | |
Customer relationship | | $ | 780,806 | | | $ | (353,190) | | | $ | 427,616 | |
Non-compete agreements | | 1,225 | | | (341) | | | 884 | |
Trade names | | 7,806 | | | (6,603) | | | 1,203 | |
Patents | | 310 | | | (11) | | | 299 | |
Total other intangible assets | | $ | 790,147 | | | $ | (360,145) | | | $ | 430,002 | |
Total amortization expense related to intangible assets was $18.2 million and $21.0 million for the three months ended March 31, 2024 and 2023, respectively. There were no impairment charges during the three months ended March 31, 2024 and 2023 related to other intangible assets.
As of March 31, 2024, the future amortization expense related to other intangible assets is estimated as follows:
| | | | | | | | |
(in thousands) | | |
Remainder of 2024 | | $ | 53,399 | |
2025 | | 65,056 | |
2026 | | 58,480 | |
2027 | | 51,915 | |
2028 | | 45,159 | |
Thereafter | | 137,801 | |
| | $ | 411,810 | |
Supplementary Cash Flow Information
Supplementary cash flow information is as follows:
| | | | | | | | | | | | | | |
| | Three Months Ended March 31, |
(in thousands) | | 2024 | | 2023 |
Non-cash activities: | | | | |
Property and equipment purchases included in accounts payable (at end of period) | | $ | 1,825 | | | $ | 2,090 | |
Finance lease assets and liability additions | | 4,181 | | | 3,989 | |
Operating lease right-of-use assets and operating lease liability additions | | 3,541 | | | 3,650 | |
6. Long-Term Debt
Long-term debt consists of the following:
| | | | | | | | | | | | | | |
(in thousands) | | March 31, 2024 | | December 31, 2023 |
First Lien Term Loan | | $ | 1,069,625 | | | $ | 1,072,313 | |
Revolving Credit Facility | | 7,000 | | | — | |
Finance lease liability | | 29,165 | | | 27,374 | |
| | 1,105,790 | | | 1,099,687 | |
Less: Unamortized deferred financing costs and debt discount | | (20,132) | | | (20,157) | |
| | 1,085,658 | | | 1,079,530 | |
Less: Current portion of long-term debt | | (26,281) | | | (18,468) | |
Total long-term debt | | $ | 1,059,377 | | | $ | 1,061,062 | |
First Lien Credit Facilities
The Company is party to a seven-year senior secured delayed draw term loan facility due May 2030 which, as amended, provides an aggregate principal amount of $1.075 billion in borrowing capacity (the “First Lien Term Loan”). The Company also has access to a senior secured revolving credit facility due April 2028 in an aggregate principal amount of $300.0 million (the “Revolving Credit Facility”).
Additional information regarding the Company's indebtedness arrangements can be found within the notes to the consolidated financial statements in the most recently filed Annual Report on Form 10-K for the fiscal year ended December 31, 2023.
The Company was in compliance with all financial debt covenants for all periods presented.
Interest Rate Swap Agreement
On April 17, 2023, the Company entered into an interest rate swap agreement for a total notional amount of $500.0 million, which has the effect of converting a portion of its Term Loan Credit Facility to fixed interest rates. The effective date for the interest rate swap agreement is July 1, 2023 and the expiration date is July 1, 2025. As a result of the interest rate swap agreement, the Company expects the effective interest rate on $500.0 million of the Term Loan Credit Facility to be 4.0685%, plus the Applicable Margin, through July 2025.
The interest rate swap agreement qualifies for cash flow hedge accounting under ASC 815, Derivatives and Hedging. Both at inception and on an on-going basis, the Company performs an effectiveness test. The fair value of the interest rate swap agreement as of March 31, 2024 was $4.7 million, of which $3.9 million is included in other current assets and $0.8 million is included in other long-term assets on the consolidated balance sheet. The change in fair value was recorded as a component of accumulated other comprehensive income on the consolidated balance sheet, net of tax, since the instrument was determined to be an effective hedge as of March 31, 2024. The Company has not recorded any amounts due to ineffectiveness for any periods presented.
Accounts Receivable Securitization
On February 14, 2024, Agiliti Receivables LLC, a consolidated special purpose entity (the “SPV”), entered into an accounts receivable securitization facility (the “AR Facility”) of up to $150.0 million with MUFG Bank, Ltd., as administrative agent. In connection with the AR Facility, certain subsidiaries of Agiliti, as originators, will sell qualifying accounts receivable to the SPV.
The AR Facility represents borrowings secured by outstanding customer receivables. The use and repayment of borrowings under the AR Facility will be treated as financing activities while subsequent receipt of payment on outstanding customer receivables are treated as operating activities within the consolidated statement of cash flows.
As of March 31, 2024, the Company had no outstanding borrowings under the AR Facility.
7. Share-Based Compensation
2018 Omnibus Incentive Plan
The 2018 Omnibus Incentive Plan (“2018 Plan”) provides for the issuance of restricted stock units, performance restricted stock units, and nonqualified stock options to any of the Company’s executives, other key employees and certain non-employee directors. Remaining authorized options, restricted stock units and performance restricted stock units available for future issuance under the 2018 Plan was 18.3 million shares as of March 31, 2024.
Restricted Stock Units
The restricted stock units vest over one to four years. The fair value of the restricted stock units is based upon the stock’s fair market value at the date of grant. During the three months ended March 31, 2024 and 2023, the Company granted 241,296 and 718,647 shares of restricted stock units, respectively. As of March 31, 2024, the total unrecognized compensation expense related to the non-vested portion of the Company's restricted stock units was $16.5 million, which is expected to be recognized over a weighted average period of 1.4 years.
Performance Restricted Stock Units
The performance restricted stock units cliff vest after three years and are subject to the level of achievement of a three year cumulative adjusted EBITDA target. The fair value of the market-based performance restricted stock units is estimated at the grant date using a Monte-Carlo simulation model. There were no issuances of performance restricted stock units during the three months ended March 31, 2024 and 2023. As of March 31, 2024, the total unrecognized compensation expense related to the non-vested portion of the Company's restricted stock units was $1.0 million, which is expected to be recognized over a weighted average period of 2.0 years.
Nonqualified Stock Options
Stock options allow for the purchase of shares of common stock of the Company at prices equal to the stock’s fair market value at the date of grant. Options granted have a ten-year contractual term and vest over one to four years. The Company determines the fair value of options using the Black-Scholes option pricing model. There were no issuances of stock options during the three months ended March 31, 2024 and 652,394 shares of stock options granted during the three months ended March 31, 2023. As of March 31, 2024, the total unrecognized compensation expense related to the non-vested portion of the Company's stock options was $1.8 million, which is expected to be recognized over a weighted average period of 1.8 years.
Employee Stock Purchase Program
The Company adopted an Employee Stock Purchase Plan (“ESPP”) in April 2021 and a total of 3.3 million shares of the Company's common stock are reserved for issuance thereunder. Employees are permitted to purchase the Company’s common stock at 85% of market value at the end of the six-month offering periods ending on April 30 and October 31 each year. There were no shares issued under the ESPP during three months ended March 31, 2024 and 2023.
The following table summarizes stock-based compensation expense for the 2018 Plan and ESPP:
| | | | | | | | | | | | | | |
| | Three Months Ended March 31, |
(in thousands) | | 2024 | | 2023 |
Cost of sales | | $ | 35 | | | $ | 765 | |
Selling, general, and administrative expense | | 4,203 | | | 6,124 | |
Total stock-based compensation expense | | $ | 4,238 | | | $ | 6,889 | |
8. Commitments and Contingencies
From time to time the Company is a party to various legal proceedings incidental to the conduct of our business. The results of legal proceedings are inherently unpredictable and uncertain. The Company is not presently party to any legal proceedings that management believes would have a material adverse effect on our business, prospects, financial condition, liquidity, results of operation, cash flows or capital levels. Management periodically reexamines estimates of probable liabilities and any associated expenses and receivables and makes appropriate adjustments to such estimates based on experience and developments in litigation. As a result, the current estimates of the potential impact on the Company's business, prospects, financial condition, liquidity, results of operation, cash flows or capital levels for the proceedings and claims described in the condensed notes to the consolidated financial statements could change in the future.
Regardless of the outcome, legal proceedings have the potential to have an adverse impact on the Company because of defense and settlement costs, diversion of management resources and other factors.
The Company has received demand letters (“220 Demands”) from twelve purported stockholders of the Company (“220 Stockholders”) pursuant to Section 220 of the Delaware General Corporation Law (“Section 220”), seeking to inspect books and records of the Company relating to, among other things, the Merger. Three of the 220 Stockholders, Charles Hennig, Derrick Lescord, and Thomas Nighsonger, filed complaints seeking to compel inspection of the Company’s books and records pursuant to Section 220 in the Delaware Court of Chancery, on March 28, 2024, April 22, 2024, and April 30, 2024, respectively. Additionally, the Company has received demand letters (“Disclosure Demands”) from four purported stockholders of the Company (“Disclosure Stockholders”), which generally demand the disclosure of certain additional information that was allegedly omitted from the Schedule 14C filed in connection with the Merger (“Information Statement”).
9. Employee Benefit Plans
Pension plan benefits are to be paid to eligible employees after retirement based primarily on years of credited service and participants’ compensation. The Company uses a December 31 measurement date. Effective December 31, 2002, the Company froze the benefits under the pension plan.
The components of net periodic benefit (income) are as follows:
| | | | | | | | | | | | | | |
| | Three Months Ended March 31, |
(in thousands) | | 2024 | | 2023 |
Interest cost | | $ | 284 | | | $ | 293 | |
Expected return on plan assets | | (345) | | | (358) | |
Recognized net actuarial (gain) | | (20) | | | (47) | |
Net periodic benefit (income) | | $ | (81) | | | $ | (112) | |
The Company made no contributions to the pension plan during the three months ended March 31, 2024 and does not expect to make contributions to the pension plan for the remainder of 2024.
10. Income Taxes
The Company recorded an income tax benefit of $1.2 million and an income tax expense of $1.7 million for the three months ended March 31, 2024 and 2023, respectively. The income tax benefit for the three months ended March 31, 2024 is primarily attributable to the tax-effect of pre-tax loss from operations less addbacks for non-deductible expenses related to executive compensation disallowed under Internal Revenue Code Section 162(m) and a windfall deficit from exercised stock options. The income tax expense for the three months ended March 31, 2023 is primarily attributable to the tax-effect
of pre-tax income from operations plus addbacks for non-deductible expenses related to executive compensation disallowed under Internal Revenue Code Section 162(m) and windfall benefits received from exercised stock options.
11. Concentration
On December 14, 2022, the Company received a modification to the Company’s current agreement with the U.S. Department of Health and Human Services (“HHS”) and the Assistant Secretary for Preparedness and Response (“ASPR”) was due to expire on February 27, 2023 incorporating Federal Acquisition Regulation (“FAR”) 52.217-8, which resulted in the government extending the term of this current agreement to August 27, 2023.
Additionally, on December 14, 2022, the Company entered into a new agreement with HHS/ASPR (the "Agreement") for preventive maintenance services (“PMS”), management and storage for ventilator and powered air purifying respirator (“PAPR”) systems. The Agreement’s performance period commenced on August 28, 2023 and is anticipated to have a period of performance of four years and six months, consisting of a base period of twelve months, three one-year option periods and an additional six-month option period.
Approximately 12.5% and 11.1% of total Company revenue was attributable to various contracts with the HHS / ASPR for the three months ended March 31, 2024 and 2023, respectively.
12. Earnings (Loss) Per Share
The following is a reconciliation of the basic and diluted number of shares used in computing earnings (loss) per share:
| | | | | | | | | | | |
| Three Months Ended March 31, |
| 2024 | | 2023 |
Basic weighted average shares outstanding | 135,664,208 | | | 133,850,124 | |
Net effect of dilutive stock awards based upon the treasury stock method | — | | | 5,443,538 | |
Dilutive weighted average shares outstanding | 135,664,208 | | | 139,293,662 | |
| | | |
Basic earnings (loss) per share | $ | (0.05) | | | $ | 0.02 | |
Diluted earnings (loss) per share | $ | (0.05) | | | $ | 0.02 | |
| | | |
Anti-dilutive share-based awards excluded from the calculation of dilutive earnings (loss) per share | 7,604,481 | | | 521,829 | |
For the three months ended March 31, 2024, dilutive weighted-average shares outstanding is equal to basic weighted-average shares outstanding due to the Company’s net loss position as the inclusion of such stock awards within dilutive weighted-average shares outstanding would be antidilutive.
13. Subsequent Events
Closing of the Merger
On May 7, 2024 (the “Closing Date”), the Company, completed the Merger with Parent and Merger Sub, pursuant to the Merger Agreement. The Company merged with and into Merger Sub with the Company surviving the merger as a subsidiary of Parent (“Surviving Corporation”). Capitalized terms not otherwise defined herein have the meaning set forth in the Merger Agreement. The description of the Merger Agreement and related transactions (including, without limitation, the Merger) does not purport to be complete and is subject and qualified in its entirety by reference to the full text of the Merger Agreement, a copy of which is filed as Exhibit 2.1 to the Company’s Current Report on Form 8-K filed with the U.S. Securities and Exchange Commission (the “SEC”) on February 26, 2024 and the description of the closing of the Merger included in the Company’s Current Report on Form 8-K filed on May 7, 2024.
On May 7, 2024, Agiliti Health, Inc. (the “Borrower”) and Agiliti Holdco, Inc., subsidiaries of the Company, and certain of their subsidiaries, entered into an amendment (the “First Amendment”) to the Borrower’s Amended and Restated Credit Agreement, dated May 1, 2023 (as amended, the “Credit Agreement”), among the Borrower, the lenders party thereto, the subsidiary guarantors party thereto and JPMorgan Chase Bank, N.A., as administrative agent and collateral agent. Among other things, the First Amendment increased the principal amount of initial term loans by $400 million under a new
incremental term facility, which otherwise has the same terms as those applicable to the existing initial term loans under the Credit Agreement. The net proceeds from the new incremental term facility may be used to pay Merger Consideration (as defined in the Merger Agreement) in addition to general corporate purposes such as paying down borrowings under that certain Receivables Financing Agreement, dated February 14, 2024, among Agiliti Receivables LLC, a subsidiary of Agiliti, Inc., the Borrower, the lenders party thereto, the group agents party thereto and MUFG Bank, Ltd., as administrative agent.
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations.
The following discussion and analysis of our financial condition and results of operations should be read in conjunction with our consolidated financial statements and the related notes and other financial information included elsewhere in this Quarterly Report on Form 10-Q and with the audited consolidated financial statements and the related notes thereto in the Company’s Annual report on Form 10-K for the year ended December 31, 2023 filed with the Securities and Exchange Commission (“SEC”) on March 6, 2024 (“2023 Form 10-K Report”). In addition to historical consolidated financial information, the following discussion contains forward-looking statements that reflect our plans, estimates, and beliefs. Our actual results could differ materially from those discussed in the forward-looking statements. You should review the sections titled “Note Regarding Forward-Looking Statements” for a discussion of forward-looking statements as well as the section titled “Risk Factors” for a discussion of factors that could cause actual results to differ materially from the results described in or implied by the forward-looking statements contained in the following discussion and analysis and elsewhere in this Quarterly Report on Form 10-Q and in our 2023 Form 10-K Report.
BUSINESS OVERVIEW
Our Company
Unless otherwise specified, the terms “we”, “our”, “us” and the “Company” refer to Agiliti, Inc. and, where appropriate, its consolidated subsidiaries.
We believe we are one of the leading experts in the management, maintenance and mobilization of mission-critical, regulated, reusable medical devices. We offer healthcare providers a comprehensive suite of medical equipment management and service solutions that help reduce capital and operating expenses, optimize medical equipment utilization, reduce waste, enhance staff productivity, and bolster patient safety.
We commenced operations in 1939, originally incorporated in Minnesota in 1954 and reincorporated in Delaware in 2001.
In our 85 years of experience ensuring healthcare providers have high-quality, expertly maintained equipment to serve their patients, we’ve built an at-scale, strong nationwide operating footprint. This service and logistics infrastructure positions us to reach customers across the entire healthcare continuum—from individual facilities to the largest and most complex healthcare systems. Likewise, our ability to rapidly mobilize, track, repair and redeploy equipment during times of peak need or emergent events has made us a service provider of choice for city, state and federal governments to manage emergency equipment stockpiles.
Our diverse customer base includes more than 10,000 national, regional, and local acute care hospitals, health systems and integrated delivery networks ("IDN"), and alternate site providers (such as surgery centers, specialty hospitals, home care providers, long-term acute care hospitals, and skilled nursing facilities). We serve the federal government as well as a number of city and state governments providing management and maintenance of emergency equipment stockpiles, and we are an outsourced service provider to medical device manufacturers supporting critical device remediation and repair services. We deliver our solutions through our nationwide network of more than 150 service centers and Centers of Excellence, a majority of which are certified to ISO 13485:2016. At our facilities, we employ a team of more than 800 specialized biomed repair technicians, more than 4,000 field-based service operators who work onsite within customer facilities or in our local service centers, and over 200 field sales and account managers. Our fees are primarily paid directly by our customers rather than by direct reimbursement from third-party payors, such as private insurers, Medicare, or Medicaid.
We deploy our solution offering across three primary service lines:
On-Site Managed Services: Onsite Managed Services are comprehensive programs that assume full responsibility for the management, reprocessing, and logistics of medical equipment at individual facilities and IDNs, with the added benefit of enhancing equipment utilization and freeing more clinician time for patient care. This solution monitors and adjusts equipment quantities and availability to address fluctuations in patient census and acuity. Our more than 1,300 onsite employees work 24/7 in customer facilities, augmenting clinical support by integrating proven equipment management processes, utilizing our proprietary management software and conducting daily rounds, and unit-based training to ensure equipment is being used and managed properly, overall helping to optimize day-to-day operations and care outcomes. We assume full responsibility for ensuring equipment is available when and where it is needed, removing equipment when no longer in use, and decontaminating, testing, and servicing equipment as needed between each patient use. Revenue attributable to such customers for the three months ended March 31, 2024 and 2023 represented 20% and 22% of our total revenue, respectively.
Clinical Engineering Services: Clinical Engineering Services provides maintenance, repair, and remediation solutions for all types of medical equipment, including general biomedical equipment, diagnostic imaging equipment, and surgical equipment through supplemental and outsourced offerings. Our supplemental offering helps customers manage their equipment repair and maintenance backlog, assist with remediation and regulatory reporting, and temporarily fill open biotechnical positions. With our outsourced offering, we assume full management, staffing, and clinical engineering service responsibilities for individual or system-wide customer sites. The outsourced model deploys a dedicated, on-site team to coordinate the management of customer-owned equipment utilizing our proprietary information systems, third party vendors of services and parts, and a broad range of professional services for capital equipment planning and regulatory compliance. We employ more than 800 technicians across our more than 150 local market service centers and Centers of Excellence who can flex in and out of customer facilities on an as-needed basis, ensuring customers pay only for time spent directly servicing their equipment by an appropriately qualified technician. We use flex staffing for our supplemental clinical engineering solution and to augment support when additional technicians are needed to supplement our outsourced services during peak workload. We contract our Clinical Engineering Services with acute care and alternate site facilities across the U.S., as well as with the federal government and any medical device manufacturers that require a broad logistical footprint to support their large-scale service needs. Revenue attributable to such customers for the three months ended March 31, 2024 and 2023 represented 41% and 38% of our total revenue, respectively.
Equipment Solutions: Equipment Solutions primarily provides supplemental, peak need, and per-case rental of general biomedical, specialty, and surgical equipment to acute care hospitals and alternate site providers in the U.S., including some of the nation’s premier healthcare institutions and integrated delivery networks. We contract for Equipment Solutions services directly with customers or through our contractual arrangements with hospital systems and alternate site providers. We consistently achieve high customer satisfaction ratings, as evidenced by our Net Promoter Score ("NPS") of 40 for the year ended December 31, 2023. For these customers we deliver patient-ready equipment within our contracted equipment delivery times and provide technical support and educational in-servicing for equipment as-needed in clinical departments, including the emergency room, operating room, intensive care, rehabilitation, and general patient care areas. We are committed to providing the highest quality of equipment to our customers, and we do so through the use of our comprehensive QMS which is based on the quality standards recognized worldwide for medical devices: 21 CFR 820 and ISO 13485:2016. This commitment ensures that customers have access to patient-ready equipment with the confidence of knowing it has been prepared and maintained to the highest industry standard for optimal patient safety and outcomes. Revenue attributable to such customers for the three months ended March 31, 2024 and 2023 represented 39% and 40% of our total revenue, respectively.
Many of our customers have multiple contracts with Agiliti with revenue reported across multiple service lines. Our contracts vary based upon service offering, including with respect to term (with most being multi-year contracts), pricing (daily, monthly, and fixed fee arrangements) and termination (termination for convenience to termination for cause only). Many of our contracts contain customer commitment guarantees and annual price increases tied to the consumer price index. Standard contract terms include payment terms, limitation of liability, force majeure provisions, and choice of law/venue.
Further, the infrastructure and capabilities required to provide connected, responsive equipment lifecycle management is typically cost-prohibitive, even for large IDNs. Our nationwide network of clinical engineers, storage and repair facilities, vehicles, and analytics tools gives us scale to provide cost-effective services for individual facilities, systems, regional IDNs, governments, and device manufacturers.
RESULTS OF OPERATIONS
The following discussion addresses:
•our financial condition as of March 31, 2024; and
•the results of operations for the three-month periods ended March 31, 2024 and 2023.
This discussion should be read in conjunction with the consolidated financial statements included elsewhere in this Quarterly Report on Form 10-Q and the Management’s Discussion and Analysis of Financial Condition and Results of Operations sections included in our 2023 Form 10-K Report.
The following table provides our results of operations for the periods indicated:
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | Three Months Ended March 31, | | Change |
(in thousands) | | 2024 | | 2023 | | $ | | % |
Consolidated Statement of Operations | | | | % of Total Revenue | | | | % of Total Revenue | | | | |
Revenue | | $ | 302,751 | | | 100.0 | % | | $ | 299,904 | | | 100.0 | % | | $ | 2,847 | | | 0.9 | % |
Cost of revenue | | 203,542 | | | 67.2 | | | 190,530 | | | 63.5 | | | 13,012 | | | 6.8 | |
Gross margin | | 99,209 | | | 32.8 | | | 109,374 | | | 36.5 | | | (10,165) | | | (9.3) | |
Selling, general and administrative expense | | 84,025 | | | 27.8 | | | 88,837 | | | 29.6 | | | (4,812) | | | (5.4) | |
Operating income | | 15,184 | | | 5.0 | | | 20,537 | | | 6.9 | | | (5,353) | | | (26.1) | |
Interest expense | | 22,918 | | | 7.6 | | | 15,831 | | | 5.3 | | | 7,087 | | | 44.8 | |
Income (loss) before income taxes and noncontrolling interest | | (7,734) | | | (2.6) | | | 4,706 | | | 1.6 | | | (12,440) | | | N/A |
Income tax expense (benefit) | | (1,218) | | | (0.4) | | | 1,656 | | | 0.6 | | | (2,874) | | | N/A |
Consolidated net income (loss) | | $ | (6,516) | | | (2.2) | % | | $ | 3,050 | | | 1.0 | % | | $ | (9,566) | | | N/A |
Revenue
The following table presents revenue by service solution for the three months ended March 31, 2024 and 2023:
| | | | | | | | | | | | | | | | | | | | |
| | Three Months Ended March 31, | | Change |
(in thousands) | | 2024 | | 2023 | | % of Total Revenue |
Equipment Solutions | | $ | 116,692 | | | $ | 120,866 | | | (3.5) | % |
Clinical Engineering | | 125,164 | | | 113,475 | | | 10.3 | |
Onsite Managed Services | | 60,895 | | | 65,563 | | | (7.1) | |
Total revenue | | $ | 302,751 | | | $ | 299,904 | | | 0.9 | % |
Total revenue for the three months ended March 31, 2024 was $302.8 million, compared to $299.9 million for the three months ended March 31, 2023, an increase of $2.8 million or 0.9%. Equipment Solutions revenue decreased 3.5% primarily driven by lower capital sales partially offset by an increase in bed rentals. Clinical Engineering revenue increased 10.3% primarily due to new customer growth, timing of certain time and materials work, and scope of the renewed government contract. Finally, Onsite Managed Services revenue decreased 7.1% primarily as a result of renewal pricing and scope of the government contract.
Cost of Revenue
Cost of revenue for the three months ended March 31, 2024 was $203.5 million compared to $190.5 million for the three months ended March 31, 2023, an increase of $13.0 million or 6.8%. On a percentage of revenue basis, cost of revenue increased from 63.5% of revenue in 2023 to 67.2% in 2024. The increase as a percentage of revenue was primarily driven by a combination of price erosion, cost increases, and a mix shift within the business to higher cost solutions.
Gross Margin
Gross margin for the three months ended March 31, 2024 was $99.2 million, or 32.8% of revenue, compared to $109.4 million, or 36.5% of revenue, for the three months ended March 31, 2023, a decrease of $10.2 million or 9.3%. The decrease in gross margin as a percentage of revenue was primarily driven by a combination of price erosion, cost increases, and a mix shift within the business to lower margin solutions.
Selling, General and Administrative Expense
Selling, general and administrative expense decreased $4.8 million, or 5.4%, to $84.0 million for the three months ended March 31, 2024, as compared to the same period of 2023. Selling, general and administrative expense as a percentage of
revenue was 27.8% and 29.6% for the three months ended March 31, 2024 and 2023, respectively. The decrease of $4.8 million was primarily driven by the reduction in intangible amortization and recoveries of bad debt.
Interest Expense
Interest expense increased $7.1 million to $22.9 million for the three months ended March 31, 2024 as compared to the same period of 2023 primarily due to the increase in interest rates.
Income Taxes
Income taxes were a benefit of $1.2 million and an expense of $1.7 million for the three months ended March 31, 2024 and 2023, respectively. The income tax benefit for the three months ended March 31, 2024 is primarily attributable to the tax-effect of pre-tax loss from operations less addbacks for non-deductible expenses related to executive compensation disallowed under Internal Revenue Code Section 162(m) and a windfall deficit from exercised stock options. The income tax expense for the three months ended March 31, 2024 and 2023 was primarily due to the tax-effect of pre-tax income from operations plus addbacks for non-deductible expenses related to executive compensation disallowed under Internal Revenue Code Section 162(m) and windfall benefits received from exercised stock options.
Consolidated Net Income (Loss)
Consolidated net loss was $6.5 million for the three months ended March 31, 2024. Consolidated net income was $3.1 million for the three months ended March 31, 2023. The decrease in net income was impacted primarily due to the lower gross margins and higher interest expense.
Adjusted EBITDA
Adjusted Earnings Before Interest, Taxes, Depreciation and Amortization (“Adjusted EBITDA”) was $62.1 million and $72.0 million for the three months ended March 31, 2024 and 2023, respectively. Adjusted EBITDA for the three months ended March 31, 2024 was lower than in 2023 primarily due to the lower gross margins.
EBITDA is defined as earnings attributable to Agiliti, Inc. before interest expense, income taxes, depreciation and amortization. Adjusted EBITDA is defined as EBITDA excluding non-cash share-based compensation expense, management fees and other non-recurring gains, expenses or losses, transaction costs, remeasurement of tax receivable agreement and loss on extinguishment of debt. In addition to using EBITDA and Adjusted EBITDA internally as measures of operational performance, we disclose them externally to assist analysts, investors and lenders in their comparisons of operational performance, valuation and debt capacity across companies with differing capital, tax and legal structures. We believe the investment community frequently uses EBITDA and Adjusted EBITDA in the evaluation of similarly situated companies. Adjusted EBITDA is also used by the Company as a factor to determine the total amount of incentive compensation to be awarded to executive officers and other employees. EBITDA and Adjusted EBITDA, however, are not measures of financial performance under GAAP and should not be considered as alternatives to, or more meaningful than, net income as measures of operating performance or to cash flows from operating, investing or financing activities or as measures of liquidity. Since EBITDA and Adjusted EBITDA are not measures determined in accordance with GAAP and are thus susceptible to varying interpretations and calculations, EBITDA and Adjusted EBITDA, as presented, may not be comparable to other similarly titled measures of other companies. EBITDA and Adjusted EBITDA do not represent amounts of funds that are available for management’s discretionary use. EBITDA and Adjusted EBITDA presented below may not be the same as EBITDA and Adjusted EBITDA calculations as defined in the First Lien Credit Facilities. A reconciliation of net income attributable to Agiliti, Inc. to Adjusted EBITDA is included below:
| | | | | | | | | | | | | | |
| | Three Months Ended March 31, |
(in thousands) | | 2024 | | 2023 |
Net income attributable to Agiliti, Inc. and Subsidiaries | | $ | (6,607) | | | $ | 3,013 | |
Interest expense | | 22,918 | | | 15,831 | |
Income tax expense | | (1,218) | | | 1,656 | |
Depreciation and amortization | | 40,858 | | | 42,106 | |
EBITDA | | 55,951 | | | 62,606 | |
Non-cash share-based compensation expense | | 4,238 | | | 6,889 | |
Management and other expenses (1) | | 1,315 | | | 961 | |
Transaction costs (2) | | 364 | | | 1,512 | |
Tax receivable agreement remeasurement | | 267 | | | — | |
Adjusted EBITDA | | $ | 62,135 | | | $ | 71,968 | |
____________________ | | | | |
(1) Management and other expenses represent non-recurring expenses.
(2) Transaction costs represent costs associated with potential and completed mergers and acquisitions.
SEASONALITY
Quarterly operating results are typically affected by seasonal factors. Historically, our first and fourth quarters are the strongest, reflecting increased customer utilization during the fall and winter months.
LIQUIDITY AND CAPITAL RESOURCES
Our principal sources of liquidity are expected to be cash flows from operating activities and borrowings under our Revolving Credit Facility and Accounts Receivable Securitization Facility ("AR Facility"). Availability under our Revolving Credit Facility and AR Facility is $284.9 million and $150.0 million, respectively, as of March 31, 2024. Our principal uses of liquidity will be to fund capital expenditures related to purchases of medical equipment, provide working capital, meet debt service requirements and finance our strategic plans.
We believe our existing balances of cash and cash equivalents, our currently anticipated operating cash flows, and availability under our Revolving Credit Facility and AR Facility will be sufficient to meet our cash needs arising in the ordinary course of business for the next twelve months. If new financing is necessary, there can be no assurance that any such financing would be available on commercially acceptable terms, or at all. To date, we have not experienced difficulty accessing the credit market; however, future volatility in the credit market may increase costs associated with issuing debt instruments or affect our ability to access those markets. In addition, it is possible that our ability to access the credit market could be limited at a time when we would like, or need to do so, which could have an adverse impact on our ability to refinance debt and/or react to changing economic and business conditions.
Net cash provided by operating activities was $13.8 million and $54.9 million for the three months ended March 31, 2024 and 2023, respectively. Net cash provided by operating activities decreased due to lower consolidated net income, the timing of accounts receivable collections, and an increase in inventory that will be sold in the second quarter.
Net cash used in investing activities was $17.8 million for the three months ended March 31, 2024 and 2023, respectively.
Net cash used in financing activities was $10.7 million and $28.2 million for the three months ended March 31, 2024 and 2023, respectively. The decrease in net cash used in financing activities was primarily due to the lower payment on the tax receivable agreement.
RECENT ACCOUNTING PRONOUNCEMENT
See "Note 2 – Recent Accounting Pronouncements", to the consolidated financial statements included in Part I, Item 1, of this Quarterly Report on Form 10-Q.
OFF-BALANCE SHEET ARRANGEMENTS
As part of our ongoing business, we do not participate in transactions that generate relationships with unconsolidated entities or financial partnerships, such as entities often referred to as structured finance or special purpose entities (“SPEs”), which would have been established for the purpose of facilitating off-balance sheet arrangements or other contractually narrow or limited purposes. As of March 31, 2024, we did not have any unconsolidated SPEs.
NOTE REGARDING FORWARD-LOOKING STATEMENTS
This Quarterly Report on Form 10-Q contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. All statements other than statements of historical fact included in this Form 10-Q are forward-looking statements. Forward-looking statements give our current expectations and projections relating to our financial condition, results of operations, plans, objectives, future performance and business. You can identify forward-looking statements by the fact that they do not relate strictly to historical or current facts. These statements may include words such as “anticipate”, “estimate”, “expect”, “project”, “plan”, “intend”, “believe”, “may”, “will”, “should”, “can have”, “likely” and other words and terms of similar meaning in connection with any discussion of the timing or nature of future operating or financial performance or other events. All forward-looking statements are subject to risks and uncertainties that may cause actual results to differ materially from those that we expected, including:
•the outcome of any legal proceedings that may be instituted following announcement or completion of the Merger;
•our ability to implement our business strategy following completion of the Merger;
•potential adverse reactions or changes to business relationships, including with customers, competitors, suppliers and employees resulting from completion of the Merger;
•imbalances in our selling mix;
•effects from political and policy changes that could limit our growth opportunities;
•our ability to maintain existing contracts or contract terms with, or enter into new contracts with customers;
•cancellations by or disputes with customers;
•our ability to maintain our reputation, including by protecting intellectual property;
•effects of a global economic downturn on our customers and suppliers;
•competitive practices by our competitors that could cause us to lose market share, reduce our prices or increase our expenditures;
•the bundling of products and services by our competitors, some of which we do not offer;
•consolidation in the healthcare industry;
•adverse developments with supplier relationships;
•our potential inability to attract and retain key personnel and employees following completion of the Merger;
•our potential inability to make attractive acquisitions or successfully integrate acquire businesses;
•our need for substantial cash to operate and expand our business as planned;
•our substantial outstanding debt and debt service obligations;
•restrictions imposed by the terms of our debt;
•a decrease in the number of patients our customers are serving;
•our ability to effect change in the manner in which health care providers traditionally procure medical equipment;
•the absence of long-term commitments with customers;
•our ability to renew contracts with group purchasing organizations and integrated delivery networks;
•changes in reimbursement rates and policies by third-party payors;
•the impact of health care reform initiatives;
•the impact of significant regulation of the health care industry and the need to comply with those regulations;
•difficulties or delays in our continued expansion into certain of our businesses/geographic markets and developments of new businesses/geographic markets;
•additional credit risks in increasing business with home care providers and nursing homes, impacts of equipment product recalls or obsolescence;
•impairment charges for goodwill or other long-lived assets;
•an increase in expenses related to our pension plan;
•potential claims related to the medical equipment that we outsource and service;
•incurrence of costs that we cannot pass through to our customers;
•a failure of our management information systems;
•limitations inherent in all internal controls systems over financial reporting;
•our failure to keep up with technological changes;
•our failure to coordinate the management of our equipment;
•challenges to our tax positions or changes in taxation laws;
•litigation that may be costly to defend;
•federal privacy laws that may subject us to more stringent penalties;
•our contracts with the federal government that subject us to additional oversight;
•effects of high interest rates; and
•potential recall or obsolescence of our large fleet of medical equipment.
We derive many of our forward-looking statements from our operating budgets and forecasts, which are based on many detailed assumptions. While we believe that our assumptions are reasonable, we caution that it is very difficult to predict the impact of known factors, and it is impossible for us to anticipate all factors that could affect our actual results. Important factors that could cause actual results to differ materially from our expectations, or cautionary statements, are disclosed under “Risk Factors” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in this Form 10-Q and elsewhere in our filings with the SEC. All written and oral forward-looking statements attributable to us, or persons acting on our behalf, are expressly qualified in their entirety by these cautionary statements as well as other cautionary statements that are made from time to time in our other SEC filings and public communications. You should evaluate all forward-looking statements made in this Form 10-Q in the context of these risks and uncertainties.
We caution you that the important factors referenced above may not contain all of the factors that are important to you. In addition, we cannot assure you that we will realize the results or developments we expect or anticipate or, even if substantially realized, that they will result in the consequences or affect us or our operations in the way we expect. The forward-looking statements included in this Form 10-Q are made only as of the date hereof. We undertake no obligation to update or revise any forward-looking statement as a result of new information, future events or otherwise, except as otherwise required by law.
Item 3. Quantitative and Qualitative Disclosures about Market Risk.
We are exposed to market risk arising from adverse changes in interest rates, fuel costs, and pension valuation. We do not enter into derivatives or other financial instruments for speculative purposes.
Interest Rates
We use both fixed and variable rate debt as sources of financing. To manage variable interest rate risk, we entered into a two-year interest rate swap agreement on April 17, 2023 for a notional amount of $500.0 million. As a result, we expect the effective interest rate on $500.0 million of our total debt outstanding before netting with deferred financing costs and unamortized debt discount to be 4.0685%, plus the Applicable Margin, through July 2025. As of March 31, 2024, we had approximately $1,105.8 million of total debt outstanding before netting with deferred financing costs and unamortized debt discount, of which $569.6 million was bearing interest at variable rates. Based on variable debt levels as of March 31, 2024, a 1.0 percentage point change in interest rates on variable rate debt would have resulted in annual interest expense increasing by approximately $5.7 million.
Fuel Costs
We are exposed to market risks related to changes in the price of gasoline used to fuel our fleet of delivery and sales vehicles. A hypothetical 10% increase in the first three months of 2024 average price of unleaded gasoline, assuming gasoline usage levels for the three months ended March 31, 2024, would lead to an increase in fuel costs of approximately $0.2 million.
Pension
Our pension plan assets, which were approximately $22.6 million as of December 31, 2023, are subject to volatility that can be caused by fluctuations in general economic conditions. Continued market volatility and disruption could cause declines in asset values, and if this occurs, we may need to make additional pension plan contributions and our pension expense in future years may increase. A hypothetical 10% decrease in the fair value of plan assets as of December 31, 2023 would lead to a decrease in the funded status of the plan of approximately $2.3 million.
Other Market Risk
As of March 31, 2024, we have no other material exposure to market risk.
ITEM 4. Controls and Procedures.
Evaluation of Disclosure Controls and Procedures
Our management is responsible for establishing and maintaining effective disclosure controls and procedures, as defined under Rule 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended (the “Exchange Act”). As of March 31, 2024, we performed an evaluation, under the supervision and with the participation of our management, including our Chief Executive Officer and Chief Financial Officer, of the effectiveness of the design and operation of Agiliti, Inc.’s disclosure controls and procedures and concluded that, due to the existence of material weaknesses in internal control over financial reporting described below, and based on the evaluation of these disclosure controls and procedures, the Company’s disclosure controls and procedures were not effective as of March 31, 2024.
Notwithstanding the existence of the material weaknesses described below, management performed additional analysis and other procedures to ensure that the consolidated financial statements and related financial information included in this Quarterly Report on Form 10-Q fairly present, in all material respects, our financial position, results of operations and cash flows as of and for the periods presented, in conformity with generally accepted accounting principles in the United States of America (“GAAP”).
Management’s Report on Internal Control over Financial Reporting
Management is responsible for establishing and maintaining adequate internal control over financial reporting, as such term is defined under Rules 13a-15(f) and 15d-15(f) of the Exchange Act. Because of its inherent limitations, internal control over financial reporting may not prevent or detect all misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.
Management, including our Chief Executive Officer and Chief Financial Officer, under the oversight of our Board of Directors, evaluated the effectiveness of the Company’s internal control over financial reporting as of March 31, 2024. In making this evaluation, management used the criteria set forth by the Committee of Sponsoring Organizations of the Treadway Commission ("COSO") the Internal Control - Integrated Framework (2013). Based on its evaluation, management has concluded that the Company did not maintain effective internal control over financial reporting as of March 31, 2024, due to the material weaknesses caused by an insufficient number of trained resources with expertise in the design and implementation of controls to address identified risk related to IT systems and certain process-level controls, as follows:
•Information technology general controls ("ITGC") across all financial reporting systems related to ineffective user access, including segregation of duties, and ineffective change management controls over certain financial reporting systems. As a result, the Company had ineffective process level controls that are automated or that rely on information from the affected systems across all financial reporting processes.
•The Company was unable to maintain effective risk assessment processes and did not have effective identification and design of process-level control activities related to order-to-cash (including revenue and accounts receivable) and manual journal entries.
A material weakness is a deficiency, or a combination of deficiencies, in internal control over financial reporting, such that there is a reasonable possibility that a material misstatement of our annual or interim financial statements will not be prevented or detected on a timely basis.
Although these material weaknesses did not result in any material misstatement of our consolidated financial statements for the periods presented, there is a possibility they could lead to a material misstatement of account balances or disclosures. Accordingly, management has concluded that these control deficiencies constitute material weaknesses.
Historical Remediation Activities
As previously disclosed in Item 9A. of our Annual Report for the fiscal year ended December 31, 2023, management identified material weaknesses in internal control over financial reporting due to insufficient trained resources with expertise in implementation and operation of internal controls. These material weaknesses included ineffective identification of risks and related responses, ineffective control activities related to the design and operation of process level controls, and ineffective ITCGs across all financial reporting systems.
While we believe that we have taken meaningful steps to improve our internal controls over financial reporting related to the previously reported material weaknesses, full remediation was not realized as of March 31, 2024.
The Company has performed the following remediation activities:
•We enhanced policies and procedures to improve our overall control environment and monitoring controls around timely evaluation and communication of internal control deficiencies to those parties responsible for taking corrective action, including senior management and the Board of Directors, as appropriate.
•We recruited key positions within our technology, accounting, internal audit, and other support functions with appropriate qualified experience to enhance our risk assessment processes and internal control capabilities, allow for additional segregation of duties and improved change management, and provide appropriate oversight and reviews.
•We provided training and education programs for personnel responsible for the performance of key business processes throughout the Company to facilitate their understanding of the risks being addressed by the controls they are performing as well as educate them in the documentation requirements of the internal control framework.
•We began modifying access to key system privileges to minimize risk within the organization and its IT systems.
•We began enhancing user access provisioning and monitoring controls to enforce appropriate system access and segregation of duties as well as controls supporting change management. We have also established a ruleset against which we will evaluate segregation of duties in future periods.
•We migrated most of our customers to a new cloud-based technology that is managed by our organization, which will allow for better established ITGCs.
•We made investments in our technology platforms and associated tools, such as monitoring software, in order to provide better reporting capabilities and allow for transparency as to the changes made by users with privileged access.
•We made significant progress in enhancements to the business process control environment to address the noted design deficiencies.
•We modified resource allocations to further support the SOX compliance program.
Management’s Ongoing Remediation Plan
While we have put forth significant resources and effort in our remediation activities described above, ongoing and additional activities are required to fully remediate our material weaknesses. We are continuing to implement process and control improvements to address the above material weaknesses as follows:
•We will continue to implement and enhance ITGCs and related policies. This will include providing training and support related to newly developed templates that are designed to help us both assess the appropriateness of IT access and identify potential segregation of duties conflicts so we can either modify access to address the conflict or identify sufficient compensating controls.
•We will continue to configure system access and new tools, such as monitoring software, to allow us to better report upon and evaluate software modifications, data changes, and other relevant IT changes.
•We will continue to coordinate with our Human Resources personnel to allow for better tracking of contingent workers (i.e., personnel who are not full-time employees of our company) to help us assess the appropriateness of, and terminate as applicable, the system access of those workers.
•We will continue to develop and implement system and business process controls around our order-to-cash process for the various revenue streams and the manual journal entry process to address the design and implementation of controls. We have developed numerous controls that are being implemented and are dependent on system enhancements that are scheduled to occur throughout 2024.
•We will provide additional training with control owners and reviewers with specific focus on understanding the risks being addressed by the controls they are performing, as well as requirements for sufficient documentation and evidence in the execution of the controls.
As anticipated, a remediation effort of this magnitude takes multiple years to complete. We are committed to ensuring that our internal controls are designed and operating effectively. Management believes the efforts taken to date and the planned remediation will improve the effectiveness of our internal control over financial reporting. While these remediation efforts are ongoing, the controls must also be operating effectively for a sufficient period of time and be tested by management in order to consider them remediated and conclude that the controls are operating effectively to address the risks of material misstatement.
Changes in Internal Controls Over Financial Reporting
Except for the steps taken as part of the remediation activities described above, there have been no changes in our internal controls over financial reporting (as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) that occurred during the three months ended March 31, 2024, that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
PART II - OTHER INFORMATION
Item 1. Legal Proceedings.
From time to time we are a party to various legal proceedings incidental to the conduct of our business. The results of legal proceedings are inherently unpredictable and uncertain. We are not presently party to any legal proceedings that we believe would have a material adverse effect on our business, prospects, financial condition, liquidity, results of operation, cash flows or capital levels. We periodically reexamine our estimates of probable liabilities and any associated expenses and receivables and make appropriate adjustments to such estimates based on experience and developments in litigation. As a result, the current estimates of the potential impact on our business, prospects, financial condition, liquidity, results of operation, cash flows or capital levels for the proceedings and claims described in the notes to our condensed consolidated financial statements could change in the future.
Regardless of the outcome, legal proceedings have the potential to have an adverse impact on us because of defense and settlement costs, diversion of management resources and other factors.
We received demand letters ("220 Demands") from twelve purported stockholders of the Company ("220 Stockholders") pursuant to Section 220 of the Delaware General Corporation Law ("Section 220"), seeking to inspect books and records of the Company relating to, among other things, the Merger. Three of the 220 Stockholders, Charles Hennig, Derrick Lescord, and Thomas Nighsonger, filed complaints seeking to compel inspection of the Company's books and records pursuant to Section 220 in the Delaware Court of Chancery, on March 28, 2024, April 22, 2024, and April 30, 2024, respectively. Additionally, the Company has received demand letters ("Disclosure Demands") from two purported stockholders of the Company ("Disclosure Stockholders"), which generally demand the disclosure of certain additional information that was allegedly omitted from the Schedule 14C filed in connection with the Merger ("Information Statement"). See the additional information in "Note 8 – Commitments and Contingencies", to the consolidated financial statements included in Part I, Item 1 of the Quarterly Report on Form 10-Q.
Item 1A. Risk Factors.
There have been no material changes to the risk factors disclosed under the heading “Risk Factors” in our 2023 Form 10-K Report under Part I, Item 1A for the three months ended March 31, 2024, except as noted below:
Litigation against us, THL, or the members of their respective boards, could result in the payment of damages following completion of the Merger.
We have received the 220 Demands from the 220 Stockholders pursuant to Section 220, seeking to inspect books and records of the Company relating to, among other things, the Merger. Three of the 220 Stockholders, Charles Hennig, Derrick Lescord, and Thomas Nighsonger, filed complaints seeking to compel inspection of our books and records pursuant to Section 220 in the Delaware Court of Chancery, on March 28, 2024, April 22, 2024, and April 30, 2024, respectively. Additionally, we have received the Disclosure Demands from the Disclosure Stockholders, which generally demand the disclosure of certain additional information that was allegedly omitted from the Information Statement. As of the date hereof, no other demands have been made and no other complaints have been filed, but it is possible that additional demands may be made and/or that additional complaints may be filed pursuant to Section 220 and/or that complaints may be filed by our stockholders challenging the Merger. The outcome of any such demands and complaints and any litigation ensuing from such demands and complaints cannot be assured, including the amount of fees and costs associated with defending these claims or any other liabilities that may be incurred in connection therewith. Whether or not any plaintiff’s claim is successful, this type of litigation can result in significant costs and divert our attention and resources from the Merger and ongoing business activities, which could adversely affect our operations.
Uncertainty about the Merger may adversely affect the relationships between us and our customers, vendors and employees.
In response to the announcement of the Merger, existing or prospective customers, vendors and other third party relationships of ours may delay, defer or cease providing goods or services, delay or defer other decisions concerning us, refuse to extend credit to us, or otherwise seek to change the terms on which they do business with us. Any such delays or changes to terms could materially harm our business.
In addition, as a result of the Merger, current and prospective employees could experience uncertainty about their roles within the Company. These uncertainties may impair our ability to retain, recruit or motivate key management and technical, manufacturing, and other personnel. If we are unable to retain key employees, we could face the loss of
institutional knowledge and skill sets and other operational, financial and strategic disruptions, which may diminish the anticipated benefits of the Merger. No assurance can be given that following the Merger, we will be able to retain or attract management personnel and other key employees to the same extent that we have previously been able to retain or attract our employees.
Item 2. Unregistered Sales of Equity Securities, Use of Proceeds, and Issuer Purchases of Equity Securities.
The following table shows information with respect to purchases of our Common Stock made during the three months ended March 31, 2024 by us or any of our “affiliated purchasers” as defined in Rule 10b-18(a)(3) under the Exchange Act:
| | | | | | | | | | | | | | | | | | | | | | | | | | |
Period | | Total Number of Shares Repurchased (1) | | Average Price Paid Per Share (1) | | Total Number of Shares Purchased as Part of Publicly Announced Plans (1) | | Maximum Dollar Value of Shares that May Yet Be Purchased Under the Plans at Period End (in thousands) (1) |
January 1-31 | | — | | | $ | — | | | — | | | $ | 46,247 | |
February 1-29 | | — | | | — | | | — | | | 46,247 | |
March 1-31 | | — | | | — | | | — | | | 46,247 | |
Total | | — | | | $ | — | | | — | | | $ | 46,247 | |
(1)On August 21, 2023, our Board of Directors approved a share repurchase program, pursuant to which, the Company is authorized to repurchase up to $50 million of shares of the Company’s common stock (exclusive of any fees, commissions or other expenses related to such repurchases), over a 12-month period (the “Repurchase Plan”). Share repurchases may be made from time to time, on the open market, through privately negotiated transactions, through an accelerated share repurchase, or in any other manner permitted by the applicable federal and state securities laws and regulations. There is no minimum number of shares, if any, that the Company is required to repurchase and the Repurchase Plan may be suspended or discontinued at any time without prior notice.
Item 5. Other Information
Rule 10b5-1 Trading Plans
On February 27, 2024, Thomas J. Leonard, a member of our Board of Directors and our Chief Executive Officer, terminated two pre-arranged trading plans intended to satisfy the affirmative defense conditions of Rule 10b5-1(c) under the Exchange Act (each a “Rule 10b5-1 trading plan”) initially adopted on December 11, 2023 and August 25, 2023, respectively. As a result, Mr. Leonard no longer has active Rule 10b5-1 trading plans.
Other than as disclosed above, none of our directors or officers adopted, modified or terminated Rule 10b5-1 trading plans or non-Rule 10b5-1 trading arrangements (as such terms are defined in Item 408(c) of Regulation S-K) during the three months ended March 31, 2024.
Item 6. Exhibits
| | | | | | | | |
Exhibit Number | | Description |
| | |
2.1 | | |
| | |
3.1 | | |
| | |
3.2 | | |
| | |
10.1 | | |
| | |
31.1 | | |
| | |
31.2 | | |
| | |
32.1* | | |
| | |
32.2* | | |
| | |
101.INS | | Inline XBRL Instance Document – the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document. |
| | |
101.SCH | | Inline XBRL Taxonomy Extension Schema Document. |
| | |
101.CAL | | Inline XBRL Taxonomy Extension Calculation Linkbase Document. |
| | |
101.DEF | | Inline XBRL Taxonomy Extension Definition Linkbase Document. |
| | |
101.LAB | | Inline XBRL Taxonomy Extension Label Linkbase Document. |
| | |
101.PRE | | Inline XBRL Taxonomy Extension Presentation Linkbase Document. |
| | |
104 | | The cover page for the Company’s Quarterly Report on Form 10-Q has been formatted in Inline XBRL and contained in Exhibit 101. |
____________________
* Furnished, not filed.
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
Date: May 7, 2024
| | | | | | | | |
| Agiliti, Inc. |
| |
| By | /s/ Thomas J. Leonard |
| Thomas J. Leonard |
| Chief Executive Officer |
| (Principal Executive Officer and Duly Authorized Officer) |
| |
| By | /s/ James B. Pekarek |
| James B. Pekarek |
| Executive Vice President and Chief Financial Officer |
| (Principal Financial Officer) |
Exhibit 31.1
Certification of Principal Executive Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
I, Thomas J. Leonard, certify that:
1. I have reviewed this Quarterly Report on Form 10-Q of Agiliti, Inc. (the “registrant”);
2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;
3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:
(a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;
(b) Designed such internal control over financial reporting, or caused such internal control over reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;
(c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and
(d) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and
5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):
(a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and
(b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.
| | | | | | | | |
Date: May 7, 2024 | /s/ | Thomas J. Leonard |
| | Thomas J. Leonard |
| | Chief Executive Officer |
| | (Principal Executive Officer) |
Exhibit 31.2
Certification of Principal Financial Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
I, James B. Pekarek, certify that:
1. I have reviewed this Quarterly Report on Form 10-Q of Agiliti, Inc. (the “registrant”);
2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;
3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:
(a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;
(b) Designed such internal control over financial reporting, or caused such internal control over reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;
(c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and
(d) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and
5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):
(a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and
(b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.
| | | | | | | | |
Date: May 7, 2024 | /s/ | James B. Pekarek |
| | James B. Pekarek |
| | Executive Vice President and |
| | Chief Financial Officer |
| | (Principal Financial Officer) |
Exhibit 32.1
CERTIFICATION PURSUANT TO
SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002
In connection with the Quarterly Report of Agiliti, Inc. (the “Company”) on Form 10-Q for the period ended March 31, 2024, as filed with the Securities and Exchange Commission (the “Report”), I, Thomas J. Leonard, Chief Executive Officer of the Company, certify, pursuant to 18 U.S.C. §1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:
(1)The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and
(2)The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.
| | | | | | | | |
Date: May 7, 2024 | /s/ | Thomas J. Leonard |
| | Thomas J. Leonard |
| | Chief Executive Officer |
Exhibit 32.2
CERTIFICATION PURSUANT TO
SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002
In connection with the Quarterly Report of Agiliti, Inc. (the “Company”) on Form 10-Q for the period ended March 31, 2024, as filed with the Securities and Exchange Commission (the “Report”), I, James B. Pekarek, Chief Financial Officer of the Company, certify, pursuant to 18 U.S.C. §1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:
(1)The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and
(2)The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.
| | | | | | | | |
Date: May 7, 2024 | /s/ | James B. Pekarek |
| | James B. Pekarek |
| | Executive Vice President and |
| | Chief Financial Officer |
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v3.24.1.u1
Consolidated Balance Sheets - USD ($) $ in Thousands |
Mar. 31, 2024 |
Dec. 31, 2023 |
Current assets: |
|
|
Cash and cash equivalents |
$ 5,373
|
$ 20,037
|
Accounts receivable, less allowance for credit losses of $4,295 as of March 31, 2024 and $6,236 as of December 31, 2023 |
246,344
|
215,684
|
Inventories |
86,006
|
74,484
|
Prepaid expenses |
17,327
|
20,231
|
Other current assets |
8,334
|
7,307
|
Total current assets |
363,384
|
337,743
|
Property and equipment, net |
295,693
|
292,684
|
Goodwill |
1,239,432
|
1,239,432
|
Operating lease right-of-use assets |
76,804
|
78,157
|
Other intangibles, net |
411,810
|
430,002
|
Other |
21,149
|
20,926
|
Total assets |
2,408,272
|
2,398,944
|
Current liabilities: |
|
|
Current portion of long-term debt |
26,281
|
18,468
|
Current portion of operating lease liability |
25,362
|
25,603
|
Current portion of obligation under tax receivable agreement |
1,862
|
12,796
|
Accounts payable |
67,709
|
58,518
|
Accrued compensation |
37,699
|
28,866
|
Accrued interest |
21,363
|
21,451
|
Other current liabilities |
35,902
|
30,906
|
Total current liabilities |
216,178
|
196,608
|
Long-term debt, less current portion |
1,059,377
|
1,061,062
|
Obligation under tax receivable agreement, pension and other long-term liabilities |
9,723
|
10,467
|
Operating lease liability, less current portion |
62,819
|
63,765
|
Deferred income taxes, net |
120,142
|
126,219
|
Commitments and contingencies (Note 8) |
|
|
Equity: |
|
|
Common stock, $0.0001 par value; $500,000,000 shares authorized; $136,081,290 and $135,368,025 shares issued; $136,081,290 and $135,352,336 shares outstanding as of March 31, 2024 and December 31, 2023, respectively |
14
|
14
|
Treasury stock, at cost; — and 54,256 shares as of March 31, 2024 and December 31, 2023, respectively |
0
|
(419)
|
Additional paid-in capital |
975,492
|
972,156
|
Accumulated deficit |
(40,306)
|
(33,699)
|
Accumulated other comprehensive income |
4,531
|
2,505
|
Total Agiliti, Inc. and Subsidiaries equity |
939,731
|
940,557
|
Noncontrolling interest |
302
|
266
|
Total equity |
940,033
|
940,823
|
Total liabilities and equity |
$ 2,408,272
|
$ 2,398,944
|
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v3.24.1.u1
Consolidated Balance Sheets (Parenthetical) - USD ($) $ in Thousands |
Mar. 31, 2024 |
Dec. 31, 2023 |
Statement of Financial Position [Abstract] |
|
|
Accounts receivable, allowance for doubtful accounts |
$ 4,295
|
$ 6,236
|
Common stock, par value (in dollars per share) |
$ 0.0001
|
$ 0.0001
|
Common stock, shares authorized (in shares) |
500,000,000
|
500,000,000
|
Common stock, shares issued (in shares) |
136,081,290
|
135,368,025
|
Common stock, shares outstanding (in shares) |
136,081,290
|
135,352,336
|
Treasury stock (in shares) |
0
|
54,256
|
X |
- DefinitionAmount of allowance for credit loss on accounts receivable, classified as current.
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v3.24.1.u1
Consolidated Statements of Operations - USD ($) $ in Thousands |
3 Months Ended |
Mar. 31, 2024 |
Mar. 31, 2023 |
Income Statement [Abstract] |
|
|
Revenue |
$ 302,751
|
$ 299,904
|
Cost of revenue |
203,542
|
190,530
|
Gross margin |
99,209
|
109,374
|
Selling, general and administrative expense |
84,025
|
88,837
|
Operating income |
15,184
|
20,537
|
Interest expense |
22,918
|
15,831
|
Income (loss) before income taxes and noncontrolling interest |
(7,734)
|
4,706
|
Income tax (benefit) expense |
(1,218)
|
1,656
|
Consolidated net income (loss) |
(6,516)
|
3,050
|
Net income attributable to noncontrolling interest |
91
|
37
|
Net income (loss) attributable to Agiliti, Inc. and Subsidiaries |
$ (6,607)
|
$ 3,013
|
Basic income (loss) per share (in dollars per share) |
$ (0.05)
|
$ 0.02
|
Diluted income (loss) per share (in dollars per share) |
$ (0.05)
|
$ 0.02
|
Weighted-average common shares outstanding: |
|
|
Basic (in shares) |
135,664,208
|
133,850,124
|
Diluted (in shares) |
135,664,208
|
139,293,662
|
X |
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v3.24.1.u1
Consolidated Statements of Comprehensive (Loss) Income - USD ($) $ in Thousands |
3 Months Ended |
Mar. 31, 2024 |
Mar. 31, 2023 |
Statement of Comprehensive Income [Abstract] |
|
|
Consolidated net income (loss) |
$ (6,516)
|
$ 3,050
|
Other comprehensive income (loss): |
|
|
(Loss) on minimum pension liability, net of tax of $5 and $12 |
(15)
|
(35)
|
Gain (loss) on cash flow hedge, net of tax benefit (expense) of $(695) and $1,375 |
2,041
|
(3,967)
|
Total other comprehensive (loss) income |
2,026
|
(4,002)
|
Comprehensive (loss) |
(4,490)
|
(952)
|
Comprehensive income attributable to noncontrolling interest |
91
|
37
|
Comprehensive (loss) attributable to Agiliti, Inc. and Subsidiaries |
$ (4,581)
|
$ (989)
|
X |
- DefinitionOther comprehensive income loss on Minimum Pension liability, net of tax.
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Consolidated Statements of Equity - USD ($) $ in Thousands |
Total |
Total Agiliti, Inc. and Subsidiaries |
Common Stock |
Treasury Stock |
Additional Paid-in Capital |
Accumulated Deficit |
Accumulated Other Comprehensive Income (Loss) |
Noncontrolling Interests |
Beginning balance at Dec. 31, 2022 |
$ 946,325
|
$ 946,128
|
$ 13
|
$ 0
|
$ 953,046
|
$ (14,274)
|
$ 7,343
|
$ 197
|
Increase (Decrease) in Equity |
|
|
|
|
|
|
|
|
Net income (loss) |
3,050
|
3,013
|
|
|
|
3,013
|
|
37
|
Other comprehensive income (loss) |
(4,002)
|
(4,002)
|
|
|
|
|
(4,002)
|
|
Share-based compensation expense |
6,727
|
6,727
|
|
|
6,727
|
|
|
|
Stock options exercised |
469
|
469
|
|
|
469
|
|
|
|
Shares forfeited for taxes |
(5,314)
|
(5,314)
|
|
|
(5,314)
|
|
|
|
Cash distributions to noncontrolling interests |
(57)
|
|
|
|
|
|
|
(57)
|
Ending balance at Mar. 31, 2023 |
947,198
|
947,021
|
13
|
0
|
954,928
|
(11,261)
|
3,341
|
177
|
Beginning balance at Dec. 31, 2023 |
940,823
|
940,557
|
14
|
(419)
|
972,156
|
(33,699)
|
2,505
|
266
|
Increase (Decrease) in Equity |
|
|
|
|
|
|
|
|
Net income (loss) |
(6,516)
|
(6,607)
|
|
|
|
(6,607)
|
|
91
|
Other comprehensive income (loss) |
2,026
|
2,026
|
|
|
|
|
2,026
|
|
Reissuance of treasury stock |
0
|
|
|
419
|
(419)
|
|
|
|
Share-based compensation expense |
4,513
|
4,513
|
|
|
4,513
|
|
|
|
Stock options exercised |
1,150
|
1,150
|
|
|
1,150
|
|
|
|
Shares forfeited for taxes |
(1,908)
|
(1,908)
|
|
|
(1,908)
|
|
|
|
Cash distributions to noncontrolling interests |
(55)
|
|
|
|
|
|
|
(55)
|
Ending balance at Mar. 31, 2024 |
$ 940,033
|
$ 939,731
|
$ 14
|
$ 0
|
$ 975,492
|
$ (40,306)
|
$ 4,531
|
$ 302
|
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v3.24.1.u1
Consolidated Statements of Cash Flows - USD ($) $ in Thousands |
3 Months Ended |
Mar. 31, 2024 |
Mar. 31, 2023 |
Cash flows from operating activities: |
|
|
Consolidated net income (loss) |
$ (6,516)
|
$ 3,050
|
Adjustments to reconcile net income to net cash provided by operating activities: |
|
|
Depreciation |
20,980
|
19,620
|
Amortization |
20,675
|
23,473
|
Remeasurement of tax receivable agreement |
267
|
0
|
Provision for credit losses (gains) |
(1,371)
|
404
|
Provision for inventory obsolescence |
945
|
789
|
Non-cash share-based compensation expense |
4,238
|
6,889
|
Gain on sales and disposals of equipment |
(279)
|
(751)
|
Deferred income taxes |
(6,767)
|
(4,229)
|
Changes in operating assets and liabilities: |
|
|
Accounts receivable |
(28,877)
|
(15,497)
|
Inventories |
(12,467)
|
(4,399)
|
Other operating assets |
5,431
|
3,930
|
Accounts payable |
7,386
|
7,935
|
Accrued and other operating liabilities |
10,117
|
13,682
|
Net cash provided by operating activities |
13,762
|
54,896
|
Cash flows from investing activities: |
|
|
Medical equipment purchases |
(11,870)
|
(12,128)
|
Property and office equipment purchases |
(6,674)
|
(6,734)
|
Proceeds from disposition of property and equipment |
806
|
1,033
|
Intangible asset purchases |
(27)
|
0
|
Net cash used in investing activities |
(17,765)
|
(17,829)
|
Cash flows from financing activities: |
|
|
Proceeds under debt arrangements |
70,000
|
87,000
|
Payments under debt arrangements |
(65,688)
|
(82,849)
|
Payments of principal under finance lease liability |
(2,351)
|
(2,297)
|
Payments of deferred financing costs |
(871)
|
0
|
Payments under tax receivable agreement |
(10,938)
|
(24,822)
|
Distributions to noncontrolling interests |
(55)
|
(57)
|
Proceeds from exercise of stock options |
1,150
|
469
|
Dividend and equity distribution payment |
0
|
(321)
|
Shares forfeited for taxes |
(1,908)
|
(5,314)
|
Net cash used in financing activities |
(10,661)
|
(28,191)
|
Net change in cash and cash equivalents |
(14,664)
|
8,876
|
Cash and cash equivalents at the beginning of period |
20,037
|
5,577
|
Cash and cash equivalents at the end of period |
5,373
|
14,453
|
Supplemental cash flow information: |
|
|
Interest paid |
22,050
|
14,622
|
Income taxes paid |
$ 88
|
$ 39
|
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v3.24.1.u1
Basis of Presentation
|
3 Months Ended |
Mar. 31, 2024 |
Organization, Consolidation and Presentation of Financial Statements [Abstract] |
|
Basis of Presentation |
Basis of Presentation Description of Business Agiliti, Inc. and its consolidated subsidiaries (Federal Street Acquisition Corp (“FSAC”), Agiliti Holdco, Inc. and Agiliti Health, Inc. and subsidiaries (the “Company” or “Agiliti”)) is a nationwide provider of healthcare technology management and service solutions to the United States healthcare industry. Agiliti, Inc. owns 100% of FSAC. FSAC owns 100% of Agiliti Holdco, Inc. Agiliti Holdco, Inc. owns 100% of Agiliti Health, Inc. Agiliti Health, Inc. owns 100% of Agiliti Surgical, Inc., Agiliti Imaging, Inc., Agiliti Surgical Equipment Repair, Inc., Sizewise Rentals, LLC, and Agiliti Financing, LLC. Agiliti Financing, LLC owns 100% of Agiliti Receivables LLC. Agiliti Health, Inc. and subsidiaries are the only entities with operations. All other entities have no material assets, liabilities, cash flows or operations other than their investment and ownership of Agiliti Health, Inc. and subsidiaries. The Merger Agreement On February 26, 2024, the Company, entered into an Agreement and Plan of Merger (the “Merger Agreement”) by and among the Company, Apex Intermediate Holdco, Inc., a Delaware corporation (“Parent”), and Apex Merger Sub, Inc., a Delaware corporation and a direct wholly owned subsidiary of Parent (“Merger Sub”), pursuant to which, subject to the satisfaction or waiver of certain conditions and on the terms set forth therein, Merger Sub will merge (the “Merger”) with and into the Company, with the Company continuing as the surviving corporation (the “Surviving Corporation”). Parent and Merger Sub are affiliates of THL Agiliti LLC, an affiliate of Thomas H. Lee Partners, L.P. (“THL”) and the holder of a majority of the outstanding capital stock of the Company (the “Significant Company Stockholder”). Capitalized terms used herein but not otherwise defined have the meaning set forth in the Merger Agreement. Merger Consideration Pursuant to the Merger Agreement, at the effective time of the Merger (the “Effective Time”), each share of common stock, $0.0001 par value per share, of the Company (the “Shares” and each a “Share”) issued and outstanding immediately prior to the Effective Time (other than (i) Shares owned directly or indirectly by the Significant Company Stockholder, Parent or Merger Sub or any of their respective Subsidiaries (each such Share referred to in clause (i), a “Significant Company Stockholder Share” and, collectively, the “Significant Company Stockholder Shares”), (ii) the Rollover Shares (defined below) and (iii) Shares owned by the Company as treasury stock (each such Share referred to in clause (iii), an “Excluded Share” and, collectively, the “Excluded Shares”) and (iv) Shares that are owned by stockholders who have perfected and not withdrawn a demand for appraisal rights in accordance with Section 262 of the DGCL (“Dissenting Stockholders”)), shall be converted into the right to receive $10.00 per Share in cash, without interest thereon (the “Merger Consideration”). Refer to the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on February 26, 2024 for additional information regarding the Company’s entry into the Merger Agreement. Basis of Presentation The interim consolidated financial statements have been prepared by the Company without audit. Certain disclosures normally included in consolidated financial statements prepared in accordance with accounting principles generally accepted in the United States of America (“GAAP”) have been condensed or omitted. As such, the information included in this Quarterly Report on Form 10-Q should be read in conjunction with the audited consolidated financial statements and the related notes thereto in the Company’s Annual report on Form 10-K for the year ended December 31, 2023 filed with the Securities and Exchange Commission (“SEC”) on March 6, 2024 (“2023 Form 10-K Report”). The interim consolidated financial statements presented herein as of March 31, 2024, reflect, in the opinion of management, all adjustments necessary for a fair presentation of the financial position, results of operations, comprehensive income, equity and cash flows for the periods presented. These adjustments are all of a normal, recurring nature. The results of operations for any interim period are not necessarily indicative of results for the full year. The Company is required to make estimates and assumptions about future events in preparing consolidated financial statements in conformity with GAAP. These estimates and assumptions affect the amounts of assets, liabilities, revenue and expenses at the date of the unaudited consolidated financial statements. While the Company believes that the past estimates and assumptions have been materially accurate, its current estimates are subject to change if different assumptions are utilized to predict the outcome of future events. The Company evaluates its estimates and judgments on an ongoing basis and predicate those estimates and judgments on historical experience and on various other factors that it believes to be reasonable under the circumstances. The Company makes adjustments to its assumptions and judgments when facts and circumstances dictate. Since future events and their effects cannot be determined with absolute certainty, actual results may differ from the estimates used in preparing the accompanying unaudited consolidated financial statements. A description of the Company's significant accounting policies is included in the audited consolidated financial statements. There have been no material changes to these policies for the three months ended March 31, 2024.
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- DefinitionThe entire disclosure for organization, consolidation and basis of presentation of financial statements disclosure.
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v3.24.1.u1
Recent Accounting Pronouncements
|
3 Months Ended |
Mar. 31, 2024 |
Accounting Policies [Abstract] |
|
Recent Accounting Pronouncements |
Recent Accounting Pronouncements Standards Not Yet Adopted In November 2023, the FASB issued ASU No. 2023-07, Segment Reporting (ASC 280): Improvements to Reportable Segment Disclosures ("ASU 2023-07"). The ASU requires that an entity disclose significant segment expenses impacting profit and loss that are regularly provided to the chief operating decision maker. The update is required to be applied retrospectively to prior periods presented, based on the significant segment expense categories identified and disclosed in the period of adoption. The amendments in this ASU are required to be adopted for fiscal years beginning after December 15, 2023, and interim periods within fiscal years beginning after December 15, 2024. Early adoption is permitted. The Company is currently evaluating the impact of this standard on the consolidated financial statements and related disclosures. In December 2023, the FASB issued ASU No. 2023-09, Income Taxes (ASC 740): Improvements to Income Tax Disclosures ("ASU 2023-09"). ASU 2023-09 is intended to enhance the transparency and decision usefulness of income tax disclosures. The amendments in ASU 2023-09 address investor requests for enhanced income tax information primarily through changes to the rate reconciliation and income taxes paid information. Early adoption is permitted. A public entity should apply the amendments in ASU 2023-09 prospectively to all annual periods beginning after December 15, 2024. The Company is currently evaluating the impact of this standard on the consolidated financial statements and related disclosures.
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v3.24.1.u1
Revenue Recognition
|
3 Months Ended |
Mar. 31, 2024 |
Revenue from Contract with Customer [Abstract] |
|
Revenue Recognition |
Revenue Recognition Revenue is recognized upon transfer of control of promised products or services to customers in an amount that reflects the consideration the Company expects to receive in exchange for those products or services. Many of the Company’s customers have multiple contracts and have revenue reported in multiple service lines. The Company’s contracts may include a base level of services provided for a stated period of time, optional services provided upon request, or products. Each of these products and services are generally capable of being distinct and are accounted for as separate performance obligations. The price for each performance obligation is stated in the customer contract and is based upon a price that would be charged to a customer if the product or service were sold on a standalone basis (the list price). Any discount from the list price provided to a customer for a product or service is allocated among the performance obligations based upon their individual standalone selling prices. Service revenue is typically recognized over time as the services are provided. When services are provided for a stated period of time, revenue is generally recognized ratably over the period services are provided. In certain circumstances, optional services may be provided on a time and materials basis. In these circumstances, revenue is recognized in an amount that corresponds to the actual time and expense incurred. Product revenue is recognized when the Company transfers control of a good, which occurs at a point in time. Revenue is recognized net of allowances for estimated rebates and group purchasing organization ("GPO") fees, which are established at the time of sale. Adjustments are made to these allowances at each reporting period. Taxes assessed by a governmental authority that are both imposed on and concurrent with a specific revenue-producing transaction and that are collected by the Company from a customer, are excluded from revenue. The following table presents disaggregated revenue by service solution: | | | | | | | | | | | | | | | | | Three Months Ended March 31, | (in thousands) | | 2024 | | 2023 | Equipment Solutions | | $ | 116,692 | | | $ | 120,866 | | Clinical Engineering | | 125,164 | | | 113,475 | | Onsite Managed Services | | 60,895 | | | 65,563 | | Total revenue | | $ | 302,751 | | | $ | 299,904 | |
The Company capitalizes contract costs incurred in obtaining new contracts. The contract asset included in other long-term assets in the consolidated balance sheets as of March 31, 2024 and December 31, 2023 was $14.1 million and $14.8 million, respectively. Capitalized costs are amortized over the expected life of the related contracts, which is estimated to be five years. Amortization is computed on a straight-line basis, which coincides with the predominant expected life of the underlying contracts. Amortization costs are reflected in cost of revenue and selling, general, and administrative expenses. The amount of amortization included in cost of revenue was $0.4 million and $0.3 million for the three months ended March 31, 2024 and 2023, respectively. The amount of amortization included in selling, general and administrative expense was $1.3 million and $1.2 million for the three months ended March 31, 2024 and 2023, respectively. There was no impairment loss in relation to the costs capitalized during the three months ended March 31, 2024 and 2023.
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v3.24.1.u1
Fair Value Measurements
|
3 Months Ended |
Mar. 31, 2024 |
Fair Value Disclosures [Abstract] |
|
Fair Value Measurements |
Fair Value Measurements A description of the inputs used in the valuation of assets and liabilities is summarized as follows: Level 1 — Inputs represent unadjusted quoted prices for identical assets or liabilities exchanged in active markets. Level 2 — Inputs include directly or indirectly observable inputs other than Level 1 inputs such as quoted prices for similar assets or liabilities exchanged in active or inactive markets; quoted prices for identical assets or liabilities exchanged in inactive markets; other inputs that are considered in fair value determinations of the assets or liabilities, such as interest rates and yield curves that are observable at commonly quoted intervals, volatilities, prepayment speeds, loss severities, credit risks and default rates; and inputs that are derived principally from or corroborated by observable market data by correlation or other means. Level 3 — Inputs include unobservable inputs used in the measurement of assets and liabilities. Management is required to use its own assumptions regarding unobservable inputs because there is little, if any, market activity in the assets or liabilities or related observable inputs that can be corroborated at the measurement date. Measurements of non-exchange traded derivative contract assets and liabilities are primarily based on valuation models, discounted cash flow models or other valuation techniques that are believed to be used by market participants. Unobservable inputs require management to make certain projections and assumptions about the information that would be used by market participants in pricing assets or liabilities. Financial assets and liabilities measured at fair value on a recurring basis as of March 31, 2024 and December 31, 2023 are summarized in the following tables by type of inputs applicable to the fair value measurements: | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Fair Value as of March 31, 2024 | (in thousands) | | Level 1 | | Level 2 | | Level 3 | | Total | Assets: | | | | | | | | | Deferred compensation assets | | $ | 3,629 | | | $ | — | | | $ | — | | | $ | 3,629 | | Interest rate swap | | — | | | 4,664 | | | — | | | 4,664 | | Liabilities: | | | | | | | | | Obligation under tax receivable agreement | | $ | — | | | $ | — | | | $ | 4,896 | | | $ | 4,896 | | Deferred compensation liabilities | | 3,629 | | | — | | | — | | | 3,629 | |
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | Fair Value as of December 31, 2023 | (in thousands) | | Level 1 | | Level 2 | | Level 3 | | Total | Assets: | | | | | | | | | Deferred compensation assets | | $ | 3,390 | | | $ | — | | | $ | — | | | $ | 3,390 | | Interest rate swap | | — | | | 3,140 | | | — | | | 3,140 | | Liabilities: | | | | | | | | | Obligation under tax receivable agreement | | $ | — | | | $ | — | | | $ | 15,549 | | | $ | 15,549 | | Interest rate swap | | — | | | 1,212 | | | — | | | 1,212 | | Deferred compensation liabilities | | 3,390 | | | — | | | — | | | 3,390 | |
The deferred compensation assets are held in mutual funds. The fair value of the deferred compensation assets and liabilities is based on the quoted market prices for the mutual funds and thus represents a Level 1 fair value measurement. On April 17, 2023, the Company entered into an interest rate swap agreement to manage interest rate exposure. For additional information on the interest swap agreement, see "Note 6 – Long-Term Debt". The carrying value of interest rate swap contract is at fair value, which is determined based on current interest rate and forward interest rates as of the balance sheet date and is classified within Level 2. On January 4, 2019, the Company entered into a tax receivable agreement (“TRA”) with its former owners. The fair value of the liability was estimated using a discounted cash flow analysis given that the fair value of the liability is expected to approximate the maximum obligation under the TRA. The assumptions used in preparing the discounted cash flow analyses include estimates of interest rates and the timing and amount of incremental cash flows. Given that the information utilized in determining the obligation was not observable in the market, the measurement of the liability represents a Level 3 fair value measurement. The value of the obligation may decrease in-line with decreases in the Company's estimated taxable income. The Company made $0.3 million of remeasurement adjustments during the three months ended March 31, 2024 and no remeasurement adjustments during the three months ended March 31, 2023. The Company made payments of $10.9 million and $24.8 million under the TRA during the three months ended March 31, 2024 and 2023, respectively. A reconciliation of the beginning and ending balance for the Level 3 measurement are as follows: | | | | | | | | | (in thousands) | | | Balance as of December 31, 2023 | | $ | 15,549 | | Additions | | 19 | | Payments | | (10,939) | | Remeasurement adjustment (1) | | 267 | | Balance as of March 31, 2024 | | $ | 4,896 | | ____________________ | | |
(1)Remeasurement adjustments are recognized in selling, general and administrative expense in the consolidated statement of operations. Fair Value of Other Financial Instruments The fair value of the Company's outstanding First Lien Term Loan (as defined in "Note 6 – Long-Term Debt") as of March 31, 2024 and December 31, 2023 is based on the quoted market price for the same or similar issues of debt, which represents a Level 2 fair value measurement, is approximately: | | | | | | | | | | | | | | | | | | | | | | | | | | | | | March 31, 2024 | | December 31, 2023 | (in thousands) | | Carrying Value | | Fair Value | | Carrying Value | | Fair Value | First Lien Term Loan (1) | | $ | 1,054,070 | | | $ | 1,062,940 | | | $ | 1,056,253 | | | $ | 1,070,973 | | ____________________ | | | | | | | | |
| | | | | | (1) | The carrying value of the First Lien Term Loan is net of unamortized deferred financing costs of $7.0 million and $7.3 million and unamortized debt discount of $8.5 million and $8.8 million as of March 31, 2024 and December 31, 2023, respectively. |
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v3.24.1.u1
Selected Financial Statement Information
|
3 Months Ended |
Mar. 31, 2024 |
Selected Financial Statement Information [Abstract] |
|
Selected Financial Statement Information |
Selected Financial Statement Information Inventories The Company's inventories consist of the following: | | | | | | | | | | | | | | | (in thousands) | | March 31, 2024 | | December 31, 2023 | Raw materials | | $ | 12,461 | | | $ | 13,376 | | Work-in-process | | 494 | | | 400 | | Finished goods | | 73,051 | | | 60,708 | | Total inventories | | $ | 86,006 | | | $ | 74,484 | |
Property and Equipment The Company separates its property and equipment into two categories - medical equipment and property and office equipment. Depreciation of medical equipment is provided on the straight-line method over the equipment’s estimated useful life, generally five to ten years. The cost and accumulated depreciation of medical equipment retired or sold is eliminated from their respective accounts and the resulting gain or loss is recorded in cost of revenue in the period the asset is retired or sold. Property and office equipment includes leasehold improvements, vehicles, computer software and hardware, and office equipment. Depreciation of property and office equipment is provided on the straight-line method over the lesser of the remaining useful life or lease term for leasehold improvements and three to ten years for office equipment. The cost and accumulated depreciation or amortization of property and equipment retired or sold is eliminated from their respective accounts and the resulting gain or loss is recorded in selling, general and administrative expense in the period the asset is retired or sold. The Company's property and equipment consists of the following: | | | | | | | | | | | | | | | (in thousands) | | March 31, 2024 | | December 31, 2023 | Medical equipment | | $ | 461,293 | | | $ | 450,564 | | Less: Accumulated depreciation | | (293,678) | | | (285,139) | | Medical equipment, net | | 167,615 | | | 165,425 | | Leasehold improvements | | 61,784 | | | 59,422 | | Office equipment and vehicles | | 207,932 | | | 200,560 | | | | 269,716 | | | 259,982 | | Less: Accumulated depreciation | | (141,638) | | | (132,723) | | Property and office equipment, net | | 128,078 | | | 127,259 | | Total property and equipment, net | | $ | 295,693 | | | $ | 292,684 | |
Depreciation expense recognized during the three months ended March 31, 2024 and 2023 was $21.0 million and $19.6 million, respectively. There were no impairment charges on property and equipment during the three months ended March 31, 2024 and 2023. Goodwill and Other Intangible Assets There were no additions to goodwill during the three months ended March 31, 2024. There were no impairment losses recorded on goodwill during the three months ended March 31, 2024 and 2023. The Company's other intangible assets are amortized over their estimated economic lives of two to fifteen years. The straight-line method of amortization generally reflects an appropriate allocation of the cost of the intangible assets to earnings in proportion to the amount of economic benefits obtained by the Company in each reporting period. However, for certain of its customer relationships, the Company uses the sum-of-the-years-digits amortization method to more appropriately allocate the cost to earnings in proportion to the estimated amount of economic benefit obtained. The Company's other intangible assets consist of the following: | | | | | | | | | | | | | | | | | | | | | | | March 31, 2024 | (in thousands) | | Cost | | Accumulated Amortization | | Net | Finite-life intangibles | | | | | | | Customer relationship | | $ | 780,806 | | | $ | (371,283) | | | $ | 409,523 | | Non-compete agreements | | 1,225 | | | (402) | | | 823 | | Trade names | | 2,406 | | | (1,263) | | | 1,143 | | Patents | | 337 | | | (16) | | | $ | 321 | | Total other intangible assets | | $ | 784,774 | | | $ | (372,964) | | | $ | 411,810 | |
| | | | | | | | | | | | | | | | | | | | | | | December 31, 2023 | (in thousands) | | Cost | | Accumulated Amortization | | Net | Finite-life intangibles | | | | | | | Customer relationship | | $ | 780,806 | | | $ | (353,190) | | | $ | 427,616 | | Non-compete agreements | | 1,225 | | | (341) | | | 884 | | Trade names | | 7,806 | | | (6,603) | | | 1,203 | | Patents | | 310 | | | (11) | | | 299 | | Total other intangible assets | | $ | 790,147 | | | $ | (360,145) | | | $ | 430,002 | |
Total amortization expense related to intangible assets was $18.2 million and $21.0 million for the three months ended March 31, 2024 and 2023, respectively. There were no impairment charges during the three months ended March 31, 2024 and 2023 related to other intangible assets. As of March 31, 2024, the future amortization expense related to other intangible assets is estimated as follows: | | | | | | | | | (in thousands) | | | Remainder of 2024 | | $ | 53,399 | | 2025 | | 65,056 | | 2026 | | 58,480 | | 2027 | | 51,915 | | 2028 | | 45,159 | | Thereafter | | 137,801 | | | | $ | 411,810 | |
Supplementary Cash Flow Information Supplementary cash flow information is as follows: | | | | | | | | | | | | | | | | | Three Months Ended March 31, | (in thousands) | | 2024 | | 2023 | Non-cash activities: | | | | | Property and equipment purchases included in accounts payable (at end of period) | | $ | 1,825 | | | $ | 2,090 | | Finance lease assets and liability additions | | 4,181 | | | 3,989 | | Operating lease right-of-use assets and operating lease liability additions | | 3,541 | | | 3,650 | |
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v3.24.1.u1
Long-Term Debt
|
3 Months Ended |
Mar. 31, 2024 |
Debt Disclosure [Abstract] |
|
Long-Term Debt |
Long-Term Debt Long-term debt consists of the following: | | | | | | | | | | | | | | | (in thousands) | | March 31, 2024 | | December 31, 2023 | First Lien Term Loan | | $ | 1,069,625 | | | $ | 1,072,313 | | Revolving Credit Facility | | 7,000 | | | — | | Finance lease liability | | 29,165 | | | 27,374 | | | | 1,105,790 | | | 1,099,687 | | Less: Unamortized deferred financing costs and debt discount | | (20,132) | | | (20,157) | | | | 1,085,658 | | | 1,079,530 | | Less: Current portion of long-term debt | | (26,281) | | | (18,468) | | Total long-term debt | | $ | 1,059,377 | | | $ | 1,061,062 | |
First Lien Credit Facilities The Company is party to a seven-year senior secured delayed draw term loan facility due May 2030 which, as amended, provides an aggregate principal amount of $1.075 billion in borrowing capacity (the “First Lien Term Loan”). The Company also has access to a senior secured revolving credit facility due April 2028 in an aggregate principal amount of $300.0 million (the “Revolving Credit Facility”). Additional information regarding the Company's indebtedness arrangements can be found within the notes to the consolidated financial statements in the most recently filed Annual Report on Form 10-K for the fiscal year ended December 31, 2023. The Company was in compliance with all financial debt covenants for all periods presented. Interest Rate Swap Agreement On April 17, 2023, the Company entered into an interest rate swap agreement for a total notional amount of $500.0 million, which has the effect of converting a portion of its Term Loan Credit Facility to fixed interest rates. The effective date for the interest rate swap agreement is July 1, 2023 and the expiration date is July 1, 2025. As a result of the interest rate swap agreement, the Company expects the effective interest rate on $500.0 million of the Term Loan Credit Facility to be 4.0685%, plus the Applicable Margin, through July 2025. The interest rate swap agreement qualifies for cash flow hedge accounting under ASC 815, Derivatives and Hedging. Both at inception and on an on-going basis, the Company performs an effectiveness test. The fair value of the interest rate swap agreement as of March 31, 2024 was $4.7 million, of which $3.9 million is included in other current assets and $0.8 million is included in other long-term assets on the consolidated balance sheet. The change in fair value was recorded as a component of accumulated other comprehensive income on the consolidated balance sheet, net of tax, since the instrument was determined to be an effective hedge as of March 31, 2024. The Company has not recorded any amounts due to ineffectiveness for any periods presented. Accounts Receivable Securitization On February 14, 2024, Agiliti Receivables LLC, a consolidated special purpose entity (the “SPV”), entered into an accounts receivable securitization facility (the “AR Facility”) of up to $150.0 million with MUFG Bank, Ltd., as administrative agent. In connection with the AR Facility, certain subsidiaries of Agiliti, as originators, will sell qualifying accounts receivable to the SPV. The AR Facility represents borrowings secured by outstanding customer receivables. The use and repayment of borrowings under the AR Facility will be treated as financing activities while subsequent receipt of payment on outstanding customer receivables are treated as operating activities within the consolidated statement of cash flows. As of March 31, 2024, the Company had no outstanding borrowings under the AR Facility.
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v3.24.1.u1
Share-Based Compensation
|
3 Months Ended |
Mar. 31, 2024 |
Share-Based Payment Arrangement [Abstract] |
|
Share-Based Compensation |
Share-Based Compensation 2018 Omnibus Incentive Plan The 2018 Omnibus Incentive Plan (“2018 Plan”) provides for the issuance of restricted stock units, performance restricted stock units, and nonqualified stock options to any of the Company’s executives, other key employees and certain non-employee directors. Remaining authorized options, restricted stock units and performance restricted stock units available for future issuance under the 2018 Plan was 18.3 million shares as of March 31, 2024. Restricted Stock Units The restricted stock units vest over one to four years. The fair value of the restricted stock units is based upon the stock’s fair market value at the date of grant. During the three months ended March 31, 2024 and 2023, the Company granted 241,296 and 718,647 shares of restricted stock units, respectively. As of March 31, 2024, the total unrecognized compensation expense related to the non-vested portion of the Company's restricted stock units was $16.5 million, which is expected to be recognized over a weighted average period of 1.4 years. Performance Restricted Stock Units The performance restricted stock units cliff vest after three years and are subject to the level of achievement of a three year cumulative adjusted EBITDA target. The fair value of the market-based performance restricted stock units is estimated at the grant date using a Monte-Carlo simulation model. There were no issuances of performance restricted stock units during the three months ended March 31, 2024 and 2023. As of March 31, 2024, the total unrecognized compensation expense related to the non-vested portion of the Company's restricted stock units was $1.0 million, which is expected to be recognized over a weighted average period of 2.0 years. Nonqualified Stock Options Stock options allow for the purchase of shares of common stock of the Company at prices equal to the stock’s fair market value at the date of grant. Options granted have a ten-year contractual term and vest over one to four years. The Company determines the fair value of options using the Black-Scholes option pricing model. There were no issuances of stock options during the three months ended March 31, 2024 and 652,394 shares of stock options granted during the three months ended March 31, 2023. As of March 31, 2024, the total unrecognized compensation expense related to the non-vested portion of the Company's stock options was $1.8 million, which is expected to be recognized over a weighted average period of 1.8 years. Employee Stock Purchase Program The Company adopted an Employee Stock Purchase Plan (“ESPP”) in April 2021 and a total of 3.3 million shares of the Company's common stock are reserved for issuance thereunder. Employees are permitted to purchase the Company’s common stock at 85% of market value at the end of the six-month offering periods ending on April 30 and October 31 each year. There were no shares issued under the ESPP during three months ended March 31, 2024 and 2023. The following table summarizes stock-based compensation expense for the 2018 Plan and ESPP: | | | | | | | | | | | | | | | | | Three Months Ended March 31, | (in thousands) | | 2024 | | 2023 | Cost of sales | | $ | 35 | | | $ | 765 | | Selling, general, and administrative expense | | 4,203 | | | 6,124 | | Total stock-based compensation expense | | $ | 4,238 | | | $ | 6,889 | |
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v3.24.1.u1
Commitments and Contingencies
|
3 Months Ended |
Mar. 31, 2024 |
Commitments and Contingencies Disclosure [Abstract] |
|
Commitments and Contingencies |
Commitments and Contingencies From time to time the Company is a party to various legal proceedings incidental to the conduct of our business. The results of legal proceedings are inherently unpredictable and uncertain. The Company is not presently party to any legal proceedings that management believes would have a material adverse effect on our business, prospects, financial condition, liquidity, results of operation, cash flows or capital levels. Management periodically reexamines estimates of probable liabilities and any associated expenses and receivables and makes appropriate adjustments to such estimates based on experience and developments in litigation. As a result, the current estimates of the potential impact on the Company's business, prospects, financial condition, liquidity, results of operation, cash flows or capital levels for the proceedings and claims described in the condensed notes to the consolidated financial statements could change in the future. Regardless of the outcome, legal proceedings have the potential to have an adverse impact on the Company because of defense and settlement costs, diversion of management resources and other factors. The Company has received demand letters (“220 Demands”) from twelve purported stockholders of the Company (“220 Stockholders”) pursuant to Section 220 of the Delaware General Corporation Law (“Section 220”), seeking to inspect books and records of the Company relating to, among other things, the Merger. Three of the 220 Stockholders, Charles Hennig, Derrick Lescord, and Thomas Nighsonger, filed complaints seeking to compel inspection of the Company’s books and records pursuant to Section 220 in the Delaware Court of Chancery, on March 28, 2024, April 22, 2024, and April 30, 2024, respectively. Additionally, the Company has received demand letters (“Disclosure Demands”) from four purported stockholders of the Company (“Disclosure Stockholders”), which generally demand the disclosure of certain additional information that was allegedly omitted from the Schedule 14C filed in connection with the Merger (“Information Statement”).
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v3.24.1.u1
Employee Benefit Plans
|
3 Months Ended |
Mar. 31, 2024 |
Retirement Benefits [Abstract] |
|
Employee Benefit Plans |
Employee Benefit Plans Pension plan benefits are to be paid to eligible employees after retirement based primarily on years of credited service and participants’ compensation. The Company uses a December 31 measurement date. Effective December 31, 2002, the Company froze the benefits under the pension plan. The components of net periodic benefit (income) are as follows: | | | | | | | | | | | | | | | | | Three Months Ended March 31, | (in thousands) | | 2024 | | 2023 | Interest cost | | $ | 284 | | | $ | 293 | | Expected return on plan assets | | (345) | | | (358) | | Recognized net actuarial (gain) | | (20) | | | (47) | | Net periodic benefit (income) | | $ | (81) | | | $ | (112) | |
The Company made no contributions to the pension plan during the three months ended March 31, 2024 and does not expect to make contributions to the pension plan for the remainder of 2024.
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v3.24.1.u1
Income Taxes
|
3 Months Ended |
Mar. 31, 2024 |
Income Tax Disclosure [Abstract] |
|
Income Taxes |
Income Taxes The Company recorded an income tax benefit of $1.2 million and an income tax expense of $1.7 million for the three months ended March 31, 2024 and 2023, respectively. The income tax benefit for the three months ended March 31, 2024 is primarily attributable to the tax-effect of pre-tax loss from operations less addbacks for non-deductible expenses related to executive compensation disallowed under Internal Revenue Code Section 162(m) and a windfall deficit from exercised stock options. The income tax expense for the three months ended March 31, 2023 is primarily attributable to the tax-effect of pre-tax income from operations plus addbacks for non-deductible expenses related to executive compensation disallowed under Internal Revenue Code Section 162(m) and windfall benefits received from exercised stock options.
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- DefinitionThe entire disclosure for income taxes. Disclosures may include net deferred tax liability or asset recognized in an enterprise's statement of financial position, net change during the year in the total valuation allowance, approximate tax effect of each type of temporary difference and carryforward that gives rise to a significant portion of deferred tax liabilities and deferred tax assets, utilization of a tax carryback, and tax uncertainties information.
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v3.24.1.u1
Concentration
|
3 Months Ended |
Mar. 31, 2024 |
Risks and Uncertainties [Abstract] |
|
Concentration |
Concentration On December 14, 2022, the Company received a modification to the Company’s current agreement with the U.S. Department of Health and Human Services (“HHS”) and the Assistant Secretary for Preparedness and Response (“ASPR”) was due to expire on February 27, 2023 incorporating Federal Acquisition Regulation (“FAR”) 52.217-8, which resulted in the government extending the term of this current agreement to August 27, 2023. Additionally, on December 14, 2022, the Company entered into a new agreement with HHS/ASPR (the "Agreement") for preventive maintenance services (“PMS”), management and storage for ventilator and powered air purifying respirator (“PAPR”) systems. The Agreement’s performance period commenced on August 28, 2023 and is anticipated to have a period of performance of four years and six months, consisting of a base period of twelve months, three one-year option periods and an additional six-month option period. Approximately 12.5% and 11.1% of total Company revenue was attributable to various contracts with the HHS / ASPR for the three months ended March 31, 2024 and 2023, respectively.
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v3.24.1.u1
Earnings (Loss) Per Share
|
3 Months Ended |
Mar. 31, 2024 |
Earnings Per Share [Abstract] |
|
Earnings (Loss) Per Share |
Earnings (Loss) Per Share The following is a reconciliation of the basic and diluted number of shares used in computing earnings (loss) per share: | | | | | | | | | | | | | Three Months Ended March 31, | | 2024 | | 2023 | Basic weighted average shares outstanding | 135,664,208 | | | 133,850,124 | | Net effect of dilutive stock awards based upon the treasury stock method | — | | | 5,443,538 | | Dilutive weighted average shares outstanding | 135,664,208 | | | 139,293,662 | | | | | | Basic earnings (loss) per share | $ | (0.05) | | | $ | 0.02 | | Diluted earnings (loss) per share | $ | (0.05) | | | $ | 0.02 | | | | | | Anti-dilutive share-based awards excluded from the calculation of dilutive earnings (loss) per share | 7,604,481 | | | 521,829 | |
For the three months ended March 31, 2024, dilutive weighted-average shares outstanding is equal to basic weighted-average shares outstanding due to the Company’s net loss position as the inclusion of such stock awards within dilutive weighted-average shares outstanding would be antidilutive.
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v3.24.1.u1
Subsequent Events
|
3 Months Ended |
Mar. 31, 2024 |
Subsequent Events [Abstract] |
|
Subsequent Events |
Subsequent Events Closing of the Merger On May 7, 2024 (the “Closing Date”), the Company, completed the Merger with Parent and Merger Sub, pursuant to the Merger Agreement. The Company merged with and into Merger Sub with the Company surviving the merger as a subsidiary of Parent (“Surviving Corporation”). Capitalized terms not otherwise defined herein have the meaning set forth in the Merger Agreement. The description of the Merger Agreement and related transactions (including, without limitation, the Merger) does not purport to be complete and is subject and qualified in its entirety by reference to the full text of the Merger Agreement, a copy of which is filed as Exhibit 2.1 to the Company’s Current Report on Form 8-K filed with the U.S. Securities and Exchange Commission (the “SEC”) on February 26, 2024 and the description of the closing of the Merger included in the Company’s Current Report on Form 8-K filed on May 7, 2024. On May 7, 2024, Agiliti Health, Inc. (the “Borrower”) and Agiliti Holdco, Inc., subsidiaries of the Company, and certain of their subsidiaries, entered into an amendment (the “First Amendment”) to the Borrower’s Amended and Restated Credit Agreement, dated May 1, 2023 (as amended, the “Credit Agreement”), among the Borrower, the lenders party thereto, the subsidiary guarantors party thereto and JPMorgan Chase Bank, N.A., as administrative agent and collateral agent. Among other things, the First Amendment increased the principal amount of initial term loans by $400 million under a new incremental term facility, which otherwise has the same terms as those applicable to the existing initial term loans under the Credit Agreement. The net proceeds from the new incremental term facility may be used to pay Merger Consideration (as defined in the Merger Agreement) in addition to general corporate purposes such as paying down borrowings under that certain Receivables Financing Agreement, dated February 14, 2024, among Agiliti Receivables LLC, a subsidiary of Agiliti, Inc., the Borrower, the lenders party thereto, the group agents party thereto and MUFG Bank, Ltd., as administrative agent.
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v3.24.1.u1
Insider Trading Arrangements
|
3 Months Ended |
Mar. 31, 2024 |
Trading Arrangements, by Individual |
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Rule 10b5-1 Arrangement Adopted |
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Material Terms of Trading Arrangement |
On February 27, 2024, Thomas J. Leonard, a member of our Board of Directors and our Chief Executive Officer, terminated two pre-arranged trading plans intended to satisfy the affirmative defense conditions of Rule 10b5-1(c) under the Exchange Act (each a “Rule 10b5-1 trading plan”) initially adopted on December 11, 2023 and August 25, 2023, respectively. As a result, Mr. Leonard no longer has active Rule 10b5-1 trading plans.
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v3.24.1.u1
Recent Accounting Pronouncements (Policies)
|
3 Months Ended |
Mar. 31, 2024 |
Accounting Policies [Abstract] |
|
Standards Not Yet Adopted |
Standards Not Yet Adopted In November 2023, the FASB issued ASU No. 2023-07, Segment Reporting (ASC 280): Improvements to Reportable Segment Disclosures ("ASU 2023-07"). The ASU requires that an entity disclose significant segment expenses impacting profit and loss that are regularly provided to the chief operating decision maker. The update is required to be applied retrospectively to prior periods presented, based on the significant segment expense categories identified and disclosed in the period of adoption. The amendments in this ASU are required to be adopted for fiscal years beginning after December 15, 2023, and interim periods within fiscal years beginning after December 15, 2024. Early adoption is permitted. The Company is currently evaluating the impact of this standard on the consolidated financial statements and related disclosures. In December 2023, the FASB issued ASU No. 2023-09, Income Taxes (ASC 740): Improvements to Income Tax Disclosures ("ASU 2023-09"). ASU 2023-09 is intended to enhance the transparency and decision usefulness of income tax disclosures. The amendments in ASU 2023-09 address investor requests for enhanced income tax information primarily through changes to the rate reconciliation and income taxes paid information. Early adoption is permitted. A public entity should apply the amendments in ASU 2023-09 prospectively to all annual periods beginning after December 15, 2024. The Company is currently evaluating the impact of this standard on the consolidated financial statements and related disclosures.
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Revenue Recognition (Tables)
|
3 Months Ended |
Mar. 31, 2024 |
Revenue from Contract with Customer [Abstract] |
|
Schedule of Revenue Disaggregated |
The following table presents disaggregated revenue by service solution: | | | | | | | | | | | | | | | | | Three Months Ended March 31, | (in thousands) | | 2024 | | 2023 | Equipment Solutions | | $ | 116,692 | | | $ | 120,866 | | Clinical Engineering | | 125,164 | | | 113,475 | | Onsite Managed Services | | 60,895 | | | 65,563 | | Total revenue | | $ | 302,751 | | | $ | 299,904 | |
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v3.24.1.u1
Fair Value Measurements (Tables)
|
3 Months Ended |
Mar. 31, 2024 |
Fair Value Disclosures [Abstract] |
|
Schedule of Assets and Liabilities Measured at Fair Value on a Recurring Basis |
Financial assets and liabilities measured at fair value on a recurring basis as of March 31, 2024 and December 31, 2023 are summarized in the following tables by type of inputs applicable to the fair value measurements: | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Fair Value as of March 31, 2024 | (in thousands) | | Level 1 | | Level 2 | | Level 3 | | Total | Assets: | | | | | | | | | Deferred compensation assets | | $ | 3,629 | | | $ | — | | | $ | — | | | $ | 3,629 | | Interest rate swap | | — | | | 4,664 | | | — | | | 4,664 | | Liabilities: | | | | | | | | | Obligation under tax receivable agreement | | $ | — | | | $ | — | | | $ | 4,896 | | | $ | 4,896 | | Deferred compensation liabilities | | 3,629 | | | — | | | — | | | 3,629 | |
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | Fair Value as of December 31, 2023 | (in thousands) | | Level 1 | | Level 2 | | Level 3 | | Total | Assets: | | | | | | | | | Deferred compensation assets | | $ | 3,390 | | | $ | — | | | $ | — | | | $ | 3,390 | | Interest rate swap | | — | | | 3,140 | | | — | | | 3,140 | | Liabilities: | | | | | | | | | Obligation under tax receivable agreement | | $ | — | | | $ | — | | | $ | 15,549 | | | $ | 15,549 | | Interest rate swap | | — | | | 1,212 | | | — | | | 1,212 | | Deferred compensation liabilities | | 3,390 | | | — | | | — | | | 3,390 | |
|
Schedule of Reconciliation of Level 3 Measurement |
A reconciliation of the beginning and ending balance for the Level 3 measurement are as follows: | | | | | | | | | (in thousands) | | | Balance as of December 31, 2023 | | $ | 15,549 | | Additions | | 19 | | Payments | | (10,939) | | Remeasurement adjustment (1) | | 267 | | Balance as of March 31, 2024 | | $ | 4,896 | | ____________________ | | |
(1)Remeasurement adjustments are recognized in selling, general and administrative expense in the consolidated statement of operations.
|
Schedule of Carrying Value and Fair Value of Long Term Debt |
The fair value of the Company's outstanding First Lien Term Loan (as defined in "Note 6 – Long-Term Debt") as of March 31, 2024 and December 31, 2023 is based on the quoted market price for the same or similar issues of debt, which represents a Level 2 fair value measurement, is approximately: | | | | | | | | | | | | | | | | | | | | | | | | | | | | | March 31, 2024 | | December 31, 2023 | (in thousands) | | Carrying Value | | Fair Value | | Carrying Value | | Fair Value | First Lien Term Loan (1) | | $ | 1,054,070 | | | $ | 1,062,940 | | | $ | 1,056,253 | | | $ | 1,070,973 | | ____________________ | | | | | | | | |
| | | | | | (1) | The carrying value of the First Lien Term Loan is net of unamortized deferred financing costs of $7.0 million and $7.3 million and unamortized debt discount of $8.5 million and $8.8 million as of March 31, 2024 and December 31, 2023, respectively. |
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v3.24.1.u1
Selected Financial Statement Information (Tables)
|
3 Months Ended |
Mar. 31, 2024 |
Selected Financial Statement Information [Abstract] |
|
Schedule of Inventories |
The Company's inventories consist of the following: | | | | | | | | | | | | | | | (in thousands) | | March 31, 2024 | | December 31, 2023 | Raw materials | | $ | 12,461 | | | $ | 13,376 | | Work-in-process | | 494 | | | 400 | | Finished goods | | 73,051 | | | 60,708 | | Total inventories | | $ | 86,006 | | | $ | 74,484 | |
|
Schedule of Property and Equipment |
The Company's property and equipment consists of the following: | | | | | | | | | | | | | | | (in thousands) | | March 31, 2024 | | December 31, 2023 | Medical equipment | | $ | 461,293 | | | $ | 450,564 | | Less: Accumulated depreciation | | (293,678) | | | (285,139) | | Medical equipment, net | | 167,615 | | | 165,425 | | Leasehold improvements | | 61,784 | | | 59,422 | | Office equipment and vehicles | | 207,932 | | | 200,560 | | | | 269,716 | | | 259,982 | | Less: Accumulated depreciation | | (141,638) | | | (132,723) | | Property and office equipment, net | | 128,078 | | | 127,259 | | Total property and equipment, net | | $ | 295,693 | | | $ | 292,684 | |
|
Schedule of Other Intangible Assets |
The Company's other intangible assets consist of the following: | | | | | | | | | | | | | | | | | | | | | | | March 31, 2024 | (in thousands) | | Cost | | Accumulated Amortization | | Net | Finite-life intangibles | | | | | | | Customer relationship | | $ | 780,806 | | | $ | (371,283) | | | $ | 409,523 | | Non-compete agreements | | 1,225 | | | (402) | | | 823 | | Trade names | | 2,406 | | | (1,263) | | | 1,143 | | Patents | | 337 | | | (16) | | | $ | 321 | | Total other intangible assets | | $ | 784,774 | | | $ | (372,964) | | | $ | 411,810 | |
| | | | | | | | | | | | | | | | | | | | | | | December 31, 2023 | (in thousands) | | Cost | | Accumulated Amortization | | Net | Finite-life intangibles | | | | | | | Customer relationship | | $ | 780,806 | | | $ | (353,190) | | | $ | 427,616 | | Non-compete agreements | | 1,225 | | | (341) | | | 884 | | Trade names | | 7,806 | | | (6,603) | | | 1,203 | | Patents | | 310 | | | (11) | | | 299 | | Total other intangible assets | | $ | 790,147 | | | $ | (360,145) | | | $ | 430,002 | |
|
Schedule of Estimated Future Amortization Expense for Identifiable Intangible Assets |
As of March 31, 2024, the future amortization expense related to other intangible assets is estimated as follows: | | | | | | | | | (in thousands) | | | Remainder of 2024 | | $ | 53,399 | | 2025 | | 65,056 | | 2026 | | 58,480 | | 2027 | | 51,915 | | 2028 | | 45,159 | | Thereafter | | 137,801 | | | | $ | 411,810 | |
|
Schedule of Supplementary Cash Flow Information |
Supplementary cash flow information is as follows: | | | | | | | | | | | | | | | | | Three Months Ended March 31, | (in thousands) | | 2024 | | 2023 | Non-cash activities: | | | | | Property and equipment purchases included in accounts payable (at end of period) | | $ | 1,825 | | | $ | 2,090 | | Finance lease assets and liability additions | | 4,181 | | | 3,989 | | Operating lease right-of-use assets and operating lease liability additions | | 3,541 | | | 3,650 | |
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v3.24.1.u1
Long-Term Debt (Tables)
|
3 Months Ended |
Mar. 31, 2024 |
Debt Disclosure [Abstract] |
|
Schedule of Long-Term Debt |
Long-term debt consists of the following: | | | | | | | | | | | | | | | (in thousands) | | March 31, 2024 | | December 31, 2023 | First Lien Term Loan | | $ | 1,069,625 | | | $ | 1,072,313 | | Revolving Credit Facility | | 7,000 | | | — | | Finance lease liability | | 29,165 | | | 27,374 | | | | 1,105,790 | | | 1,099,687 | | Less: Unamortized deferred financing costs and debt discount | | (20,132) | | | (20,157) | | | | 1,085,658 | | | 1,079,530 | | Less: Current portion of long-term debt | | (26,281) | | | (18,468) | | Total long-term debt | | $ | 1,059,377 | | | $ | 1,061,062 | |
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v3.24.1.u1
Earnings (Loss) Per Share (Tables)
|
3 Months Ended |
Mar. 31, 2024 |
Earnings Per Share [Abstract] |
|
Summary of Basic and Diluted Number of Shares used in Computing Earnings (Loss) Per Share |
The following is a reconciliation of the basic and diluted number of shares used in computing earnings (loss) per share: | | | | | | | | | | | | | Three Months Ended March 31, | | 2024 | | 2023 | Basic weighted average shares outstanding | 135,664,208 | | | 133,850,124 | | Net effect of dilutive stock awards based upon the treasury stock method | — | | | 5,443,538 | | Dilutive weighted average shares outstanding | 135,664,208 | | | 139,293,662 | | | | | | Basic earnings (loss) per share | $ | (0.05) | | | $ | 0.02 | | Diluted earnings (loss) per share | $ | (0.05) | | | $ | 0.02 | | | | | | Anti-dilutive share-based awards excluded from the calculation of dilutive earnings (loss) per share | 7,604,481 | | | 521,829 | |
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Basis of Presentation (Details) - $ / shares
|
Mar. 31, 2024 |
Feb. 26, 2024 |
Dec. 31, 2023 |
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Effects of Changes, Net [Line Items] |
|
|
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Common stock, par value (in dollars per share) |
$ 0.0001
|
$ 0.0001
|
$ 0.0001
|
Dissenting Stockholders |
|
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Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Effects of Changes, Net [Line Items] |
|
|
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Sale of stock, price per share (in dollars per share) |
|
$ 10.00
|
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Agiliti, Inc. | Federal Street Acquisition Corp |
|
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|
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Effects of Changes, Net [Line Items] |
|
|
|
Ownership percentage |
100.00%
|
|
|
Federal Street Acquisition Corp | Agiliti Holdco Inc |
|
|
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Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Effects of Changes, Net [Line Items] |
|
|
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Ownership percentage |
100.00%
|
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Agiliti Holdco Inc | Agiliti Health Inc |
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Ownership percentage |
100.00%
|
|
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Agiliti Health Inc | Agiliti Surgical, Inc., Agiliti Imaging, Inc., Agiliti Surgical Equipment Repair, Inc., Sizewise Rentals, LLC, and Agiliti Financing, LLC |
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Ownership percentage |
100.00%
|
|
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Agiliti Financing, LLC | Agiliti Receivables LLC |
|
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|
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v3.24.1.u1
Revenue Recognition - Schedule of Revenue Disaggregated (Details) - USD ($) $ in Thousands |
3 Months Ended |
Mar. 31, 2024 |
Mar. 31, 2023 |
Revenues by service solution |
|
|
Total revenue |
$ 302,751
|
$ 299,904
|
Equipment Solutions |
|
|
Revenues by service solution |
|
|
Total revenue |
116,692
|
120,866
|
Clinical Engineering |
|
|
Revenues by service solution |
|
|
Total revenue |
125,164
|
113,475
|
Onsite Managed Services |
|
|
Revenues by service solution |
|
|
Total revenue |
$ 60,895
|
$ 65,563
|
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Revenue Recognition - Narrative (Details) - USD ($)
|
3 Months Ended |
12 Months Ended |
Mar. 31, 2024 |
Mar. 31, 2023 |
Dec. 31, 2023 |
Revenues by service solution |
|
|
|
Contract asset |
$ 14,100,000
|
|
$ 14,800,000
|
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5 years
|
|
5 years
|
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$ 0
|
$ 0
|
|
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|
|
|
Revenues by service solution |
|
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|
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400,000
|
300,000
|
|
Selling, general, and administrative expense |
|
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|
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|
|
|
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$ 1,300,000
|
$ 1,200,000
|
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v3.24.1.u1
Fair Value Measurements - Schedule of Assets and Liabilities Measured at Fair Value on a Recurring Basis (Details) - Fair Value, Recurring - USD ($) $ in Thousands |
Mar. 31, 2024 |
Dec. 31, 2023 |
Assets: |
|
|
Deferred compensation assets |
$ 3,629
|
$ 3,390
|
Interest rate swap |
4,664
|
3,140
|
Liabilities: |
|
|
Obligation under tax receivable agreement |
4,896
|
15,549
|
Interest rate swap |
|
1,212
|
Deferred compensation liabilities |
3,629
|
3,390
|
Level 1 |
|
|
Assets: |
|
|
Deferred compensation assets |
3,629
|
3,390
|
Interest rate swap |
0
|
0
|
Liabilities: |
|
|
Obligation under tax receivable agreement |
0
|
0
|
Interest rate swap |
|
0
|
Deferred compensation liabilities |
3,629
|
3,390
|
Level 2 |
|
|
Assets: |
|
|
Deferred compensation assets |
0
|
0
|
Interest rate swap |
4,664
|
3,140
|
Liabilities: |
|
|
Obligation under tax receivable agreement |
0
|
0
|
Interest rate swap |
|
1,212
|
Deferred compensation liabilities |
0
|
0
|
Level 3 |
|
|
Assets: |
|
|
Deferred compensation assets |
0
|
0
|
Interest rate swap |
0
|
0
|
Liabilities: |
|
|
Obligation under tax receivable agreement |
4,896
|
15,549
|
Interest rate swap |
|
0
|
Deferred compensation liabilities |
$ 0
|
$ 0
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v3.24.1.u1
Fair Value Measurements - Schedule of Carrying Value and Fair Value of Long Term Debt (Details) - USD ($) $ in Thousands |
Mar. 31, 2024 |
Dec. 31, 2023 |
Long-Term Debt |
|
|
Carrying Value |
$ 1,085,658
|
$ 1,079,530
|
First Lien Term Loan |
|
|
Long-Term Debt |
|
|
Carrying Value |
1,054,070
|
1,056,253
|
Fair Value |
1,062,940
|
1,070,973
|
Unamortized deferred financing costs |
7,000
|
7,300
|
Unamortized debt discount |
$ 8,500
|
$ 8,800
|
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Selected Financial Statement Information - Schedule of Property and Equipment (Details) - USD ($) $ in Thousands |
3 Months Ended |
|
Mar. 31, 2024 |
Mar. 31, 2023 |
Dec. 31, 2023 |
Property and Equipment |
|
|
|
Medical equipment |
$ 461,293
|
|
$ 450,564
|
Less: Accumulated depreciation |
(293,678)
|
|
(285,139)
|
Medical equipment, net |
167,615
|
|
165,425
|
Property and office equipment |
269,716
|
|
259,982
|
Less: Accumulated depreciation |
(141,638)
|
|
(132,723)
|
Property and office equipment, net |
128,078
|
|
127,259
|
Total property and equipment, net |
295,693
|
|
292,684
|
Depreciation |
20,980
|
$ 19,620
|
|
Intangible asset impairment charge |
$ 0
|
$ 0
|
|
Medical Equipment | Minimum |
|
|
|
Property and Equipment |
|
|
|
Estimated useful life |
5 years
|
|
|
Medical Equipment | Maximum |
|
|
|
Property and Equipment |
|
|
|
Estimated useful life |
10 years
|
|
|
Office Equipment | Minimum |
|
|
|
Property and Equipment |
|
|
|
Estimated useful life |
3 years
|
|
|
Office Equipment | Maximum |
|
|
|
Property and Equipment |
|
|
|
Estimated useful life |
10 years
|
|
|
Leasehold improvements |
|
|
|
Property and Equipment |
|
|
|
Property and office equipment |
$ 61,784
|
|
59,422
|
Office equipment and vehicles |
|
|
|
Property and Equipment |
|
|
|
Property and office equipment |
$ 207,932
|
|
$ 200,560
|
X |
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v3.24.1.u1
Selected Financial Statement Information - Schedule of Other Intangible Assets (Details) - USD ($) $ in Thousands |
3 Months Ended |
|
Mar. 31, 2024 |
Mar. 31, 2023 |
Dec. 31, 2023 |
Goodwill |
|
|
|
Impairment, goodwill |
$ 0
|
$ 0
|
|
Total amortization expense |
18,200
|
21,000
|
|
Intangible asset impairment charge |
0
|
$ 0
|
|
Other intangible assets |
|
|
|
Accumulated Amortization |
(372,964)
|
|
$ (360,145)
|
Net |
411,810
|
|
|
Cost, intangible assets excluding goodwill, total |
784,774
|
|
790,147
|
Other intangibles, net |
$ 411,810
|
|
430,002
|
Minimum |
|
|
|
Goodwill |
|
|
|
Estimated remaining useful life |
2 years
|
|
|
Maximum |
|
|
|
Goodwill |
|
|
|
Estimated remaining useful life |
15 years
|
|
|
Customer relationship |
|
|
|
Other intangible assets |
|
|
|
Cost |
$ 780,806
|
|
780,806
|
Accumulated Amortization |
(371,283)
|
|
(353,190)
|
Net |
409,523
|
|
427,616
|
Non-compete agreements |
|
|
|
Other intangible assets |
|
|
|
Cost |
1,225
|
|
1,225
|
Accumulated Amortization |
(402)
|
|
(341)
|
Net |
823
|
|
884
|
Trade names |
|
|
|
Other intangible assets |
|
|
|
Cost |
2,406
|
|
7,806
|
Accumulated Amortization |
(1,263)
|
|
(6,603)
|
Net |
1,143
|
|
1,203
|
Patents |
|
|
|
Other intangible assets |
|
|
|
Cost |
337
|
|
310
|
Accumulated Amortization |
(16)
|
|
(11)
|
Net |
$ 321
|
|
$ 299
|
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Long-Term Debt - Schedule of Long-Term Debt (Details) - USD ($) $ in Thousands |
Mar. 31, 2024 |
Dec. 31, 2023 |
Long-Term Debt |
|
|
Long-term debt current and noncurrent |
$ 1,105,790
|
$ 1,099,687
|
Less: Unamortized deferred financing costs and debt discount |
(20,132)
|
(20,157)
|
Long-term debt |
1,085,658
|
1,079,530
|
Less: Current portion of long-term debt |
(26,281)
|
(18,468)
|
Total long-term debt |
1,059,377
|
1,061,062
|
First Lien Term Loan |
|
|
Long-Term Debt |
|
|
Long-term debt current and noncurrent |
1,069,625
|
1,072,313
|
Long-term debt |
1,054,070
|
1,056,253
|
Revolving Credit Facility |
|
|
Long-Term Debt |
|
|
Long-term debt current and noncurrent |
7,000
|
0
|
Finance lease liability |
|
|
Long-Term Debt |
|
|
Long-term debt current and noncurrent |
$ 29,165
|
$ 27,374
|
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v3.24.1.u1
Long-Term Debt - Narrative (Details) - USD ($)
|
3 Months Ended |
|
|
|
Mar. 31, 2024 |
Feb. 14, 2024 |
Dec. 31, 2023 |
Apr. 17, 2023 |
Long-Term Debt |
|
|
|
|
Carrying Value |
$ 1,085,658,000
|
|
$ 1,079,530,000
|
|
Interest Rate Swap |
|
|
|
|
Long-Term Debt |
|
|
|
|
Derivative, fair value, net |
4,700,000
|
|
|
|
Interest Rate Swap | Other Current Assets |
|
|
|
|
Long-Term Debt |
|
|
|
|
Derivative, fair value, net |
3,900,000
|
|
|
|
Interest Rate Swap | Other Noncurrent Assets |
|
|
|
|
Long-Term Debt |
|
|
|
|
Derivative, fair value, net |
800,000
|
|
|
|
AR Facility | MUFG Bank |
|
|
|
|
Long-Term Debt |
|
|
|
|
Aggregate outstanding principal amount |
|
$ 150,000,000
|
|
|
Carrying Value |
$ 0
|
|
|
|
Interest Rate Swap |
|
|
|
|
Long-Term Debt |
|
|
|
|
Aggregate outstanding principal amount |
|
|
|
$ 500,000,000
|
A First Lien Term Loan |
|
|
|
|
Long-Term Debt |
|
|
|
|
Debt instrument, term |
7 years
|
|
|
|
Aggregate outstanding principal amount |
$ 1,075,000,000.000
|
|
|
|
A First Lien Term Loan | Interest Rate Swap | A Debt One |
|
|
|
|
Long-Term Debt |
|
|
|
|
Interest rate at period end |
|
|
|
4.0685%
|
Revolving Credit Facility |
|
|
|
|
Long-Term Debt |
|
|
|
|
Aggregate outstanding principal amount |
$ 300,000,000
|
|
|
|
X |
- DefinitionFace (par) amount of debt instrument at time of issuance.
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v3.24.1.u1
Share-Based Compensation - Narrative (Details) - USD ($) $ in Millions |
3 Months Ended |
Mar. 31, 2024 |
Mar. 31, 2023 |
Employee Stock Purchase Plan ("ESPP") |
|
|
Stock-based compensation |
|
|
Common shares reserved for future issuance (in shares) |
3,300,000
|
|
Percentage of shares to be purchased at market value |
85.00%
|
|
Share-based compensation arrangement by share-based payment award, purchase period |
6 months
|
|
Shares issued under ESPP (in shares) |
0
|
0
|
Restricted Stock and Performance Restricted Stock Units | 2018 Omnibus Incentive Plan |
|
|
Stock-based compensation |
|
|
Number of units available for future issuance (in shares) |
18,300,000
|
|
Restricted Stock Units (RSUs) | Minimum |
|
|
Stock-based compensation |
|
|
Award vesting period |
1 year
|
|
Restricted Stock Units (RSUs) | Maximum |
|
|
Stock-based compensation |
|
|
Award vesting period |
4 years
|
|
Restricted Stock Units (RSUs) | 2018 Omnibus Incentive Plan |
|
|
Stock-based compensation |
|
|
Number of shares granted (in shares) |
241,296
|
718,647
|
Unrecognized compensation expense, non-vested portion, amount |
$ 16.5
|
|
Non-cash share-based compensation, weighted average period |
1 year 4 months 24 days
|
|
Performance Restricted Stock Units | 2018 Omnibus Incentive Plan |
|
|
Stock-based compensation |
|
|
Number of shares granted (in shares) |
0
|
0
|
Share-based compensation arrangement by share-based payment award, options, vested term |
3 years
|
|
Nonvested, Restricted Stock Units | 2018 Omnibus Incentive Plan |
|
|
Stock-based compensation |
|
|
Unrecognized compensation expense, non-vested portion, amount |
$ 1.0
|
|
Non-cash share-based compensation, weighted average period |
2 years
|
|
Nonqualified Stock Option | Minimum |
|
|
Stock-based compensation |
|
|
Award vesting period |
1 year
|
|
Nonqualified Stock Option | Maximum |
|
|
Stock-based compensation |
|
|
Award vesting period |
4 years
|
|
Nonqualified Stock Option | 2018 Omnibus Incentive Plan |
|
|
Stock-based compensation |
|
|
Contractual term |
10 years
|
|
Shares authorized under the plan (in shares) |
0
|
652,394
|
Nonvested, Nonqualified Stock Option | 2018 Omnibus Incentive Plan |
|
|
Stock-based compensation |
|
|
Unrecognized compensation expense, non-vested portion, amount |
$ 1.8
|
|
Non-cash share-based compensation, weighted average period |
1 year 9 months 18 days
|
|
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v3.24.1.u1
Employee Benefit Plans (Details) - Pension Plan - USD ($)
|
3 Months Ended |
Mar. 31, 2024 |
Mar. 31, 2023 |
Net Periodic Benefit Cost |
|
|
Interest cost |
$ 284,000
|
$ 293,000
|
Expected return on plan assets |
(345,000)
|
(358,000)
|
Recognized net actuarial (gain) |
(20,000)
|
(47,000)
|
Net periodic benefit (income) |
(81,000)
|
$ (112,000)
|
Contributions |
|
|
Employer contribution |
0
|
|
Expected contribution in 2024 |
$ 0
|
|
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v3.24.1.u1
Earnings (Loss) Per Share (Details) - $ / shares
|
3 Months Ended |
Mar. 31, 2024 |
Mar. 31, 2023 |
Earnings Per Share [Abstract] |
|
|
Basic weighted average shares outstanding (in shares) |
135,664,208
|
133,850,124
|
Net effect of dilutive stock awards based upon the treasury stock method (in shares) |
0
|
5,443,538
|
Dilutive weighted average shares outstanding (in shares) |
135,664,208
|
139,293,662
|
Basic earnings (loss) per share (in dollars per share) |
$ (0.05)
|
$ 0.02
|
Diluted earnings (loss) per share (in dollars per share) |
$ (0.05)
|
$ 0.02
|
Anti-dilutive share-based awards excluded from the calculation of dilutive earnings (loss) per share (in shares) |
7,604,481
|
521,829
|
X |
- DefinitionSecurities (including those issuable pursuant to contingent stock agreements) that could potentially dilute basic earnings per share (EPS) or earnings per unit (EPU) in the future that were not included in the computation of diluted EPS or EPU because to do so would increase EPS or EPU amounts or decrease loss per share or unit amounts for the period presented.
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