What the changes say
- InfuSystem added new risks regarding healthcare advisory panel changes and state-level health privacy compliance complexity.
- Net operating loss carryforwards decreased from $14.4 million to $5.8 million, all of which now have indefinite lives.
- Third-party payer contract non-renewal risks were expanded.
What changed since the prior 10-K
New
- New
administration has also changed the composition of, and guidance from, advisory panels on healthcare practices and government enforcement
Advisory panel composition and enforcement guidance changes at federal and state levels may adversely affect our healthcare business.
- New
the privacy and security of health information in certain circumstances, many of which differ in significant ways from state to state and often are not preempted by HIPAA, thus complicating compliance efforts
Varying state-level health information privacy laws that differ from HIPAA complicate compliance efforts and expose us to potential penalties and legal expenses.
Dropped
- Dropped
revenue that may be derived from each patient treatment. If average reimbursement rates diverge from historical levels, the estimates of such revenue may diverge from actual collections
Reworded
- 86% rewritten
Any federal government shutdown may adversely impact our business
Added FDA and agency disruption risks from government shutdowns potentially delaying regulatory clearances, approvals, or certifications.
- 68% rewritten
Our business is substantially dependent on estimates of collectible revenue from third-party reimbursement
Expanded text to clarify that reimbursement rate divergence from historical levels causes revenue estimates to diverge from actual collections.
- 63% rewritten
The value of our net operating loss carryforwards may become impaired if we do not generate sufficient future taxable income required to utilize all or a portion of our net operating loss carryforwards prior to their expiration
Updated U.S. federal net operating loss carryforwards figure to $5.8 million with a $1.2 million deferred tax asset, noting none expire.
- 49% rewritten
If we experience an ownership change, either via a major transaction or a series of trades where a substantial percentage of our ownership changes, which may be less than a majority of our ownership in certain cases, we may be limited in our ability to use our net operating loss carryforwards
Updated NOL figures to $5.8 million as of December 31, 2025, noting they all have an indefinite life.
- 43% rewritten
Changes in tax laws or challenges to our tax positions could adversely affect our business, results of operations and financial condition
Retained standard tax law risk language regarding constant review and potential retroactive changes by the IRS and Treasury.
- 41% rewritten
The impact of actual or perceived U.S. healthcare reform legislation on us remains uncertain
Minor pronoun update from 'the Company' to 'us' regarding alternative provider payment models under the ACA.
Was: The impact of realized and potential U.S. healthcare reform legislation on us remains uncertain
- 41% rewritten
If we fail to comply with applicable governmental or accrediting bodies’ regulations, we could face substantial penalties and our business, operations and financial condition could be adversely affected
Retained standard healthcare fraud, abuse, and antikickback statute compliance risk language with minor formatting adjustments.
- 35% rewritten
The loss of a relationship with one or more third-party payers could negatively impact our business
Added risk language stating we may be unable to renew existing or obtain additional contract positions with third-party payers on favorable terms or at all.
- 34% rewritten
Restricted stock awards, performance-based restricted stock units and the exercise of stock options may depress our stock price and may result in dilution to our common stockholders
- 23% rewritten
Covenants in our current and any future debt agreements restrict our business
- 23% rewritten
Economic uncertainty or deterioration or geopolitical instability could adversely affect us
- 22% rewritten
Cybersecurity risks and cyber incidents could adversely affect our business and disrupt operations
All 44 risk factors
Headings as the filing states them, in filing order.
Other
- 01Any change in the overall healthcare reimbursement system may adversely impact our business
- 02Our business is substantially dependent on estimates of collectible revenue from third-party reimbursement68% rewritten
- 03The loss of a relationship with one or more third-party payers could negatively impact our business35% rewritten
- 04Any federal government shutdown may adversely impact our business86% rewritten
- 05Payer concentration may adversely impact our business
- 06Increased focus on early detection and diagnostics may adversely affect our business
- 07If future clinical studies demonstrate that oral medications or other therapies that do not use our electronic ambulatory pumps are at least as effective as continuous infusion therapy, our business could be adversely affected
- 08Our success is impacted by the availability of the chemotherapy drugs that are used in our continuous infusion pump systems
- 09We are dependent on our Medicare Supplier Number
- 10The impact of actual or perceived U.S. healthcare reform legislation on us remains uncertain41% rewritten
- 11administration has also changed the composition of, and guidance from, advisory panels on healthcare practices and government enforcementNew
- 12We rely on independent suppliers for our products. Any delay or disruption in the supply of products, particularly our supply of electronic ambulatory pumps, may negatively impact our operations
- 13We face periodic reviews and billing audits from governmental and private payers and these audits could have adverse results that may negatively impact our business
- 14Our failure to maintain controls and processes over billing and collecting could have a negative impact on our Consolidated Financial Statements
- 15State licensure laws for Durable Medical Equipment suppliers are subject to change. If we fail to comply with any state laws, we will be unable to operate as a Durable Medical Equipment supplier in such state and our business operations will be adversely affected
- 16Our customer concessions may not be adequate to cover actual losses
- 17Our growth strategy includes expanding into treatment for cancers other than colorectal cancer. There can be no assurance that continuous infusion-based regimens for these other cancers will become standards of care for large numbers of patients or that we will be successful in penetrating these different markets
- 18The industry in which we operate is intensely competitive and ever-changing. If we are unable to successfully compete with our competitors, our business operations may suffer
- 19Our industry is dependent on regulatory guidelines that affect our billing practices. If our competitors do not comply with these regulatory guidelines, our business could be adversely affected
- 20Although we do not manufacture the products we distribute, if one of the products distributed by us proves to be defective or is misused by a healthcare practitioner or patient, we may be subject to liability that could adversely affect our financial condition and results of operations
- 21We have in the past, and in the future intend to pursue growth opportunities through strategic alliances, joint ventures and strategic acquisitions, which may divert our management's attention, and we may be unable to achieve the expected benefits of such alliances, joint ventures or acquisitions
- 22If we are unable to support increased operations or personnel, our future growth and business could suffer
- 23We may be unable to maintain adequate working relationships with healthcare professionals
- 24If we fail to comply with applicable governmental or accrediting bodies’ regulations, we could face substantial penalties and our business, operations and financial condition could be adversely affected41% rewritten
- 25the privacy and security of health information in certain circumstances, many of which differ in significant ways from state to state and often are not preempted by HIPAA, thus complicating compliance effortsNew
- 26Failure to protect our intellectual property could substantially harm our business and operating results
- 27Covenants in our current and any future debt agreements restrict our business23% rewritten
- 28Economic uncertainty or deterioration or geopolitical instability could adversely affect us23% rewritten
- 29Changes in tax laws or challenges to our tax positions could adversely affect our business, results of operations and financial condition43% rewritten
- 30The value of our net operating loss carryforwards may become impaired if we do not generate sufficient future taxable income required to utilize all or a portion of our net operating loss carryforwards prior to their expiration63% rewritten
- 31The market price of our common stock has been, and is likely to remain, volatile, subject to low trading volume and may decline in value
- 32We do not pay dividends and this may negatively affect the price of our stock
- 33Restricted stock awards, performance-based restricted stock units and the exercise of stock options may depress our stock price and may result in dilution to our common stockholders34% rewritten
- 34If we experience an ownership change, either via a major transaction or a series of trades where a substantial percentage of our ownership changes, which may be less than a majority of our ownership in certain cases, we may be limited in our ability to use our net operating loss carryforwards49% rewritten
- 35A material weakness in our internal control over financial reporting could result in material misstatements in our financial statements and cause us to fail to meet our reporting and financial obligations
- 36Any future pandemic, epidemic or outbreak of any highly infectious disease could cause disruptions in the U.S., regional and global economies and could materially and adversely impact our business, financial condition and results of operations and the business, financial condition and results of operations
- 37We may become subject to legal and regulatory proceedings that could have a material adverse impact on our business, results of operations and financial condition
- 38We do not collect sales or consumption taxes in some jurisdictions
- 39If we are unsuccessful in our efforts to implement and support information technology improvements or respond to technological changes, our growth, prospects and results of operations could be adversely affected
- 40Cybersecurity risks and cyber incidents could adversely affect our business and disrupt operations22% rewritten
- 41Technological interruptions or the efficiency of our technology solutions could damage our reputation and brand and adversely affect our results of operations
- 42Failure to maintain the privacy and security of our customer, third-party payer, employee, supplier, or Company information could result in substantial costs or subject us to litigation, enforcement actions, and reputational damage
- 43Natural disasters, pandemics, acts of war or terrorism and other external events could significantly impact our business
- 44We are dependent upon executive officers and other key personnel. The loss of any of our executive officers or other key personnel could reduce our ability to manage our businesses and achieve our business plan, which could cause our sales to decline and our operating results and cash flows to suffer
Other InfuSystem Holdings 10-Ks
- FY2024 10-K risk factors43 risks
InfuSystem's risks are dominated by healthcare reimbursement dependencies, regulatory compliance like Medicare supplier standards, and third-party supply chain vulnerabilities.
Filed Mar 11, 2025
About this page
The headings are the filing's own. The one-line readings and the overview are automated and can be wrong: read Item 1A of the 10-K for the exact wording.