What happened

Shares of BioScrip (NASDAQ:BIOS), a provider of home infusion services within the United States, imploded and sank as much as 50% following the release of the company's third-quarter earnings results.

So what

As you can probably surmise from the move lower, Wall Street wasn't too pleased with the company's Q3 report. Revenue for the quarter came in at $224.5 million, a 9.2% year-over-year decline. BioScrip attributed its sales weakness to a shift from lower-margin chronic-infusion revenue to higher-margin core-infusion revenue, as well as lower core sales volumes. Comparatively, BioScrip's revenue was about $1.2 million above Street expectations.

However, the company reported a loss from operations of $11.1 million, or $0.12 a share, with EBITDA of $3.5 million. Though its net loss was $13.4 million less than the year-ago period, its EBITDA declined $2.5 million year over year, and it badly missed the $0.05 per-share loss estimate that the Street was looking for.

A male doctor speaking with a senior woman

Image source: Getty Images.

Because of the ongoing struggles of integrating its Home Solutions acquisition, coupled with the aforementioned shift to core-infusion from chronic-infusion services, BioScrip lowered its sales and EBITDA guidance for fiscal 2016 to ranges of $928 million to $934 million, and $27 million to $29 million, respectively, from its previous projection of $940 million to $960 million, and $45 million to $50 million.

BioScrip also offered a subpar outlook for fiscal 2017. The company sees revenue of $940 million to $980 million and EBITDA of $50 million to $60 million. Analysts had pegged BioScrip for $1 billion in sales next year.

As summed up by new CEO Daniel Greenleaf, "I have just completed my first few weeks with the Company and based on my initial review it is clear we have work ahead of us." 

Now what

On one hand, BioScrip's quarterly report signals that this isn't likely to be a single-quarter issue. Even with expected cost synergies from its Home Solutions transaction expected to increase, there are a lot of unknowns here that could take time to play out. For instance, transitioning away from higher-volume chronic infusions is probably a multi-quarter venture, and it's liable to create EBITDA and bottom-line hiccups along the way.

However, it's also possible that today's mauling could be a bit overdone. Though BioScrip missed Wall Street's consensus and its report left a lot to be desired, its management team is angling the company for higher-margin patients and lower costs over the long term. Sure, investors may have to wait until 2018 or 2019 until BioScrip has an opportunity to generate an annual profit, but management's plan seems achievable.

The big question remains over what will happen with BioScrip's liquidity. It ended Q3 with $34.2 million in liquidity, but has used $32.5 million in net cash this year. BioScrip may need to raise cash, or amend its agreement with its lenders, before investors want to consider dipping their toes into the water.