EX-99.1 3 radnet_ex9901.htm EARNINGS RELEASE

Exhibit 99.1

 

 

 

FOR IMMEDIATE RELEASE

 

RadNet Reports Second Quarter Financial Results, with Record Quarterly Revenue and Adjusted EBITDA(1), and Updates 2023 Financial Guidance Ranges

 

·Revenue increased 13.9% to a quarterly record of $403.7 million in the second quarter of 2023 from $354.4 million in the second quarter of 2022; Excluding Revenue from our Artificial Intelligence (“AI”) reporting segment, Revenue from the Imaging Centers reporting segment in the second quarter of 2023 was $401.3 million, an increase of 13.8% from last year’s second quarter of $352.8 million
·Excluding losses from our AI reporting segment, Adjusted EBITDA(1) from the Imaging Centers reporting segment was a quarterly record of $63.7 million in the second quarter of 2023 as compared with $55.5 million in the second quarter of 2022, an increase of 14.7%; Adjusted EBITDA(1), including losses from our AI reporting segment, was $60.4 million in the second quarter of 2023 as compared with $51.3 million in the second quarter of 2022, an increase of 17.7%
·After adjusting for certain unusual or one-time items impacting the quarter and AI losses, Adjusted Earnings(3) was $14.9 million and diluted Adjusted Earnings Per Share(3) was $0.24 for the second quarter of 2023 compared with Adjusted Earnings(3) of $8.6 million and diluted Adjusted Earnings Per Share(3) of $0.15 for the second quarter of 2022
·Aggregate procedural volumes increased 11.4% and same-center procedural volumes increased 7.1% compared with the second quarter of 2022
·On June 16th, RadNet completed its upsized public offering of common stock, raising $246 million of net proceeds; At June 30, 2023, RadNet had a $357 million cash balance
·RadNet increases full-year 2023 guidance levels for Revenue and Adjusted EBITDA(1) from the Imaging Center Segment

 

LOS ANGELES, California, August 9, 2022 – RadNet, Inc. (NASDAQ: RDNT), a national leader in providing high-quality, cost-effective, fixed-site outpatient diagnostic imaging services through a network of 363 owned and operated outpatient imaging centers, today reported financial results for its second quarter of 2023.

 

Dr. Howard Berger, President and Chief Executive Officer of RadNet, commented, “I am very pleased with the continued strength of our core imaging center business. In our Imaging Center segment, Revenue increased 13.8% and Adjusted EBITDA(1) increased 14.7% from last year’s second quarter. Our record quarterly Revenue and Adjusted EBITDA(1) were driven by 11.4% aggregate and 7.1% same-center procedural volume growth relative to last year’s second quarter, along with effective expense management. We continue to benefit from the steady growth in the overall industry as well as the accelerating shift from hospital-based procedures to lower-cost, more convenient freestanding centers.”

 

“As a result of the positive trends we are experiencing in our core business and the strong financial performance of the first and second quarters, we have elected to revise upwards our 2023 full year Imaging Center segment Revenue and Adjusted EBITDA(1) guidance levels in anticipation of financial results that we believe will exceed both our original guidance ranges and those that were revised after our first quarter results,” added Dr. Berger.

 

 

 

 1 

 

 

Dr. Berger continued, “Our AI segment has begun to demonstrate accelerated growth. Compared with last year’s second quarter, our AI revenue grew 52.8%. Additionally, for the first six months of 2023 compared with last year’s same six-month period, our AI division Revenue grew 109%. We are experiencing increasing enrollment as we roll-out our Enhanced Breast Cancer Detection program and we are encouraged about its future success. While this service offering continues to gain acceptance from our patients and referring physicians, we have spent a considerable amount time and effort in optimizing the educational benefits and pricing to achieve wider adoption and exposure. These efforts purposefully slowed the roll-out by 90-120 days, impacting the implementation and delaying the financial performance of the program.”

 

“To assist with the growth and commercialization of our digital health businesses, which in addition to our AI initiatives, includes our eRAD radiology informatics businesses, we are pleased to welcome the addition to our management team of Sham Sokka and Sanjog Misra, both with extensive experience in medical software and AI businesses. These senior management additions emphasize our commitment to, and confidence in our digital businesses. We believe these digital health initiatives will have a transformative impact on both RadNet’s AI and Imaging Center businesses, and positions us to be a significant agent of change in our dynamic industry, an industry that is driven by technology and innovation,” said Dr. Berger.

 

“In response to the heavy volume demands we are experiencing in many of our imaging center regions, we are growing capacity and access through the de novo strategy we embarked on last year. We opened one de novo facility during the second quarter, and anticipate opening five additional centers by year end as well as another six facilities planned in 2024. Our hospital and health system joint venture offerings continue to grow with new system partnerships and through expansion of existing relationships,” concluded Dr. Berger.

 

 

Second Quarter Financial Results

 

For the second quarter of 2023, RadNet reported Revenue from its Imaging Centers reporting segment of $401.3 million and Adjusted EBITDA(1) of $63.7 million, which exclude Revenue and Losses from the AI reporting segment. As compared with last year’s second quarter, Revenue increased $48.5 million (or 13.8%) and Adjusted EBITDA(1) increased $8.2 million (or 14.7%). Including our AI reporting segment, Revenue was $403.7 million in the second quarter of 2023, an increase of 13.9% from $354.4 million in last year’s second quarter. Including the losses of the AI reporting segment, Adjusted EBITDA(1) was $60.4 million in the second quarter of 2023 and $51.3 million in the second quarter of 2022, an increase of 17.7%.

 

For the second quarter of 2023, RadNet reported Net Income of $8.4 million as compared with $7.9 million for the second quarter of 2022. Diluted Net Income Per Share for the second quarter of 2023 was $0.12, compared with a Diluted Net Income Per Share of $0.13 in the second quarter of 2022, based upon a weighted average number of diluted shares outstanding of 60.9 million shares in 2023 and 57.0 million shares in 2022.

 

There were a number of unusual or one-time items impacting the second quarter including: $4.2 million of non-cash gain from interest rate swaps; $1.0 million expense related to the change in valuation of contingent consideration related to completed acquisitions; $759,000 expense related to leases for our de novo facilities under construction that have yet to open their operations; and $8.7 million of pre-tax losses related to our AI reporting segment. Adjusting for the above items, Adjusted Earnings(3) from the Imaging Centers reporting segment was $14.9 million and diluted Adjusted Earnings Per Share(3) was $0.24 during the second quarter of 2023. This compares with Adjusted Earnings(3) of $8.6 million and diluted Adjusted Earnings Per Share(3) of $0.15 during the second quarter of 2022.

 

 

 

 2 

 

 

Also, affecting Net Income in the second quarter of 2023 were certain non-cash expenses and unusual items including: $4.9 million of non-cash employee stock compensation expense resulting from the vesting of certain options and restricted stock; $1.9 million of severance paid in connection with headcount reductions related to cost savings initiatives; $77,000 loss on the disposal of certain capital equipment; and $748,000 of non-cash amortization of deferred financing costs and loan discounts related to financing fees paid as part of our existing credit facilities.

 

For the second quarter of 2023, as compared with the prior year’s second quarter, MRI volume increased 11.8%, CT volume increased 11.3% and PET/CT volume increased 18.3%. Overall volume, taking into account routine imaging exams, inclusive of x-ray, ultrasound, mammography and other exams, increased 11.4% over the prior year’s second quarter. On a same-center basis, including only those centers which were part of RadNet for both the second quarters of 2023 and 2022, MRI volume increased 7.3%, CT volume increased 6.3% and PET/CT volume increased 18.8%. Overall same-center volume, taking into account routine imaging exams, inclusive of x-ray, ultrasound, mammography and other exams, increased 7.1% over the prior year’s same quarter.

 

 

Six Month Financial Results

 

For the six month period of 2023, RadNet reported Revenue from its Imaging Centers reporting segment of $789.8 million and Adjusted EBITDA(1) Excluding Losses from the AI reporting segment of $116.4 million. Revenue increased $95.8 million (or 13.8%) and Adjusted EBITDA(1) increased $19.1 million (or 19.7%). Including our AI reporting segment Revenue of $4.5 million, Revenue was $794.3 million in the six months of 2023, an increase of 14.1% from $696.1 million in last year’s six-month period. Including the AI reporting segment Adjusted EBITDA(1) losses, Adjusted EBITDA(1) for the six month period of 2023 was $108.6 million as compared with $89.5 million in the same six month period of 2022.

 

For the six-month period in 2023, RadNet reported Net Loss of $12.6 million, compared with Net Income of $10.9 million in the first six months of 2022. Per share Net Loss for the first six months of 2023 was $(0.21), compared to a diluted Net Income per share of $0.18 in the same six-month period of 2022 (based upon a weighted average number of diluted shares outstanding of 59.2 million in 2023 and 56.7 million in 2022).

 

Affecting Net Income for the six month period of 2023 were certain non-cash expenses and non-recurring items including: $17.1 million of non-cash employee stock compensation expense; $16.2 million of pre-tax losses related to our AI reporting segment; $2.0 million of severance paid in connection with headcount reductions related to cost savings initiatives; $1.7 million of non-operational rent expense associated with certain un-opened de novo locations: $656,000 loss on the disposal of certain capital equipment; $66,000 of non-cash gain from interest rate swaps; and $1.5 million of amortization of deferred financing costs and loan discount related to our existing credit facilities.

 

 

 

 

 3 

 

 

2023 Guidance Update

 

RadNet amends its previously announced guidance levels as follows:

 

Imaging Center Segment

 

  Original Guidance Range Revised Guidance Range After Q1 Results Revised Guidance Range After Q2 Results
Total Net Revenue $1,525 - $1,575 million $1,550 - $1,600 million $1,575 - $1,610 million
Adjusted EBITDA(1) $220 - $230 million $225 - $235 million $232 - $242 million
Capital Expenditures(a) $105 - $115 million $110 - $120 million Unchanged
Cash Interest Expense(c) $35 - $40 million $45 - $50 million Unchanged
Free Cash Flow (b)(2) $70 - $80 million $65 - $70 million Unchanged

 

Artificial Intelligence Segment

 

 

 

Original Guidance Range Revised Guidance Range After Q1 Results Revised Guidance Range After Q2 Results
Total Net Revenue $16 - $18 million $16 - $18 million $11 - $13 million
Adjusted EBITDA(1) $(9) - $(11) million $(9) - $(11) million $(11) - $(13) million

 

(a)Net of proceeds from the sale of equipment, imaging centers and joint venture interests, and excludes New Jersey Imaging Network capital expenditures.
(b)Defined by the Company as Adjusted EBITDA(1) less Capital Expenditures and Cash Paid for Interest.
(c)Excludes payments to counterparties on interest rate swaps and nets interest income from our cash balance recorded in Other Income.

 

“We have increased our guidance ranges in our core Imaging Center reporting segment for Revenue and Adjusted EBITDA(1) to reflect the strong financial results in the first half of 2023 as compared with our budget. Additionally, we have lowered our guidance ranges for Revenue and Adjusted EBITDA(1) for the AI Segment to reflect delays resulting from optimizing the implementation of our Enhanced Breast Cancer Detection program.”

 

 

Conference Call for Today

 

Dr. Howard Berger, President and Chief Executive Officer, and Mark Stolper, Executive Vice President and Chief Financial Officer, will host a conference call to discuss its second quarter 2023 results on Tuesday, August 8th, 2023 at 7:30 a.m. Pacific Time (10:30 a.m. Eastern Time).

 

 

Conference Call Details:

 

Date: Tuesday, August 8, 2023

Time: 10:30 a.m. Eastern Time

Dial In-Number: 844-826-3035

International Dial-In Number: 412-317-5195

 

It is recommended that participants dial in approximately 5 to 10 minutes prior to the start of the 10:30 a.m. call. There will also be simultaneous and archived webcasts available at https://viavid.webcasts.com/starthere.jsp?ei=1626353&tp_key=fb76d167b0 or http://www.radnet.com under the “Investors” menu section and “News Releases” sub-menu of the website. An archived replay of the call will also be available and can be accessed by dialing 844-512-2921 from the U.S., or 412-317-6671 for international callers, and using the passcode 10181301.

 

 

 

 4 

 

 

About RadNet, Inc.

 

RadNet, Inc., is the leading national provider of freestanding, fixed-site diagnostic imaging services and related information technology solutions (including artificial intelligence) in the United States based on the number of locations and annual imaging revenue. RadNet has a network of 363 owned and/or operated outpatient imaging centers. RadNet's markets include Arizona, California, Delaware, Florida, Maryland, New Jersey and New York. Together with affiliated radiologists, inclusive of full-time and per diem employees and technicians, RadNet has a total of approximately 9,000 employees. For more information, visit http://www.radnet.com.

 

Forward Looking Statements

 

This press release contains “forward-looking statements” within the meaning of the safe harbor provisions of the U.S. Private Securities Litigation Reform Act of 1995. Forward-looking statements are expressions of our current beliefs, expectations and assumptions regarding the future of our business, future plans and strategies, projections, and anticipated future conditions, events and trends. Forward-looking statements can generally be identified by words such as: “anticipate,” “intend,” “plan,” “goal,” “seek,” “believe,” “project,” “estimate,” “expect,” “strategy,” “future,” “likely,” “may,” “should,” “will” and similar references to future periods. Forward-looking statements in this press release include, among others, statements we make regarding response to and the expected future impacts of COVID-19, including statements about our anticipated business results, balance sheet and liquidity and our future liquidity, burn rate and our continuing ability to service or refinance our current indebtedness.

 

Forward-looking statements are neither historical facts nor assurances of future performance. Because forward-looking statements relate to the future, they are inherently subject to uncertainties, risks and changes in circumstances that are difficult to predict and many of which are outside of our control. Our actual results and financial condition may differ materially from those indicated in the forward-looking statements. Therefore, you should not place undue reliance on any of these forward-looking statements. Important factors that could cause our actual results and financial condition to differ materially from those indicated in the forward-looking statements include, among others, the following:

 

·the availability and terms of capital to fund our business;
·our ability to service our indebtedness, make principal and interest payments as those payments become due and remain in compliance with applicable debt covenants, in addition to our ability to refinance such indebtedness on acceptable terms;
·changes in general economic conditions nationally and regionally in the markets in which we operate;
·the availability and terms of capital to fund the expansion of our business and improvements to our existing facilities;
·our ability to maintain our current credit rating and the impact on our funding costs and competitive position if we do not do so;
·our ability to acquire, develop, implement and monetize technology, digital health initiatives, artificial intelligence algorithms and applications;
·volatility in interest and exchange rates, or credit markets;
·the adequacy of our cash flow and earnings to fund our current and future operations;
·changes in service mix, revenue mix and procedure volumes;
·delays in receiving payments for services provided;
·increased bankruptcies among our partner physicians or joint venture partners;
·the impact of the political environment and related developments on the current healthcare marketplace and on our business, including with respect to the future of the Affordable Care Act;
·the extent to which the ongoing implementation of healthcare reform, or changes in or new legislation, regulations or guidance, enforcement thereof by federal and state regulators or related litigation result in a reduction in coverage or reimbursement rates for our services, or other material impacts to our business;
·closures or slowdowns and changes in labor costs and labor difficulties, including stoppages affecting either our operations or our suppliers' abilities to deliver supplies needed in our facilities;
·the occurrence of hostilities, political instability or catastrophic events;
·the emergence or reemergence of and effects related to future pandemics, epidemics and infectious diseases; and
·noncompliance by us with any privacy or security laws or any cybersecurity incident or other security breach by us or a third party involving the misappropriation, loss or other unauthorized use or disclosure of confidential information.

 

 

 

 5 

 

 

Any forward-looking statement contained in this current report is based on information currently available to us and speaks only as of the date on which it is made. We undertake no obligation to publicly update any forward-looking statement, whether written or oral, that we may make from time to time, whether as a result of changed circumstances, new information, future developments or otherwise, except as required by applicable law.

 

Regulation G: GAAP and Non-GAAP Financial Information

 

This release contains certain financial information not reported in accordance with GAAP. The Company uses both GAAP and non-GAAP metrics to measure its financial results. The Company believes that, in addition to GAAP metrics, these non-GAAP metrics assist the Company in measuring its cash-based performance. The Company believes this information is useful to investors and other interested parties because it removes unusual and nonrecurring charges that occur in the affected period and provides a basis for measuring the Company's financial condition against other quarters. Such information should not be considered as a substitute for any measures calculated in accordance with GAAP, and may not be comparable to other similarly titled measures of other companies. Non-GAAP financial measures should not be considered in isolation from, or as a substitute for, financial information prepared in accordance with GAAP. Reconciliation of this information to the most comparable GAAP measures is included in this release in the tables which follow.

 

CONTACTS:

RadNet, Inc.

Mark Stolper, 310-445-2800

Executive Vice President and Chief Financial Officer

 

 

 

 

 

 6 

 

 

RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS

(IN THOUSANDS EXCEPT SHARE AND PER SHARE DATA)

       

 

   June 30, 2023   December 31, 2022 
   (unaudited)      
ASSETS          
CURRENT ASSETS          
Cash and Cash equivalents  $356,651   $127,834 
Accounts receivable   174,481    166,357 
Due from affiliates   22,240    18,971 
Prepaid expenses and other current assets   49,319    54,022 
Total current assets   602,691    367,184 
PROPERTY, EQUIPMENT AND RIGHT-OF-USE ASSETS          
Property and equipment, net   576,094    565,961 
Operating lease right-of-use assets   627,130    603,524 
Total property, plant, equipment and right-of-use assets   1,203,224    1,169,485 
OTHER ASSETS          
Goodwill   687,879    677,665 
Other intangible assets   100,433    106,228 
Deferred financing costs   1,962    2,280 
Investment in joint ventures   52,492    57,893 
Deposits and other   56,609    53,172 
Total assets  $2,705,290   $2,433,907 
           
LIABILITIES AND EQUITY          
CURRENT LIABILITIES          
Accounts payable, accrued expenses and other  $333,224   $369,595 
Due to affiliates   20,463    23,100 
Deferred revenue   5,054    4,021 
Current operating lease liability   59,504    57,607 
Current portion of notes payable   15,989    12,400 
Total current liabilities   434,234    466,723 
LONG-TERM LIABILITIES          
Long-term operating lease liability   628,845    604,117 
Notes payable, net of current portion   848,333    839,344 
Deferred tax liability, net   10,005    9,256 
Other non-current liabilities   22,869    23,015 
Total liabilities   1,944,286    1,942,455 
EQUITY          
RadNet, Inc. stockholders' equity:          
Common stock - $.0001 par value, 200,000,000 shares authorized; 67,669,564 and 57,723,125 shares issued and outstanding at June 30, 2023 and December 31, 2022, respectively   7    6 
Additional paid-in-capital   703,593    436,288 
Accumulated other comprehensive loss   (15,183)   (20,677)
Accumulated deficit   (95,258)   (82,622)
Total RadNet, Inc.'s stockholders equity   593,159    332,995 
Noncontrolling interests   167,845    158,457 
Total equity   761,004    491,452 
Total liabilities and equity  $2,705,290   $2,433,907 

 

 

 7 

 


RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENT OF OPERATIONS

(IN THOUSANDS EXCEPT FOR SHARE AND PER SHARE DATA)

(unaudited)

 

   Three Months Ended June 30,   Six Months Ended June 30, 
   2023   2022   2023   2022 
                 
REVENUE                    
Service fee revenue  $363,918   $316,501   $716,338   $619,776 
Revenue under capitation arrangements   39,797    37,874    77,941    76,365 
Total service revenue   403,715    354,375    794,279    696,141 
OPERATING EXPENSES                    
Cost of operations, excluding depreciation and amortization   345,147    305,775    697,012    620,813 
Depreciation and amortization   32,180    28,862    63,495    55,980 
Loss (gain) on sale and disposal of equipment and other   77    81    656    1,209 
Severance costs   1,870    99    2,004    300 
Total operating expenses   379,274    334,817    763,167    678,302 
INCOME (LOSS) FROM OPERATIONS   24,441    19,558    31,112    17,839 
OTHER INCOME AND EXPENSES                    
Interest expense   16,039    11,385    31,761    22,978 
Equity in earnings of joint ventures   (1,423)   (2,748)   (2,851)   (5,266)
Non-cash change in fair value of interest rate hedge   (4,159)   (6,306)   (66)   (27,125)
Other expenses (income)   40    (7)   1,472    158 
Total other expense (income)   10,497    2,324    30,316    (9,255)
INCOME (LOSS) BEFORE INCOME TAXES   13,944    17,234    796    27,094 
Benefit from (provision for) income taxes   614    (3,403)   (521)   (4,900)
NET INCOME (LOSS)   14,558    13,831    275    22,194 
Net income (loss) attributable to noncontrolling interests   6,189    5,926    12,911    11,276 
NET INCOME (LOSS) ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS  $8,369   $7,905   $(12,636)  $10,918 
                     
BASIC NET INCOME (LOSS) PER SHARE ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS  $0.14   $0.14   $(0.21)  $0.20 
                     
DILUTED NET INCOME (LOSS) PER SHARE ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS  $0.12   $0.13   $(0.21)  $0.18 
WEIGHTED AVERAGE SHARES OUTSTANDING                    
Basic   59,880,803    56,059,824    59,221,453    55,683,335 
Diluted   60,916,985    56,966,548    59,221,453    56,666,290 

 

 

 8 

 

 

RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASHFLOWS

(IN THOUSANDS)

(unaudited)

 

   Six Months Ended June 30, 
   2023   2022 
CASH FLOWS FROM OPERATING ACTIVITIES          
Net income  $275   $22,194 
Adjustments to reconcile net income to net cash provided by operating activities:          
Depreciation and amortization   63,495    55,980 
Amortization of operating lease assets   31,601    34,055 
Equity in earnings of joint ventures   (2,851)   (5,266)
Distributions from joint ventures   8,947     
Amortization deferred financing costs and loan discount   1,494    1,295 
Loss (Gain) non sale and disposal of equipment   656    1,209 
Amortization of cash flow hedge   1,844    1,847 
Non-cash change in fair value of interest rate hedge   (66)   (27,125)
Stock-based compensation   17,055    15,795 
Change in fair value of contingent consideration   3,098    (1,287)
Changes in operating assets and liabilities, net of assets acquired and liabilities assumed in purchase transactions:          
Accounts receivable   (8,124)   (30,566)
Other current assets   4,703    (709)
Other assets   (6,590)   1,282 
Deferred taxes   (2,249)   4,732 
Operating lease liability   (28,582)   (32,219)
Deferred revenue   1,033    (7,565)
Accounts payable, accrued expenses and other   14,952    32,092 
Net cash provided by operating activities   100,691    65,744 
CASH FLOWS FROM INVESTING ACTIVITIES          
Purchase of imaging facilities and other acquisitions   (10,315)   (26,009)
Purchase of property and equipment and other   (95,380)   (72,659)
Proceeds from sale of equipment   73    4,121 
Equity contributions in existing and purchase of interest in joint ventures   (288)   (1,441)
Net cash used in investing activities   (105,910)   (95,988)
CASH FLOWS FROM FINANCING ACTIVITIES          
Principal payments on notes and leases payable   (1,051)    
Payments on Term Loan Debt   (7,376)   (6,625)
Distributions paid to noncontrolling interests   (3,523)    
Proceeds from issuance of common stock   246,201     
Proceeds from issuance of common stock upon exercise of options   51     
Net cash used in financing activities   234,302    (6,625)
EFFECT OF EXCHANGE RATE CHANGES ON CASH   (266)   1,433 
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS   228,817    (35,436)
CASH AND CASH EQUIVALENTS, beginning of period   127,834    134,606 
CASH AND CASH EQUIVALENTS, end of period  $356,651   $99,170 
           
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION          
Cash paid during the period for interest  $39,301   $19,687 
Cash paid during the period for income taxes  $201   $126 
Cash received (paid) during the period from cash flow hedge  $6,715   $(4,248)
Cash Interest Received on our Cash Balance  $2,681   $ 

 

 

 

 9 

 

 

RADNET, INC. AND SUBSIDIARIES

RECONCILIATION OF GAAP NET INCOME ATTRIBUTABLE TO RADNET, INC. COMMON SHAREHOLDERS TO ADJUSTED EBITDA

(IN THOUSANDS)

 

   Three Months Ended June 30,   Six Months Ended June 30, 
   2023   2022   2023   2022 
                 
Net income (loss) attributable to Radnet, Inc. common stockholders  $8,369   $7,905   $(12,636)  $10,918 
Income taxes   (614)   3,403    521    4,900 
Interest expense   16,039    11,385    31,761    22,978 
Severance costs   1,870    99    2,004    300 
Depreciation and amortization   32,180    28,862    63,495    55,980 
Non-cash employee stock-based compensation   4,870    4,693    17,056    15,795 
Loss (gain) on sale and disposal of equipment and other   77    81    656    1,209 
Non-cash change in fair value of interest rate hedge   (4,159)   (6,306)   (66)   (27,125)
Other expenses   40    (7)   1,472    158 
Legal settlements               2,197 
Contingent Consideration   1,014        2,630     
Non-operational rent expenses   759    1,222    1,718    2,160 
                     
Adjusted EBITDA Including Losses from AI Segment  $60,445   $51,337   $108,611   $89,470 
                     
Losses from AI Segment   3,285    4,207    7,779    7,792 
                     
Adjusted EBITDA excluding Losses from AI Segment  $63,730   $55,544   $116,390   $97,262 

 

 

 

 

 10 

 

 

 

PAYOR CLASS BREAKDOWN

                 

 

     
   Second Quarter 
   2023 
     
Commercial Insurance   58.3% 
Medicare   22.2% 
Capitation   9.9% 
Medicaid   2.5% 
Workers Compensation/Personal Injury   3.2% 
Other   4.1% 
Total   100.0% 

 

 

RADNET PAYMENTS BY MODALITY

                 

 

   Second Quarter   Full Year   Full Year   Full Year 
   2023   2022   2021   2020 
                 
MRI   36.7%    36.8%    36.0%    35.4% 
CT   16.9%    17.5%    17.2%    17.6% 
PET/CT   6.4%    5.8%    5.5%    6.0% 
X-ray   6.6%    6.7%    3.9%    7.3% 
Ultrasound   13.0%    12.6%    12.7%    12.3% 
Mammography   15.6%    15.3%    16.1%    15.7% 
Nuclear Medicine   0.8%    0.9%    1.0%    1.0% 
Other   4.0%    4.5%    4.6%    4.7% 
    100.0%    100.0%    100.0%    100.0% 

 

 

PROCEDURES BY MODALITY*

             

 

   Second Quarter   Second Quarter 
   2023   2022 
         
MRI   387,619    346,598 
CT   235,138    211,221 
PET/CT   15,036    12,710 
Nuclear Medicine   9,463    9,857 
Ultrasound   620,660    552,941 
Mammography   450,747    393,515 
X-ray and Other   832,719    763,334 
           
Total   2,551,382    2,290,176 

 

  * Volumes include wholly owned and joint venture centers.

 

 11 

 

 

RADNET, INC. AND SUBSIDIARIES

SCHEDULE OF ADJUSTED EARNINGS AND EARNINGS PER SHARE (3)

(IN THOUSANDS EXCEPT SHARE DATA)

(unaudited)

                       

 

   Three Months Ended 
   June 30, 
   2023   2022 
         
NET INCOME ATTRIBUTABLE TO RADNET, INC.          
COMMON STOCKHOLDERS  $8,369   $7,905 
           
Subtract non-cash change in fair value of interest rate swaps (i)   (4,159)   (6,306)
Non-operational rent expenses (iii)   759    1,222 
Contingent Consideration   1,014     
AI Segment Losses (iv)   8,655    5,892 
Total adjustments - loss (gain)   6,269    808 
Subtract tax impact of Adjustments (ii)   276    (160)
Tax effected impact of adjustments   6,545    648 
           
TOTAL ADJUSTMENT TO NET INCOME ATTRIBUTABLE          
TO RADNET, INC. COMMON SHAREHOLDERS   6,545    648 
           
ADJUSTED NET INCOME ATTRIBUTABLE TO RADNET, INC.   14,914    8,553 
COMMON STOCKHOLDERS          
           
WEIGHTED AVERAGE SHARES OUTSTANDING          
Diluted   60,916,985    56,966,548 
           
ADJUSTED DILUTED NET INCOME PER SHARE          
ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS  $0.24   $0.15 

 

(i)Impact from the change in fair value of the swpas during the quarter. Excludes the amortization of the accumulation of the changes in fair value out of Other Comprehensive Income that existed prior to the hedges becoming ineffective.
(ii)Tax effected using (4.40)% and 19.75% blended federal and state effective tax rate for the second quarter of 2023 and 2022, respectively.
(iii)Represents rent expense associated with de novo sites under construction prior to them becoming operational.
(iv)Represents losses before income taxes from Artificial Intelligence reporting segment.

 

 

 12 

 

 


Footnotes

 

(1) The Company defines Adjusted EBITDA as earnings before interest, taxes, depreciation and amortization, each from continuing operations and adjusted for losses or gains on the sale of equipment, other income or loss, debt extinguishments and non-cash equity compensation. Adjusted EBITDA includes equity earnings in unconsolidated operations and subtracts allocations of earnings to non-controlling interests in subsidiaries, and is adjusted for non-cash or extraordinary and one-time events taken place during the period.

 

Adjusted EBITDA is reconciled to its nearest comparable GAAP financial measure. Adjusted EBITDA is a non-GAAP financial measure used as analytical indicator by RadNet management and the healthcare industry to assess business performance, and is a measure of leverage capacity and ability to service debt. Adjusted EBITDA should not be considered a measure of financial performance under GAAP, and the items excluded from Adjusted EBITDA should not be considered in isolation or as alternatives to net income, cash flows generated by operating, investing or financing activities or other financial statement data presented in the consolidated financial statements as an indicator of financial performance or liquidity. As Adjusted EBITDA is not a measurement determined in accordance with GAAP and is therefore susceptible to varying methods of calculation, this metric, as presented, may not be comparable to other similarly titled measures of other companies.

 

(2) As noted above, the Company defines Free Cash Flow as Adjusted EBITDA less total Capital Expenditures (whether completed with cash or financed) and Cash Interest paid. Free Cash Flow is a non-GAAP financial measure. The Company uses Free Cash Flow because the Company believes it provides useful information for investors and management because it measures our capacity to generate cash from our operating activities. Free Cash Flow does not represent total cash flow since it does not include the cash flows generated by or used in financing activities. In addition, our definition of Free Cash Flow may differ from definitions used by other companies.

 

Free Cash Flow should not be considered a measure of financial performance under GAAP, and the items excluded from Adjusted EBITDA should not be considered in isolation or as alternatives to net income, cash flows generated by operating, investing or financing activities or other financial statement data presented in the consolidated financial statements as an indicator of financial performance or liquidity. As Adjusted EBITDA is not a measurement determined in accordance with GAAP and is therefore susceptible to varying methods of calculation, this metric, as presented, may not be comparable to other similarly titled measures of other companies.

 

(3) The Company defines Adjusted Earnings (Loss) Per Share as net income or loss attributable to RadNet, Inc. common stockholders and excludes losses or gains on the disposal of equipment, loss on debt extinguishments, bargain purchase gains, severance costs, loss on impairment, loss or gain on swap valuation, gain on extinguishment of debt, unusual or non-recurring entries that impact the Company’s tax provision and any other non-recurring or unusual transactions recorded during the period.

 

Adjusted Earnings (Loss) Per Share is reconciled to its nearest comparable GAAP financial measure. Adjusted Earnings (Loss) Per Share is a non-GAAP financial measure used as analytical indicator by RadNet management and the healthcare industry to assess business performance. Adjusted Earnings Per Share should not be considered a measure of financial performance under GAAP, and the items excluded from Adjusted Earnings Per Share should not be considered in isolation or as alternatives to net income, cash flows generated by operating, investing or financing activities or other financial statement data presented in the consolidated financial statements as an indicator of financial performance or liquidity. As Adjusted Earnings Per Share is not a measurement determined in accordance with GAAP and is therefore susceptible to varying methods of calculation, this metric, as presented, may not be comparable to other similarly titled measures of other companies.

 

 

 

 13