RadNet Reports Second Quarter Financial Results with Record Quarterly Revenue and Adjusted EBITDA(1) and Revises Upwards 2024 Financial Guidance Ranges
RadNet (NASDAQ: RDNT) reported strong Q2 2024 financial results, with record quarterly revenue of $459.7 million, up 13.9% year-over-year, and Adjusted EBITDA of $72.3 million, a 19.7% increase. The Digital Health segment saw significant growth, with revenue up 36.4% to $15.8 million, driven by a 136.6% increase in AI revenue. Same-center procedural volumes increased 6.1% compared to Q2 2023. RadNet revised its 2024 guidance upwards, increasing ranges for Revenue, Adjusted EBITDA, and Free Cash Flow. The company completed a successful refinancing, reducing borrowing costs and strengthening its balance sheet with a cash balance of $741.7 million and a Net Debt to Adjusted EBITDA ratio of 1.1.
RadNet (NASDAQ: RDNT) ha riportato risultati finanziari solidi per il secondo trimestre del 2024, con un fatturato trimestrale record di 459,7 milioni di dollari, in aumento del 13,9% rispetto all'anno precedente, e un EBITDA rettificato di 72,3 milioni di dollari, con un incremento del 19,7%. Il segmento della Salute Digitale ha registrato una crescita significativa, con un fatturato aumentato del 36,4% a 15,8 milioni di dollari, sostenuto da un aumento del 136,6% nel fatturato dell'IA. I volumi procedurali nello stesso centro sono aumentati del 6,1% rispetto al secondo trimestre del 2023. RadNet ha rivisto al rialzo le stime per il 2024, aumentando le fasce per Fatturato, EBITDA rettificato e Flusso di cassa libero. L'azienda ha completato un rifinanziamento di successo, riducendo i costi di indebitamento e rafforzando il proprio bilancio con un saldo di cassa di 741,7 milioni di dollari e un rapporto Debito Netto su EBITDA rettificato di 1,1.
RadNet (NASDAQ: RDNT) informó resultados financieros sólidos para el segundo trimestre de 2024, con ingresos trimestrales récord de 459.7 millones de dólares, un aumento del 13.9% interanual, y EBITDA ajustado de 72.3 millones de dólares, un incremento del 19.7%. El segmento de Salud Digital experimentó un crecimiento significativo, con ingresos aumentados en un 36.4% a 15.8 millones de dólares, impulsados por un aumento del 136.6% en los ingresos de IA. Los volúmenes de procedimientos en el mismo centro aumentaron un 6.1% en comparación con el segundo trimestre de 2023. RadNet revisó al alza sus proyecciones para 2024, aumentando los rangos para Ingresos, EBITDA Ajustado y Flujo de Caja Libre. La compañía completó un exitoso refinanciamiento, reduciendo costos de financiamiento y fortaleciendo su balance con un saldo de efectivo de 741.7 millones de dólares y una relación de Deuda Neta a EBITDA Ajustado de 1.1.
RadNet (NASDAQ: RDNT)는 2024년 2분기 재무 실적을 발표했습니다. 분기 매출이 4억 5,970만 달러로, 전년 대비 13.9% 증가하였고, 조정 EBITDA는 7,230만 달러로 19.7% 증가했습니다. 디지털 헬스 부문은 큰 성장을 기록했으며, 매출이 36.4% 증가하여 1,580만 달러에 이르고, AI 매출이 136.6% 증가해 이를 견인했습니다. 동일 센터의 절차량이 6.1% 증가했습니다 (2023년 2분기 대비). RadNet는 2024년 예상치를 상향 조정하며, 매출, 조정 EBITDA 및 자유 현금 흐름의 범위를 늘렸습니다. 회사는 성공적인 재융자를 완료하여 차입 비용을 절감하고, 7억 4,170만 달러의 현금 잔고와 1.1의 조정 EBITDA 대비 순 부채 비율로 재무 상태를 강화했습니다.
RadNet (NASDAQ: RDNT) a annoncé de solides résultats financiers pour le deuxième trimestre 2024, avec un chiffre d'affaires trimestriel record de 459,7 millions de dollars, en hausse de 13,9 % par rapport à l'année précédente, et un EBITDA ajusté de 72,3 millions de dollars, soit une augmentation de 19,7 %. Le segment de la santé numérique a connu une croissance significative, avec des revenus en hausse de 36,4 % à 15,8 millions de dollars, soutenue par une augmentation de 136,6 % des revenus de l'IA. Les volumes de procédures dans le même centre ont augmenté de 6,1% par rapport au deuxième trimestre 2023. RadNet a révisé à la hausse ses prévisions pour 2024, augmentant les fourchettes pour le chiffre d'affaires, l'EBITDA ajusté et le flux de trésorerie disponible. La société a mené à bien un refinancement réussi, réduisant ses coûts d'emprunt et renforçant son bilan avec un solde de trésorerie de 741,7 millions de dollars et un ratio de dette nette par rapport à l'EBITDA ajusté de 1,1.
RadNet (NASDAQ: RDNT) berichtete über starke Finanzzahlen im zweiten Quartal 2024, mit einem Rekordquartalsumsatz von 459,7 Millionen US-Dollar, was einem Anstieg von 13,9% im Jahresvergleich entspricht, sowie einem bereinigten EBITDA von 72,3 Millionen US-Dollar, was einem Anstieg von 19,7% entspricht. Der Bereich Digitale Gesundheit verzeichnete ein erhebliches Wachstum, mit einem Umsatzanstieg von 36,4% auf 15,8 Millionen US-Dollar, unterstützt durch einen Anstieg der KI-Umsätze um 136,6%. Die Verfahrensvolumina im gleichen Zentrum stiegen um 6,1% im Vergleich zum zweiten Quartal 2023. RadNet hat seine Prognosen für 2024 nach oben korrigiert und die Spannen für Umsatz, bereinigtes EBITDA und freien Cashflow erhöht. Das Unternehmen hat eine erfolgreiche Refinanzierung abgeschlossen, wodurch die Finanzierungskosten gesenkt und die Bilanz mit einem Bargeldbestand von 741,7 Millionen US-Dollar sowie einem Netto-Schulden-zu-bereinigtem-EBITDA-Verhältnis von 1,1 gestärkt wurde.
- Record quarterly revenue of $459.7 million, up 13.9% year-over-year
- Adjusted EBITDA increased 19.7% to $72.3 million
- Digital Health segment revenue grew 36.4% to $15.8 million
- AI revenue increased 136.6% to $5.6 million
- Same-center procedural volumes up 6.1% compared to Q2 2023
- Successful refinancing reduced borrowing costs and strengthened balance sheet
- Cash balance of $741.7 million and low Net Debt to Adjusted EBITDA ratio of 1.1
- Upward revision of 2024 guidance for Revenue, Adjusted EBITDA, and Free Cash Flow
- Unadjusted Net Loss of $3.0 million in Q2 2024 compared to Net Income of $8.4 million in Q2 2023
- $8.8 million of debt restructuring and extinguishment expenses related to refinancing
- $3.3 million of non-capitalized research and development expenses for DeepHealth Cloud OS and generative AI
Insights
RadNet's Q2 2024 results demonstrate strong financial performance and growth across key metrics. Total revenue increased by
The company's Adjusted EBITDA grew by
RadNet's balance sheet has strengthened significantly, with a cash balance of
The upward revision of 2024 guidance suggests management's confidence in continued strong performance. Investors should view these results positively, as they indicate RadNet's ability to capitalize on market demand and execute its growth strategy effectively.
RadNet's Q2 results highlight the growing importance of AI in medical imaging. The
The company's focus on expanding its DeepHealth OS platform is particularly noteworthy. The integration of generative AI capabilities for back-office and support functions could significantly enhance operational efficiency, not only for RadNet but also for potential external customers. This positions RadNet as a technology leader in the imaging center space, potentially opening new revenue streams beyond traditional imaging services.
The planned expansion of imaging centers, including those within health system partnerships, indicates a strong market demand for RadNet's services. This growth strategy, combined with technological advancements, could further solidify RadNet's market position and drive long-term value for shareholders.
RadNet's Q2 results reflect broader trends in the healthcare industry, particularly the increasing demand for advanced imaging services. The significant volume increases in MRI (
The company's strategy of partnering with leading health systems is proving effective, with
RadNet's focus on capacity expansion through new center development aligns with the observed high demand and patient backlogs. The planned opening of approximately 21 new centers by the end of 2025 should help address these capacity constraints and drive further growth.
The company's digital health initiatives, particularly in AI-powered diagnostics and operational efficiency tools, position RadNet at the forefront of the ongoing digital transformation in healthcare. This could provide a significant competitive advantage in the evolving healthcare landscape.
- Total Company Revenue increased
13.9% to$459.7 million in the second quarter of 2024 from$403.7 million in the second quarter of 2023; Revenue from the Digital Health reportable segment (inclusive of intersegment revenue) increased36.4% to$15.8 million in the second quarter of 2024 from$11.6 million in the second quarter of 2023 - Digital Health Revenue growth resulted in part from a
$3.2 million (or136.6% ) increase in AI Revenue, which climbed to$5.6 million during the second quarter of 2024 from$2.4 million in the second quarter of 2023 - Total Company Adjusted EBITDA(1) was
$72.3 million in the second quarter of 2024 as compared with$60.4 million in the second quarter of 2023, an increase of19.7% ; Digital Health reportable segment Adjusted EBITDA(1) increased135.2% to$3.3 million in the second quarter of 2024 from$1.4 million in the second quarter of 2023 - Total Company Adjusted EBITDA(1) margins increased by 76 bps to
15.7% in the second quarter of 2024 as compared with15.0% in the second quarter of 2023 - Adjusting for unusual or one-time items in the quarter, Adjusted Diluted Earnings Per Share(3) was
$0.16 for the second quarter of 2024; This compares with Adjusted Earnings Per Share(3) of$0.10 for the second quarter of 2023 - Aggregate procedural volumes increased
9.2% and same-center procedural volumes increased6.1% compared with the second quarter of 2023 - Completed a successful refinancing of our senior secured Term Loan and Revolver, reducing borrowing costs, extending maturities and funding approximately
$168 million of additional cash to the balance sheet - As of June 30, 2024, we had a cash balance of
$741.7 million and Net Debt to Adjusted EBITDA(1) ratio of 1.1 - Previously announced acquisition of six American Health Imaging centers in Houston was completed on June 1, 2024; RadNet has begun the integration of these centers into the previously purchased Houston Medical Imaging operations
- RadNet revises full-year 2024 guidance levels to increase Revenue, Adjusted EBITDA(1) and Free Cash Flow(2) ranges
LOS ANGELES, Aug. 07, 2024 (GLOBE NEWSWIRE) -- RadNet, Inc. (NASDAQ: RDNT), a national leader in providing high-quality, cost-effective, fixed-site outpatient diagnostic imaging services through a network of 398 owned and operated outpatient imaging centers, today reported financial results for its second quarter of 2024.
Dr. Howard Berger, President and Chief Executive Officer of RadNet, commented, “Both the Imaging Center and Digital Health reportable operating segments demonstrated strong growth and achieved record quarterly results. Total Company Revenue grew
“Improved reimbursement from commercial and capitated payors, continued strong demand for advanced imaging modalities, the growth of the Digital Health businesses and effective cost controls resulted in an increase to Adjusted EBITDA(1) margins. Total Company EBITDA(1) margin of
Dr. Berger continued, “Including the recently announced joint venture with Providence Health System, a recent expansion of the Ventura County, California partnership with Dignity Health and certain new de novo centers we have opened within existing joint ventures, as of the end of this second quarter, we had 149 of our 398 centers (or
“Given the positive trends we continue to experience in virtually all aspects of our business and the strong financial performance of the second quarter, we are revising upwards certain guidance levels in anticipation of financial results that we believe will exceed both our original expectations and the amendments we made to the guidance ranges upon releasing our first quarter 2024 results in May. We have increased 2024 guidance ranges for Revenue, Adjusted EBITDA(1) and Free Cash Flow(2),” added Dr. Berger.
Dr. Berger continued, “In response to high demand and patient backlogs in many of RadNet’s local markets, we continue to pursue expanding capacity through the development and construction of new imaging centers. We anticipate opening approximately six new centers by year end 2024 and an additional 15 centers in 2025. Approximately half of these new centers will be within existing health system partnerships. Within Digital Health, but for Houston, we are substantially complete with implementing the EBCD program. Continued development of the DeepHealth OS technology platform places us on-track towards beginning implementation within RadNet in the coming months and within external customers as early as the first quarter of 2025. The DeepHealth OS integrates generative AI capabilities to help us and external customers automate and drive efficiencies for many of the back-office and support functions involved with running imaging centers.”
“RadNet’s balance sheet continues to strengthen. In April, we completed a successful refinancing of our term loan and revolving line of credit, resulting in a reduction of interest rates, an extension of maturities and the funding of additional cash to the balance sheet of approximately
Second Quarter Financial Results
For the second quarter of 2024, RadNet reported Total Company Revenue of
For the second quarter of 2024, RadNet reported Digital Health Revenue (inclusive of intersegment revenue) of
Unadjusted for unusual or one-time items impacting the second quarter, Total Company Net Loss for the second quarter of 2024 was
There were a number of unusual or one-time items impacting the second quarter including:
For the second quarter of 2024, as compared with the prior year’s second quarter, MRI volume increased
Six Month Financial Results
For the first six months of 2024, RadNet reported Total Company Revenue of
For the first six months of 2024, RadNet reported Digital Health Revenue (inclusive of intersegment revenue) of
Unadjusted for one-time or unusual items, Total Company Net Loss for the first six months of 2024 was
2024 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 | ||||||
| Adjusted EBITDA(1) | ||||||
| Capital Expenditures(a) | ||||||
| Cash Interest Expense(b) | ||||||
| Free Cash Flow(2) | ||||||
(a) Net of proceeds from the sale of equipment, imaging centers and joint venture interests and New Jersey Imaging Network capital expenditures.
(b) Includes payments to and from counterparties on interest rate swaps and nets interest income from our cash balance recorded in Other Income.
| Digital Health Segment | |||
| Original Guidance Range | Revised Guidance Range After Q1 Results | Revised Guidance Range After Q2 Results | |
| Total Net Revenue (inclusive of intersegment revenue) | |||
| Adjusted EBITDA(1) Before Non-Capitalized R&D - DeepHealth Cloud OS & Generative AI | |||
| Non-Capitalized R&D - DeepHealth Cloud OS & Generative AI | |||
| Capital Expenditures | |||
| Free Cash Flow(2) Before Non-Capitalized R&D - DeepHealth Cloud OS & Generative AI | |||
| Free Cash Flow(2) After Non-Capitalized R&D - DeepHealth Cloud OS & Generative AI | |||
“We have increased guidance ranges of our core Imaging Center reporting segment for Revenue and Adjusted EBITDA(1). Furthermore, despite increasing the Capital Expenditures guidance range by
Conference Call for Tomorrow
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 2024 results on Thursday, August 8th, 2024 at 7:30 a.m. Pacific Time (10:30 a.m. Eastern Time).
Conference Call Details:
Date: Thursday, August 8, 2024
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 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=1680804&tp_key=197206db18 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 10191154.
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 398 owned and/or operated outpatient imaging centers. RadNet's markets include Arizona, California, Delaware, Florida, Maryland, New Jersey, New York and Texas. Together with affiliated radiologists, inclusive of full-time and per diem employees and technologists, RadNet has a total of over 10,000 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 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.
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
| RADNET, INC. AND SUBSIDIARIES | |||||||
| CONDENSED CONSOLIDATED BALANCE SHEETS | |||||||
| (IN THOUSANDS EXCEPT SHARE AND PER SHARE DATA) | |||||||
| June 30, 2024 | December 31, 2023 | ||||||
| (unaudited) | |||||||
| ASSETS | |||||||
| CURRENT ASSETS | |||||||
| Cash and Cash equivalents | $ | 741,679 | $ | 342,570 | |||
| Accounts receivable | 195,288 | 163,707 | |||||
| Due from affiliates | 29,221 | 25,342 | |||||
| Prepaid expenses and other current assets | 38,536 | 47,657 | |||||
| Total current assets | 1,004,724 | 579,276 | |||||
| PROPERTY, EQUIPMENT AND RIGHT-OF-USE ASSETS | |||||||
| Property and equipment, net | 652,882 | 604,401 | |||||
| Operating lease right-of-use assets | 624,081 | 596,032 | |||||
| Total property, equipment and right-of-use assets | 1,276,963 | 1,200,433 | |||||
| OTHER ASSETS | |||||||
| Goodwill | 708,980 | 679,463 | |||||
| Other intangible assets | 84,049 | 90,615 | |||||
| Deferred financing costs | 2,505 | 1,643 | |||||
| Investment in joint ventures | 100,844 | 92,710 | |||||
| Deposits and other | 51,358 | 46,333 | |||||
| Total Assets | $ | 3,229,423 | $ | 2,690,473 | |||
| LIABILITIES AND EQUITY | |||||||
| CURRENT LIABILITIES | |||||||
| Accounts payable, accrued expenses and other | $ | 353,898 | $ | 342,940 | |||
| Due to affiliates | 32,375 | 15,910 | |||||
| Deferred revenue | 4,462 | 4,647 | |||||
| Current operating lease liability | 59,251 | 55,981 | |||||
| Current portion of notes payable | 24,215 | 17,974 | |||||
| Total current liabilities | 474,201 | 437,452 | |||||
| LONG-TERM LIABILITIES | |||||||
| Long-term operating lease liability | 632,385 | 605,097 | |||||
| Notes payable, net of current portion | 1,002,392 | 812,068 | |||||
| Deferred tax liability, net | 17,471 | 15,776 | |||||
| Other non-current liabilities | 10,134 | 6,721 | |||||
| Total liabilities | 2,136,583 | 1,877,114 | |||||
| EQUITY | |||||||
| RadNet, Inc. stockholders' equity: | |||||||
| Common stock - | 7 | 7 | |||||
| Additional paid-in-capital | 974,355 | 722,750 | |||||
| Accumulated other comprehensive loss | (8,057 | ) | (12,484 | ) | |||
| Accumulated deficit | (85,339 | ) | (79,578 | ) | |||
| Total RadNet, Inc.'s Stockholders' equity: | 880,966 | 630,695 | |||||
| Noncontrolling interests | 211,874 | 182,664 | |||||
| Total Equity | 1,092,840 | 813,359 | |||||
| Total liabilities and equity | $ | 3,229,423 | $ | 2,690,473 | |||
| 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, | ||||||||||||||
| 2024 | 2023 | 2024 | 2023 | ||||||||||||
| REVENUE | |||||||||||||||
| Service fee revenue | $ | 422,745 | $ | 363,918 | $ | 819,934 | $ | 716,338 | |||||||
| Revenue under capitation arrangements | 36,969 | 39,797 | 71,487 | 77,941 | |||||||||||
| Total service revenue | 459,714 | 403,715 | 891,421 | 794,279 | |||||||||||
| OPERATING EXPENSES | |||||||||||||||
| Cost of operations, excluding depreciation and amortization | 389,724 | 345,147 | 777,313 | 697,012 | |||||||||||
| Depreciation and amortization | 34,475 | 32,180 | 66,843 | 63,495 | |||||||||||
| Loss (gain) on sale and disposal of equipment and other | 401 | 77 | 587 | 656 | |||||||||||
| Severance costs | 268 | 1,870 | 493 | 2,004 | |||||||||||
| Total operating expenses | 424,868 | 379,274 | 845,236 | 763,167 | |||||||||||
| INCOME (LOSS) FROM OPERATIONS | 34,846 | 24,441 | 46,185 | 31,112 | |||||||||||
| OTHER INCOME AND EXPENSES | |||||||||||||||
| Interest expense | 26,082 | 16,039 | 42,349 | 31,761 | |||||||||||
| Equity in earnings of joint ventures | (3,389 | ) | (1,423 | ) | (7,713 | ) | (2,851 | ) | |||||||
| Non-cash change in fair value of interest rate hedge | 1,890 | (4,159 | ) | 674 | (66 | ) | |||||||||
| Debt restructuring and extinguishment expenses | 8,762 | - | 8,762 | - | |||||||||||
| Other expenses (income) | (7,900 | ) | 40 | (10,834 | ) | 1,472 | |||||||||
| Total other (income) expenses | 25,445 | 10,497 | 33,238 | 30,316 | |||||||||||
| INCOME (LOSS) BEFORE INCOME TAXES | 9,401 | 13,944 | 12,947 | 796 | |||||||||||
| Provision for income taxes | (2,456 | ) | 614 | (592 | ) | (521 | ) | ||||||||
| NET INCOME (LOSS) | 6,945 | 14,558 | 12,355 | 275 | |||||||||||
| Net income (loss) attributable to noncontrolling interests | 9,927 | 6,189 | 18,116 | 12,911 | |||||||||||
| NET INCOME (LOSS) ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS | $ | (2,982 | ) | $ | 8,369 | $ | (5,761 | ) | $ | (12,636 | ) | ||||
| BASIC NET INCOME (LOSS) PER SHARE ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS | $ | (0.04 | ) | $ | 0.14 | $ | (0.08 | ) | $ | (0.21 | ) | ||||
| DILUTED NET INCOME (LOSS) PER SHARE ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS | $ | (0.04 | ) | $ | 0.12 | $ | (0.08 | ) | $ | (0.21 | ) | ||||
| WEIGHTED AVERAGE SHARES OUTSTANDING | |||||||||||||||
| Basic | 73,419,124 | 59,880,803 | 71,795,080 | 59,221,453 | |||||||||||
| Diluted | 73,419,124 | 60,916,985 | 71,795,080 | 59,221,453 | |||||||||||
| RADNET, INC. AND SUBSIDIARIES | |||||||
| CONDENSED CONSOLIDATED STATEMENTS OF CASHFLOWS | |||||||
| (IN THOUSANDS) | |||||||
| (unaudited) | |||||||
| Six Months Ended June 30, | |||||||
| 2024 | 2023 | ||||||
| CASH FLOWS FROM OPERATING ACTIVITIES | |||||||
| Net income (loss) | $ | 12,355 | $ | 275 | |||
| Adjustments to reconcile net income to net cash provided by operating activities: | |||||||
| Depreciation and amortization | 66,843 | 63,495 | |||||
| Amortization of operating lease assets | 30,006 | 31,601 | |||||
| Equity in earnings of joint ventures | (6,713 | ) | 6,096 | ||||
| Amortization deferred financing costs and loan discount | 1,541 | 1,494 | |||||
| Loss (Gain) on sale and disposal of equipment | 587 | 656 | |||||
| Loss on extinguishment of debt | 2,080 | - | |||||
| Amortization of cash flow hedge | 7,256 | 1,844 | |||||
| Non-cash change in fair value of interest rate hedge | 674 | (66 | ) | ||||
| Stock-based compensation | 16,645 | 17,055 | |||||
| Change in fair value of contingent consideration | 1,974 | 3,098 | |||||
| Changes in operating assets and liabilities, net of assets acquired and liabilities assumed in purchase transactions: | |||||||
| Accounts receivable | (31,581 | ) | (8,124 | ) | |||
| Other current assets | 5,242 | 4,703 | |||||
| Other assets | (5,553 | ) | (6,590 | ) | |||
| Deferred taxes | 1,791 | (2,249 | ) | ||||
| Operating lease liability | (27,707 | ) | (28,582 | ) | |||
| Deferred revenue | (185 | ) | 1,033 | ||||
| Accounts payable, accrued expenses and other | 57,835 | 14,952 | |||||
| Net cash provided by operating activities | 133,090 | 100,691 | |||||
| CASH FLOWS FROM INVESTING ACTIVITIES | |||||||
| Purchase of imaging facilities and other acquisitions | (32,771 | ) | (10,315 | ) | |||
| Purchase of property and equipment and other | (104,095 | ) | (95,380 | ) | |||
| Proceeds from sale of equipment | 9 | 73 | |||||
| Equity contributions in existing and purchase of interest in joint ventures | (1,421 | ) | (288 | ) | |||
| Net cash used in investing activities | (138,278 | ) | (105,910 | ) | |||
| CASH FLOWS FROM FINANCING ACTIVITIES | |||||||
| Principal payments on notes and leases payable | (2,624 | ) | (1,052 | ) | |||
| Payments on Term Loan Debt | (682,438 | ) | (7,376 | ) | |||
| Proceeds from issuance of new debt, net of issuing costs | 863,869 | - | |||||
| Contribution from noncontrolling interests | 4,169 | - | |||||
| Payments on contingent consideration | (3,614 | ) | - | ||||
| Distributions paid to noncontrolling interests | (2,423 | ) | (3,523 | ) | |||
| Proceeds from sale of economic interests in majority owned subsidiary, net of taxes | 8,713 | - | |||||
| Proceeds from issuance of common stock | 218,385 | 246,202 | |||||
| Proceeds from issuance of common stock upon exercise of options | 367 | 51 | |||||
| Net cash provided by financing activities | 404,404 | 234,302 | |||||
| EFFECT OF EXCHANGE RATE CHANGES ON CASH | (107 | ) | (266 | ) | |||
| NET DECREASE IN CASH AND CASH EQUIVALENTS | 399,109 | 228,817 | |||||
| CASH AND CASH EQUIVALENTS, beginning of period | 342,570 | 127,834 | |||||
| CASH AND CASH EQUIVALENTS, end of period | 741,679 | 356,651 | |||||
| SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION | |||||||
| Cash paid during the period for interest | $ | 34,203 | $ | 39,301 | |||
| Cash paid during the period for income taxes | $ | 705 | $ | 201 | |||
| 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, | ||||||||||||||
| 2024 | 2023 | 2024 | 2023 | ||||||||||||
| Net income (loss) attributable to Radnet, Inc. common stockholders | $ | (2,982 | ) | $ | 8,369 | $ | (5,761 | ) | $ | (12,636 | ) | ||||
| Income taxes | 2,456 | (614 | ) | 592 | 521 | ||||||||||
| Interest expense | 26,082 | 16,039 | 42,349 | 31,761 | |||||||||||
| Severance costs | 268 | 1,870 | 493 | 2,004 | |||||||||||
| Depreciation and amortization | 34,475 | 32,180 | 66,843 | 63,495 | |||||||||||
| Non-cash employee stock-based compensation | 4,749 | 4,871 | 16,646 | 17,056 | |||||||||||
| Loss (gain) on sale and disposal of equipment and other | 401 | 77 | 587 | 656 | |||||||||||
| Non-cash change in fair value of interest rate hedge | 1,890 | (4,159 | ) | 674 | (66 | ) | |||||||||
| Other expenses (income) | (7,900 | ) | 40 | (10,834 | ) | 1,472 | |||||||||
| Non-Capitalized R&D - DeepHealth Cloud OS & Generative AI | 3,317 | - | 6,632 | - | |||||||||||
| Loss (gain) on extinguishment of debt and related expenses | 8,762 | - | 8,762 | - | |||||||||||
| Non-cash change to contingent consideration | - | 1,014 | 1,974 | 2,630 | |||||||||||
| Non-operational rent expenses | 809 | 759 | 1,832 | 1,718 | |||||||||||
| Adjusted EBITDA Including EBITDA from Digital Health | $ | 72,327 | $ | 60,446 | $ | 130,789 | $ | 108,611 | |||||||
| EBITDA from Digital Health | 3,269 | 1,390 | 6,789 | 1,410 | |||||||||||
| Adjusted EBITDA excluding EBITDA from Digital Health | $ | 69,058 | $ | 59,056 | $ | 124,000 | $ | 107,201 | |||||||
| PAYMENTS BY PAYOR CLASS | ||
| Second Quarter | ||
| 2024 | ||
| Commercial Insurance | 58.5 | % |
| Medicare | 22.1 | % |
| Capitation | 8.0 | % |
| Medicaid | 2.4 | % |
| Workers Compensation/Personal Injury | 2.4 | % |
| Other* | 6.5 | % |
| Total | 100.0 | % |
| * Includes management fee, teleradiology and Digital Health financial reporting unit revenue. | ||
| PAYMENTS BY MODALITY | |||||||||||
| Second Quarter | Full Year | Full Year | Full Year | ||||||||
| 2024 | 2023 | 2022 | 2021 | ||||||||
| MRI | 37.2 | % | 36.8 | % | 36.8 | % | 36.0 | % | |||
| CT | 15.8 | % | 16.8 | % | 17.5 | % | 17.2 | % | |||
| PET/CT | 7.1 | % | 6.4 | % | 5.8 | % | 5.5 | % | |||
| X-ray | 6.2 | % | 6.5 | % | 6.7 | % | 3.9 | % | |||
| Ultrasound | 13.9 | % | 12.9 | % | 12.6 | % | 12.7 | % | |||
| Mammography | 16.1 | % | 16.0 | % | 15.3 | % | 16.1 | % | |||
| Nuclear Medicine | 1.0 | % | 0.8 | % | 0.9 | % | 1.0 | % | |||
| Other | 2.7 | % | 3.9 | % | 4.5 | % | 4.6 | % | |||
| 100.0 | % | 100.0 | % | 100.0 | % | 100.0 | % | ||||
| PROCEDURES BY MODALITY* | |||
| Second Quarter | Second Quarter | ||
| 2024 | 2023 | ||
| MRI | 449,781 | 387,619 | |
| CT | 269,939 | 235,138 | |
| PET/CT | 18,107 | 15,036 | |
| Nuclear Medicine | 9,610 | 9,463 | |
| Ultrasound | 664,043 | 620,660 | |
| Mammography | 483,510 | 450,747 | |
| X-ray and Other | 890,814 | 832,719 | |
| Total | 2,785,804 | 2,551,382 | |
| * Volumes include wholy owned and joint venture centers. | |||
| RADNET, INC. AND SUBSIDIARIES | |||||||||
| SCHEDULE OF ADJUSTED EARNINGS AND EARNINGS PER SHARE(3) | |||||||||
| (IN THOUSANDS EXCEPT SHARE DATA) | |||||||||
| (unaudited) | |||||||||
| Three Months Ended | |||||||||
| June 30, | |||||||||
| 2024 | 2023(iv) | ||||||||
| NET INCOME ATTRIBUTABLE TO RADNET, INC. | |||||||||
| COMMON STOCKHOLDERS | $ | (2,982 | ) | $ | 8,369 | ||||
| Add/Subtract non-cash change in fair value of interest rate swaps (i) | 1,890 | (4,159 | ) | ||||||
| Non-cash interest expense from extraordinary interest rate swap OCI amortization | 5,559 | - | |||||||
| Non-operational rent expenses (iii) | 809 | 759 | |||||||
| Contingent consideration | - | 1,014 | |||||||
| Non-Capitalized R&D - DeepHealth Cloud OS & Generative AI | 3,317 | - | |||||||
| Debt restructuring and extinguishment expenses (v) | 8,762 | - | |||||||
| Total adjustments - loss (gain) | 20,337 | (2,386 | ) | ||||||
| Subtract tax impact of Adjustments (ii) | (5,308 | ) | (105 | ) | |||||
| Tax effected impact of adjustments | 15,029 | (2,491 | ) | ||||||
| TOTAL ADJUSTMENT TO NET INCOME ATTRIBUTABLE | |||||||||
| TO RADNET, INC. COMMON SHAREHOLDERS | 15,029 | (2,491 | ) | ||||||
| ADJUSTED NET INCOME ATTRIBUTABLE TO RADNET, INC. | 12,047 | 5,878 | |||||||
| COMMON STOCKHOLDERS | |||||||||
| WEIGHTED AVERAGE SHARES OUTSTANDING | |||||||||
| Diluted | 74,944,366 | 60,916,985 | |||||||
| ADJUSTED DILUTED NET INCOME PER SHARE | |||||||||
| ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS | $ | 0.16 | $ | 0.10 | |||||
| (i) Impact from the change in fair value of the swpas during the quarter. Excludes the recurring 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 | |||||||||
| (iii) Represents rent expense associated with de novo sites under construction prior to them becoming operational. | |||||||||
| (iv) Restated from what was presented in 2023 to include the losses of the AI businesses (ie, not add the losses back to earnings as was | |||||||||
| the case in 2023). The restated Adjusted Earnings for 2023 is due to the fact that AI is no longer its own reportable operating segment | |||||||||
| and is now embedded in the Digital Health reportable operating segment. | |||||||||
| (v) Extraordinary expense related to the Company's successful April 2024 debt refinancing transaction. | |||||||||
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 Expense. 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.
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