0000790526-19-000010.txt : 20191112 0000790526-19-000010.hdr.sgml : 20191112 20191112161659 ACCESSION NUMBER: 0000790526-19-000010 CONFORMED SUBMISSION TYPE: 10-Q PUBLIC DOCUMENT COUNT: 64 CONFORMED PERIOD OF REPORT: 20190930 FILED AS OF DATE: 20191112 DATE AS OF CHANGE: 20191112 FILER: COMPANY DATA: COMPANY CONFORMED NAME: RadNet, Inc. CENTRAL INDEX KEY: 0000790526 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071] IRS NUMBER: 133326724 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 10-Q SEC ACT: 1934 Act SEC FILE NUMBER: 001-33307 FILM NUMBER: 191209652 BUSINESS ADDRESS: STREET 1: 1510 COTNER AVE CITY: LOS ANGELES STATE: CA ZIP: 90025 BUSINESS PHONE: 3104787808 MAIL ADDRESS: STREET 1: 1510 COTNER AVE CITY: LOS ANGELES STATE: CA ZIP: 90025 FORMER COMPANY: FORMER CONFORMED NAME: PRIMEDEX HEALTH SYSTEMS INC DATE OF NAME CHANGE: 19930518 FORMER COMPANY: FORMER CONFORMED NAME: CCC FRANCHISING CORP DATE OF NAME CHANGE: 19920703 10-Q 1 rdnt-20190930x10q.htm 10-Q Document

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington D.C. 20549
FORM 10-Q
(Mark One)
☒     QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended September 30, 2019
OR
     TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from                      to                     
Commission File Number 001-33307
RadNet, Inc.
(Exact name of registrant as specified in charter)
Delaware
13-3326724
(State or other jurisdiction of
Incorporation or organization)
(I.R.S. Employer
Identification No.)
 
 
1510 Cotner Avenue
 
Los Angeles, California
90025
(Address of principal executive offices)
(Zip Code)
(310) 478-7808
(Registrant’s telephone number, including area code)
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities and Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). Yes ☒ No  ☐
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer”, “smaller reporting company”, and “emerging growth company” in Rule 12b-2 of the Exchange Act. (Check one)
Large accelerated filer   ☐
Accelerated filer  ☒
Non-accelerated filer   ☐
Smaller reporting company    ☐
Emerging growth company   ☐
 
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.  ☐
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act) Yes  ☐  No ☒
Securities registered pursuant to Section 12(b) of the Act:
Class Title
 
Trading Symbol
 
Registered Exchange
Common Stock
 
RDNT
 
NASDAQ
The number of shares of the registrant’s common stock outstanding on November 6, 2019 was 50,271,829 shares.



RADNET, INC.
TABLE OF CONTENTS
 
Page
 
 
 
 
 
 
 
 
 
 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 


i


PART I - FINANCIAL INFORMATION
Item 1 – Financial Statements
RADNET, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS
(IN THOUSANDS EXCEPT SHARE AND PER SHARE DATA)

3


 
September 30,
2019
 
December 31,
2018
(unaudited)
 
 
ASSETS
 

 
 

CURRENT ASSETS
 

 
 

Cash and cash equivalents
$
37,688

 
$
10,389

Accounts receivable
150,748

 
148,919

Due from affiliates
1,385

 
595

Prepaid expenses and other current assets
47,857

 
46,288

Assets held for sale
2,041

 
2,499

Total current assets
239,719

 
208,690

PROPERTY, EQUIPMENT AND RIGHT-OF-USE ASSETS
 
 
 
Property and equipment, net
352,310

 
345,729

Operating lease right-of-use assets
438,558

 

Total property, equipment and right-of-use assets
790,868

 
345,729

OTHER ASSETS
 
 
 
Goodwill
439,867

 
418,093

Other intangible assets
43,613

 
40,593

Deferred financing costs
1,670

 
1,354

Investment in joint ventures
36,868

 
37,973

Deferred tax assets, net of current portion
34,423

 
31,506

Deposits and other
30,872

 
25,392

Total assets
$
1,617,900

 
$
1,109,330

LIABILITIES AND EQUITY
 
 
 
CURRENT LIABILITIES
 
 
 
Accounts payable, accrued expenses and other
$
175,894

 
$
181,028

Due to affiliates
18,592

 
13,089

Deferred revenue
1,908

 
2,398

Current portion of deferred rent

 
3,735

Current finance lease liability
4,095

 

Current operating lease liability
69,308

 

Current portion of notes payable
39,719

 
33,653

Current portion of obligations under capital leases

 
5,614

Total current liabilities
309,516

 
239,517

LONG-TERM LIABILITIES
 
 
 
Deferred rent, net of current portion

 
31,542

Long-term finance lease liability
4,042

 

Long-term operating lease liability
410,958

 

Notes payable, net of current portion
662,605

 
626,507

Obligations under capital lease, net of current portion

 
6,505

Other non-current liabilities
15,707

 
5,006

Total liabilities
1,402,828

 
909,077

EQUITY
 
 
 
RadNet, Inc. stockholders' equity:
 
 
 
Common stock - $.0001 par value, 200,000,000 shares authorized; 50,254,136 and 48,977,485 shares issued and outstanding at September 30, 2019 and December 31, 2018, respectively
5

 
5

Additional paid-in-capital
260,463

 
242,835

Accumulated other comprehensive (loss) income
(12,250
)
 
2,259

Accumulated deficit
(113,555
)
 
(117,915
)
Total RadNet, Inc.'s stockholders' equity
134,663

 
127,184

Noncontrolling interests
80,409

 
73,069

Total equity
215,072

 
200,253

Total liabilities and equity
$
1,617,900

 
$
1,109,330


The accompanying notes are an integral part of these financial statements.

4


RADNET, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(IN THOUSANDS EXCEPT SHARE AND PER SHARE DATA)
(unaudited)
 
Three Months Ended
September 30,
 
Nine Months Ended
September 30,
2019
 
2018
 
2019
 
2018
REVENUE
 

 
 

 
 

 
 

     Service fee revenue
$
261,908

 
217,552

 
$
762,751

 
641,136

     Revenue under capitation arrangements
30,784

 
24,596

 
90,587

 
76,799

Total revenue
292,692

 
242,148

 
853,338

 
717,935

OPERATING EXPENSES
 
 
 
 
 
 
 
     Cost of operations, excluding depreciation and amortization
254,383

 
208,511

 
743,997

 
634,200

     Depreciation and amortization
20,490

 
17,480

 
60,193

 
53,422

     Loss (gain) on sale and disposal of equipment and other
917

 
(373
)
 
1,990

 
(2,204
)
     Severance costs
52

 
82

 
1,054

 
1,087

Total operating expenses
275,842

 
225,700

 
807,234

 
686,505

INCOME FROM OPERATIONS
16,850

 
16,448

 
46,104

 
31,430

 
 
 
 
 
 
 
 
OTHER INCOME AND EXPENSES
 
 
 
 
 
 
 
     Interest expense
11,895

 
10,663

 
36,589

 
31,343

     Equity in earnings of joint ventures
(1,955
)
 
(2,822
)
 
(6,072
)
 
(9,547
)
     Other expenses
2

 
7

 
1,271

 
13

Total other expenses
9,942

 
7,848

 
31,788

 
21,809

INCOME BEFORE INCOME TAXES
6,908

 
8,600

 
14,316

 
9,621

     Provision for income taxes
(1,816
)
 
(2,827
)
 
(3,556
)
 
(2,835
)
NET INCOME
5,092

 
5,773

 
10,760

 
6,786

     Net income attributable to noncontrolling interests
1,897

 
734

 
6,400

 
3,679

NET INCOME ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS
$
3,195

 
$
5,039

 
$
4,360

 
$
3,107

 
 
 
 
 
 
 
 
BASIC NET INCOME PER SHARE ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS
$
0.06

 
$
0.10

 
$
0.09

 
$
0.06

 
 
 
 
 
 
 
 
DILUTED NET INCOME PER SHARE ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS
$
0.06

 
$
0.10

 
$
0.09

 
$
0.06

WEIGHTED AVERAGE SHARES OUTSTANDING
 
 


 
 
 


Basic
49,807,460

 
48,010,726

 
49,597,138

 
47,937,215

Diluted
50,360,360

 
48,615,392

 
50,113,306

 
48,481,305

The accompanying notes are an integral part of these financial statements.


5


RADNET, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE (LOSS) INCOME
(IN THOUSANDS)
(unaudited)
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
2019
 
2018
 
2019
 
2018
NET INCOME
$
5,092

 
$
5,773

 
$
10,760

 
$
6,786

Foreign currency translation adjustments
(23
)
 
(91
)
 
(28
)
 
(65
)
Change in fair value of cash flow hedge, net of taxes
(5,283
)
 
595

 
(14,481
)
 
4,889

COMPREHENSIVE (LOSS) INCOME
(214
)
 
6,277

 
(3,749
)
 
11,610

Less comprehensive income attributable to noncontrolling interests
1,897

 
734

 
6,400

 
3,679

COMPREHENSIVE (LOSS) INCOME ATTRIBUTABLE TO
 
 
 
 
 
 
 
RADNET, INC. COMMON STOCKHOLDERS
$
(2,111
)
 
$
5,543

 
$
(10,149
)
 
$
7,931

The accompanying notes are an integral part of these financial statements.


6


RADNET, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY
(IN THOUSANDS EXCEPT SHARE DATA)
(unaudited)
The following table summarizes changes in the Company’s consolidated stockholders' equity, including noncontrolling interest, during the three months ended September 30, 2019 and September 30, 2018.
 
Common Stock
 
Additional Paid-In
Capital
 
Accumulated Other
Comprehensive
Income (Loss)
 
Accumulated
Deficit
 
Total
Radnet, Inc.'s
Equity
 
Noncontrolling
Interests
 
Total
Equity
Shares
 
Amount
 
BALANCE - JUNE 30, 2019
50,127,234

 
$
5

 
$
257,607

 
$
(6,942
)
 
$
(116,752
)
 
$
133,918

 
$
78,512

 
$
212,430

Issuance of common stock under the equity compensation plan
25,000

 

 

 

 

 

 

 

Stock-based compensation expense

 

 
1,356

 

 

 
1,356

 

 
1,356

Issuance of common stock for purchase of Nulogix
101,902

 

 
1,500

 

 

 
1,500

 

 
1,500

Change in cumulative foreign currency translation adjustment

 

 

 
(23
)
 

 
(23
)
 

 
(23
)
Change in fair value cash flow hedge, net of taxes

 

 

 
(5,283
)
 

 
(5,283
)
 

 
(5,283
)
Other

 

 

 
(2
)
 
2

 

 

 

Net loss

 

 

 

 
3,195

 
3,195

 
1,897

 
5,092

BALANCE-SEPTEMBER 30, 2019
50,254,136

 
$
5

 
$
260,463

 
$
(12,250
)
 
$
(113,555
)
 
$
134,663

 
$
80,409

 
$
215,072

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
BALANCE - JUNE 30, 2018
48,284,925

 
$
5

 
$
235,713

 
$
3,677

 
$
(152,090
)
 
$
87,305

 
$
37,629

 
$
124,934

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Issuance of common stock upon exercise of options
5,000

 

 
10

 

 

 
10

 

 
10

Issuance of common stock under the equity compensation plan
45,000

 

 

 

 

 

 

 

Stock-based compensation expense

 

 
1,568

 

 

 
1,568

 

 
1,568

Sale of noncontrolling interests, net of taxes

 

 
(3,070
)
 

 

 
(3,070
)
 
(2,046
)
 
(5,116
)
Special distribution from noncontrolling interest

 

 
2,894

 

 

 
2,894

 
(9,175
)
 
(6,281
)
Distributions paid to noncontrolling interests

 

 

 

 

 

 

 

Purchase of noncontrolling interests

 

 
(43
)
 

 

 
(43
)
 
(157
)
 
(200
)
Change in cumulative foreign currency translation adjustment

 

 

 
4

 

 
4

 

 
4

Change in fair value cash flow hedge, net of taxes

 

 

 
595

 

 
595

 

 
595

Net loss

 

 

 

 
5,039

 
5,039

 
734

 
5,773

BALANCE-SEPTEMBER 30, 2018
48,334,925

 
$
5

 
$
237,072

 
$
4,276

 
$
(147,051
)
 
$
94,302

 
$
26,985

 
$
121,287

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The accompanying notes are an integral part of these financial statements.


7


RADNET, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY
(IN THOUSANDS EXCEPT SHARE DATA)
(unaudited)
The following table summarizes changes in the Company’s consolidated stockholders' equity, including noncontrolling interest, during the nine months ended September 30, 2019 and September 30, 2018.

8


 
Common Stock
 
Additional Paid-In
Capital
 
Accumulated Other
Comprehensive
Income (Loss)
 
Accumulated
Deficit
 
Total
Radnet, Inc.'s
Equity
 
Noncontrolling
Interests
 
Total
Equity
Shares
 
Amount
 
BALANCE - JANUARY 1, 2019
48,977,485

 
$
5

 
$
242,835

 
$
2,259

 
$
(117,915
)
 
$
127,184

 
$
73,069

 
$
200,253

Issuance of common stock upon exercise of options
10,000

 

 
50

 

 

 
50

 

 
50

Issuance of common stock under the equity compensation plan
726,042

 

 

 

 

 

 

 

Stock-based compensation expense

 

 
6,993

 

 

 
6,993

 

 
6,993

Issuance of common stock for purchase of membership interest in HVRA
440,207

 

 
6,000

 

 

 
6,000

 

 
6,000

Forfeiture of restricted stock
(1,500
)
 

 
(5
)
 

 

 
(5
)
 

 
(5
)
Sale of noncontrolling interests, net of taxes

 

 
3,090

 

 

 
3,090

 
2,008

 
5,098

Distributions paid to noncontrolling interests

 

 

 

 

 

 
(1,818
)
 
(1,818
)
Contribution from noncontrolling partner

 

 

 

 

 

 
750

 
750

Issuance of common stock for purchase of Nulogix
101,902

 

 
1,500

 

 

 
1,500

 

 
1,500

Change in cumulative foreign currency translation adjustment

 

 

 
(28
)
 

 
(28
)
 

 
(28
)
Change in fair value cash flow hedge, net of taxes

 

 

 
(14,481
)
 

 
(14,481
)
 

 
(14,481
)
Net income

 

 

 

 
4,360

 
4,360

 
6,400

 
10,760

BALANCE-SEPTEMBER 30, 2019
50,254,136

 
$
5

 
$
260,463

 
$
(12,250
)
 
$
(113,555
)
 
$
134,663

 
$
80,409

 
$
215,072

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
BALANCE - JANUARY 1, 2018
47,723,915

 
$
5

 
$
212,261

 
$
(548
)
 
$
(150,158
)
 
$
61,560

 
$
8,365

 
$
69,925

Issuance of common stock upon exercise of options
5,000

 

 
10

 

 

 
10

 

 
10

Issuance of common stock under the equity compensation plan
607,160

 

 

 

 

 

 

 

Stock-based compensation expense

 

 
6,364

 

 

 
6,364

 

 
6,364

Forfeiture of restricted stock
(1,150
)
 

 
(7
)
 

 

 
(7
)
 

 
(7
)
Sale of noncontrolling interests, net of taxes

 

 
15,593

 

 

 
15,593

 
25,186

 
40,779

Special distribution from noncontrolling interest

 

 
2,894

 

 

 
2,894

 
(9,175
)
 
(6,281
)
Purchase of noncontrolling interests

 

 
(43
)
 

 

 
(43
)
 
(157
)
 
(200
)
Distributions paid to noncontrolling interests

 

 

 

 

 

 
(913
)
 
(913
)
Change in cumulative foreign currency translation adjustment

 

 

 
(65
)
 

 
(65
)
 

 
(65
)
Change in fair value cash flow hedge, net of taxes

 

 

 
4,889

 

 
4,889

 

 
4,889

Net loss

 

 

 

 
3,107

 
3,107

 
3,679

 
6,786

BALANCE-SEPTEMBER 30, 2018
48,334,925

 
$
5

 
$
237,072

 
$
4,276

 
$
(147,051
)
 
$
94,302

 
$
26,985

 
$
121,287

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The accompanying notes are an integral part of these financial statements.

9


RADNET, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(IN THOUSANDS)
(unaudited)
 
Nine Months Ended September 30,
 
2019
 
2018
CASH FLOWS FROM OPERATING ACTIVITIES
 

 
 

Net income
$
10,760

 
$
6,786

Adjustments to reconcile net income to net cash provided by operating activities:
 
 
 
Depreciation and amortization
60,193

 
53,422

Amortization of operating lease right-of-use assets
49,948

 

Equity in earnings of joint ventures
(6,072
)
 
(9,547
)
Distributions from joint ventures
3,924

 
21,783

Amortization of deferred financing costs and loan discount
3,103

 
2,924

Loss (gain) on sale and disposal of equipment and other
1,990

 
(2,204
)
Stock-based compensation
6,963

 
6,557

Other noncash items included in cost of operations
(559
)
 

Change in fair value of contingent consideration
(1,749
)
 

Changes in operating assets and liabilities, net of assets acquired and liabilities assumed in purchase transactions:
 
 
 
Accounts receivable
(3,467
)
 
(9,641
)
Other current assets
(1,569
)
 
(5,680
)
Other assets
(5,770
)
 
(1,209
)
Deferred taxes
(4,230
)
 
1,531

Operating lease liability
(49,721
)
 

Deferred rent

 
2,397

Deferred revenue
(490
)
 
353

Accounts payable, accrued expenses and other
19,349

 
20,386

Net cash provided by operating activities
82,603

 
87,858

CASH FLOWS FROM INVESTING ACTIVITIES
 
 
 
Purchase of imaging facilities
(27,150
)
 
(17,393
)
Equity investments at fair value
(143
)
 
(2,200
)
Purchase of property and equipment
(68,269
)
 
(62,595
)
Proceeds from sale of equipment
760

 
2,587

Proceeds from the sale of equity interests in a joint venture
132

 

Nulogix return of capital
792

 

Equity contributions in existing and purchase of interest in joint ventures
(103
)
 
(2,000
)
Net cash used in investing activities
(93,981
)
 
(81,601
)
CASH FLOWS FROM FINANCING ACTIVITIES
 
 
 
Principal payments on notes and leases payable
(4,778
)
 
(4,374
)
Payments on term loan debt
(29,918
)
 
(24,810
)
Proceeds from debt issuance
97,144

 

Distributions paid to noncontrolling interests
(1,818
)
 
(913
)
Proceeds from sale of noncontrolling interest
5,275

 

Contribution from noncontrolling partner
750

 

Proceeds from revolving credit facility
251,200

 
44,000

Purchase of noncontrolling interests

 
(200
)
Payments on revolving credit facility
(279,200
)
 
(44,000
)
Proceeds from issuance of common stock upon exercise of options
50

 
10

Net cash provided by (used in) financing activities
38,705

 
(30,287
)
EFFECT OF EXCHANGE RATE CHANGES ON CASH
(28
)
 
(65
)
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS
27,299

 
(24,095
)
CASH AND CASH EQUIVALENTS, beginning of period
10,389

 
51,322

CASH AND CASH EQUIVALENTS, end of period
$
37,688

 
$
27,227

 
 
 
 
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION
 
 
 
Cash paid during the period for interest
$
36,058

 
$
27,136

The accompanying notes are an integral part of these financial statements.

10


RADNET, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (CONTINUED)
(unaudited)
Supplemental Schedule of Non-Cash Investing and Financing Activities
We acquired equipment and certain leasehold improvements for approximately $14.1 million and $14.2 million during the nine months ended September 30, 2019 and 2018, respectively, which were not paid for as of September 30, 2019 and 2018, respectively. The offsetting amounts due were recorded in our condensed consolidated balance sheet under accounts payable, accrued expenses and other.
During the nine months ended September 30, 2018 we incurred, exclusive of commitments assumed through acquisitions, capital lease debt of approximately $4.0 million from our partner in the formation of Beach Imaging LLC. No such action was taken for the nine months ended September 30, 2019.
We received $15.0 million in fixed assets in January 2018 from our partner in Beach Imaging LLC.
We transferred approximately $4.3 million in net assets to our new joint venture, Ventura County Imaging Group. LLC in March 2019. See Note 4, Facility Acquisitions and Dispositions, for further information.
On February 27, 2019, we issued 440,207 shares of our common stock to the sellers of Hudson Valley Radiology Associates, P.L.L.C. ("HVRA") which permitted our variable interest entity, Lenox Hill Radiology and Medical Imaging Associates, P.C., to complete its purchase of the membership interest of HVRA. The shares were ascribed a value of $6.0 million.

On August 1, 2019 we issued RadNet common stock in the amount of $1.5 million to acquire 75% controlling interest in our formerly 25% owned joint venture Nulogix. See Note 2, Significant Accounting Policies, for further information.




11


RADNET, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)
NOTE 1 – NATURE OF BUSINESS AND BASIS OF PRESENTATION
We are a national provider of freestanding, fixed-site outpatient diagnostic imaging services in the United States based on number of locations and annual imaging revenue. At September 30, 2019, we operated directly or indirectly through joint ventures with hospitals, 340 centers located in California, Delaware, Florida, Maryland, New Jersey, and New York. Our centers provide physicians with imaging capabilities to facilitate the diagnosis and treatment of diseases and disorders. Our services include magnetic resonance imaging (MRI), computed tomography (CT), positron emission tomography (PET), nuclear medicine, mammography, ultrasound, diagnostic radiology (X-ray), fluoroscopy and other related procedures. The vast majority of our centers offer multi-modality imaging services. Our multi-modality strategy diversifies revenue streams, reduces exposure to reimbursement changes and provides patients and referring physicians one location to serve the needs of multiple procedures.
The consolidated financial statements include the accounts of Radnet Management, Inc. (or “Radnet Management”) and Beverly Radiology Medical Group III, a professional partnership (“BRMG”). BRMG is a partnership of ProNet Imaging Medical Group, Inc., Beverly Radiology Medical Group, Inc. and Breastlink Medical Group, Inc. (formerly known as Westchester Medical Group Inc.). The consolidated financial statements also include Radnet Management I, Inc., Radnet Management II, Inc., Radiologix, Inc., Radnet Managed Imaging Services, Inc., Delaware Imaging Partners, Inc., New Jersey Imaging Partners, Inc. and Diagnostic Imaging Services, Inc., all wholly owned subsidiaries of Radnet Management. All of these affiliated entities are referred to collectively as “RadNet”, “we”, “us”, “our” or the “Company” in this report.

The Financial Accounting Standards Board (FASB) Accounting Standards Codification (“ASC”) 810-10-15-14, Consolidation, stipulates that generally any entity with a) insufficient equity to finance its activities without additional subordinated financial support provided by any parties, or b) equity holders that, as a group, lack the characteristics specified in the ASC which evidence a controlling financial interest, is considered a Variable Interest Entity (“VIE”). We consolidate all VIEs in which we are the primary beneficiary. We determine whether we are the primary beneficiary of a VIE through a qualitative analysis that identifies which variable interest holder has the controlling financial interest in the VIE. The variable interest holder who has both of the following has the controlling financial interest and is the primary beneficiary: (1) the power to direct the activities of the VIE that most significantly impact the VIE’s economic performance and (2) the obligation to absorb losses of, or the right to receive benefits from, the VIE that could potentially be significant to the VIE. In performing our analysis, we consider all relevant facts and circumstances, including: the design and activities of the VIE, the terms of the contracts the VIE has entered into, the nature of the VIE’s variable interests issued and how they were negotiated with or marketed to potential investors, and which parties participated significantly in the design or redesign of the entity.
Howard G. Berger, M.D., is our President and Chief Executive Officer, a member of our Board of Directors, and also owns, indirectly, 99% of the equity interests in BRMG. BRMG is responsible for all of the professional medical services at nearly all of our facilities located in California under a management agreement with us, and employs physicians or contracts with various other independent physicians and physician groups to provide the professional medical services at most of our California facilities. We generally obtain professional medical services from BRMG in California, rather than provide such services directly or through subsidiaries, in order to comply with California’s prohibition against the corporate practice of medicine. However, as a result of our close relationship with Dr. Berger and BRMG, we believe that we are able to better ensure that medical service is provided at our California facilities in a manner consistent with our needs and expectations and those of our referring physicians, patients and payors than if we obtained these services from unaffiliated physician groups.
We contract with seven medical groups which provide professional medical services at all of our facilities in Manhattan and Brooklyn, New York (“the NY Groups”). These contracts are similar to our contract with BRMG. Five of the NY Groups are owned or controlled by John V. Crues, III, M.D., RadNet’s Medical Director, a member of our Board of Directors, and a 1% owner of BRMG. Dr Berger owns a controlling interest in two of the NY Groups which provide professional medical services at one of our Manhattan facilities.
RadNet provides non-medical, technical and administrative services to BRMG and the NY Groups for which it receives a management fee, pursuant to the related management agreements. Through the management agreements we have exclusive authority over all non-medical decision making related to the ongoing business operations of BRMG and the NY Groups and we determine the annual budget of BRMG and the NY Groups. BRMG and the NY Groups both have insignificant operating assets and liabilities, and de minimis equity. Through management agreements with us, substantially all cash flows of BRMG and the NY Groups after expenses including professional salaries are transferred to us.
We have determined that BRMG and the NY Groups are VIEs, that we are the primary beneficiary, and consequently, we consolidate the revenue and expenses, assets and liabilities of each. BRMG and the NY Groups on a combined basis recognized

12


$40.6 million and $33.2 million of revenue, net of management service fees to RadNet, for the three months ended September 30, 2019 and 2018, respectively, and $40.6 million and $33.2 million of operating expenses for the three months ended September 30, 2019 and 2018, respectively. RadNet recognized in its condensed consolidated statement of operations $154.5 million and $126.8 million of net revenues for the three months ended September 30, 2019, and 2018 respectively, for management services provided to BRMG and the NY Groups relating primarily to the technical portion of total billed revenue.
BRMG and the NY Groups on a combined basis recognized $116.9 million and $100.7 million of revenue, net of management service fees to RadNet, for the nine months ended September 30, 2019 and 2018, respectively, and $116.9 million and $100.7 million of operating expenses for the nine months ended September 30, 2019 and 2018, respectively. RadNet recognized in its condensed consolidated statement of operations $456.1 million and $378.7 million of net revenues for the nine months ended September 30, 2019, and 2018 respectively, for management services provided to BRMG and the NY Groups relating primarily to the technical portion of total billed revenue.
The cash flows of BRMG and the NY Groups are included in the accompanying consolidated statements of cash flows. All intercompany balances and transactions have been eliminated in consolidation. In our consolidated balance sheets at September 30, 2019 and December 31, 2018, we have included approximately $95.0 million and $88.9 million, respectively, of accounts receivable and approximately $6.9 million and $5.6 million, respectively, of accounts payable and accrued liabilities related to BRMG and the NY Groups. Also in our consolidated balance sheets at September 30, 2019 we have included $3.9 million in intangible assets related to the purchase of membership interest of a New York Group VIE.
The creditors of BRMG and the NY Groups do not have recourse to our general credit and there are no other arrangements that could expose us to losses on behalf of BRMG and the NY Groups. However, RadNet may be required to provide financial support to cover any operating expenses in excess of operating revenues.
We also own a 49% economic interest in ScriptSender, LLC, which provides secure data transmission services of medical information. Through a management agreement, RadNet provides management and accounting services and receives an agreed upon fee. ScriptSender LLC is dependent on the Company to finance its own activities, and as such we determined that it is a VIE but we are not a primary beneficiary since we do not have the power to direct the activities of the entity that most significantly impact the entity’s economic performance.
At all of our centers we have entered into long-term contracts with radiology groups in the area to provide physician services at those facilities. These radiology practices provide professional services, including supervision and interpretation of diagnostic imaging procedures, in our diagnostic imaging centers. The radiology practices maintain full control over the provision of professional services. In these facilities we enter into long-term agreements with radiology practice groups (typically 40 years). Under these arrangements, in addition to obtaining technical fees for the use of our diagnostic imaging equipment and the provision of technical services, we provide management services and receive a fee based on the value of the services we provide. Except in New York City, the fee is based on the practice group’s professional revenue, including revenue derived outside of our diagnostic imaging centers. In New York City we are paid a fixed fee set in advance for our services.  We own the diagnostic imaging equipment and, therefore, receive 100% of the technical reimbursements associated with imaging procedures. The radiology practice groups retain the professional reimbursements associated with imaging procedures after deducting management service fees paid to us and we have no financial controlling interest in the radiology practices.
The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with the instructions to Form 10-Q and Rule 10-01 of Regulation S-X and, therefore, do not include all information and footnotes necessary for conformity with U.S. generally accepted accounting principles for complete financial statements; however, in the opinion of our management, all adjustments consisting of normal recurring adjustments necessary for a fair presentation of the financial position, results of operations and cash flows for the interim periods ended September 30, 2019 and 2018 have been made. The results of operations for any interim period are not necessarily indicative of the results for a full year. These interim condensed consolidated financial statements should be read in conjunction with the consolidated financial statements and related notes thereto contained in our annual report on Form 10-K for the year ended December 31, 2018.
NOTE 2 - SIGNIFICANT ACCOUNTING POLICIES
During the period covered in this report, we adopted a new significant accounting policy on Leases as described in Note 5 below. Except for the policy on Leases, there have been no material changes to the significant accounting policies we use and have explained, in our annual report on Form 10-K for the fiscal year ended December 31, 2018. The information below is intended only to supplement the disclosure in our annual report on Form 10-K for the fiscal year ended December 31, 2018.
REVENUES - Our revenues generally relate to net patient fees received from various payers and patients themselves under contracts in which our performance obligations are to provide diagnostic services to the patients. Revenues are recorded

13


during the period our obligations to provide diagnostic services are satisfied. Our performance obligations for diagnostic services are generally satisfied over a period of less than one day. The contractual relationships with patients, in most cases, also involve a third-party payer (Medicare, Medicaid, managed care health plans and commercial insurance companies, including plans offered through the health insurance exchanges) and the transaction prices for the services provided are dependent upon the terms provided by (Medicare and Medicaid) or negotiated with (managed care health plans and commercial insurance companies) the third-party payers. The payment arrangements with third-party payers for the services we provide to the related patients typically specify payments at amounts less than our standard charges and generally provide for payments based upon predetermined rates per diagnostic services or discounted fee-for-service rates. Management continually reviews the contractual estimation process to consider and incorporate updates to laws and regulations and the frequent changes in managed care contractual terms resulting from contract renegotiations and renewals.
As it relates to BRMG and NY Group centers, this service fee revenue includes payments for both the professional medical interpretation revenue recognized by BRMG and the NY Groups as well as the payment for all other aspects related to our providing the imaging services, for which we earn management fees from BRMG and the NY Groups. As it relates to non-BRMG centers, this service fee revenue is earned through providing the use of our diagnostic imaging equipment and the provision of technical services as well as providing administration services such as clerical and administrative personnel, bookkeeping and accounting services, billing and collection, provision of medical and office supplies, secretarial, reception and transcription services, maintenance of medical records, and advertising, marketing and promotional activities.
Our revenues are based upon the estimated amounts we expect to be entitled to receive from patients and third-party payers. Estimates of contractual allowances under managed care and commercial insurance plans are based upon the payment terms specified in the related contractual agreements. Revenues related to uninsured patients and uninsured copayment and deductible amounts for patients who have health care coverage may have discounts applied (uninsured discounts and contractual discounts). We also record estimated implicit price concessions (based primarily on historical collection experience) related to uninsured accounts to record self-pay revenues at the estimated amounts we expect to collect.
Under capitation arrangements with various health plans, we earn a per-enrollee amount each month for making available diagnostic imaging services to all plan enrollees under the capitation arrangement. Revenue under capitation arrangements is recognized in the period in which we are obligated to provide services to plan enrollees under contracts with various health plans.
Our total revenues during the three and nine months ended September 30, 2019 and 2018 are presented in the table below based on an allocation of the estimated transaction price with the patient between the primary patient classification of insurance coverage (in thousands):
 
Three Months Ended
September 30,
 
Nine Months Ended
September 30,
2019
 
2018
 
2019
 
2018
Commercial insurance
$
163,152

 
$
135,445

 
$
475,064

 
$
397,193

Medicare
61,599

 
48,243

 
175,825

 
141,348

Medicaid
7,128

 
6,323

 
21,564

 
19,129

Workers' compensation/personal injury
10,865

 
8,810

 
32,950

 
25,714

Other patient revenue
6,085

 
6,205

 
17,947

 
18,318

Management fee revenue
1,792

 
3,615

 
5,662

 
11,237

Teleradiology and Software revenue
4,412

 
4,063

 
12,861

 
11,879

Other
6,875

 
4,848

 
20,878

 
16,318

Service fee revenue
261,908

 
217,552

 
762,751

 
641,136

Revenue under capitation arrangements
30,784

 
24,596

 
90,587

 
76,799

Total revenue
$
292,692

 
$
242,148

 
$
853,338

 
$
717,935

RECLASSIFICATION – We have reclassified certain amounts within our table of total revenue for 2018 to conform to our 2019 presentation. In addition, we have reclassified certain amounts within our condensed consolidated statements of equity for the three and nine months ended September 30, 2018 in common shares issued and additional paid in capital to conform to our 2019 presentation.
ACCOUNTS RECEIVABLE - Substantially all of our accounts receivable are due under fee-for-service contracts from third party payors, such as insurance companies and government-sponsored healthcare programs, or directly from patients. Services are generally provided pursuant to one-year contracts with healthcare providers. We continuously monitor collections from our

14


payors and maintain an allowance for bad debts based upon specific payor collection issues that we have identified and our historical experience.

In 2018 and 2019 we entered into factoring agreements with various institutions and sold certain accounts receivable under non-recourse agreements. These transactions are accounted for as a reduction in accounts receivable as the agreements transfer effective control over and risk related to the receivables to the buyers. As of the nine months ended September 30, 2019, the amount factored under these facilities was $9.0 million, inclusive of discount recorded to reflect the difference between market interest rates and the stated interest rate of the receivable. Payments on notes receivable will be reflected as operating activities on our statement of cash flows and on our balance sheet as prepaid expenses and other current assets for the current portion and deposits and other for the long term portion. At September 30, 2019 we have $24.3 million, net of discount, remaining to be collected on these agreements. We do not utilize factoring arrangements as an integral part of our financing for working capital.
DEFERRED FINANCING COSTS - Costs of financing are deferred and amortized using the effective interest rate method. Deferred financing costs, net of accumulated amortization, were $1.7 million and $1.4 million, as of September 30, 2019 and December 31, 2018, respectively and related to our line of credit. In conjunction with our Sixth Amendment and Seventh Amendment to our First Lien Credit Agreement (as defined below), a net addition of approximately $683,000 was added to deferred financing costs. See Note 6, Credit Facility, Notes Payable, and Capital Lease Obligations, for more information.
INVENTORIES - Inventories, consisting mainly of medical supplies, are stated at the lower of cost or net realizable value with cost determined by the first-in, first-out method.
PROPERTY AND EQUIPMENT - Property and equipment are stated at cost, less accumulated depreciation and amortization. Depreciation of property and equipment is performed using the straight-line method over the estimated useful lives of the assets acquired, which range from 3 to 15 years. Leasehold improvements are amortized at the lesser of lease term or their estimated useful lives, which range from 3 to 15 years. Maintenance and repairs are charged to expense as incurred.
BUSINESS COMBINATION - When the qualifications for business combination accounting treatment are met, it requires us to recognize separately from goodwill the assets acquired and the liabilities assumed at their acquisition date fair values. Goodwill as of the acquisition date is measured as the excess of consideration transferred over the net of the acquisition date fair values of the assets acquired and the liabilities assumed. While we use our best estimates and assumptions to accurately value assets acquired and liabilities assumed at the acquisition date, our estimates are inherently uncertain and subject to refinement. As a result, during the measurement period, which may be up to one year from the acquisition date, we record adjustments to the assets acquired and liabilities assumed with the corresponding offset to goodwill. Upon the conclusion of the measurement period or final determination of the values of assets acquired or liabilities assumed, whichever comes first, any subsequent adjustments are recorded to our consolidated statements of operations.
GOODWILL AND INDEFINITE LIVED INTANGIBLES - Goodwill at September 30, 2019 totaled $439.9 million. Indefinite lived intangible assets at September 30, 2019 were $11.9 million. Goodwill and Indefinite Lived Intangibles are recorded as a result of business combinations. When we determine the carrying value of reporting unit exceeds its fair value an impairment charge would be recognized and should not exceed the total amount of goodwill allocated to that reporting unit. We tested goodwill and indefinite lived intangibles for impairment on October 1, 2018. During the review we noted our Teleradiology unit, Imaging On Call, (IOC), experienced a reduction of professional medical group clients and a contract with a major local health provider during 2018. This affected its estimated fair value and resulted in impairment charges to the reporting unit of $3.9 million for the twelve months ended December 31, 2018, with goodwill representing $3.8 million of the total and the remainder being its trade name of approximately $100,000. We have not identified any indicators of impairment through September 30, 2019. Activity in goodwill for the nine months ended September 30, 2019 is provided below (in thousands):

15


Balance as of December 31, 2018
$
418,093

Adjustments to our preliminary allocation of the purchase price of Medical Arts Radiological Group, P.C.
722

Goodwill acquired through the acquisition of certain assets of Dignity Health
1

Goodwill acquired through the acquisition of certain assets of West Valley Imaging Center, LLC
2,490

Goodwill disposed through sale of assets
(123
)
     Goodwill acquired by Lenox Hill Radiology through the membership purchase of HVRA
3,125

Goodwill acquired through the acquisition of certain assets of Kern Radiology, Inc.
10,507

     Goodwill acquired through the acquisition of certain assets of Zilkha Radiology, Inc.
2,577

     Goodwill acquired through the acquisition of certain assets of Ramic Mahwah, LLC
231

     Goodwill acquired through the acquisition of GSRN
887

     Goodwill acquired through the acquisition of Nulogix
1,357

Balance as of September 30, 2019
$
439,867

INCOME TAXES - Income tax expense is computed using an asset and liability method and using expected annual effective tax rates. Under this method, deferred income tax assets and liabilities result from temporary differences in the financial reporting bases and the income tax reporting bases of assets and liabilities. The measurement of deferred tax assets is reduced, if necessary, by the amount of any tax benefit that, based on available evidence, is not expected to be realized. When it appears more likely than not that deferred taxes will not be realized, a valuation allowance is recorded to reduce the deferred tax asset to its estimated realizable value. For net deferred tax assets we consider estimates of future taxable income in determining whether our net deferred tax assets are more likely than not to be realized.
We recorded an income tax expense of $1.8 million, or an effective tax rate of 26.3%, for the three months ended September 30, 2019 compared to income tax expense for the three months ended September 30, 2018 of $2.8 million, or an effective tax rate of 32.9%. We recorded an income tax expense of $3.6 million, or an effective tax rate of 24.8% for the nine months ended September 30, 2019 compared to income tax expense for the nine months ended September 30, 2018 of $2.8 million or an effective tax rate of 29.5%. The income tax rates for the three and nine months ended September 30, 2019 diverge from the federal statutory rate due to (i) noncontrolling interests due to the controlled partnerships; (ii) effects of state income taxes; (iii) excess tax benefits attributable to share-based compensation; and adjustment associated with uncertain tax positions.
We are not under examination in any jurisdiction and the years ended December 31, 2017, 2016, and 2015 remain subject to examination. We believe no significant changes in the unrecognized tax benefits will occur within the next 12 months.
LEASES - We determine if an arrangement is a lease at inception. Operating leases are included in operating lease right-of-use (“ROU”) assets, current operating lease liabilities, and long term operating lease liability in our consolidated balance sheets. Finance leases are included in property and equipment, current finance lease liability, and long-term finance lease liability in our consolidated balance sheets.  ROU assets represent our right to use an underlying asset for the lease term and lease liabilities represent our obligation to make lease payments arising from the lease. Operating lease ROU assets and liabilities are recognized at commencement date based on the present value of lease payments over the lease term. As most of our leases do not provide an implicit rate, we use our incremental borrowing rate based on the information available at commencement date in determining the present value of lease payments. We use the implicit rate when readily determinable. We include options to extend a lease when it is reasonably certain that we will exercise that option. Lease expense for lease payments is recognized on a straight-line basis over the lease term. For a contract in which we are a lessee that contains fixed payments for both lease and non-lease components, we have elected to account for the components as a single lease component, as permitted. For finance leases, interest expense on the lease liability is recognized using the effective interest method and amortization of the right-of-use asset is recognized on a straight-line basis over the shorter of the estimated useful life of the asset or the lease term. See Note 5, Leases, for more information.
EQUITY BASED COMPENSATION – We have one long-term incentive plan that we adopted in 2006 and which we first amended and restated as of April 20, 2015, and again on March 9, 2017 (the “Restated Plan”). The Restated Plan was approved by our stockholders at our annual stockholders meeting on June 8, 2017. We have reserved for issuance under the Restated Plan 14,000,000 shares of common stock. We can issue options, stock awards, stock appreciation rights, stock units and cash awards under the Restated Plan. Certain options granted under the Restated Plan to employees are intended to qualify as incentive stock options under existing tax regulations. Stock options and warrants generally vest over three to five years and expire five to ten years from date of grant. The compensation expense recognized for all equity-based awards is recognized over the awards’ service periods. Equity-based compensation is classified in operating expenses within the same line item as the majority of the cash compensation paid to employees. See Note 7, Stock-Based Compensation, for more information.

16


COMPREHENSIVE (LOSS) INCOME - ASC 220 establishes rules for reporting and displaying comprehensive loss or income and its components. Our unrealized gains or losses on foreign currency translation adjustments, interest rate cap and SWAP agreements are included in comprehensive (loss) income and are included in the consolidated statements of comprehensive (loss) income for the three and nine months ended September 30, 2019 and 2018.
COMMITMENTS AND CONTINGENCIES - We are party to various legal proceedings, claims, and regulatory, tax or government inquiries and investigations that arise in the ordinary course of business. With respect to these matters, we evaluate the developments on a regular basis and accrue a liability when we believe a loss is probable and the amount can be reasonably estimated. We believe that the amount or any estimable range of reasonably possible or probable loss will not, either individually or in the aggregate, have a material adverse effect on our business and consolidated financial statements. However, the outcome of these matters is inherently uncertain. Therefore, if one or more of these matters were resolved against us for amounts in excess of management's expectations, our results of operations and financial condition, including in a particular reporting period in which any such outcome becomes probable and estimable, could be materially adversely affected.
In the second quarter of 2019, RadNet accrued a liability of $2.3 million related to allegations by the US Attorney's Office for the Western District of New York that RadNet submitted certain claims that incorrectly identified the physician who furnished the radiology services. The final settlement, which admits no wrong-doing on behalf of RadNet, was $2.2 million and paid in September 2019.
DERIVATIVE INSTRUMENTS
2016 CAPS
In the fourth quarter of 2016, we entered into two forward interest rate cap agreements ("2016 Caps"). The 2016 Caps will mature in September and October 2020. The 2016 Caps had notional amounts of $150,000,000 and $350,000,000, respectively, which were designated at inception as cash flow hedges of future cash interest payments associated with portions of our variable rate bank debt. Under these arrangements, the Company purchased a cap on 3 month LIBOR at 2.0%. We incurred a $5.3 million premium to enter into the 2016 Caps which is being accrued over the life of the agreements.
At inception, we designated our 2016 Caps as cash flow hedges of floating-rate borrowings. In accordance with ASC Topic 815, derivatives that have been designated and qualify as cash flow hedging instruments are reported at fair value. The gain or loss of the hedge (i.e. change in fair value) is reported as a component of comprehensive loss in the consolidated statement of equity.  See Fair Value Measurements section below for the fair value of the 2016 Caps at September 30, 2019.

17


A tabular presentation of the effect of derivative instruments on our consolidated statement of comprehensive loss of the 2016 Caps is as follows (amounts in thousands):
For the three months ended September 30, 2019
Account
 
July 1, 2019 Balance
 
Amount of comprehensive loss recognized on derivative net of taxes
 
September 30, 2019 Balance
 
Location
Accumulated Other Comprehensive Loss
 
(768
)
 
(251
)
 
(1,019
)
 
Liabilities and Equity

For the nine months ended September 30, 2019
Account
 
January 1, 2019 Balance
 
Amount of comprehensive loss recognized on derivative net of taxes
 
September 30, 2019 Balance
 
Location
Accumulated Other Comprehensive Income (Loss)
 
2,506

 
(3,525
)
 
(1,019
)
 
Liabilities and Equity
2019 SWAPS
In the second quarter of 2019, we entered into four forward interest rate agreements ("2019 SWAPS"). The 2019 SWAPS have total notional amounts of $500,000,000, consisting of two agreements of $50,000,000 each and two agreements of $200,000,000 each. The 2019 SWAPS will secure a constant interest rate associated with portions of our variable rate bank debt and have an effective date of October 13, 2020. They will mature in October 2023 for the smaller notional and October 2025 for the larger notional. Under these arrangements, we arranged the 2019 SWAPS with locked in 1 month LIBOR rates at 1.96% for the $100,000,000 notional and at 2.05% for the $400,000,000 notional. As of the effective date, we will be liable for premium payments if interest rates decline below arranged rates, but will receive interest payments if rates remain above the arranged rates.
At inception, we designated our 2019 SWAPS as cash flow hedges of floating-rate borrowings. In accordance with ASC Topic 815, derivatives that have been designated and qualify as cash flow hedging instruments are reported at fair value. The gain or loss of the hedge (i.e. change in fair value) is reported as a component of comprehensive loss in the consolidated statement of equity.  See Fair Value Measurements section below for the fair value of the 2019 SWAPS at September 30, 2019.


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A tabular presentation of the effect of derivative instruments on our consolidated statement of comprehensive loss of the 2019 SWAPS is as follows (amounts in thousands):
For the three months ended September 30, 2019
Account
 
July 1, 2019 Balance
 
Amount of comprehensive loss recognized on derivative net of taxes
 
September 30, 2019 Balance
 
Location
Accumulated Other Comprehensive Loss
 
$
(5,924
)
 
$
(5,032
)
 
$
(10,956
)
 
Liabilities and Equity

For the nine months ended September 30, 2019
Account
 
January 1, 2019 Balance
 
Amount of comprehensive loss recognized on derivative net of taxes
 
September 30, 2019 Balance
 
Location
Accumulated Other Comprehensive Loss
 

 
$
(10,956
)
 
$
(10,956
)
 
Liabilities and Equity

FAIR VALUE MEASUREMENTS – Assets and liabilities subject to fair value measurements are required to be disclosed within a fair value hierarchy. The fair value hierarchy ranks the quality and reliability of inputs used to determine fair value. Accordingly, assets and liabilities carried at, or permitted to be carried at, fair value are classified within the fair value hierarchy in one of the following categories based on the lowest level input that is significant to a fair value measurement:
Level 1—Fair value is determined by using unadjusted quoted prices that are available in active markets for identical assets and liabilities.
Level 2—Fair value is determined by using inputs other than Level 1 quoted prices that are directly or indirectly observable. Inputs can include quoted prices for similar assets and liabilities in active markets or quoted prices for identical assets and liabilities in inactive markets. Related inputs can also include those used in valuation or other pricing models such as interest rates and yield curves that can be corroborated by observable market data.
Level 3—Fair value is determined by using inputs that are unobservable and not corroborated by market data. Use of these inputs involves significant and subjective judgment.
Derivatives:
The tables below summarizes the estimated fair values of certain of our financial assets that are subject to fair value measurements, and the classification of these assets on our consolidated balance sheets, as follows (in thousands):
 
As of September 30, 2019
Level 1
 
Level 2
 
Level 3
 
Total
Current and long term liabilities
 

 
 

 
 

 
 

2016 Caps - Interest Rate Contracts
$

 
$
906

 
$

 
$
906

2019 SWAPS - Interest Rate Contracts
$

 
$
15,473

 
$

 
$
15,473


 
As of December 31, 2018
Level 1
 
Level 2
 
Level 3
 
Total
Current assets
 

 
 

 
 

 
 

2016 Caps - Interest Rate Contracts
$

 
$
3,316

 
$

 
$
3,316

The estimated fair value of these contracts was determined using Level 2 inputs. More specifically, the fair value was determined by calculating the value of the difference between the fixed interest rate of the interest rate swaps and the counterparty’s forward LIBOR curve. The forward LIBOR curve is readily available in the public markets or can be derived from information available in the public markets.

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Long Term Debt:
The table below summarizes the estimated fair value compared to our face value of our long-term debt as follows (in thousands):
 
As of September 30, 2019
Level 1
 
Level 2
 
Level 3
 
Total Fair Value
 
Total Face Value
First Lien Term Loans and SunTrust Term Loan
$

 
$
718,172

 
$

 
$
718,172

 
$
716,522

 
As of December 31, 2018
Level 1
 
Level 2
 
Level 3
 
Total
 
Total Face Value
First Lien Term Loans and SunTrust Term Loan
$

 
$
633,229

 
$

 
$
633,229

 
$
646,441

As of September 30, 2019 our Barclays revolving credit facility had no balance outstanding while at December 31, 2018, our Barclays revolving credit facility had a $28.0 million aggregate principal amount outstanding. Our SunTrust revolving credit facility relating to our consolidated subsidiary NJIN, had no principal amount outstanding at September 30, 2019 and at December 31, 2018.
The estimated fair value of our long-term debt, which is discussed in Note 6, was determined using Level 2 inputs primarily related to comparable market prices.
We consider the carrying amounts of cash and cash equivalents, receivables, other current assets, current liabilities and other notes payables to approximate their fair value because of the relatively short period of time between the origination of these instruments and their expected realization or payment. Additionally, we consider the carrying amount of our capital lease obligations to approximate their fair value because the weighted average interest rate used to formulate the carrying amounts approximates current market rates.

20


EARNINGS PER SHARE - Earnings per share is based upon the weighted average number of shares of common stock and common stock equivalents outstanding, net of common stock held in treasury, as follows (in thousands except share and per share data):
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
2019
 
2018
 
2019
 
2018
Net income attributable to RadNet, Inc.'s common stockholders
$
3,195

 
$
5,039

 
$
4,360

 
$
3,107

 
 
 
 
 
 
 
 
BASIC NET INCOME PER SHARE ATTRIBUTABLE TO RADNET, INC.'S COMMON STOCKHOLDERS
 
 
 
 
 
 
 
Weighted average number of common shares outstanding during the period
49,807,460

 
48,010,726

 
49,597,138

 
47,937,215

Basic net income per share attributable to RadNet, Inc.'s common stockholders
$
0.06

 
$
0.10

 
$
0.09

 
$
0.06

 
 
 
 
 
 
 
 
DILUTED NET INCOME PER SHARE ATTRIBUTABLE TO RADNET, INC.'S COMMON STOCKHOLDERS
 
 
 
 
 
 
 
Weighted average number of common shares outstanding during the period
49,807,460

 
48,010,726

 
49,597,138

 
47,937,215

Add nonvested restricted stock subject only to service vesting
200,567

 
180,269

 
191,375

 
171,627

Add additional shares issuable upon exercise of stock options and warrants
352,333

 
424,397

 
324,793

 
372,463

Weighted average number of common shares used in calculating diluted net income per share
50,360,360

 
48,615,392

 
50,113,306

 
48,481,305

Diluted net income per share attributable to RadNet, Inc.'s common stockholders
$
0.06

 
$
0.10

 
$
0.09

 
$
0.06

 
 
 
 
 
 
 
 
Stock options excluded from the computation of diluted per share amounts:
 
 
 
 
 
 
 
Weighted average shares for which the exercise price exceeds average market price of common stock

 

 

 
8,333

    
EQUITY INVESTMENTS AT FAIR VALUE–Accounting guidance requires entities to measure equity investments at fair value, with any changes in fair value recognized in net income. If there is no readily determinable fair value, the guidance allows entities the ability to measure investments at cost less impairment.
As of September 30, 2019, we have two equity investments for which a fair value is not readily determinable and therefore the total amounts invested are recognized at cost as follows:
Medic Vision:
Medic Vision Imaging Solutions Ltd., based in Israel, specializes in software packages that provide compliant radiation dose structured reporting and enhanced images from reduced dose CT scans.
On March 24, 2017, we acquired an initial 12.5% equity interest in Medic Vision for $1.0 million. We also received an option to exercise warrants to acquire up to an additional 12.5% equity interest for $1.4 million within one year from the initial share purchase date, if exercised in full. On March 1, 2018 we exercised our warrant in part and acquired an additional 1.96% for $200,000. Our initial equity interest has been diluted to 12.25% and our total equity investment stands at 14.21%.
In accordance with accounting guidance, as we exercise no significant influence over Medic Vision’s operations, the investment is recorded at its cost of $1.2 million, given that the fair value is not readily determinable. No impairment in our investment was identified as of September 30, 2019.
Turner Imaging:

21


Turner Imaging Systems, based in Utah, develops and markets portable X-ray imaging systems that provide a user the ability to acquire X-ray images wherever and whenever they are needed. On February 1, 2018, we purchased 2.1 million preferred shares in Turner Imaging Systems for $2.0 million. On January 1, 2019 we funded a convertible promissory note in the amount of $143,000 that will convert to additional preferred shares no later than December 21, 2019. No impairment in our investment was identified as of September 30, 2019.
INVESTMENT IN JOINT VENTURES – We have 12 unconsolidated joint ventures with ownership interests ranging from 35% to 55%. These joint ventures represent partnerships with hospitals, health systems or radiology practices and were formed for the purpose of owning and operating diagnostic imaging centers. Professional services at the joint venture diagnostic imaging centers are performed by contracted radiology practices or a radiology practice that participates in the joint venture. Our investment in these joint ventures is accounted for under the equity method, since RadNet does not have a controlling financial interest in such ventures. We evaluate our investment in joint ventures, including cost in excess of book value (equity method goodwill) for impairment whenever indicators of impairment exist. No indicators of impairment existed as of September 30, 2019.
Sale of joint venture interest:
On April 1, 2017, we formed in conjuncture with Cedars Sinai Medical Center (“CSMC”) the Santa Monica Imaging Group, LLC (“SMIG”), consisting of two multi-modality imaging centers located in Santa Monica, CA with RadNet holding a 40% economic interest and CSMC holding a 60% economic interest. RadNet accounts for our share of the venture under the equity method. On January 1, 2019, CSMC purchased from the us an additional five percent economic interest in SMIG valued at $134,000. As a result of the transaction, our economic interest in SMIG has been reduced to 35%. We recorded a loss of $2,000 on the transaction.
Change in control of existing joint ventures:

On October 6, 2014, we acquired a 49% equity interest in Garden State Radiology, LLC for cash consideration of $2.2 million. The venture consisted of two imaging centers located in New Jersey. On August 1, 2019, the entity was dissolved by transferring ownership of the assets of the centers to the partners for no consideration, with each partner receiving full ownership of one center. See Note 4, Facility Acquisitions and Dispositions, for further information.

On April 12, 2018 we acquired 25% share capital in Nulogix, Inc. for cash consideration of $2.0 million. On August 1, 2019 we completed via the issuance of RadNet common stock valued at $1.5 million, the acquisition of the remaining 75% economic interest and we now consolidate the financial statements of Nulogix.  See Note 4, Facility Acquisitions and Dispositions, for further information.

Joint venture investment and financial information
The following table is a summary of our investment in joint ventures during the nine months ended September 30, 2019 (in thousands):
Balance as of December 31, 2018
$
37,973

Equity in earnings in these joint ventures
6,072

Distribution of earnings
(3,924
)
Sale of ownership interest
(134
)
Dissolution of GRSN
(1,427
)
Nulogix change in control
(1,795
)
Equity contributions in existing joint ventures
103

Balance as of September 30, 2019
$
36,868

We charged management service fees from the centers underlying these joint ventures of approximately $2.5 million and $3.5 million for the quarters ended September 30, 2019 and 2018, respectively and $7.8 million and $10.6 million for the nine months ended September 30, 2019 and 2018, respectively. We eliminate any unrealized portion of our management service fees with our equity in earnings of joint ventures.

22


The following table is a summary of key balance sheet data for these joint ventures as of September 30, 2019 and December 31, 2018 and income statement data for the nine months ended September 30, 2019 and 2018 (in thousands):
Balance Sheet Data:
September 30, 2019
 
December 31, 2018
Current assets
$
32,401

 
$
28,317

Noncurrent assets
62,564

 
45,912

Current liabilities
(9,383
)
 
(4,300
)
Noncurrent liabilities
(20,113
)
 
(4,898
)
Total net assets
$
65,469

 
$
65,031

 
 
 
 
Book value of RadNet joint venture interests
$
30,421

 
$
30,030

Cost in excess of book value of acquired joint venture interests
6,447

 
7,943

Total value of Radnet joint venture interests
$
36,868

 
$
37,973

 
 
 
 
Total book value of other joint venture partner interests
$
35,048

 
$
35,001

Income statement data for the nine months ended September 30,
2019
 
2018
Net revenue
$
80,115

 
$
136,413

Net income
$
13,718

 
$
20,271

 
NOTE 3 – RECENT ACCOUNTING AND REPORTING STANDARDS

Accounting standards adopted

In February 2016, the FASB issued Accounting Standard Update ("ASU") No. 2016-02, Leases (Topic 842) (ASU 2016-02), which amends the existing accounting standards for leases. In September 2017, the FASB issued ASU No. 2017-13 which provides additional clarification and implementation guidance on the previously issued ASU No. 2016-02. Subsequently, in July 2018, the FASB issued ASU No 2018-10, Codification Improvements to Topic 842, Leases, and ASU No. 2018-11, Targeted Improvement, to clarify and amend the guidance in ASU No. 2016-02. The amendments in this update were effective for fiscal years (and interim reporting periods within fiscal years) beginning after December 15, 2018, with early adoption permitted for all entities. Under the new guidance, a lessee is required to recognize a lease liability and right-of-use asset for all leases with terms in excess of twelve months. The new guidance also requires additional disclosures to enable users of financial statements to understand the amount, timing, and potential uncertainty of cash flows arising from leases. Consistent with current guidance, a lessee’s recognition, measurement, and presentation of expenses and cash flows arising from a lease will continue to depend primarily on its classification. We have elected the optional transition method to apply the standard as of the effective date and therefore, we will not apply the standard to the comparative periods presented in the consolidated financial statements. We elected the transition package of three practical expedients permitted within the standard, which eliminates the requirements to reassess prior conclusions about lease identification, lease classification, and initial direct costs. For facility and equipment operating leases, the effect of the adoption amounted to a lease liability of approximately $455.5 million. Operating lease right-of-use assets were recorded in the amount of approximately $419.0 million. Inclusive in the adoption was the transfer of approximately $35.3 million in deferred rent liability and $792,000 in unfavorable rental contract liabilities to operating lease right of use assets. For finance leases, the effect of the adoption amounted to a finance lease liability of approximately $12.1 million, which was transfered from capital lease debt. Equipment leased under the finance arrangements, amounting to $14.1 million, remained in property, plant and equipment. The transition adjustment did not have a material impact on the statement of operations or cash flows. See Note 5, Leases, for more information.

In February 2018, the FASB issued ASU No. 2018-02 (“ASU 2018-02”), Reclassification of Certain Tax Effects from Accumulated Other Comprehensive Income. ASU 2018-02 allows for the reclassification of certain income tax effects related to the Tax Cuts and Jobs Act between “Accumulated other comprehensive income” and “Retained earnings.” This ASU relates to the requirement that adjustments to deferred tax liabilities and assets related to a change in tax laws or rates to be included in “Income from continuing operations”, even in situations where the related items were originally recognized in “Other comprehensive income” (rather than in “Income from continuing operations”). Subsequently, in March 2018, the FASB issued ASU No. 2018-05, Income Taxes, to clarify and amend guidance in ASU 2018-02. ASU 2018-02 and ASU 2018-05 are effective for all entities for fiscal years beginning after December 15, 2018, and interim periods within those fiscal years, with early adoption

23


permitted. Adoption of this ASU is to be applied either in the period of adoption or retrospectively to each period in which the effect of the change in the tax laws or rates were recognized. The adoption had no significant impact on the our results of operations, financial position and cash flows.

In April 2019, the FASB issued ASU 2019-04, ("ASU 2019-04"), Codification Improvements to Topic 326, Financial Instruments-Credit Losses, Topic 815, Derivatives and Hedging, and Topic 825, Financial Instruments, which, among other things, clarifies certain hedge accounting guidance. For the year ended 2017, we elected to early adopt ASU 2017-12, Targeted Improvements to Accounting for Hedging Activities, (Topic 815), for which this current ASU 2019-04 amends. For those entities that have already adopted ASU 2017-12, the hedging amendments in ASU 2019-04 are effective as of the beginning of the first annual reporting period beginning after 25 April 2019 and early adoption is permitted. We elected early adoption of ASU 2019-04 and the adoption had no effect on our financial statements.

Accounting standards not yet adopted
 
In June 2016, the FASB issued ASU No. 2016-13 ("ASU 2016-13), Financial Instruments - Credit Losses. ASU 2016-13 replaces the incurred loss impairment methodology under current GAAP with a methodology that reflects expected credit losses and requires consideration of a broader range of reasonable and supportable information to inform credit loss estimates. The standard will be effective for us beginning after December 15, 2019, with early adoption permitted. We are currently evaluating the impact of this standard on our consolidated financial statements, including accounting policies, processes, and systems.

In August 2018, the FASB issued ASU No. 2018-15 (“ASU 2018-15”), Intangibles-Goodwill and Other-Internal-Use Software. ASU 2018-15 aligns the requirements for deferring implementation costs incurred in a cloud computing arrangement that is a service contract with the requirements for capitalizing implementation costs incurred to develop or obtain internal-use software. This ASU is effective in the first quarter of 2020 with early adoption permitted and can be applied either retrospectively or prospectively to all implementation costs incurred after the date of adoption. We are currently assessing the impact of the adoption of this ASU on the Company’s results of operations, financial position and cash flows.
 


NOTE 4 – FACILITY ACQUISITIONS AND ASSETS HELD FOR SALE
Acquisitions

On August 1, 2019 we completed a step-up acquisition upon the dissolution of our former 49% owned joint venture, Garden State Radiology LLC ("GSRN"). GSRN consisted of two multi-modality centers operating in New Jersey. GSRN became our wholly owned subsidiary with the withdrawal of the 51% majority partner for the full ownership of one center with no other consideration. We made a preliminary fair value determination of our original 49% interest which resulted in a step-up gain of $114,000. We determined a preliminary fair value of the remaining acquired imaging center of $1.9 million in assets and $426,000 in liabilities were recognized. We recorded $1,000 in other assets, $599,000 in fixed assets, $426,000 in right-of-use assets, $426,000 in operating lease liabilities, and $888,000 in goodwill.

On August 1, 2019 we completed a step-up acquisition of our former 25% owned joint venture, Nulogix, via a stock issuance of RadNet common shares valued at $1.5 million to obtain the remaining 75% outstanding Nulogix shares. We made a preliminary fair value determination of the acquired assets and approximately $189,000 in fixed assets, $732,000 in intangible assets, $278,000 in deferred tax liability and goodwill of $1.4 million were recorded. We also made a fair value determination of our 25% pre existing interest in the business and recognized a loss of $504,000 which is included in operating expenses within the condensed consolidated statements of operations.
On April 1, 2019 we completed our acquisition of certain assets of Kern Radiology Imaging Systems Inc., consisting of four multi-modality imaging centers located in Bakersfield, California for purchase consideration of $19.3 million. We have made a preliminary fair value determination of the acquired assets and assumed liabilities and approximately $10.1 million in property and equipment, $9.7 million in right-of-use assets, $36,000 in other assets, $3.4 million in intangible assets, $14.5 million in operating lease liabilities, and $10.5 million in goodwill were recorded.
On April 1, 2019 we completed our acquisition of certain assets of Zilkha Radiology Inc. consisting of two multi-modality centers located in Islip, New York for purchase consideration of $4.5 million. We have made a fair value determination of the acquired assets and assumed liabilities and approximately $2.2 million in property and equipment, $5.1 million in right-of-use

24


assets, $100,000 in intangible assets, $5.1 million in operating lease liabilities, retired $332,000 in equipment indebtedness, and recorded $2.6 million in goodwill.
On February 28, 2019, one of our NY Group entities, Lenox Hill Radiology and Medical Imaging Associates, P.C. ("LHR"), purchased the membership interest of Hudson Valley Radiology Associates, P.L.L.C. ("HVRA") for $6.0 million of RadNet common stock and contingent consideration valued at $680,000 to guarantee the share value issued for a period of six months post acquisition date. LHR has performed a fair value purchase price allocation and recorded equipment of $10,000, a covenant not to compete of $50,000, trade name of $380,000, other intangible assets of $340,000 and goodwill of $3.1 million from the transaction. In connection with the acquisition, RadNet also settled against the purchase consideration, $2.8 million, net of taxes, of an unfavorable vendor contract with HVRA stemming from the previous acquisition of Radiologix, Inc. in November 2006.
On February 1, 2019 our majority owned subsidiary, West Valley Imaging Group, LLC ("WVIG") completed its acquisition of certain assets of West Valley Imaging Center, LLC, consisting of a single multi-modality imaging center located in West Hills, CA for purchase consideration of $3.0 million all of which was initially funded by the Company. We have made a preliminary fair value determination of the acquired assets and approximately $300,000 in equipment and fixed assets, $7,000 in other assets, $200,000 in intangible assets and $2.5 million in goodwill were recorded. Subsequent to the transaction, our partner in WVIG, Cedars Sinai Medical Center, contributed $750,000 in cash to maintain its 25% economic interest in the venture.
Joint venture formations
On February 13, 2019 we formed a wholly owned subsidiary, Ventura County Imaging Group, LLC ("VCIG"). On March 1, 2019, Dignity Health joined as a venture partner. Total agreed contribution of both parties was $10.4 million of cash and assets with RadNet contributing net assets with a book value of $4.3 million for a 60% economic interest and Dignity Health contributing $6.1 million in cash and assets for a 40% economic interest. For its contribution, RadNet transferred net assets of three wholly owned multi-modality imaging centers. Dignity Health contributed approximately $800,000 in assets to acquire 5% economic interest and paid RadNet $5.3 million for an additional 35% economic interest. We maintain controlling economic interest in VCIG and fully consolidate the results into our financial statements.
Assets held for sale:
Effective January 1, 2018 we agreed to sell certain assets of four women’s imaging centers to MemorialCare Medical Foundation. The sale was initially anticipated within 12 months of the effective date, however we extended the date out to 24 months based on a change in business circumstances. The following table summarizes the major categories of assets which remain classified as held for sale in the accompanying condensed consolidated balance sheets at September 30, 2019:
Property and equipment, net
$
1,049

Goodwill
992

Total assets held for sale
$
2,041


NOTE 5 - LEASES

Adoption of Standard

In February 2016, the FASB issued a new standard related to leases to increase transparency and comparability among organizations by requiring the recognition of right-of-use (“ROU”) assets and lease liabilities on the balance sheet for all leases with terms in excess of twelve months. Sufficient disclosures are required to meet the objective of enabling users of financial statements to assess the amount, timing, and uncertainty of cash flows arising from leases. The standard was effective for us beginning January 1, 2019. We have elected the optional transition method to apply the standard as of the effective date and therefore, we will not apply the standard to the comparative periods presented in the consolidated financial statements. We also elected the transition package of three practical expedients permitted within the standard, which eliminates the requirements to reassess prior conclusions about lease identification, lease classification, and initial direct costs. In preparation for adoption of the standard, we have implemented internal control procedures and key system functionality to enable the preparation of financial information.

The adoption of the standard had a material impact on our condensed consolidated balance sheets, but did not have material impact on our condensed consolidated income statements or cash flows. Adoption of the standard resulted in the recognition

25


of an operating lease liability of $455.5 million. Operating lease ROU assets were recorded in the amount of $419.0 million. Inclusive in the adoption was the transfer of $35.3 million in deferred rent liability and $792,000 in unfavorable rental contract liabilities to operating lease ROU assets. For finance leases, the effect of the adoption amounted to a finance lease liability of $12.1 million, which was transfered from capital lease debt and a finance right of use assets in the amount of $14.1 million which remained in property, plant and equipment.

Lease Liability

We have operating leases for medical facilities, administrative offices, warehouse space and major medical equipment. We lease the premises at which these facilities are located and do not have options to purchase the facilities we rent. Our most common initial term varies in length from 5 to 15 years. Including renewal options negotiated with the landlord, we can have a total span of 10 to 35 years at the facilities we lease. We also lease smaller satellite X-Ray locations on mutually renewable terms, usually lasting one year. Additionally, we have operating and finance leases for certain medical and office equipment, with lease terms generally lasting from 5 to 8 years. Our Incremental Borrowing Rate ("IBR") used to discount the stream of lease payments is closely related to the interest rates charged on our collateralized debt obligations and our IBR is adjusted when those rates experience a substantial change.

The components of lease expense were as follows:
 
 
 
 
Three months ended
Nine months ended
(In thousands)
September 30, 2019
 
 
 
Operating lease cost
$
24,497

$
71,568

 
 
 
Finance lease cost:
 
 
     Depreciation of leased equipment
$
724

$
2,351

     Interest on lease liabilities
91

319

Total finance lease cost
$
815

$
2,670


Supplemental cash flow information related to leases was as follows:

 
Three months ended

Nine months ended

(In thousands)
September 30, 2019
 
 
 
Cash paid for amounts included in the measurement of lease liabilities:
 
 
     Operating cash flows from operating leases
$
24,739

$
71,926

     Operating cash flows from financing leases
91

319

     Financing cash flows from financing leases
1,363

4,299

Right-of-use & Equipment assets obtained in exchange for lease obligations:
 
 
     Operating leases(1) 
15,984

462,613

     Financing leases
32

14,088


(1) Amounts for the nine months ended September 30, 2019 include the transition adjustment for the adoption of Topic 842 discussed in Note 2, Significant Accounting Policies for further information.

Supplemental balance sheet information related to leases was as follows:

26


(In thousands, except lease term and discount rates)
 
 
September 30, 2019

 
 
Operating Leases
 
Operating lease right-of-use assets
$
438,558

Current portion of operating lease liability
$
69,308

Operating lease liabilities
410,958

     Total operating lease liabilities
$
480,266

 
 
Finance Leases
 
Property and Equipment, at cost
$
14,088

Accumulated depreciation
(2,351
)
Equipment, net
$
11,737

Current portion of finance lease
$
4,095

Finance lease liabilities
4,042

Total finance lease liabilities
$
8,137

 
 
Weighted Average Remaining Lease Term
 
Operating leases - years
8.5

Finance leases - years
3.2

 
 
Weighted Average Discount Rate
 
Operating leases
6.4
%
Finance leases
4.2
%

Maturities of lease liabilities were as follows:
(In thousands)
 
 
 
Operating

Financing

Year Ending December 31,
Leases

Leases

2019 (excluding the nine months ended September 30, 2019)
$
24,616

$
1,716

2020
95,158

3,481

2021
88,085

2,614

2022
78,279

691

2023
67,021


Thereafter
282,379


Total Lease Payments
635,538

8,502

Less imputed interest
(155,272
)
(365
)
Total
$
480,266

$
8,137


As of September 30, 2019 , we have additional operating leases for facilities that have not yet commenced of approximately $2.1 million. These operating leases will commence in 2019 with lease terms of 4 to 5 years.

As previously disclosed in our 2018 Annual Report on Form 10-K and under the previous lease accounting, maturities of operating lease liabilities were as follows as of December 31, 2018 (in thousands):


27


 
Facilities
 
Equipment
 
Total
2019
$
75,588

 
$
14,924

 
$
90,512

2020
66,116

 
14,385

 
80,501

2021
57,826

 
12,966

 
70,792

2022
48,542

 
10,264

 
58,806

2023
38,800

 
7,095

 
45,895

Thereafter
160,327

 
5,144

 
165,471

 
$
447,199

 
$
64,778

 
$
511,977




NOTE 6 – CREDIT FACILITY, NOTES PAYABLE AND CAPITAL LEASE OBLIGATIONS
As of September 30, 2019 and December 31, 2018 our debt obligations consist of the following (in thousands):
 
 
September 30,
2019
 
December 31,
2018
First Lien Term Loans collateralized by RadNet's tangible and intangible assets
$
659,522

 
$
587,191

 
 
 
 
Discounts on First Lien Term Loans
(14,549
)
 
(15,112
)
 
 
 
 
Term Loan Agreement collateralized by NJIN's tangible and intangible assets
57,000

 
59,250

 
 
 
 
Revolving Credit Facilities

 
28,000

 
 
 
 
Promissory note payable to the former owner of a practice acquired at an interest rate of 1.5% due through 2019

 
199

 
 
 
 
Equipment notes payable at interest rates ranging from 3.3% to 5.6%, due through 2020, collateralized by medical equipment
351

 
632

 
 
 
 
Obligations under capital leases at interest rates ranging from 4.3% to 11.2%, due through 2022, collateralized by medical and office equipment (1)

 
12,119

Total debt obligations
702,324

 
672,279

Less: current portion
(39,719
)
 
(39,267
)
Long term portion debt obligations
$
662,605

 
$
633,012

(1)Obligations under capital leases were transferred to Finance Lease Liability at January 1, 2019 in accordance with the adoption of Accounting Standards Update No 2016-02, Leases (Topic 842). See Note 5, Leases, for more information.
Senior Secured Credit Facilities
At September 30, 2019, our Barclays credit facilities were comprised of one tranche of term loans (“First Lien Term Loans”) and a revolving credit facility of $137.5 million (the “Barclays Revolving Credit Facility”), both of which are provided pursuant to the Amended and Restated First Lien Credit and Guaranty Agreement dated as of July 1, 2016 (as amended, the “First Lien Credit Agreement”).
At September 30, 2019, our SunTrust credit facilities, which relate to our consolidated subsidiary NJIN, were comprised of one term loan (the "SunTrust Term Loan") and a revolving credit facility of $30.0 million (the "SunTrust Revolving Credit Facility") both of which are provided pursuant to the SunTrust Restated Credit Agreement (as described below).

28


As of September 30, 2019, we were in compliance with all covenants under our credit facilities. Deferred financing costs at September 30, 2019, net of accumulated amortization, was $1.7 million and is specifically related to our Barclays Revolving Credit Facility.
Included in our condensed consolidated balance sheets at September 30, 2019 are $659.5 million of First Lien Term Loans and $57.0 million of SunTrust Term Loan debt for a combined total of $716.5 million of total term loan debt (net of unamortized discounts of $14.5 million) in thousands:
 
Face Value
 
Discount
 
Total Carrying
Value
First Lien Term Loans
$
659,522

 
$
(14,549
)
 
$
644,973

SunTrust Term Loan
57,000

 

 
57,000

Total Term Loans
$
716,522

 
$
(14,549
)
 
$
701,973

We had no balance under our $137.5 million Barclays Revolving Credit Facility at September 30, 2019 and have reserved an additional $5.9 million for certain letters of credit. The remaining $131.7 million of our Barclays Revolving Credit Facility was available to draw upon as of September 30, 2019. We also had no balance under our $30.0 million SunTrust Revolving Credit Facility related to our consolidated subsidiary NJIN at September 30, 2019.
The following describes our financing activities related to our Barclays credit facilities:

2019 Amendments to the First Lien Credit Agreement:

On April 18, 2019 we entered into the following two new amendments to the First Lien Credit Agreement: (i) Amendment No. 6, Consent and Incremental Joinder Agreement to Credit and Guaranty Agreement dated as of April 18, 2019 (the “Sixth Amendment”); and (ii) Amendment No. 7 to Credit and Guaranty Agreement dated as of April 18, 2019 (the “Seventh Amendment”).

The Sixth Amendment amended the First Lien Credit Agreement to issue $100.0 million in incremental First Lien Term Loans and to add an additional $20.0 million of revolving commitments to the Barclay's Revolving Credit Facility. Under the First Lien Credit Agreement, we now have approximately $679.0 million in First Lien Term Loans outstanding and capacity to borrow up to $137.5 million under our Barclays Revolving Credit Facility. The proceeds of the incremental First Lien Term Loans have been used to repay revolving loans outstanding under the Revolving Credit Facility and the fees, costs and expenses associated with the Sixth Amendment and the Seventh Amendment. Rates of the applicable margin for borrowing under the First Lien Credit Agreement remain the same as Amendment No. 5 from August 22, 2017 and described below. At September 30, 2019 the effective Adjusted Eurodollar Rate and the Base Rate for the First Lien Term Loans was 2.33% and 5.00%, respectively and the applicable margin for Adjusted Eurodollar Rate and Base Rate borrowings was 3.50% and 2.50%, respectively.

The Seventh Amendment amends the First Lien Credit Agreement to extend the maturity date of the Barclays Revolving Credit Facility by an additional two years to July 1, 2023, unless sooner terminated in accordance with the terms of the First Lien Credit Agreement.

The First Lien Credit Agreement, as amended by the Sixth Amendment, provides for quarterly payments of principal under the First Lien Term Loans in the amount of approximately $9.7 million, as compared to approximately $8.3 million under the First Lien Credit Agreement prior to the Sixth Amendment. Total issue costs for the Sixth Amendment aggregated to approximately $4.4 million. Of this amount, $2.1 million was identified and capitalized as discount on debt, $683,000 was capitalized as deferred financing costs, and $1.6 million was expensed. Amounts capitalized will be amortized over the remaining term of the agreement.
Amendment No. 5, Consent and Incremental Joinder Agreement to Credit and Guaranty Agreement
On August 22, 2017, we entered into Amendment No. 5, Consent and Incremental Joinder Agreement to Credit and Guaranty Agreement (the “Fifth Amendment”) with respect to our First Lien Credit Agreement. Pursuant to the Fifth Amendment, we issued $170.0 million in incremental First Lien Term Loans, the proceeds of which were used to repay in full previously outstanding second lien term loans.

29


Pursuant to the Fifth Amendment and unchanged by the Sixth Amendment, we also changed the interest rate margin applicable to borrowings under the First Lien Credit Agreement. While borrowings under the First Lien Credit Agreement continue to bear interest at either an Adjusted Eurodollar Rate or a Base Rate (in each case, as more fully defined in the First Lien Credit Agreement) or a combination of both, at the election of the Company, plus an applicable margin. Applicable margin for Adjusted Eurodollar Rate borrowings and Base Rate borrowings was changed to adjust depending on our leverage ratio, according to the following schedule:
First Lien Leverage Ratio
Eurodollar Rate Spread
Base Rate Spread
> 5.50x
4.50%
3.50%
> 4.00x but ≤ 5.50x
3.75%
2.75%
>3.50x but ≤ 4.00x
3.50%
2.50%
≤ 3.50x
3.25%
2.25%
Pursuant to the Fifth Amendment, the First Lien Credit Agreement was amended so that we can elect to request 1) an increase to the existing Barclays Revolving Credit Facility and/or 2) additional First Lien Term Loans, provided that the aggregate amount of such increases and additions does not exceed (a) $100.0 million and (b) as long as the First Lien Leverage Ratio (as defined in the First Lien Credit Agreement) would not exceed 4.00:1.00 after giving effect to such incremental facilities, an uncapped amount of incremental facilities, in each case subject to the conditions and limitations set forth in the First Lien Credit Agreement. Each lender approached to provide all or a portion of any incremental facility may elect or decline, in its sole discretion, to provide an incremental commitment or loan.
Pursuant to the Fifth Amendment, the First Lien Credit Agreement was also amended to (i) provide for quarterly payments of principal of the First Lien Term Loans in the amount of approximately $8.3 million, as compared to approximately $6.1 million prior to the Fifth Amendment, (ii) extend the call protection provided to the holders of the First Lien Term Loans for a period of twelve months following the date of the Fifth Amendment and (iii) provide us with additional operating flexibility, including the ability to incur certain additional debt and to make certain additional restricted payments, investments and dispositions, in each case as more fully set forth in the Fifth Amendment. Total issue costs for the Fifth Amendment aggregated to approximately $4.7 million. Of this amount, $4.1 million was identified and capitalized as discount on debt, $350,000 was capitalized as deferred financing costs and the remaining $235,000 was expensed. Amounts capitalized will be amortized over the remaining term of the agreement.
The First Lien Credit Agreement pursuant to the fifth amendment provided for a $117.5 million Barclays revolving credit facility and increased to $137.5 million in the Sixth Amendment. Revolving loans borrowed under the Barclays Revolving Credit Facility bore an interest at either an Adjusted Eurodollar Rate or a Base Rate (in each case, as more fully defined in the First Lien Credit Agreement), plus an applicable margin. Pursuant to the Fifth Amendment and unchanged in the Sixth Amendment, the applicable margin was amended to vary based on our leverage ratio in accordance with the following schedule:
First Lien Leverage Ratio
Eurodollar Rate Spread
Base Rate Spread
> 5.50x
4.50%
3.50%
> 4.00x but ≤ 5.50x
3.75%
2.75%
>3.50x but ≤ 4.00x
3.50%
2.50%
≤ 3.50x
3.25%
2.25%
For letters of credit issued under the Barclays Revolving Credit Facility, letter of credit fees accrue at the applicable margin (see table above) for Adjusted Eurodollar Rate revolving loans and fronting fees accrue at 0.25% per annum, in each case on the average aggregate daily maximum amount available to be drawn under all letters of credit issued under the First Lien Credit Agreement. In addition a commitment fee of 0.5% per annum accrues on the unused revolver commitments under the Barclays Revolving Credit Facility.
As of September 30, 2019, the interest rate payable on revolving loans was