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SIGNIFICANT ACCOUNTING POLICIES (Tables)
3 Months Ended
Mar. 31, 2021
Accounting Policies [Abstract]  
Service Fee Revenue
Our total service revenues during the three months ended March 31, 2021 and 2020 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
March 31,
20212020
Commercial insurance$182,096 $155,461 
Medicare63,589 57,749 
Medicaid8,451 6,628 
Workers' compensation/personal injury10,399 10,274 
Other patient revenue4,775 5,662 
Management fee revenue5,219 2,567 
Teleradiology and Software revenue2,426 3,770 
Other2,622 6,222 
Service fee revenue279,577 248,333 
Revenue under capitation arrangements35,742 33,231 
Total service revenue$315,319 $281,564 
Schedule of goodwill and other intangible assets Activity in goodwill for the three months ended March 31, 2021 is provided below (in thousands):
Balance as of December 31, 2020$472,879 
Goodwill acquired through acquisitions29,609 
Goodwill attributable to formation of Simi Valley Imaging Group LLC105 
Other Adjustments(27)
Balance as of March 31, 2021$502,566 
Effect of derivative instruments on comprehensive income
A tabular presentation of the effect of derivative instruments on our consolidated statement of comprehensive loss of the 2019 Swaps which remain ineffective is as follows (amounts in thousands):
For the three months ended March 31, 2021
AccountJanuary 1, 2021 BalanceAmount of comprehensive loss recognized on derivative net of taxesAmount of loss reclassified out of accumulated OCI into income (prior period effective portion), net of taxesMarch 31, 2021 BalanceLocation
Accumulated Other Comprehensive Loss, net of taxes$(22,581)$— $925 $(21,656)Equity

For the twelve months ended December 31, 2020
AccountJanuary 1, 2020 BalanceAmount of comprehensive loss recognized on derivative net of taxesAmount of loss reclassified out of accumulated OCI into income (prior period effective portion), net of taxesDecember 31, 2020Location
Accumulated Other Comprehensive Loss, net of taxes$(5,870)$(19,352)$2,641 $(22,581)Equity
A tabular presentation of the effect of derivative instruments on our statement of operations of the 2019 Swaps which remain ineffective is as follows (amounts in thousands):
For the three months ended March 31, 2021
Ineffective interest rate swapAmount of gain recognized in income on derivative (current period ineffective portion)Location of gain recognized in Income on derivative (current period ineffective portion)Amount of loss reclassified from accumulated OCI into income (prior period effective portion)Location of loss reclassified from accumulated OCI into income (prior period effective portion)
Interest rate contracts$11,245 Other income (expense)$(925)Interest Expense
Schedule of fair value of assets and liabilities
The tables below summarize 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 condensed consolidated balance sheets, as follows (in thousands):
 As of March 31, 2021
Level 1Level 2Level 3Total
Current and long term liabilities    
2019 Swaps - Interest Rate Contracts$— $26,744 $— $26,744 
 As of December 31, 2020
Level 1Level 2Level 3Total
Current and long term liabilities    
2019 Swaps - Interest Rate Contracts$— $37,989 $— $37,989 
The table below summarizes the estimated fair value compared to our face value of our long-term debt as follows (in thousands):
 As of March 31, 2021
Level 1Level 2Level 3Total Fair ValueTotal Face Value
First Lien Term Loans and SunTrust Term Loan$— $652,331 $— $652,331 $651,580 
 As of December 31, 2020
Level 1Level 2Level 3Total Fair ValueTotal Face Value
First Lien Term Loans and SunTrust Term Loan$— $661,640 $— $661,640 $662,403 
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 March 31,
20212020
Net income (loss) attributable to RadNet, Inc.'s common stockholders$9,458 $(16,358)
BASIC NET INCOME (LOSS) PER SHARE ATTRIBUTABLE TO RADNET, INC.'S COMMON STOCKHOLDERS
Weighted average number of common shares outstanding during the period51,951,506 50,294,329 
Basic net income (loss) per share attributable to RadNet, Inc.'s common stockholders$0.18 $(0.33)
DILUTED NET INCOME (LOSS) PER SHARE ATTRIBUTABLE TO RADNET, INC.'S COMMON STOCKHOLDERS
Weighted average number of common shares outstanding during the period51,951,506 50,294,329 
Add nonvested restricted stock subject only to service vesting253,265 — 
Add additional shares issuable upon exercise of stock options and warrants624,170 — 
Weighted average number of common shares used in calculating diluted net income per share52,828,941 50,294,329 
Diluted net income (loss) per share attributable to RadNet, Inc.'s common stockholders$0.18 $(0.33)
Stock options and non vested restricted awards excluded from the computation of diluted per share amounts as their effect would be antidilutive:
Nonvested restricted stock subject to service vesting— 314,962 
Shares issuable upon the exercise of stock options:82,595 527,899 
Investment in joint ventures
The following table is a summary of our investment in joint ventures during the three months ended March 31, 2021 (in thousands):
Balance as of December 31, 2020$34,528 
Equity in earnings in these joint ventures2,285 
Balance as of March 31, 2021$36,813 
Joint venture investment and financial information
The following table is a summary of key balance sheet data for these joint ventures as of March 31, 2021 and December 31, 2020 and income statement data for the three months ended March 31, 2021 and 2020 (in thousands):
Balance Sheet Data:March 31, 2021December 31, 2020
Current assets$33,265 $27,085 
Noncurrent assets68,493 68,686 
Current liabilities(13,929)(12,545)
Noncurrent liabilities(21,371)(21,582)
Total net assets$66,458 $61,644 
Book value of RadNet joint venture interests$30,351 $28,079 
Cost in excess of book value of acquired joint venture interests and other6,462 6,449 
Total value of RadNet joint venture interests$36,813 $34,528 
Income statement data for the three months ended March 31,20212020
Net revenue$31,718 $26,341 
Net income$4,803 $4,245